2.218.A · The center must accept and care only for children of the ages for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed.

Identified through observation, staff statement, and child file review that the program was providing care for three children who exceeded the licensed age range. At the time of inspection, LS observed three children in the Blue Room and verified through child files and staff statement that two children were 6 years old and one child was 7 years old. The program is licensed to provide care for children ages 6 weeks through 6 years old, up to the day before their sixth birthday. SM1 stated they were aware children over the age of 6 are not permitted to be enrolled but acknowledged the program was currently providing care for the three children. Additionally, LS identified through an online search that the program was advertising a summer camp for children over the age of 6. Staff stated the program was not enrolling children in, or operating, the advertised summer camp. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The center must accept and care only for children of the ages for which it has been licensed. Respond with statement of compliance. Correct by 06/02/2026 ________________________________________________ ________________________________________________

Corrected Corrected by Jun 2, 2026

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Observed loose plastic bags hanging on the paper towel dispenser and accessible to children in the bathroom of the Blue Preschool room. Correction: Loose plastic bags must be stored in areas inaccessible to children. ***Corrected at the time time of inspection. Staff removed bags from the bathroom and made inaccessible to children. No response required. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed on the preschool playground a climbing equipment higher than 18 inches without resilient surfacing FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ of at least 6 inches surrounding the equipment. Correction: All climbing equipment 18 inches or higher must have resilient surfacing of at least six inches. Provide written response and ongoing plan of compliance. Correct by 11/18/2025

Corrected Corrected by Nov 18, 2025

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

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

Observed balloons in an unlocked cabinet in the Blue room accessible to children. This is a violation of stipulation K on the probationary license probationary stipulation K states, "Hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times, both indoors and outdoors. Choking hazards must be inaccessible to children under three years of age". Correction: Materials must be safe and free of hazards if accessible to children. *** Corrected at the time of inspection. Staff removed balloons from classroom and made inaccessible to children. No response required. Correct by 11/18/2025

Corrected Corrected by Nov 18, 2025

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

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 clothing pins hanging on a wall in the toddler room accessible to children and posing a potential choking hazard. This is a violation of stipulation K on the probationary license probationary stipulation K states, "Hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times, both indoors and outdoors. Choking hazards must be inaccessible to children under three years of age". Correction: Any materials accessible to children under the age of three must not be a choke hazard. ***Corrected at the time of inspection. Staff removed clothing pins from classroom and made inaccessible to children. No response required. Correct by 11/18/2025

Corrected Corrected by Nov 18, 2025

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed an uncovered outlet by the front entry way accessible to children. Correction: All outlets that are accessible to children must have protective covers. ***Corrected at the time of inspection. Staff placed a protective cover on outlet. No response required. Correct by 11/18/2025

Corrected Corrected by Nov 18, 2025

Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 7 staff files and observed 1 to be lacking a training in fire safety and the use of available fire extinguishers and fire alarms. This is a violation of stipulation I on the probationary license probationary stipulation I states, " Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times". Correction: Each staff member must be trained in fire safety and the use of available fire extinguishers and fire alarms. Provide written response and ongoing plan of compliance. Correct by 11/18/2025

Corrected Corrected by Nov 18, 2025

Category: ratio. Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 7 staff files and observed 1 staff file to be lacking a medical statement. Correction: All Staff members must submit a medical statment signed and dated by a physician or health care provider. Provide written response and ongoing plan of compliance. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed Director file and observed to be lacking a department-approved training for Introduction to Child Care Health Consultation. This is a violation of stipulation I on the probationary license probationary stipulation I states, " Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times". Correction: All Directors and Assistant Directors must complete a department-approved training for Introduction to Child Care Health Consultation. Provide written response and ongoing plan of compliance. Correct by 11/18/2025

Corrected Corrected by Nov 18, 2025

Category: ratio. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed an uncovered outlet on a multi-outlet unit on a low shelf accessible to children in the Preschool room. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers. Corrected at the time of inspection. Staff covered the outlet making it inaccessible to children. No response required Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

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 cup on a low shelf accessible to children under the age of 5, in the Preschool room. Correction: Toys, materials, and equipment made of brittle or easily breakable materials are not permitted for children under the age of 5. Corrected at the time of inspection. Staff removed glass cup making it inaccessible to children. No response required. Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

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

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed a structure on the Preschool playground exceeding 18" in height to be lacking resilient surfacing of at least six (6) inches in the use zone surrounding the equipment. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment. Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

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

2.230.C.3.a · Toddler climbing equipment must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

Observed a structure on the Toddler playground exceeding 18 inches, secured against a fence, and lacking FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the 3 foot use zone surrounding the structure. Correction: Toddler climbing equipment must have a three (3) foot use zone surrounding the equipment. Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

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

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

Observed the office to be open and accessible to children at the time of inspection. Office contains many hazards such as chokables and keep out of reach items. Observed the office space in the front entrance of the facility to have desk drawers open and accessible to children containing hazards such as keep out of reach items and adult size scissors. *This is a direct violation of stipulation (K) on the probationary license. Stipulation (K) states, "Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age." Correction: If the office space is accessible to children, it must be free of hazards. Correct by 10/02/2025

Corrected Corrected by Oct 2, 2025

Category: physical safety. 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 5 year old child in the Green classroom that is licensed for ages 2.5-4. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without prior written approval from licensing. Correct by 10/02/2025

Corrected Corrected by Oct 2, 2025

Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Observed the attendance record for the Green room to state 5 children and there were 6 children present. Observed the Blue classroom to be lacking a record of a child signed in to the attendance record. ***This is a direct violation of stipulation (F) on the probationary license. Stipulation (F) states, "Licensee will use a name-to-face attendance verification tool (paper or electronic form) and complete attendance verification for all transitions and at frequent intervals throughout the day." Correction: The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day. Correct by 10/02/2025

Corrected Corrected by Oct 2, 2025

Category: recordkeeping. 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: 1 staff member to 10 children.

Observed the toddler room to be over ratio by 2 toddler ages 1-3 years of age. At the time of inspection, the toddler room had 1 staff member and 7 children during nap time. This is a direct violation of probationary stipulation (C). Stipulations (C) states, "licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom." ***Corrected at the time of inspection. Director placed second staff member in the toddler classroom to meet ratio. No response required. Correction: The toddler room ratio is 1 staff member to 5 toddlers for ages 1 to 3 years old and should not be exceeded at any time. Correct by 09/04/2025

Corrected Corrected by Sep 4, 2025

Category: ratio. Marked corrected in the state record.

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

Observed at least 5 balls in the Toddler room labeled 3+ accessible to children under the age of 3. *This is a direct violation of probationary stipulation (K). Stipulation (K) states, "hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times". Correction: Play equipment and materials must be appropriate for children's ages and developmental needs. *Corrected at the time of inspection. Director removed balls from the classroom. No response required. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed a power strip in the Blue Room accessible to children and lacking protective covers. *This is a direct violation of probationary stipulation (K). Stipulation (K) states, "hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times". Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers or

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Observed hazards including batteries and WD-40 in an unlocked drawer of the desk in the entryway of the facility. This is a direct violation of probationary stipulation (K). Stipulation (K) states, "hazardous items, including items labeled "keep out of reach of children", must be inaccessible to children at all times, both indoors and outside." Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. ***Corrected at the time of inspection. Director locked drawer. No response required. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

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

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 3 staff files and observed Heidi M. to be lacking documentation of CBI clearance letter. Correction: The results of the criminal record check must be maintained at the center and must be available for review

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 2 staff files and observed Estefany to be lacking an authorization stating that each employee has been trained in fire safety and the use of fire extinguishers and fire alarms. *This is a direct violation of probationary stipulation (I) "...verification of completed training must be available for review at all times." Correction: Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms. Correct by 06/17/2025

Corrected Corrected by Jun 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

Reviewed 2 staff files and observed Estefany and Arleen to be lacking a health statement signed and dated by a health care professional. Correction: All staff members must submit to the center a medical statement, signed and dated by a health care professional. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 2 staff files and observed Estefany and Arleen to be lacking a signed statement indicating that they have read and have been trained on the center's administration of medications policies and procedures. *This is a direct violation of probationary stipulation (I) "...verification of completed training must be available for review at all times." Correction: Prior to working with children, each staff member must read and be trained on the center's policies and procedures for the administration of medications. Correct by 06/17/2025

Corrected Corrected by Jun 17, 2025

Category: ratio. Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 2 staff files and observed Estefany and Arleen to be lacking a signed acknowledgment indicating that staff have completed a pre-service building and physical premises training. *This is a direct violation of probationary stipulation (I). "...Verification of completed training must be available for review at all times." Correction: All staff must complete a pre-service building and physical premises training prior to working with children. Correct by 06/17/2025

Corrected Corrected by Jun 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.A.4 · If the director of a large center cannot be present sixty percent (60%) of any day, an assistant director must be on site acting in the capacity of the director.

Reviewed 3 staff files and observed that there was no staff on site with Director or Assistant Director qualifications on 5/1/25 or 5/2/25. Correction: If the director of a large center cannot be present 60% of any day, an assistant diretor must be on site acting in the capacity of the director. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Marked corrected in the state record.

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

Observed a teacher's bag on the desk in the Green Room accessible to children. Observed a power drill on the counter accessible to children in the back room. Observed 4 nails under the sink in an unlocked cabinet accessible to children in the Blue Room. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. ***Corrected at the time of inspection. Teacher made bag inaccessible, Director removed drill and nails. No response required. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 2 child files and observed 1 to be lacking documentation of immunizations and 1 to have documentation of immunizations on an unapproved form. Correction: At the time of admission, the parents must provide for each child, documentation of immunization status or certificate of exemption. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

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

Observed 2 jugs of sanitizer and 1 jug of hand soap both labeled "keep out of reach of children" in an unlocked cabinet accessible to children in the back room leading to the playground. Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. ***Corrected at the time of inspection. Director moved items to be inaccessible to children. No response required. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed 2 uncovered outlets on a power strip in the entry way of the facility accessible to children. Correction: All electrical outlets that are accessible to children must have protective covers or safety outlets must be installed. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed 3 climbers on the preschool playground over 18" in height with resilient material (pea gravel) only 2-3" in height in some areas of the use zone. Correction: All climbing equipment 18" or higher must have resilient surfacing of at least 6" in the entire use zone. Correct

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.230.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

Observed 3 climbers on the preschool playground exceeding 18" in height and lacking a 6 foot use zone. Correction: Preschool climbing equipment must have a 6 foot use zone surrounding the equipment. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: physical safety. 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 Blue and Green Room to be lacking a posting of the licensed capacity. Correction: All facilities must post in every room of the facility, the licensed capacity of the room and the staff-to-child ratio. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: ratio. 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.

Observed the facility to be lacking documentation of fire inspection from the local fire department. Correction: All child care facilities must be inspected and obtain an approving inspection report from the local fire department. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Observed the facility to be lacking at least 1 staff member with current medication administration training and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ delegation on duty at the time of inspection. Correction: At least one staff member with the current medication administration training and delegation must be on duty at all times. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: ratio. Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 5 staff files and observed Yoselin P. and Jocelyn R. to be lacking a medical statement. Correction: All staff members must submit to the center a medical statement, signed and dated by a health care provider. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed Shane C. to be lacking the Introduction to Childcare Health Consultation training. Correction: All directors must complete the department approved Introduction to Child Care Health Consultation training. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed 5 staff files and observed Shane C. and Shantel K. to be lacking documentation of 15 hours of annual training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All staff who work with children must complete a minimum of 15 clock hours of ongoing professional development each year. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.229.U · An appropriate supply of play materials must be readily accessible to children and must be arranged in an orderly manner so that children can select, remove, and replace the play materials either independently or with minimum assistance.

Observed the Green Room to be lacking age appropriate books readily accessible to children. Correction: An appropriate supply of materials must be readily accessible to children and must be arranged in a manner so that children can select the materials independently. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Critical incident occurred at the facility and facility did not report information to the department. *Previously cited 10/9/2024 Correction: Within 24 hours of the occurrence of a critical incident at the facility, the licensee must report in writing the critical incident to the CDEC Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: ratio. Marked corrected in the state record.

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 4 staff files and observed Kenia to have been working longer than 90 calendar days and lacking TRAILS clearance letter. *Previously cited 10/9/24 Correction: Individuals who have obtained a successfully completed CBI or FBI record check may care of children, for no longer than 90 calendar days while waiting for all other required background checks to be completed. ***Individuals requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send documentation of TRAILS clearance letter with written response to specialist. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: supervision. Marked corrected in the state record.

2.208.A.2 · The following records must be on file at the center: A list of current staff members, substitutes, and staffing patterns;

Observed the staffing patterns for the Green Room to show Shane C. in the classroom when they were not present in the classroom. Correction: Staffing patterns for each classroom must be accurate and on file at the center for review. Correct by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 4 staff files and observed Kenia to be lacking out of state background checks and facility has not requested out of state checks. Correction: Background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children. ***All individuals requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send documentation of out of state background checks with written response to specialist. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: supervision. Marked corrected in the state record.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 4 staff files and observed Kenia and Arleen to be lacking documentation of criminal background check clearance letters. Correction: The results of the criminal record check response letters must be maintained at the facility and available for review upoon request by the licensing specialist. ***All individuals requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send documenation of CBI clearance letter with written response to specialist. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: background checks. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 4 staff files and identified that Heidi M. has worked at the facility for over 14 calendar days and is lacking TRAILS abuse and neglect record check. *Previously cited 10/9/24 Correction: For individuals whose activities involve the care or supervision of children, requests must be submitted and successfully completed prior to caring for children. ***All individuals requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send documentation of TRAILS clearance letter with written response to specialist. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: supervision. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 4 staff files and identified Heidi M. has worked at the facility for over 14 calendar days and is lacking criminal record checks. *Previously cited 10/9/24 Correction: Criminal background check requests must be successfully completed prior to an individual caring for children. ***All individuals requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send documentation of criminal background checks to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: supervision. Marked corrected in the state record.

2.120.C.2 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 4 staff files and observed Yoselin to have been employed for more than 10 calendar days and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ facility had not submitted for TRAILS clearance letter. Correction: TRAILS requests must be submitted within 10 days of the first day of employment for each employee or facility. ***All individuals requiring a background check must review "Navigating the BIU's Webpage" powerpoint within 24 hours. Send documentation of TRAILS clearance letter with written response to specialist. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: background checks. 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.

Observed the facility to be lacking an approved health inspection at the time of visit. Correction: At least every two years, all child care facilities must be inspected and obtain an approving inspection report from the local department of health. These reports must be maintained at the facility and be available for review. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed debris and broken plastic bin on the toddler playground, accessible to children posing a potential hazard. Observed splintering wood on the play kitchen in the Blue Room and splintering wood and chipping paint on the outdoor handrails to the playground accessible to children and posing potential hazards. Observed a ripped mat on the Toddler playground and a ripped climbing mat in the Toddler classroom. *Previously cited 10/9/24 Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: physical safety. 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

Observed 1 toddler alone in the larger part of the classroom when LS walked into the Toddler room. Staff member was near cubbies and did not have a direct line of sight to the child in the main room for less than 30 seconds. 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 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: supervision. Marked corrected in the state record.

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 pieces of broken plastic on the Toddler playground, fabric leaves on the door of the Green room, and a small ball of packing tape on the floor in the Green room. All items were accessible to children under the age of 3 posing a potential choking hazard. *Previously cited 10/9/24 Correction: Toys, toy parts, and any material accessible to children under the age of 3 must not be a choke hazard or able to be inhaled. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

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

2.224.A.5 · Foods offered shall be age appropriate and not pose a choking hazard.

Identified through staff statement that Cherrios and dried fruit were given to children under the age of 3 for snack. These foods pose a choking hazard to children under the age of 3. Correction: Foods offered shall be age appropriate and not pose a choking hazard. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: nutrition. Marked corrected in the state record.

2.113.A · Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the Department or to any agency lawfully delegated by the Department to make an investigation or inspection may result in fines assessed of not more than $250 a day the first day, $500 for the second day, and $1,000 a day for the third and subsequent days, to a maximum of $10,000:

Identified through Director Shane C.'s statement that Heidi M. was a volunteer and does not work per FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ regulation to be required to obtain background checks. Identified through internal documentation and staff statements that Heidi M. has worked approximately every other day for 5 months. Correction: A violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the department may result in fines. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: background checks. Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed 4 climbing structures over 18" on the preschool playground lacking 6" of resilient material in the use zone surrounding the equipment. Observed a climbing structure on the toddler playground over 18" and lacking 6" of resilient material in the use zone surrounding the equipment. Correction: All climbing equipment 18" or higher must have resilient surfacing of at least 6" in the use zone surrounding the equipment. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

2.124.A.1.b · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within 24 hours of the incident. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Ch1 was brought to seek medical attention for an injury that occurred at the facility and the facility did not report the injury to the department. Correction: An injury to a child that requires medical attention by a health care professional whether or not treatment was given must be reported to the department within 24 hours. Correct by 10/09/2024 ________________________________________________ Stage II Licensing Concern : Facility is not writing incident reports for injuries - UNFOUNDED Stage II Licensing Concern : Staff are not actively supervising the children - UNFOUNDED Stage II Licensing Concern : Ch1 received burn mark on hand at the daycare - UNFOUNDED ________________________________________________

Corrected Corrected by Oct 9, 2024

Category: ratio. Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Observed staples in the wall of the Green room accessible to children under the age of 3. Correction: Staples must be inaccessible to children under the age of 3. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Marked corrected in the state record.

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

Observed a broken plastic puzzle toy on the ground of the preschool playground accessible to children. Observed a cracked wooden shelf and a broken metal file cabinet drawer both in the Green Room accessible to children and posing a potential hazard. Correction: Indoor and outdoor equipment and materials must be sturdy, safe, and free of hazards. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

Observed the office to be unlocked, containing hazards, and accessible to children at the time of inspection. Correction: If the office space is accessible to children, it must be free of hazards. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Observed a thumb tack in the desk drawer in the entryway of the facility accessible to children under the age of 3. Correction: Thumb tacks must not be used in areas accessible to children less than 3 years of age. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Marked corrected in the state record.

2.230.C.3.a · Toddler climbing equipment must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

Observed a climber on the toddler playground approximately 22" high and lacking a 3 foot use zone surrounding the equipment. Correction: Toddler climbing equipment must have a 3 foot use zone surrounding the equipment. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

2.230.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

Observed 4 play structures on the preschool playground lacking 6 foot use zone surrounding the equipment. Correction: Preschool climbing equipment must have a 6 foot use zone surrounding the equipment. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

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 cotton balls hanging on an art project in the Green Room, small felt pieces on a shelf in the Green Room, a small magnet on the floor in the back room leading to the playground, and small debris and broken pieces on the preschool and toddler playground. All items were accessible to children under the age of 3 and posing a potential choking hazard. Correction: Toys, toy parts, equipment and materials accessible to children under the age of 3 must not be a choke hazard or able to be inhaled. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

Observed a gap at the top of a slide on the preschool playground posing a potential strangulation hazard. Correction: All pieces of playground equipment must be designed to guard against entrapment and strangulation. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Category: physical safety. 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 6 staff files and observed Shane has an expired standard precautions training. Correction: All staff must complete standard precautions training prior to working with children. This training must be renewed annually. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 6 staff files and observed Yoselin P. and Alisa C. to be lacking criminal background checks and working in the classroom at the time of inspection. Observed Arleen to be in the classroom and lacking documentation of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ CBI records check and not supervised by another staff member with all background checks successfully completed. *Previously cited on supervisory inspection ROI on 2/28/24 Correction: Criminal background check requests must be successfully completed prior to an individual caring for children. ***Any individual requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send specialist documentation of criminal record checks (CBI and FBI) with written response. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Category: supervision. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 6 staff files and observed Alisa C. and Yoselin P. to be lacking TRAILS child abuse and neglect record check and working in the classroom at the time of inspection. Correction: For all individuals whose activities involve the care or supervision of children, requests must be submitted and successfully completed prior to caring for children. ***Any individual requiring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Send specialist documentation of TRAILS check with written response. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Category: supervision. Marked corrected in the state record.

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 6 staff files and observed Kenia to be lacking TRAILS abuse and neglect records check and working in the classroom for more than 90 days. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Individuals who have obtained a successfully completed CBI or FBI record check may care for children for no longer than 90 days while waiting for all other required background checks to be completed. ***Any individual requiring a background check must review "Navigating the BIU's Webpage" powerpoint within 24 hours. Send specialist documentation of TRAILS records check with written response. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Category: supervision. 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.

Observed the facility to be lacking hand soap in the Blue classroom for half of the day. Correction: Staff at the center must demonstrate knowledgeable decision making and concern for the proper care and well-being of the children. Ensure that soap is in each classroom for the children to complete proper hand washing practices. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

Marked corrected in the state record.

2.229.R.3 · A variety of material and equipment from the following categories must be available: Books and Pictures.

Observed minimal books available to the children in the Green classroom. Observed not enough books for each child in the classroom. Correction: The center must have enough play materials and equipment so that at any one time, each child for which the center is licensed for can be individually involved. Correct by 11/09/2024

Corrected Corrected by Nov 9, 2024

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

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Stack of empty grocery bags in unlocked drawer in the Green preschool room accessible to children. Correction: Immediately ensure loose plastic bags are stored in areas inaccessible to children. Corrected at the time of visit. Loose plastic bags were moved to higher cabinet and made inaccessible to children. Document plan of compliance in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Uncovered outlets on powerstrip in the Green preschool room at the time of inspection and accessible to children. Correction: Immediately ensure all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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.

Wooden bookshelf moved in front of the toddler sink to block it off, and sink near diaper changing area lacking soap at the time of inspection. Identified through Director statement that the children play with the water and this was intended to block it off and keep them from playing with the water. Observed it would be very difficult for individuals in toddler classroom to wash hands when needed for the proper care and well-being of children. Correction: Immediately ensure all staff demonstrate knowledge decision-making, judgment, and concern for the proper care and well-being of children. Document corrections in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Marked corrected in the state record.

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program.

Reviewed 7 staff files and identified Jenifer (Ana) B. lacking verification of qualifications to serve as a toddler FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ ECT and qualified as an aide. Reviewed toddler orientation and identified it was not signed or dated. Correction: Immediately ensure all staff aides in the toddler program have completed 8 hours of orientation and verification is maintained in staff files. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: supervision. Marked corrected in the state record.

2.207.E · A written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes at a minimum the date, time, visitor's name, and the purpose of the visit. At least one (1) piece of identification must be inspected for individuals who are unknown to personnel at the center.

Visitor policy was not posted at the time of inspection. Correction: Immediately ensure visitor policy is posted. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Multi-colored climber (snake shaped) on the toddler playground, and climber on the preschool, both with fall height over 18" and lacking at least 6" resilient surfacing surrounding the equipment throughout use zone. Correction: Immediately make equipment inaccessible to children until facility can ensure all climbing equipment eighteen (18) inches or higher has resilient surfacing of at least six (6) inches in the use zone surrounding the equipment. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.230.C.3.a · Toddler climbing equipment must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Multi-colored climber (snake shaped) with fall height over 18" and lacking clear 3' use zone surrounding equipment. Correction: Immediately make equipment inaccessible to children until facility can ensure toddler climbing equipment has a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.229.R.8 · A variety of material and equipment from the following categories must be available: Science and Math

Preschool program lacking a variety of science and math materials accessible to children at the time of inspection. Correction: Ensure center has enough play materials and equipment so that at any one time each child for which the center is licensed for can be individually involved. A variety of science and math materials must be available. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 2024

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

2.229.R.7 · A variety of material and equipment from the following categories must be available: Music

Preschool program lacking a variety of music materials accessible to children at the time of inspection. Correction: Ensure center has enough play materials and equipment so that at any one time each child for which the center is licensed for can be individually involved. A variety of music materials must be available. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 2024

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

2.121.D.1 · When an individual leaves employment, the facility must submit to the Department a completed Notification of Name Removal form to request the removal of the individual's name from their facility license number in the CBI database.

Reviewed current list of workers and identified through owner statement there were several individuals no longer employed with program and not removed from the license. Correction: Immediately ensure when an individual leaves employment, the facility must submit to the Department a completed Notification of Name Removal form to request the removal of the individual's name from their facility license

Open Not marked corrected in the state record

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.

Small pom-pom in unlocked drawer in the Green preschool room, small paperclip and several coins on top of cubby area in Green preschool room, and small plastic water bottle cap on the toddler playground, accessible to children less than 3 years of age and small enough to fit in choke tube, posing potential choking hazards. Correction: Immediately ensure 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. Corrected at the time of visit. All choke hazards identified at the time of visit were removed from areas accessible to children less than 3 years of age and made

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Small screwdriver in unlocked drawer in the Blue preschool room and accessible to children. Correction: Immediately ensure sharp tools and instruments are stored in areas inaccessible to children. Corrected at the time of visit. Screwdriver was moved to area inaccessible to children. Document plan of compliance in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Marked corrected in the state record.

2.232.B.1 · If an outdoor play space is not directly attached to the facility or accessible via secure access, or the child care facility cannot meet outdoor space requirements due to a hardship based on the location of the facility, the facility must develop a site-specific plan, which will be submitted to the Department for review and approval, that includes the following:

Toddlers and preschoolers do not have directly attached playgrounds and must cross an alley behind the building to enter the playground area. Reviewed license information and identified program does not have active outdoor hardship waiver. Correction: Immediately submit outdoor hardship waiver and safety plan and ensure if an outdoor play space is not directly attached to the facility or accessible via secure access, or the child care facility cannot meet outdoor space requirements due to a hardship based on the location of the facility, the facility must develop a site-specific plan, which will be submitted to the Department for review and approval, that includes all required information listed in 2.232.B.1.a-e. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

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

Areas of chipping paint and plaster near cubby area in the Green preschool room, small hole in the wall behind toy shelf in the toddler room, and pieces of tile missing from around the base of toddler toilet. Correction: Immediately ensure buildings are kept in good repair and maintained in a safe condition. Document corrections

Open Not marked corrected in the state record

Open / not marked corrected.

2.137.A.1 · All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include: Responsibility for essential staffing needs and predetermined roles during and after the emergency or disaster;

Reviewed emergency plan and parent handbook and identified facility lacking a written plan for continuity of operations in the aftermath of an emergency or disaster. Correction: Immediately ensure all child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include: 1) Responsibility for essential staffing needs and predetermined roles during and after the emergency or disaster; 2) Procedure for backing up or retrieving staff and children’s files; and, 3) Procedure for protecting confidential and financial records. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: ratio. Marked corrected in the state record.

2.216.C.1.a · The toddler early childhood teacher, a staff member assigned responsibility for a single group and working under the supervision of the director, must meet at least one (1) of the following qualifications:

Reviewed 7 staff files and identified Jenifer (Ana) B. lacking verification of qualifications to serve as a toddler ECT and identified through review of staffing pattern that Ana was left alone with 6 toddlers on 2/26/24. Correction: Immediately ensure the toddler early childhood teacher, a staff member assigned responsibility for a single group and working under the supervision of the director, must meet at least one (1) of the following qualifications listed in 2.215.C.1.a.1-a.6. Submit verification of qualifications and document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 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.

Preschoolers must walk through storage area with multiple hazards (unlocked work room, stacked boxes/fall hazards) to access back door to alley that must be crossed to get to playground; splintering wood on hand railing on ramp down to alley; fence on preschool playground with 2 areas of broken/splintering boards; 3 children squeeze between toddler/preschool fence and shade structure in a gap that measured approximately 6", posing potential FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ entrapment hazard; ripped/torn mat on toddler playground posing a trip hazard; tall bookshelf in Green preschool room near office that wobbled when pushed, posing potential fall hazard; chipping/broken shelving units in both preschool classrooms; board books in the Green preschool room with ripped/torn edges, package of balloons and loose balloons, intended for children over 8 years, and posing potential safety hazard in unlocked drawer in the Blue preschool room. All areas accessible to children and posing safety hazards. Correction: Immediately ensure all indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Violation partly corrected at the time of visit. Package and loose balloons were moved to area inaccessible to preschool children. Document corrections in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 7 staff files and identified all lacking current delegation and only Shealei with completed Medication Administration training within the past 3 years. Correction: Immediately ensure at all times there is at least one staff member with current Department-approved Medication Administration training and delegation. Submit verification of current delegations and training for staff members assigned the responsibility and document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: ratio. Marked corrected in the state record.

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

Spray bottle of 409 cleaner, labeled "keep out of reach of children" and accessible to children at mid-level on desk in storage area between preschool room and the ramp to alley to access playground, posing potentiall hazard. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 7 staff files and identified 3 staff lacking current medical statement and/or subsequent updated FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health history. Correction: Ensure all staff have current medical statement within 30 days of hire and either update as required or self-report health history annually. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 2024

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

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 7 staff files and identified 6 staff (Shane C., Shantel K., Cheyanne B., Breeanna I., Jenifer (Ana) B., and Estefany Flores lacking verification of pre-service training prior to working with children. Correction: Immediately ensure all staff complete pre-service training specific to the site prior to working with children and maintain verification of training in staff files. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. 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 7 staff files and identified 3 staff (Shane C., Shantel K., and Shealei C.) with expired Standard Precautions training and lacking verification of annual exposure control plan review specific to the facility. Correction: Immediately ensure all staff complete Department-approved standard precautions training, including annual exposure control plan review, prior to working with children and renew annually. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 7 staff files and identified Breeanna I. with expired Prevention of Shaken Baby training and working with children less than 3 years of age. Correction: Immediately ensure all staff working with children less than 3 years of age complete Prevention of Shaken Baby training prior to working with children and renew every 2 years. Corrected at the time of visit. Breeanna completed training on PDIS at the time of visit. Document plan of compliance in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 7 staff files and identified 3 staff (Shane C., Shantel K. and Shealei C.) with expired mandated reporter training and Jenifer (Ana) B. lacking training within 30 days of hire. Correction: Immediately ensure all staff complete mandated reporter training within 30 days of hire and renew annually. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 staff files and identified Estefany F. lacking Early Intervention and Preschool Special Education training within 90 days of hire. Correction: Ensure all staff complete Intro to Early Intervention and Preschool Special Education training within 90 days of hire. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Reviewed Director (Shane C.) file and identified it lacking Working with an Early Childhood Mental Health Consultant training within 90 days of hire. Correction: Ensure all Directors and Assistant Directors complete Working with an Early Childhood Mental Health Consultant training within 90 days of hire. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 2024

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed Director (Shane C.) file and identified it lacking Introduction to Childcare Health Consultation training within 90 days of hire. Correction: Ensure all Directors and Assistant Directors complete Introduction to Childcare Health Consultation training within 90 days of hire. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 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 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 6 child files and identified all lacking a signed and dated emergency medical authorization. Correction: Immediately ensure all child files include a dated, written authorization for emergency medical care, signed and

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 6 child files and identified 4 lacking immunization record and 1 child with immunization record on non-approved form. Correction: Immediately ensure prior to, or on the child's first day of care, the facility obtains proof of current immunization status or exemption as required by CDPHE. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the center.

Reviewed 6 child files and identified 2 with expired health statements and 1 child missing health statement within 30 days of enrollment. Correction: Ensure 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. Document correction in written response. Correct by 03/30/2024

Corrected Corrected by Mar 30, 2024

Category: ratio. Marked corrected in the state record.

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed emergency drill log for the past 12 months and identified lockdown/active shooter drills had not been documented quarterly. Correction: Immediately ensure emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 7 staff files and identified 1 staff, Jenifer (Ana) B., working alone with children on 2/26/24 and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ lacking criminal background checks (CBI & FBI) successfully completed, identified Shane C. and Shantel K. lacking verification of CBI clearance letter maintained in staff files and identified Cheyanne B. lacking verification of FBI letter maintained in staff file. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Jenifer (Ana) B., Shane C. and Shantel K. have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for Jenifer (Ana) B., submit documentation of FBI clearance letter for Cheyanne B., and submit copies of CBI clearnace letters for Shane C. and Shantel K. with written response to Specialist. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: supervision. Marked corrected in the state record.

2.208.A.2 · The following records must be on file at the center: A list of current staff members, substitutes, and staffing patterns;

Reviewed staffing patterns and identified through staff statements that teachers are not signing in and out of the classroom and facility lacking accurate staffing patterns. Correction: Immediately ensure accurate staffing patterns are maintained and on file. Document correction in written response. Correct by 02/28/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed staffing patterns and attendance tracking and identified on 2/26/24 there were 6 toddlers between the ages of 12-36 month signed into the toddler classroom and only 1 staff member was signed into the room for the entire day Correction: Immediately ensure staff to child ratios are maintained. Document correction in written response. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: ratio. Marked corrected in the state record.