2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

No evidence of one staff member reading and being instructed about all licensing rules governing child care centers. Identified this staff member was hired on 12/1/24. Correction: Obtain and maintain documentation in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

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.

One staff member's Standard Precautions training expired on 10/30/24. Observed no evidence of this staff FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ member renewing this training annually. This is a repeat violation from the 10/20/25 Injury Report of Inspection. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 three children's files. Observed one of the children's general health appraisal form signed by the health care provided noted required next visit. Observed no evidence of said child's current general health appraisal. Observed another child's enrollment date was 9/9/25. Observed no evidence of a general health appraisal form signed and dated by a health care provider in child's file. Correction: Obtain and maintain documentation of current general health appraisal forms signed and dated by a health care provider in children's files. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Category: ratio. Marked corrected in the state record.

2.134.A · All child care providers must have a written plan for: evacuating and safely moving children to an alternate site; lockdown; shelter in place; and an active shooter on premises. The plan must include provisions for multiple types of hazards, such as floods, fires, tornadoes, and active shooter situations. The plan must be updated as changes occur and reviewed annually. All employees of a child care provider must also be annually trained on the provider’s written plan prior to caring for children, and retrained as changes occur.

No evidence of one staff member completing training on site specific written emergency plans. Correction: Immediately obtain and maintain documentation of training completion in personnel file. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Category: recordkeeping. 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 program's emergency drill logs since program was initially licensed in January 2025. Observed no evidence of monthly tornado/"shelter in place" drills occurring between March - October. Observed no evidence of required quarterly Lockdown and Active shooter drills occurring at all thus far this year. Correction: Immediately conduct a tornado/"shelter in place" drill in addition to a lockdown and active shooter drill.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Observed outdoor play area. Observed a tall storage unit filled with landscaping equipment (rakes, shovels, pitchfork, etc) unlocked, open and accessible to children. Also observed a gap between the bottom of the north side playground gate to the ground measured approximately 5.5 inches. Another section of the playground fencing had a gap measuring approximately 5.5 inches between the bottom of fencing and ground. These gaps could be potential entrapment hazards. Correction: At the time of the inspection, a staff member reorganized the storage unit filled with landscaping equipment, making equipment inaccessible to children. Immediately ensure all outdoor play areas used for children's activities are checked daily and kept safe and free from hazards. Ensure staff identify hazardous, high-risk areas and ensure these areas are made inaccessible to children to reduce the possibility of injuries and accidents. Correct by 10/27/2025

Corrected Corrected by Oct 27, 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.

This program is licensed to care for children up to the age of 36 months. Observed three adult sized picnic tables on the playground. Two staff members stated concerns with these picnic tables not being age appropriate for enrolled children. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards for the ages of children served. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Category: physical safety. 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.

Identified the Director of this Child Care Center was assigned the Director role on 7/17/25. Observed no FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ evidence of assigned Director completing the Working with an Early Childhood Mental Health Consultation training. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 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.

Identified the Director of this Child Care Center was assigned the Director role on 7/17/25. Observed no evidence of assigned Director completing the Introduction to Child Care Health Consultation training. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Category: health medication. 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.

No evidence of a medical statement, signed and dated by a health care provider in 5 out of the 6 staff files reviewed. Identified these five staff members have been employed longer than 30 calendar days. Observed the sixth staff member's file contained a self reported health history which expired on 8/16/25. Observed no evidence of this staff member submitting an annual update to self reported health history. Correction: Obtain and maintain documentation in personnel files. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Category: health medication. 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.

One staff member's infant safe sleep training expired on 10/20/25. Observed no evidence of this staff member renewing this training annually. Observed this staff member working in the infant classroom (covering a break) during today's inspection. Correction: Immediately obtain and maintain documentation of training completion in personnel file. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

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

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

No evidence of both staff members working in the infant classroom today having current Department approved First Aid/CPR certification. Correction: Immediately ensure at least one staff member on duty in the infant classroom holds a current Department approved First Aid/CPR certification at all times. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

One staff member's child abuse training expired on 10/20/25, and another staff member's child abuse training expired on 4/28/25. Observed no evidence of these two staff members renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion in personnel files. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash 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 three children's files. Observed no evidence of immunization records in one of the files. Observed no evidence of another child being up to date with school-required immunizations. Observed the third child's immunization records were provided in a summary format from doctor's office, and not documented on the approved Certificate of Immunization. Correction: Immediately obtain and maintain up-to-date immunization records for children, ensuring these records are documented on an approved Certificate of Immunization. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

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

2.121.J.1 · The following background check requests must be submitted and successfully completed for each FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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:

Identified one staff member lived in TN within the past five years. Observed no evidence of an out of state clearance letter in this staff member's file. This is a repeat violation from the 11/21/24 Original Report of Inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification this staff member reviewed the powerpoint within 24 hours. Submit documentation of this staff member's Out of State Clearance Letter (from the Background Investigation Unit) with written response to the Specialist. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Category: supervision. Marked corrected in the state record.

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

No evidence of immunization record or statement in one staff member's file. Correction: Obtain and maintain documentation in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

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

2.210.A.5 · A record must be maintained, either written or electronic, for each staff member that includes the following: Names, addresses, and telephone numbers of persons to be notified in the event of an emergency.

No evidence of a record of names, addresses and telephone numbers of persons to be notified in the event of an emergency in one staff file. Correction: Obtain and maintain documentation in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. Marked corrected in the state record.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

No evidence of a signed perjury statement in one of the six staff files reviewed. Correction: Obtain and maintain documentation in personnel file. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

No evidence of one staff member signing a statement clearly defining child abuse and neglect. Correction: Obtain and maintain documentation in personnel file. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

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.

No evidence of a staff member, who was hired on 12/1/24, completing the Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

No evidence of a staff member, who was hired on 12/1/24, completing the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Category: recordkeeping. 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.

No evidence of a staff member, who was hired on 9/23/25, completing the Introduction to First Aid and CPR module. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 11/26/2025

Corrected Corrected by Nov 26, 2025

Marked corrected in the state record.

2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

No evidence of a TRAILS clearance letter for a staff member who was hired on 3/4/25. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification this staff member reviewed the powerpoint within 24 hours. Submit documentation of this staff member's TRAILs Clearance Letter with written response to the Specialist. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

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

2.224.B.1 · An individualized diet and feeding schedule must be provided according to a written plan submitted by the parent or by the child's physician with the knowledge and consent of the parent. A change of diet and schedule must be noted on each child's daily activity schedule and posted in an area clearly visible to the staff. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through discussion with an Administrator, parents do not provide any written changes to infant's individualized diet and feeding schedules at this time. Correction: Ensure to obtain and maintain written changes to individualized infant diet and feeding schedules from parents. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 10/27/2025

Corrected Corrected by Oct 27, 2025

Marked corrected in the state record.