2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

Reviewed 20 staff files. SM20 was hired on 8/4/25 and has not completed the criminal background check process. Correction: Immediately, complete the criminal record check for staff within 5 days of working. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that SM20 has reviewed the powerpoint within 24 hours. Submit documentation of the CBI and FBI clearance letters for SM20 with a written statement of compliance by 9/25/25. Correct by 09/18/2025

Corrected Corrected by Sep 18, 2025

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

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 20 staff files. SM19 did not have documentation of a current Trails abuse and neglect request. Correction: Immediately, obtain a current Trails abuse and neglect request every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that SM19 has reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letter for SM19 with a written statement of compliance by 9/25/25. Correct by 09/18/2025

Corrected Corrected by Sep 18, 2025

Category: background checks. 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 20 staff files. SM15 did not have documentation of the State based clearance letter. Correction: Immediately, obtain documentation of the state-based clearance letter for SM15. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that SM15 has reviewed the powerpoint within 24 hours. Submit documentation of the State-based clearance letter for SM15 with a written statement of compliance by 9/25/25. Correct by 09/18/2025

Corrected Corrected by Sep 18, 2025

Category: supervision. 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 crayons and a small piece of chalk that pose a choking hazard in rooms 105 and 126. Correction: Corrected at the time of inspection. Staff removed the broken crayons and chalk from the classroom. A written response is not required. Correct by 09/18/2025

Corrected Corrected by Sep 18, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There was lotion labeled "keep out of reach of children" accessible to children in a backpack in room 102. There was sunscreen accessible to children in a backpack in room 126. Correction: Corrected at the time of inspection. The items labeled "keep out of reach of children" were moved and made inaccessible. A written response is not required. Correct by 09/18/2025

Corrected Corrected by Sep 18, 2025

Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

There was a portable slide measuring 3 feet on the preschool playground and was not placed on 6 inches of protective surfacing. Correction: Corrected at the time of inspection. The slide was removed from the playground. A written response is not required. Correct by 09/18/2025

Corrected Corrected by Sep 18, 2025

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

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

There was an emergency bag on the floor in room 157 with emergency medication accessible to children. Correction: Corrected at the time of inspection. The Director placed the emergency bag with emergency medication on a shelf inaccessible to children. A written response is not required. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: ratio. Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

There were portable climbers on the 1's, 2's and 4's playgrounds that measure over 18" high and were sitting on turf that does not have documentation of resiliency requirements. Correction: Corrected at the time of inspection. The protable climbers were removed from the playgrounds by the Director and will no longer be used. A written response is not required. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

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

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Reviewed 27 staff files. Jennifer W. was working as the Early Childhood Teacher in room 126 and did not have documentation of Early Childhood Teacher qualifications. Correction: Immediately, submit documentation of Early Childhood Teacher qualifications for Jennifer W or documentation of an Early Childhood Teacher assigned to room 126 with a written statement of compliance by 11/1/24. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: supervision. 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 11 child files. 1 child file had an expired health statement and 1 child file did not have documentation of a health statement. Correction: Review child files and ensure that health statements for each child are obtained within 30 days of admission and health statements are updated per AAP guidelines. Submit a written statement of compliance by 11/1/24. Correct by 11/01/2024

Corrected Corrected by Nov 1, 2024

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 27 staff files. All staff have not signed a administration of medication policies and procedures acknowledgment. Correction: Immediately, all staff must read and be trained on the centers policies and procedures for the administration of medications prior to working with children. Submit a written statement of compliance by 11/1/24. Correct by 10/02/2024

Corrected Corrected by Oct 2, 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” 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 11 child files. 1 child file did not have documentation of a current immunization exemption form. Correction: Immediately, immunization records must be up-to-date. Obtain current immunization records and exemptions for all children. Submit a written statement of compliance by 11/1/24. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

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

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 27 child files. Holly S did not have documentation of a current Trails clearance letter. Correction: Immediately, the Trails abuse and neglect request must be renewed every 5 years. Check Investigation Unit's

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 27 staff files. Lydia M, Julie L, Allyson G, Jennifer W and Geneva B did not have documentation of the State-based clearance letter. Correction: Immediately, the State-based clearance letter must be submitted an successfully completed for each staff who has lived out of state within the last 5 years. Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Lydia, Julie Allyson, Jennifer and Geneva have reviewed the powerpoint within 24 hours. Submit documentation of State-based clearance letter for Lydia, Julie, Allyson, Jennifer and Geneva with a written statement of compliance by 11/1/24. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: supervision. Marked corrected in the state record.

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

A bottle of glitter was in the art area of room 125 accessible to children under the age of 3 years old. Correction: Glitter must not be used with children under three years of age. ***Corrected at the time of inspection*** Teacher moved glitter and made it inaccessible. No written statement of compliance needed. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

Marked corrected in the state record.

7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

There was an uncovered outlet accessible to children in room 106. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers or safety outlets must be installed. ***Corrected at the time of inspection*** Teacher covered outlet with plug. No written statement of compliance needed. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

Marked corrected in the state record.

7.702.71.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.

Small colored pom poms in the art area in room 125 were accessible to children under the age of 3 years old. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Small clothes pins were on a board posing a potential choking hazard in room 128 with children under the age of 3 years old. Correction: Toys. toy parts, furnishings, equipment, and any materials accessible to children under 3 years old must not be a choke hazard or able to be inhaled. ***Corrected at the time of inspection*** Teachers moved the pom poms and made them inaccessible and removed the clothes pins. No written statement of compliance. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

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

7.702.42.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 Dona K lacking Working with an Early Childhood Mental Health Consultant training. Correction: Obtain training. Correct and submit documentation with a written statement of compliance. Correct by 01/13/2024

Corrected Corrected by Jan 13, 2024

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

7.702.42.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 Dona K lacking Intro to Childcare Health Consultant training. Correction: Obtain training. Correct and submit documentation with a written statement of compliance. Correct by 01/13/2024

Corrected Corrected by Jan 13, 2024

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

7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Identified Shannon O to be lacking Building and Physical premises training. Correction: Obtain training. Immediately correct and submit a written statement of compliance. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

Category: recordkeeping. Marked corrected in the state record.