2.122.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 program did not have an approving fire inspection. Correction: Programs must have an approving fire inspection. Correct immediately and provide documentation of approving fire inspection with written response. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: health medication. 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.

Reviewed 5 staff files and found Stephanie and Wilma to be missing documentation of their TRAILS clearance letters. Specialist identified that the request for the clearance letters had been submitted. Correction: TRAILS clearance letters must be available for review. Correct immediately and provide documentation of clearance letters with written response. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: background checks. 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 5 staff files and found Stephanie to be missing their CBI and FBI clearance letters and Wilma to be missing their FBI clearance letter. Specialist identified that the request for the clearance letters had been submitted. Correction: CBI and FBI clearance letters must be available for review. Correct immediately and provide documentation of clearance letters with written response. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

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

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 5 staff files and found Wilma to be missing documentation of completion of the building and physical premise training. Correction: All staff must complete a building and physical premise safety training prior to working with children. Correct immediately and respond with written statement of compliance. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: recordkeeping. 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 5 staff files and found Han and Renee to be missing documentation of the full CPR/First Aid training. Han and Renee will be working in Toddler and at least one Toddler staff member must have full CPR training. Correction: There must be at least one staff member certified with full CPR/First Aid training in the Toddler classrooms. Correct immediately and provide documentation of completion with written response. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 5 staff files and found that no staff were fully delegated for medication administration. Correction: At least one staff member with full medication delegation must be on duty at all times. Correct immediately and provide documentation of completion with written response. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: ratio. 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.”

Reviewed 5 staff files and found Wilma to be missing documentation of the perjury statement. Correction: All staff must sign off on the perjury statement. Correct immediately and respond with written statement of compliance. Correct by 07/25/2025

Corrected Corrected by Jul 25, 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.

Reviewed 5 staff files and found Wilma to be missing documentation showing they have read the child abuse and neglect statement. Correction: All staff must read and sign the child abuse and neglect statement. Correct immediately and respond with written statement of compliance. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Marked corrected in the state record.

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 5 staff files and found Wilma to be missing documentation acknowledging they have read and understand the centers policies and procedures. Correction: All staff must sign a statement that they have read and understand the centers policies and procedures prior to working with children. Correct immediately and respond with statement of compliance. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

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 5 staff files and found Wilma to be missing documentation that they have read and understand the programs medication administration policies. Correction: All staff must sign a statement that they have read and understand the programs medication administration policies prior to working with children. Correct immediately and respond with written statement of compliance. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: ratio. Marked corrected in the state record.