2.531.A · A written or electronic record must be maintained by the center for each staff member, and volunteer, that includes the following:

Staff files were not available for review at the time of inspection. This is a violation of stipulation O: Licensee will create and maintain a robust policy and procedure to ensure child files and staff files are complete, up-to-date and compliant. Child files and staff files must be available for review at all times. Correction: Immediately, staff files must be available for review at all times. Submit documentation and a written plan of compliance by 5/28/26. Correct by 05/28/2026

Corrected Corrected by May 28, 2026

Category: recordkeeping. Marked corrected in the state record.

2.506.A.1 · Staff must verify attendance before and after every group transition from one physical space to another. Written or electronic documentation of attendance verification must be maintained for at least twelve (12) months.

Staff with 1 group of children stated that they had 19 children but there were 20 children in the room and documented on the attendance verification sheet. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This is a violation of stipulation F: At all times, staff members shall know the attendance of the classroom to which they are assigned. Facility Director shall be able to account for all children in care at the facility. Correction: Immediately, staff must verify attendance and know the attendance of the classroom for with they are assigned. Submit a written statement of compliance by 6/4/26. Correct by 05/28/2026

Corrected Corrected by May 28, 2026

Marked corrected in the state record.

2.520.B · All groups of children must be directly supervised by a qualified program director or program leader at all times.

The program did not have a qualified program leader or program director supervising 2 of the 3 groups of children. The program did not have fully background checked staff superivsing 2 of the 3 groups of children. This is a violation of stipulation E: All children must be under the direct and active supervision of qualified staff at all times, both indoors and outside. Correction: Immediately, all groups of children must be directly supervised by a qualified program leader or program director at all times. Submit a written staffing plan within 24 hours. Submit documentation and written statement of compliance by 6/4/26. Correct by 05/29/2026

Corrected Corrected by May 29, 2026

Category: supervision. Marked corrected in the state record.

2.512.B.2.a · If the parent(s) or guardian(s) of a child wants a nonmedical exemption from the immunization requirement based on a religious belief whose teachings are opposed to immunizations or a personal belief that is opposed to immunizations, the child’s parent(s) or guardian(s) must:

Reviewed 5 child files. 2 child files did not have documentation of immunization status and 1 child file did not have documentation of the immunization status recorded on a CDPHE approved certification of immunization. Correction: Immediately, obtain documentation of immunization status for each child prior to admission and ensure immunizations are on a CDPHE approved certificate of immunization. Submit a written statement of compliance by 7/14/25. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

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

2.509.F · There must be one (1) staff member for each fifteen (15) children in attendance. When four (4) year olds are in attendance, there must be at least one staff member for each twelve (12) or fewer children cared for by the center.

Gavin S was supervising eighteen (18) children alone in the Young Life Gym from 12:49pm-1:00pm while one (1) staff member was on break and two (2) staff members took another group of children to the girls locker room to change for swimming. This is a direct violation of stipulation B. Licensee shall comply with required staff-to-child ratios at all times. Correction: Immediately, ensure there is one (1) staff member for each fifteen (15) children in attendance at all times. Submit a written plan and statement of compliance by 8/22/24. Correct by 08/08/2024

Corrected Corrected by Aug 8, 2024

Category: supervision. Marked corrected in the state record.

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

There were multiple bottles of sunscreen labeled "keep out of reach of children" accessible to children in an unlocked cupboard in the hallway next to child cubbies. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This is a direct violation of stipulation L-volatile substances, such as gasoline, kerosene, fuel, oil, oil based paints, firearms, explosive and other hazardous items must be stored away from the area used for child care and be inaccessible to children. Correction: Immediately, make all hazardous items inaccessible to children at all times. Submit a written statement of compliance by 8/22/24. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: physical safety. 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.

The facility did not have documentation of drills completed during the months of March, May and June while camp was in operation. Correction: Immediately, ensure that fire drills are completed monthly, tornado drills are completed monthly from March to October and emergency drills are completed quarterly. Submit a written plan of compliance by 8/22/24. Correct by 08/08/2024

Corrected Corrected by Aug 8, 2024

Category: ratio. Marked corrected in the state record.

2.508.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 10 staff files. Ellie N did not have documentation of CPR & First Aid certification or the Intro to First Aid and CPR training module. This is a violation of stipulation G-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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training and orientation in facility policies and procedures, standard precautions, CPR and First Aid, and medication administration. Verification of completed trainings must be available for review at all times. Correction: Ensure all staff caring for children, not required by rule to be certified in First Aid and CPR complete a Department approved basic First Aid and CPR module within thirty (30) days of employment. Submit documentation and a written statement of compliance by 8/22/24. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: ratio. Marked corrected in the state record.

2.512.C.1 · Any un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child.

Reviewed medication for children in attendance. The program had two homeopathic medications on-site that were being administered to a child with a current written order from the child's pediatrician. Correction: Immediately, the program must never give homeopathic medications to children. Submit a written statement of compliance by 4/9/24 Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

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

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

There was sanitizing and disinfectant spray bottles accessible to children in the Young Life Gym and in an unlocked office next to the Young Life Gym. This is a violation of stipulation L. Correction: Immediately, all hazardous items must be stored in an area that is inaccessible to children. Submit a written plan and statement of compliance by 4/9/24. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

Category: physical safety. 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 4 staff files. Solis P has lived out-of-state within the last 5 years and did not have a State-based clearance letter. This is a violation of Stipulation H. Correction: Immediately, the State-based background check must be submitted and successfully completed prior to caring for children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Solis P has reviewed the powerpoint within 24 hours. Submit documentation of Out of State clearance letter for Solis P with a written statement of compliance by 4/9/24. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

Category: supervision. Marked corrected in the state record.

2.506.B · For security purposes, a daily sign-in/sign-out sheet or other mechanism for parents/guardians must be maintained by the center. The sign-in/sign-out mechanism must include, for each child in care, the date, the child's name, the time when the child arrived and left the center, and the parent/guardian's signature or other identifier. With a parent/guardian's approval, a child five (5) years of age or older may sign in and out instead of the parent/guardian. Staff must verify attendance periodically throughout the day.

Staff stated that there were 35 children present at the time of inspection, however there were 38 children present and documented on the name-to-face attendance verification form. This is a violation of stipulation D. Correction: Immediately, staff must know the number of children in attendance for the classroom they are supervising and staff must verify attendance periodically throughout the day. Submit a written plan and statement of compliance by 4/9/24. Correct by 03/26/2024

Corrected Corrected by Mar 26, 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.

The health inspection on file was expired. Correction: Ensure that every two (2) years the program obtains an approving a health inspection from the local health department. Provide documentation and statement of compliance by 8/19/2023. Correct by 08/19/2023

Corrected Corrected by Aug 19, 2023

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

7.712.52.C.1 · Any un-expired routine medication, prescription and non-prescription (over-the-counter) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ medications must be administered only with a current written order of a Health Care Provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child.

A health care plan for an emergency medication was not signed by the parent. Additionally, the parent indicated on their enrollment form that no medications would be given while the child was in care. Correction: Immediately ensure that medication is only being administered with both a doctors and the parents written permission. Provide statement of compliance by 8/19/2023. Previously cited on 6/1/2023. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

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

7.712.42.D.2 · . The date and content of each consultation must be recorded and maintained in the center's files.

The QR code that is used to view the child care health consultants consultations has not been working and was not able to review. Correction: Ensure the date and content of each consultation is maintained at the center. Provide documentation and statement of compliance by 8/19/2023. Correct by 08/19/2023

Corrected Corrected by Aug 19, 2023

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