The Learning Tree - A Center for Childhood Development

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 25 staff files. 1 staff member did not have an updated clearance letter or verification of submission that was obtained within the past 5 years. Correction: Immediately ensure that all staff obtain an an updated clearance letter or verification of submission obtained prior to the 5 years from the date on the current clearance letter. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member with written response to

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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.

A the time of inspection fire drills had not been documented as completed for July and August and tornado drills had not been documented as completed for September and October. Correction: Immediately ensure that drills are completed and recorded as required. Fire drills completed monthly, tornado drills monthly March through October and emergency drills completed quarterly. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 25 staff files. 1 staff member did not have a current department approved safe sleep training on file for review. Correction: Immediately all staff prior to working with infants less that 12 months must complete the department approved safe sleep training. This training must be renewed annually. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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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 25 staff files. 1 staff member not required by rule to be certified in First Aid and CPR did not complete the department approved intoduction to first aid and CPR module. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ Correction: Immediately ensure that all staff not required by rule to be certified in First Aid and CPR completes the department approved intoduction to first aid and CPR module within 30 days of employment. This training must be renewed every 2 years. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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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 25 staff files. 1 staff member did not have a current department approved training about child abuse prevention. Correction: Immediately all staff within 30 days of employment must complete the department approved training about abuse prevention. This training must be updated annually. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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

At the time of inspection there was dawn dish soap and potting soil labeled keep out of reach of children in an unlocked cabinet under the sink in fox room. Correction: Immediately all items labeled keep out of reach of children must be kept inaccessible to children. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ covers, or safety outlets must be installed.

At the time of inspection there was an uncovered outlet accessible to children in frog room. Correction: Immediately all outlets that are accessible to children must have protective covers or safety outlets misut be installed. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Reviewed 10 children's files. 1 child under the age of 1 did not have a current statement of health updated in accordance with the American Academy of pediatric health care schedule. Correction: Immediately all children under the age of 2 must have a current statement of health updated in accordance with the American Academy of pediatric health care schedule. Submit a written statement of compliance by 2/10/2026 Correct by 01/27/2026

Corrected by Jan 27, 2026

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2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

Identified through staff interviews that infants that can hold their own bottles have been occasionally allowed to lie flat. Correction: Immediately ensure that older infants are not allowed to hold their own bottles when lying flat. Submit a written statement of compliance by 9/8/2025 Correct by 08/25/2025 ________________________________________________

Corrected by Aug 25, 2025

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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 4 staff files. 1 staff member did not have a current Department approved standard precautions training. Correction: Immediately all staff prior to working with children must complete the Department approved standard precautions training. This training must be renewed annually. Submit a written statement of complinace by 9/8/2025 Correct by 08/25/2025

Corrected by Aug 25, 2025

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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 10 children's files. 2 children did not have current authorization for emergency medical care signed and dated by parents or guardian. Correction: Immediately all children prior to attending the program must have a signed and dated authorization for emergency medical care on file. This authorization must be updated annually. Submit a written statement of compliance by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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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.

At the time of inspection 2 staff members Oliver H and Danette W both employed over 30 days did not have FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ a statement of health signed and dated by a health care professional onsite for review. Correction: Immediately all staff within 30 days of employment must provide a current statement of health signed and dated by a health care professional. Subsequent self reported health histories must be submitted annually. Submit a written statement of compliance by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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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 16 staff files. 1 staff member Shauna Rai A did not have a CBI criminal record check on file for review. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Shauna Rai A have reviewed the powerpoint within 24 hours. Submit documentation of CBI for staff member Shauna Rai A. with written response to Specialist by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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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.” FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________

Reviewed 16 employee files. 1 staff member did not have a signed purgery statement on file. Correction: Immediately all employees must have a signed perjury attestation on file. Submit a written statement of compliance by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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2.229.D · Staples must be inaccessible to children less than three (3) years of age.

At the time of inspection there were staples in the walls and in bulletin boards accessible to children in the raccoon room (toddlers) Correction: Immediately staples must be inaccessible to children less than 3 years of age. Submit a written statement of compliance by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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

At the time of inspection observed a blue couch with a tear in the arm and a chair with a torn seat in the wolf classroom. Correction: Immediately ensure that all indoor and outdoor equipment materials and furnishings are sturdy safe and free of hazards. Submit a written statement of compliance by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

At the time of inspection observed chipping paint on the colored walls throughout the facility. Correction: Immediately ensure that buildings are kept in good repair and maintained in a safe condition. Submit a written statement of compliance by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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

At the time of inspection observed uncovered outlets the the wolf classroom and the raccoon classroom accessible to children. Correction: Immediately all outlets that are accessible to children must have protective covers or safety outlets must be

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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 16 staff files. 1 staff member Jade B employed over 90 days had not submitted the required out of state background checks to BIU. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jade B have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check Clearance Letters for staff member Jade B with written response to Specialist by 4/17/2025 Correct by 04/10/2025

Corrected by Apr 10, 2025

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2.212.E · When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

Identified through staff statements that staff is using personal cell phones to communicate with other staff and director while caring for children. Correction: Immediately all staff must refrain from the personal use or electronics. Submit a writtens statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Identified that the Bear (6 weeks to 18 months old) classroom teachers gave lunch breaks to the other infant room teachers leaving the Bear classroom with one teacher and 6 infants. Staff stated that every Wednesday the lead teachers would have a professional training hour long training with the Assistant teachers the following Wednesday. Staff stated they are leaving their classrooms out of ratio for the training. Identified through staff statements, teachers have had to leave the classroom out-of-ratio to use the restroom due to the management team not responding to the staff’ personal needs. Correction: Immediately ensure all ratios for all ages groups are followed at all times. Submit a written statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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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. 1 Staff member Kristina G. observed working with children had did not have a Department approved standard precautions training on file for review. Correction: Immediately all staff must complete a Department approved standard precautions training prior to working with children. This training must be updated annually. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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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 files. 2 Staff members Anyleis R and Kchandra E. observed working with children under the age of 3 years had did not have a Department approved prevention of shaken baby/abusive head trauma training on file for review. Correction: Immediately all staff working with children under 3 years of age must complete a Department approved prevention of shaken baby/abusive head trauma training prior to working with children. This training must be updated every 2 years. Submit a written statement of compliance by 8/16/2024. Correct by 08/09/2024

Corrected by Aug 9, 2024

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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. 2 Staff members Angelina C and Kristina G observed working with children had did not have a Department approved training about child abuse prevention on file for review. Correction: Immediately all staff must complete a Department approved training about child abuse prevention within 30 days of employment. This training must be updated annually. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 16 staff files. 2 staff members Angelina C and Kristina G did not have the department approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Immediately all staff within 90 days of employment must complete a Department approved training course: introduction to the Early Intervention and Preschool Special Education Programs. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.223.B.4 · Children must be allowed to form and observe their own pattern of sleep and waking periods. Special provision must be made so that children requiring a morning nap time have a separate area for their nap apart from space used for play.

Identified through staff interviews that infants in the Bear classroom are required to follow a set sleep schedule and that if they fall asleep outside of the scheduled naptime they wake them up. Correction: Immediately children must be allowed to observe their own pattern of sleep and wake periods. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 16 staff files. 1staff member Angelina C. did not have the department approved training course: Recognizing the impact of Bias. Correction: Immediately all staff within 90 days of employment must complete a Department approved training course: Recognizing the impact of Bias. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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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. 2 staff members Angelina C. and Stephanie S. did not have documentation of at least 1 hour of child development training. Correction: Immediately all staff within 90 days of employment must have documentation of at least 1 hour of child development training. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 16 staff files. 1 Staff member Kchandra E. observed working with children under the age of 12 months had did not have a Department approved safe sleep training. Correction: Immediately all staff working with children under 3 years of age must complete a Department approved safe sleep training prior to working with children less than 12 months old. This training must be updated annually. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.233.B.1 · If the infant program is in the same building as a facility caring for children of other ages, the infant program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

Identified through staff statements that toddlers over the age of 18 months are cared for in the infant FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ classroom both morning and afternoon. Correction: Immediately ensure that infants are kept in rooms physically separated from other age groups by walls no less than 8 feet. Submit a written statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

As identified through staff statements, during the opening of the facility children are in the front office with a teacher for up to 30 minutes. Identified through the staff and director’s statements, children use the sensory room when they need a break from their classrooms. Identified through the director’s statement, children will come to the director's office when they need a break from the classroom. Identified through staff and director's statements, toddlers over the age of 18 months have been cared for in the infant classroom in the mornings and afternoons. The front office, director’s office, and the sensory classroom are not licensed areas of the facility. Correction: Immediately ensure that children only use classrooms in the facility that are licensed and rooms licensed for a specific age of children are only used by that age group. Submit a written statement of compliance by 8/16/2024. Correct by 08/08/2024 ________________________________________________

Corrected by Aug 8, 2024

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2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Identified through interview with the director that staff have not been completing written attendance verification periodically throughout the day including during transitions. Correction: Immediately all staff must complete written attendance verification periodically throughout the day including during transitions. Submit a written statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.226.C.2 · All groups of children must be actively supervised by a qualified early childhood teacher at all times.

Identified through staff interviews that aids and assistants are taking children that need a break to another classroom that is not licensed. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ Correction: Immediately all children must be actively supervised by a qualified early childhood teacher at all times. Submit a written statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.223.D.5.c · Children who do not sleep after thirty (30) minutes must be allowed to move to another area and be provided with quiet toys and equipment to play with such as puzzles or books; and

Identified through staff statements children that do not sleep in the rabbit room are made to stay on their mats for 90 minutes to allow other children to sleep Correction: Immediately all children that do not fall asleep after 30 minutes must be allowed to move to another area and be provided with quiet toys. submit a written statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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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 and Director interviews that staff are left alone in all classrooms including infant and toddler rooms 2 Wednesday's per month while children are sleeping. Some classrooms are out of ratio. Correction: Immediately all staff must demonstrate knowlegeable decision making judgment and concern for the proper care and well being of children. Submit a written statement of compliance by 8/16/2024 Correct by 08/08/2024

Corrected by Aug 8, 2024

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2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

During the safety walk through observed plastic bags in a unlocked cabinet accessible to children in the rabbit classroom. Correction: Immediately ensure that plastic bags are inaccessible to children at all times. Submit a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ 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.

At the time of the visit, reviewed 19 staff files and found that Gwendelyn R and Stephanie O had an expired child abuse and neglect training certificate. Correction: Immediately review all staff files and ensure files have a current child abuse and neglect training certificate. Submit a copy of the certificates and a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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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.

During the safety walk through, observed a bag of cotton balls in a unlocked cabinet accessible to children in the frog classroom. Correction: Immediately ensure all choke hazard materials are stored in areas inaccessible to children less than 3 years of age. Submit a written statement of compliance by 6/3/2025. Correct by 05/20/2024

Corrected by May 20, 2024

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2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

During the safety walk though observed a box of gloves in the bathroom accessible to children in the frog classroom. Correction: Immediately ensure all diaper changing supplies are stored in areas inaccessible to children. Submit a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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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. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________

At the time of the visit, reviewed 19 staff files and found that Gwendelyn R and Angelina C had an expired standard precautions training certificate. Correction: Immediately review all staff files and ensure all files have a current standard precautions training certificate. Submit a copy of the certificates and a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

At the time of the visit, reviewed 19 staff files and found that Gwendelyn R had an expired safe sleep training certificate. Correction: Immediately review all staff files and ensure all staff that work with infants have a current safe sleep training certificate. Submit a copy of the training certificate and a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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

During the safety walk through, observed 2 bottles of DIal soap that are labeled "keep out of reach of children" on the lower sink counter accessible to children in the beaver classroom. Correction: Immediately ensure all items labeled "keep out of reach of children" are stored in areas inaccessible to children. Submit a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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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:

At the time of the visit, reviewed 19 staff files and found that Kcandra E and Kristina G had not submitted state based background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

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2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

At the time of the visit, reviewed 19 staff files and found that Fernanda G and Lisa M were missing the Recognizing the Impact of Bias training certificate. Correction: Immediately review all staff files and ensure all files have a Recognizing the Impact of Bias training certificate. Submit a copy of the training certificate and a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

At the time of the visit, reviewed 9 child have and found that 1 child over the age of 2 had an expired health statement. Correction: Immediately review all child files and ensure all files have a current health statement. Submit a statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

At the time of the visit, reviewed 9 child files and found that 3 children under the age of 2 years had expired health statements. Correction: Immediately review all child files and ensure all files have a current health statement updated in accordance with the AAP recommended schedule. Submit a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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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.

At the time of the visit, reviewed the drill log and found missing fire drills for February and March, tornado drills for March and April and quarterly emergency lockdown drill. Correction: Immediately ensure that fire drills are completed monthly, tornordo drills are held monthly from March to October, and emergency lockdown drill are done quarterly. Submit a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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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 FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

At the time of the visit, reviewed 9 child files and found that 1 files had an expired emergency medical authorization form. Correction: Immediately review all child files and ensure all files have an up to date signed medical authorization form. Submit a copy of the form and a written statement of compliance by 6/3/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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

At the time of the walk-through in the Wolves classroom, the licensing specialist asked the staff member how many children were in the classroom, the staff member stated that there were 11 children in the classroom. The licensing specialist counted only 10 children and the director stated that there were only 10 children. Correction: Immediately ensure all staff know the amount of children in their classrooms at all times. Submit a written statement of compliance by 8/16/2023. Correct by 08/09/2023

Corrected by Aug 9, 2023

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7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: T_h_e L_e_ar_nin_g_ T_re_e -_ A_ C_e_nte_r _fo_r C_h_ild_ho_od_ D_e_ve_lo_pm_Liec_net_ns_e _Nu_m_b_er _: 1_7_49_63_0______ ________________________________________________ Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

At the time of the visit, reviewed 13 staff files and found that 3 staff files (Jada, Stephanie, & Anyelis) were missing a current Department-approved Standard Precautions training certificate. Correction: Immediately review all staff files and ensure all files contain a current Department-approved Standard Precautions training certificate. Submit copies of the training certificate and a written statement of compliance by 8/16/2023. Correct by 08/09/2023

Corrected by Aug 9, 2023

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7.702.42.C · Staff working with infants less than twelve (12) months old must complete a Department-approved Safe Sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

At the time of the visit, reviewed 13 staff files and found that 2 staff files (Victoria & Anyelis) were missing a current Department-approved Safe Sleep training certificate. Correction: Immediately review all staff files and ensure all files contain a current Department-approved Safe Sleep training certificate. Submit copies of the training certificate and a written statement of compliance by 8/16/2023. Correct by 08/09/2023

Corrected by Aug 9, 2023

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7.702.42.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.

At the time of the visit, reviewed 13 staff files and found that 1 staff file (Jada ) is missing a current Department-approved child abuse training certificate. Correction: Immediately review all staff files and ensure all files contain a current Department-approved child abuse training certificate. Submit a copy of the training certificate and a written statement of compliance by 8/16/2023. Correct by 08/09/2023

Corrected by Aug 9, 2023

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7.702.41.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.

At the time of the inspection reviewed 13 staff files and found that 2 staff files (Charly & Tania) were missing a current medical statement signed by a physician or other health care provider. Correction: Immediately review all staff files and ensure all files contain a current medical statement signed by a physician or other health care provider. Submit a written statement of compliance by 8/16/2023. Correct by 08/09/2023

Corrected by Aug 9, 2023

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