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 10 children files and observed 5 to have expired emergency medical authorizations. (child 1- 4/28/26, child 1-8/16/25, child 3- 12/21/2023. child 4- 10/30/25, and child 5 -10/9/25). Correction: Obtain and maintain current and up to date emergency medical authorizations for all children. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

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

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

Reviewed 10 children files and observed 2 children to not have documentation of completed health statements. Correction: Obtain and maintain current and up to date health statements for all children. Submit compliance by 5/29/26. Correct by 05/29/2026

Corrected Corrected by May 29, 2026

Category: ratio. 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 19 staff files and observed 1 staff to not have documentation of a completed TRAILS background. Document ID: 26d87fd2708c9346f8c7408e1c93b500a410d4b5f68fa75ccc0c5f25fcfbf418 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Dianna C. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member Dianna C. with written response to the Specialist. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Category: supervision. 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 19 staff files and observed 1 staff to not have documentation of a completed health statement (hire 3/10/26). Correction: Obtain and maintain current and up to date health statements for all children. Submit compliance by 5/29/26. Correct by 05/29/2026

Corrected Corrected by May 29, 2026

Category: health medication. 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. Document ID: 26d87fd2708c9346f8c7408e1c93b500a410d4b5f68fa75ccc0c5f25fcfbf418 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed chokable toys accessible to children in the prepper classroom. Correction: All classrooms with children under the age of 3 years old must be free of choking hazards at all times. Correct immediately 4/29/26 and submit compliance by 5/29/26. ***Corrected at time of inspection by making items inaccessible, no response required. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

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

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved First Aid and Safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

Reviewed 19 staff files and observed 1 staff to have a first aid and cpr certification. Correction: At least 1 staff for every 30 children must have a first aid and CPR certification. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Category: ratio. 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 19 staff files and observed 3 staff to have expired first aid and cpr module trainings and 1 staff to not have documentation of completed training. Correction: Obtain and maintain current and up to date first aid and cpr module training for all required staff. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. Marked corrected in the state record.

2.213.G · All employees and regular volunteers must be trained using a Department-approved training about Child Abuse Prevention prior to working with children, which includes common symptoms and signs of child abuse, how to Document ID: 26d87fd2708c9346f8c7408e1c93b500a410d4b5f68fa75ccc0c5f25fcfbf418 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 19 staff files and observed 4 staff to have expired child abuse prevention training (staff 1 expired 7/10/25, staff 2 expired 5/7/25, staff 3 expired 1/6/26 and staff 4 expired 6/4/24). Correction: Obtain and maintain current and up to date child abuse prevention training for all staff. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

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.

Observed assistant director to not have documentation of completed working with an early childhood mental health consultant training. Correction: Obtain and maintain current and up to date working with an early childhood mental health consultant training for required staff. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

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.

Observed assistant director to not have documentation of completed Introduction to childcare health consultation training. Correction: Obtain and maintain current and up to date Introduction to childcare health consultation training for required staff. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

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

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 Document ID: 26d87fd2708c9346f8c7408e1c93b500a410d4b5f68fa75ccc0c5f25fcfbf418 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 19 staff files and observed 1 staff to not have documentation of completed emergency and disaster preparedness training. Correction: Obtain and maintain current and up to date emergency and disaster preparedness training for all staff. Correct immediately 4/29/26 and submit compliance by 5/29/26. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Category: recordkeeping. Marked corrected in the state record.