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.

There were pom poms that pose a choking hazard on the floor and in the sensory bin of the the TP2 classroom withe children ages 2 1/2 years to 3 years old. Correction: Corrected at the time of inspection. The pom poms were removed from the classroom and discussed with the TP2 teacher. A written response is not required. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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 26 staff files. SM22 and SM26 did not have documentation of a state-based background clearance letter and have lived out of State within the last 5 years. Correction: Immediately, obtain documentation of State-based clearance letter for SM22, SM26. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 22, and 26 have reviewed the powerpoint within 24 hours. Submit documentation of State-based clearance letters for SM22 and SM26 with a written statement of compliance by 11/22/25, Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 26 staff files. All staff did not have documentation of a fire safety and fire extinguisher training. Correction: Immediately, obtain documentation that all staff have been trained on fire safety, fire extinguisher and fire alarm training. Submit documentation and a written statement of compliance by 11/22/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

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 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 26 staff files. All staff did not have documentation of a signed medication administration policies and procedures statement. Correction: Obtain documentation of signed staff statements for the programs medication administration policies and procedures for all staff. Submit documentation and a written statement of compliance by 11/22/25. Correct by 11/22/2025

Corrected Corrected by Nov 22, 2025

Category: ratio. 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.

Reviewed 26 staff files. SM2 did not have documentation of the Working with an Early Childhood Mental Health Consultant training. Correction: Obtain documentation of training certificate for SM2. Submit documentation and a written statement of compliance by 11/22/25. Correct by 11/22/2025

Corrected Corrected by Nov 22, 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.

Reviewed 26 staff files. SM2 did not have documentation of the Intro to Child Care Health Consultation training. Correction: Obtain documentation of training certification. Submit documentation and a written statement of compliance by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 Tornado drills, emergency drills and fire drills were not completed every month. Correction: Immediately, complete a tornado drill for October, emergency drills quarterly and fire drills monthly. Submit documentation of October and November drill logs with a written statement of compliance by 11/22/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 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 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 12 child files. 1 child file did not have documentation of a health statement signed by a health care provider. Correction: Obtain documentation of a health statement signed by a health care provider for all children within 30 days of admission. Submit a written statement of compliance by 11/22/25. Correct by 11/22/2025

Corrected Corrected by Nov 22, 2025

Category: ratio. Marked corrected in the state record.

2.229.F · Glitter must not be used with children under three (3) years of age.

There was glitter painted on rocks for an art project in the Toddler 1 classroom. Correction: Immediately, Glitter must not be used with children under 3 years of age. Submit a written statement of compliance by 11/22/25. Correct by 11/22/2025

Corrected Corrected by Nov 22, 2025

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.

There were small clothes pins hanging art work on the wall in the P3 and Toddler 1 classrooms and there were marker caps accessible to children on the shelf in the TP1 classroom that pose a choking hazard to children under 3 years of age. There were small magnets on the fridge in the Toddler 1 and Infant classroom that pose a choking hazard to children. Correction: Corrected at the time of inspection. All items that pose a choking hazard were removed from the classrooms. A written response is not required. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

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.

There were diaper wipes labeled "keep out of reach of children" accessible to children in the TP2 bathroom, there was a staff purse accessible to children in an unlocked cupboard in the Toddler 1 classroom, there were diaper wipes and diaper creams accessible to children in a broken cupboard in the Tiny Tots classroom. Correction: Immediately, make all items labeled keep out of reach of children inaccessible to children at all times. Submit a written statement of compliance by 11/22/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Marked corrected in the state record.

2.206.C · Policies and procedures must be reviewed annually. Any changes must be incorporated and must be communicated to the parent(s)/guardian(s).

Reviewed 14 child files. 2 children did not have an updated policies and procedure acknowledgment. Correction: Review child files and ensure that policies and procedures are reviewed annually. Submit a written statement of compliance by 1/4/25. Correct by 01/04/2025

Corrected Corrected by Jan 4, 2025

Marked corrected in the state record.

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 14 child files. 1 child file did not have documentation of a current written authorization for emergency medical care. Correction: Immediately, obtain annual authorization for emergency medical care for all children. Submit a written statement of compliance by 1/4/25. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

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

2.221.A · The center must obtain written authorization and instructions from the parent(s)/guardian(s) for the application of sunscreen or the use of another form of parent(s)/guardian(s) approved sun protection with a full-spectrum ultraviolet A/ ultraviolet B (UVA/UVB) rating of sun protection factor (SPF) thirty (30) or greater to their children's exposed skin prior to outside play year-round. a doctor's permission is not needed to use sunscreen at the center.

Reviewed 14 child files. 1 child file did not have written authorization for sunscreen use. Correction: Immediately, obtain written authorization for sunscreen application or other form of sun protection. Submit a written statement of compliance by 1/4/25. Correct by 12/05/2024

Corrected Corrected by Dec 5, 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 14 child files. 3 child files did not have documentation of a current medical statement. Correction: Review child files and obtain a medical statement signed by health care provider within 30 days of admission and within 30 days of expiration. Submit a written statement of compliance by 1/4/25. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

Category: ratio. 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” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 14 child files. 1 child file did not have immunization status documented on the CDPHE approved certificate of immunization. Correction: Immediately, immunization records must be updated and recorded on a CDPHE approved certificate of immunization. Submit a written statement of compliance by 1/4/25. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

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

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

There was sunscreen accessible to children in a backpack at child level in the Tiny Tots classroom and lotion in a backpack at child level and wipes labeled keep out of reach of children, accessible to children in the TP1 classroom. Correction: Corrected at the time of inspection. Staff removed the sunscreen, lotion and wipes and placed them on a shelf, inaccessible to children. A written response is not required. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

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.

There were small velcro shapes that pose a choking hazard loosely affixed to a shelf at child level in the Tiny Tots classroom. Correction: Immediately, make any area accessible to children less than 3 years of age free of any choke or inhalation hazard. Submit a written statement of compliance by 1/4/25. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

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

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 33 staff files. Amber R did not have documentation of the FBI clearance letter and Mercedes H did not have documentation of the CBI clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, obtain the criminal record check results for all staff and maintain at the facility.All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Amber R and Mercedes H have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for Amber R and CBI clearance letter for Mercedes H with a written statement of compliance by 1/4/25. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

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