2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified through staff statements that an Infant bottle that was brought in was mixed with cereal and fed to a child. Correction: All staff at the center must demonstrate knowledgeable decision making. Correct immediately and respond with written statement of compliance. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Marked corrected in the state record.

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

Identified through staff statements that a purse with items that should be kept out of reach of children had been accessible in the office. Correction: If the office is accessible to children it must be free of hazards. Correct immediately and respond with written statement of compliance. Correct by 07/17/2025 ________________________________________________

Corrected Corrected by Jul 17, 2025

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

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Identified through staff statements that policy regarding notifying families of an injury were not followed. Correction: Program policies must be followed. Correct immediately and respond with written statement of compliance. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Marked corrected in the state record.

2.223.C.15 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep.

Identified through staff statements that a child was allowed to sleep in a bouncy seat. No children were observed sleeping in unapproved equipment at the time of the inspection. Correction: Children who fall asleep in unapproved equipment must be moved immediately. Correct immediately and respond with written statement of compliance. Correct by 07/17/2025

Corrected Corrected by Jul 17, 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.

The Director saw a child with a medication packet in their hand. The child had gotten them from their bag that was accessible to the child. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately and respond with written statement of compliance. Correct by 06/03/2025 ________________________________________________

Corrected Corrected by Jun 3, 2025

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

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

While reviewing name to face attendance sheets, it was identified that Infant A was over capacity with 12 children in the classroom for approx 10 minutes on the morning of 5/13/25. Correction: Maximum group size must be maintained at all times. Correct immediately and respond with statement of compliance. Correct by 06/03/2025

Corrected Corrected by Jun 3, 2025

Category: ratio. 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.

Reviewed 16 staff files and found Sarita V to have an expired Standard Precautions training. Correction: All staff must complete Standard Precautions training, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

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.

Reviewed 16 staff files and found Nicole C and Brittany L to be missing either the full CPR/First Aid training or the Intro to First Aid and CPR training. Correction: All staff must complete either the full CPR/First Aid training or the Intro to First Aid and CPR training, and renew the training every two years. Correct immediately and provide documentation of completion with written response. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. 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 abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 16 staff files and found Sarita V and Jaya Shree N to have expired Mandatory Reporter training and Amanda T to be missing documentation of completion of the Mandatory Reporter training. Correction: All staff must complete Mandatory Reporter training, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 16 staff files and found Amanda L to be missing documentation of at least one hour of Child Development training. Correction: All staff must have at least one hour of child development training. Correct and provide documentation of completion with written response. Correct by 01/20/2025

Corrected Corrected by Jan 20, 2025

Category: recordkeeping. 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 16 staff files and found Archana K to be missing documentation of their FBI clearance letter. Correction: All clearance letters must be available for review.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 and found 2 children to have expired health statements Correction: All children must have current health statements on file within 30 days of enrollment and 30 days of expiration. Correct and respond with statement of compliance. Correct by 01/20/2025

Corrected Corrected by Jan 20, 2025

Category: ratio. 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.

Reviewed 16 staff files and found Rekha S to be missing documentation of a medical statement, signed and dated by a physician or health care provider. Correction: All staff must have a current medical statement, signed and dated by a physician or health care provider on file within 30 days of hire. Correct and respond with statement of compliance. Correct by 01/20/2025

Corrected Corrected by Jan 20, 2025

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 16 staff file and found Nicole C to have an expired Shaken Baby/Abusive Head Trauma training. Correction: All staff who work with children under the age of 3 must complete Shaken Baby/Abusive Head Trauma training, and renew the training every 2 years. Correct immediately and provide documentation of completion with written response. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

On the Preschool playground there is a pallet and a drain spout in the play area creating a hazard. In the hallway, there are cords hanging down under the water fountain, creating a hazard. Correction: Indoor and outdoor areas must be free of hazards. Correct immediately and respond with statement of compliance. **Corrected at the time of the inspection, cords under the water fountain were secured, and the pallet and drain spout were removed from the playground. ** No response is required. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.209.A.5 · 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: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

Child admission records did not have space for the preferred hospital name, address and phone number to be listed. Correction: Admission records must include space for the preferred hospital name, address and phone number to be listed. Correct immediately and respond with statement of compliance. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.217.C.1.a · Center staff must have a monthly consultation with a current Department-approved Child Care Health Consultant who must meet one (1) of the following qualifications: A Licensed Registered Nurse with knowledge and experience in maternal and child health.

The program did not have a Child Care Health Consultant. Correction: Centers must have a monthly consultation with a Child Care Health Consultant. Correct immediately and send documentation of the Child Care Health Consultant qualifications with written response. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: health medication. 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.

There were no staff at the program with current medication administration training and delegation. Correction: There needs to be at least one staff member with current medication administration training and delegation must be on duty at all times. Correct immediately and respond with documentation of medication training and delegation with written response. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: ratio. Marked corrected in the state record.

2.216.B.1.a.1 · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications: A Registered Nurse, with an active license from the Colorado State Board of Nursing, with a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ minimum of three (3) months (455 hours) of verifiable experience in the care and supervision of infants who are not related to the individual;

The Program did not have an Infant Program Supervisor. Correction: The Infant classrooms must have an Infant Program Supervisor who meets one of the qualification pathways. Correct immediately and provide documentation of qualifications with written response. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: supervision. 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:

There was not an ECT teacher assigned to the Toddler A, Twaddlers, Preppers, Preschool 1A, Preschool 2A and Preschool 1B classrooms. Correction: There must be an ECT assigned to each group of children. Correct immediately and respond with documentation qualifications with written response. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: supervision. Marked corrected in the state record.

2.211.B · Staff and children's records must be available, upon request, to authorized personnel of the Department.

Staff files were not available for review. Correction: Staff files must be available for review. Correct immediately and provide documentation of completed staff files with written response. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed 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 2 staff files and found that Neha and Tina did not have CBI letters that were completed with the correct CONCJ number. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.