2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Reviewed fire inspection report and observed a next inspection date of 6/23/2025 with the last inspection date being 3/25/2024. Correction: All child care facilities must be inspected and obtain an approving inspection report from the local fire department. Respond with verification of compliance. Correct by 02/03/2026

Corrected Corrected by Feb 3, 2026

Category: health medication. Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

Observed the Toddler 2 room to be lacking a posting of the licensed capacity and staff-to-child ratio. Correction: Child care facilities must post in every room the license capacity of the room and the staff-to-child ratio.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Observed small counting dinosaurs and pom poms on a low shelf posing a potential choking hazard in the Preschool room accessible to children under the age of 3. Correction: Areas accessible to children under the age of 3 must be free of any choke hazards. *** Corrected at the time of inspection. Staff removed counting dinosaurs and pom poms from the classroom and made inaccessible to children. No response required. Correct by 02/03/2026

Corrected Corrected by Feb 3, 2026

Category: physical safety. Marked corrected in the state record.

2.229.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

Observed a glass jar on a low shelf in the Preschool room accessible to children under the age of 5. Correction: Easily breakable plastic pr glass are not permitted for children under the age of 5. *** Corrected at the time of inspection. Staff removed glass jar from the classroom and made inaccessible to children. No response required. Correct by 02/03/2026

Corrected Corrected by Feb 3, 2026

Category: physical safety. Marked corrected in the state record.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 4 child files and observed 1 file to be lacking an updated health statement completed by a health care provider. The last visit date was 2/10/2025 with an annual due date of 12/2025. Correction: The center must maintain and update annually a copy of the child's health statement completed by a health care provider. Respond with verification of compliance. Correct by 03/03/2026

Corrected Corrected by Mar 3, 2026

Category: health medication. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 5 child files and observed 1 to have an immunization record on an unapproved form. Correction: At the time of admission, the parents must provide for each child, documentation of the school-required immunization status or certificate of exemption on the CDPHE certificate of immunization or other approved form. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: health medication. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 5 child files and observed 1 to have an expired health statement. Correction: Within 30 days of admission and within 30 days following the expiration date of a previous health statement, the parents of each child must submit a statement of the child's current health status. Correct by 03/19/2025

Corrected Corrected by Mar 19, 2025

Category: ratio. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Observed ointments labeled "keep out of reach of children" in an unlocked cabinet accessible to children in the Toddler 1 classroom. Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. ***Corrected at the time of inspection. Director removed ointments. No response required. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Marked corrected in the state record.

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Identified through staff statements that staff were left alone in high chairs in the hallway without supervision FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ while staff went into the classroom to get the other children. Observed 1 child enter the facility unsupervised from the playground at the time of inspection to use the restroom, leaving the supervision of Ms. Cynthia. Correction: All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: supervision. Marked corrected in the state record.

2.224.A.7 · Staff members must sit with the children and encourage them to try a variety of food served. During meals, children should be encouraged to engage in conversation and to express their independence.

Identified through staff statement that infants were left out in the hallway in high chairs while staff retrieved the other children. Infants left in hallway were not constantly supervised and staff were not sitting with them while they ate. Correction: Staff members must sit with children when they eat and encourage them to try a variety of foods. Correct by 10/23/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Oct 23, 2024

Category: supervision. Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 1 staff member to 10 children.

Observed staff member Cynthia bring 2 children to the bathroom at the time of inspection leaving staff member Dahlia with 19 children by herself outside on the preschool playground. Correction: Staff to child ratios as provided by the department must be followed at all times. Classrooms with children ages 3-4 years of age must follow a 1:10 ratio. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Observed the pre-K classroom to have 21 children and over the max group size of 20 children for children ages 3-4 years old. Correction: Facility must always follow maximum group sizes as provided by the department. Maximum group sizes also apply on the playground. For children ages 3-4 years of age, the max group size is 20 children in one group. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. Marked corrected in the state record.

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Staff member Cynthia stated that there were 20 children on the preschool playground at the time of inspection and there were 21 children. Correction: All staff must demonstrate knowledgeable decision making and concern for the proper well being of children. Staff must know how many children are in their care at all times. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: physical safety. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed staff member Cynthia take 2 children to the bathroom at the time of inspection leaving staff member Dahlia who is aide qualified with the rest of the group. Correction: There must be assigned at least 1 qualified ECT supervising each group of children unless otherwise specified in rule. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: supervision. Marked corrected in the state record.

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

Observed a 1 year old in the infant 2 room which is licensed for children up to 12 months of age. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the written approval of the licensing authority. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Marked corrected in the state record.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Program lacking documentation of a current building fire inspection. Correction: Provide documentation through an approving health inspection from the local health department (local fire department), along with a written statement of compliance within the overall response ensuring that a current health inspection has been obtained and will be maintained. Correct by 04/06/2024

Corrected Corrected by Apr 6, 2024

Category: health medication. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 4 children's files and observed 3 children lacking documentation of a current emergency medical authorization signed by a parent/guardian. Correction: Immediately (3/6/24) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: health medication. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 9 staff files and observed 6 staff (Annette H., Nayelly F., Nicole O., Shirley O., Cynthia F., and Abigail G.) lacking documentation of a current standard precautions training. Correction: Immediately (3/6/24) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reveiwed 4 children's files and observed 3 children lacking documentation of a current immunization record on a state approved form. Correction: Immediately (3/6/24) ensure child files have documentation of school required immunizations on the Colorado Department of Public Health and Environment Certificate of Immunization or an "approved alternate" Certificate of Immunization. Provide a written statement of complaince within the overall response. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: health medication. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 4 children's files and observed 2 children lacking documentation of a current health statement signed by a medical provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a healthcare provider. Correct by 04/06/2024

Corrected Corrected by Apr 6, 2024

Category: ratio. Marked corrected in the state record.

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved child care health consultant introductory training course within six (6) months of hire. Child care health consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

Program lacking documentation of the child care health consultant introductory training for the appointed child care health consultant. Correction: Immediately (3/6/24) ensure that the program obtains and maintains documentation of the child care health

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.217.C.6 · For the Department-approved child care health consultant, the center must maintain documentation of a brief biography highlighting applicable knowledge, experience, and approximate dates worked as a school nurse or child care health consultant.

Program lacking documentation of a brief biography for the child care health consultant. Correction: Immediately (3/6/24) ensure that a brief biography for the current child care health consultant is obtained and maintained. Provide a written statement of compliance within the overall response. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: health medication. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

At the time of the inspection the teacher in the Infant 2 classroom was lacking documentation of early childhood teacher credentials. Correction: Immediately (3/6/24) ensure that a qualified Early Childhood Teacher is assigned to supervise each group of children at all times. Director moved a qualified early childhood teacher to the infant 2 classroom at the time of the inspection. Provide a written plan of action or documentation of qualifications for assigned ECT with in the overall response. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: supervision. Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

A gap in the wall heater cover near window in the toddler 1 classroom causing a possible hazard. Correction: Immediately (3/6/24) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Director fixed the cover and closed the gap on the heater at the time of the inspection. NO RESPONSE REQUIRED. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: physical safety. Marked corrected in the state record.

7.702.62.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through staff statements that infants within infant nursery 2 have been placed in the cribs with a blanket. Correction: Immediately (11/27/2023) ensure that soft bedding or materials that can pose as a suffocation hazard are not permitted in the cribs with infants to include blankets. Provide a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: physical safety. Marked corrected in the state record.

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified through staff statements and staff file reviews that infant nursery staff who are currently certified in safe sleep training, at the time of the reportable incident, were placing infants in their cribs with blankets and allowing the infants to sleep with blankets. Correction: Immediately (11/27/2023) ensure that all staff at the center demonstrate knowledgeable decision-making, judgment and concern for the proper care and well-being of children. Provide a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: physical safety. Marked corrected in the state record.

7.702.63.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

Identified through staff statements that infants within Infant Nursery 2 have been placed in the cribs with their bottles. Correction: Immediately (11/27/2023) ensure that bottles will not be allowed in a crib with an infant. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 11/27/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

Staff, Nayelly F. supervising infants alone and assigned in the Infant Nursery 1 classroom as the early childhood teacher and lacking documentation of early childhood teacher qualifications. Correction: Immediately (11/27/2023) ensure that the Infant Program has a qualified early childhood teacher assigned to each room at all times. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.46.A.14 · Staff to Child Ratios by AGES OF CHILDREN and NUMBER OF STAFF 6 weeks to 18 months (infants): 1 staff member to 5 infants 12 months to 36 months: 1 staff member to 5 toddlers 24 months to 36 months: 1 staff member to 7 toddlers 2-1/2 years to 3 years: 1 staff member to 8 children 3 years to 4 years: 1 staff member to 10 children 4 years to 5 years: 1 staff member to 12 children 5 years and older: 1 staff member to 15 children Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children

Toddler 1 classroom with 9 children ages 12 months to 24 months with 1 Early Childhood teacher while the other staff stepped away from the classroom. Correction: Immediately (11/27/2023) ensure that the applicable staff-to-child ratio is followed by each classroom at all times to include the Toddler 1 classroom. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.72.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Torn books throughout each classroom and torn cardboard Melissa and Doug bricks within the Toddler 2 classroom. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (11/27/2023) ensure that all indoor and outdoor equipment and materials are sturdy, safe and free of hazard. Provide a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: physical safety. Marked corrected in the state record.

7.702.91.B · Buildings must be kept in good repair and maintained in a safe condition.

Torn blinds within the hallway leading to Toddler 1 and Toddler 2 classrooms and within Toddler 1 and Toddler 2 classrooms. Correction: Immediately (11/27/2023) ensure that the building is kept in good repair and maintained in a safe condition. Provide a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

7.702.45.B.2.a · In the infant program, there must be a qualified Infant Program Supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an Infant Early Childhood Teacher must be responsible during the remaining time.

Infant Nursery Program lacking an assigned qualified Infant Program Supervisor who is responsible for the care of the infants at least 60% of each day. Correction: Immediately (11/27/2023) ensure that the Infant Program has a qualified infant program supervisor present who is responsible for the care of infants at least 60% of each day. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.91.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Observed the kitchen to open and accessible at the time of inspection and containing hazards. Correction: Kitchens, including all hazardous items, must be inaccessible to children at all times. ***Corrected at the time of inspection. Kitchen door was closed and locked. No response required. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

Category: physical safety. Marked corrected in the state record.