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 observed that there was not a staff member on site with documentation of current delegation. Correction: At least 1 staff member with current medication administration training and delegation must be on duty at all times. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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 2 outlets in the Young Toddler's classroom and an outlet in the Older Toddler's classroom lacking a protective cover and accessible to children. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers. ***Corrected at the time of inspection. Director covered outlets. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 7 staff files and observed Brittany to be lacking child development training. Correction: All staff must have at least 1 hour of child development training within 90 days of employment. This training is required once. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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 googly eyes, small clothespins, and feathers in an unlocked drawer accessible to children under the age of 3 in the Older Toddler's classroom. Correction: Toys, toy parts, and equipment accessible to children under the age of 3 must not be a choke hazard or able to be inhaled. ***Corrected at the time of inspection. Director moved itemsto be inaccessible. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

Category: physical safety. 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 a puzzle and a dabber marker labeled "3+" in an unlocked drawer accessible to children in the Older Toddler's classroom Correction: Play equipment and materials must be appropriate for children's ages. ***Corrected at the time of inspection. Director moved items to be inaccessible. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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 long cords attached to an Ipad and a lamp on a high shelf. Cords were hanging low over cozy area and accessible to children under the age of 3 posing a potential hazard. Observed multiple rolls of yarn and ribbon in an unlocked drawer accessible to children posing a potential strangulation hazard. All items were observed in the Older Toddler classroom. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. ***Corrected at the time of inspection. Director made items inaccessible. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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

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

Observed a large bucket of paint in the bathroom of the Older Toddlers classroom, accessible to children and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ labeled "keep out of reach of children. 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 paint from the classroom. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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 Elena to be lacking a medical statement signed and dated by a physician. Correction: All staff members must submit to the center a medical statement, signed and dated by a health care provider. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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 Young Toddler classroom to be lacking the room's license capacity and staff-to-child ratio. Correction: All facilities must post in every room of the child care facility, the license capacity of the room and the staff-to-child ratio. ***Corrected at the time of inspection. Director posted the capacity and ratio. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

Category: ratio. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 7 staff file ans observed Justine to have an expired immunization training and is responsible for the collection, review, and maintenance of the child immunizations. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within 30 days and annually, all staff responsible for the collection, review, and maintenance of child immunizations must complete the CDPHE immunization course. ***Corrected at the time of inspection. Justine completed the training at the time of inspection. No response required. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 7 staff files and observed Hilary to have an expired CPR/First Aid training and lacking the Intro to First Aid and CPR module. Correction: All employees caring for children, not required by rule to be certified in First Aid and CPR must complete the department approved Intro to First Aid and CPR module. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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 all to be lacking a training on fire safety and the use of fire extinguishers and fire alarms. 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 08/13/2024

Corrected Corrected by Aug 13, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 staff files and observed all to be lacking a training on the center's policies for the administration of medications. 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 08/13/2024

Corrected Corrected by Aug 13, 2024

Category: ratio. 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 the facility to have a portable play structure on the infant playground and lacking a 3 foot use zone surrounding the equipment. Structure was also lacking a 6 foot use zone extending out from the base of the slide. Climbing structure was being used by children ages 12-18 months. Correction: Toddler equipment must have a 3 foot use zone surrounding the equipment. Toddler slides require a 6 foot use zone extending out from the base of the slide. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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

7.702.71.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 butterfly toys posing a potential choking hazard on a low shelf accessible to children in the older toddler classroom. Correction: Toys, toy parts, and equipment accessible to children under the age of 3 must not be a choke hazard or able to be inhaled. ***Corrected at the time of inspection. Teacher removed small toys. No response required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.702.91.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 in the older toddler classroom. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers. ***Corrected at the time of inspection. Teacher covered outlet. No response required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

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

Observed a bottle of dish soap on the children's sink and in an unlocked cabinet. Observed magic erasers and sunscreen in an unlocked cabinet. All items were labeled "keep out of reach of children" and accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. ***Corrected at the time of inspection. Teacher locked cabinet and moved items out of reach. No response required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

7.702.72.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 the playground equipment to be over 18 inches and has only 1-3 inches of resilient material (pea gravel) surrounding the equipment. Correction: All climbing equipment 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.701.52.D.2 · . Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

Identified that the facility switched the infant classroom and the young toddler classroom without prior written approval from the department. Correction: Changes in the physical facility or use of rooms for child care at a facility require written notification to the department prior to approval. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.