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.

In the gym, observed children climbing on a portable tumbling block eighteen inches high that did not have resilient surfacing in the use zone of the equipment. Correction: Ensure all climbing equipment eighteen inches or higher has resilient surfacing of at least six inches in the use

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

On the toddler playground, observed two classrooms together totaling thirteen toddlers aged 12-36 months. The group size for this age group is ten toddlers. Correction: Ensure group size for toddlers is not exceeded. **Corrected at the time of visit. The staff brought one of the classrooms inside, bringing the toddlers into required group sizes.** No response required. Correct by 02/07/2025

Corrected Corrected by Feb 7, 2025

Category: ratio. 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 three staff files and identified ECT Kelly's file missing documentation of a CBI letter. Observed an FBI letter for Kelly, indicating background checks had been completed. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Director Crystal has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of CBI clearance letter for Kelly with written response to Specialist by 2/14/25. Correct by 02/07/2025

Corrected Corrected by Feb 7, 2025

Category: supervision. Marked corrected in the state record.

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

Reviewed six children's files and identified five files missing documentation of immunization status or certificate of exemption. Correction: Obtain documentation of immunization status or certificate of exemption for all children. Correct immediately

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed thirteen staff files and identified IPS Jenna missing documentation of a Department-approved training in emergency and disaster preparedness. Correction: Obtain documentation of a Department-approved emergency and disaster preparedness training for Jenna. Correct immediately and respond with verification of compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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 thirteen staff files and identified Kaleigh's (DOH: 10/2023) and Brianna's (DOH: 5/2024) files missing documentation of an out-of-state clearance letter. Both Kaleigh and Brianna have lived out of state in the last five years. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Directors Emma and Elizabeth have reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of out-of-state clearance letters for Kaleigh and Brianna with written response to Specialist by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: supervision. 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 thirteen staff files and identified Director Emma, ECT Kaleigh, and Aide Anthony's files to be missing documentation of current Department-approved standard precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current documentation of Department-approved standard precautions training for all staff. Correct immediately and respond with verification of compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed thirteen staff files and identified IPS Paige's and Director Emma's files missing documentation of current Department-approved safe sleep training. Correction: Obtain current Department-approved safe sleep training for all staff working with infants less than 12 months old. Correct immediately and respond with verification of compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: physical safety. 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 thirteen staff files and identified Director Emma's, ECT Kaleigh's, and Aide Anthony's files to be missing documentation of current Department-approved child abuse prevention training. All staff have been employed for more than thirty days. Correction: Obtain current Department-approved child abuse prevention training for all staff. Correct immediately and respond with verification of compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.C.3 · For every fifteen (15) or fewer toddlers, there must be at least one (1) staff member in the toddler program at all times who has a current Department-approved first aid and safety certificate that includes (CPR) for all ages of children.

Reviewed thirteen staff files and identified there were no staff on duty in the toddler program with current documentation of Department-approved CPR and First Aid certification. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that for every fifteen of fewer toddlers, there is at least one staff member in the toddler program at all times who has current Department-approved CPR and First Aid certification. Correct immediately and respond with a plan for ongoing compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

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

Reviewed six children's files and identified four files missing documentation of a health statement. Children missing health statements had been enrolled for at least 30 days. Correction: Obtain health statements for all children. Correct and respond with a statement of compliance by 10/31/24. Correct by 10/31/2024

Corrected Corrected by Oct 31, 2024

Category: ratio. Marked corrected in the state record.

2.230.C.1.d · Any newly installed solid unitary materials used for resilient materials must have written documentation from manufacturer stating the material meet current federal safety standards. The documentation must be available for review at all times. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the gym, observed a rock wall over 18 inches tall, with a large blue mat underneath for resilient surfacing, accessible to children. Documentation from the manufacturer showing the mat meets federal safety standards was not available for review at the time of visit. Previously cited on 7/8/24. Correction: Obtain manufacturer documentation and ensure it is available for use or make equipment inaccessible to children. Correct immediately and respond with a plan for ongoing compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 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.

On the toddler playground, observed a gap of approximately 1/4-1/2 inch between the climber platform and the slide, accessible to children and posing a potential safety hazard. Correction: Ensure all indoor and outdoor equipment is sturdy, safe, and free of hazards. Correct immediately and respond with a statement of compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

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

2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation.

Some emergency medications were being stored in a locked cabinet in the teacher's lounge. Documentation of the child care health consultant's recommended storage plan for emergency medications was unavailable for review at the time of visit. Correction: Obtain documentation of the child care health consultant's recommended storage plan for medications and/or ensure all emergency medications are easily accessible to staff. Correct immediately and respond with verification and/or a plan for ongoing compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

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

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Reviewed four health care plans and identified one health care plan to be expired. Correction: Obtain current health care plan. Correct immediately and respond with a statement of compliance by 10/31/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

Identified through documentation and the Director's statement that in the Owl classroom, licensed for 2.5-6 year old children, children younger than 2.5 years old are being cared for. The room is currently being used to care for children 2-3 years old. Correction: Ensure rooms licensed for specific ages of children are not used for other ages of children without prior written approval. Correct immediately and respond with a plan for ongoing compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

Missing posting of complaint procedure in a prominent and conspicuous location. Correction: Ensure at all times during the operating hours of the facility there is a posting in a prominent and conspicuous location regarding the procedures for filing a complaint with CDEC. Correct immediately and respond with a statement of compliance by 10/31/24. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

7.701.34.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.

Facility has not yet obtained health and fire approval. Health and fire inspection reports were not available for review. Correction: Obtain health and fire department approval. Correct and respond with verification of compliance by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

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

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 11 staff files and identified Director Becca's file lacking documentation of an out-of-state clearance letter. Becca has lived out-of-state in the last 5 years. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Director Becca has reviewed the powerpoint within 24 hours. Correct and submit documentation of an out-of-state clearance letter for Becca with written response to Specialist by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

Category: supervision. Marked corrected in the state record.

7.702.71.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.

In the gym, a large glass mirror mounted to the wall. Correction: Ensure all materials, furnishings, and equipment are not made of easily breakable plastic or glass. Correct and respond with a plan for ongoing compliance by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

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

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

On the preschool playground: areas of the fence splintering; the wooden posts holding up the awning near the sandbox have large areas of peeling paint. On the preschool climber: on the yellow metal ladder, areas of peeling paint with rusting metal underneath; on the climber steps and platform peeling rubber coating with rusting metal underneath. Correction: Ensure all indoor and outdoor equipment is sturdy, safe, and free of hazards. Correct and respond with a plan

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.81.C.2 · If the toddler program is combined with a large childcare center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by Section 7.702.74, A, 6 and 8. If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative.

Infants will have to go through the Two's room to get to the playground. Correction: Ensure the toddler program is completely separate for other age groups. Correct and respond with a plan for ongoing compliance by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

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