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 inspection there was not a record of Emergency lockdown drills held over the previous 12 months. Correction: Immediately ensure that all drills are completed and documented as required. Fire drills held monthly, Tornado drills monthly March through October and Emergency lockdown drills held quarterly. Submit a written statement of ongoing compliance by 7/31/2025 Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 3 children's files. 1 child did not have a health statement completed by a health care provider on file for review. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately all children must have a health statement completed by a health care provider on file within 30 days of enrollment. Submit health form or scheduled appointment verification and a written statement of ongoing compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: health medication. 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 8 staff files. 4 staff members Dawn F, Kaylona G, Rachel S and Laissa G. employed over 30 days did not have a medical statement signed and dated by a physician Correction: Immediately all staff within 30 days of employment must have on file a current medical statement signed and dated by a physician. Submit health statements and a written statement of compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: health medication. 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 8 staff files. 5 staff members Nicole F, Bella B, Kaylona G, Rachel S and Larissa G. had not completed the requied 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 compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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 8 staff files. 2 staff members Dawn F and Rachel S both employed over 30 days and not required by rule to be certified in CPR and First aid had not completed the required Department approved intro to first aid and CPR module. Correction: Immediately all staff not required to be certified in CPR and First Aid must complete the Department approved intro to first aid and CPR module within 30 days of employment. Submit a written statement of compliance by 7/31/2025 Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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 8 staff files. 2 staff members Nicole F and Rachel S. had not completed the requied Department approved abuse prevention training. Correction: Immediately all staff within 30 days of working with children must complete the Department approved abuse prevention training. This training must be renewed annually. Submit a written statement of compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 staff files. 3 staff members Dawn F, Rachel S and Larissa G employed over 90 days had not completed the Department approved training Introduction to the Early Intervention and Preschool special education programs. Correction: Immediately ensure that all staff within 90 days of employmtnt complete the Department approved training Introduction to the Early Intervention and Preschool special education programs. This training is required one time. Submit a written statement of compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 8 staff files. 2 staff members Dawn F and Rachel S employed over 90 days had not completed the Required Department approved training Recognizing the impact of Bias. Correction: Immediately ensure that all staff within 90 days of employmtnt complete the Department approved training Recognizing the impact of Bias. This training is required one time. Submit a written statement of compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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 8 staff files. 3 staff members Dawn F, Rachel S and Kaylona G employed over 90 days had not completed a minimum of 1 hour of training in Child Development. Correction: Immediately ensure that all staff within 90 days of employment complete the a minimum of 1 hour of training in Child Development. This training is required one time. Submit a written statement of compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

At the time of inspection observed mats that were placed less than 2 feet apart for rest time. Correction: Immediatly ensure that mats are placed at least feet apart. Submit a written statement of compliance by 7/31/2025. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: supervision. Marked corrected in the state record.

2.217.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

At the time of inspection the DORA for the CCHC had expired in 2023. Correction: Immediatly obtain current DORA documentation for your CCHC. Submit current credentials and a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

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.

At the time of inspection the current fire inspection completed by the fire department was not available for review. Correction: Immediately all Fire and Health reports must be mainitaned at the facility and available for review upon request. Submit fire inspection and a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

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 inspection the record of emergency drills was not available for reveiw. Correction: Immediately ensure all emergency drills are completed as required and recoreded. This record must be available for review. Submit drill logs and a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. 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 8 staff files. 4 staff members Drury H, Aspen S, Larissa G and Ashley L employed over 30 days did not have a physical form signed by a physician on file for review. Correction: Immediately all staff must provide a physical form signed and dated by a health care professional within 30 days of employment. Subsequent health statements must be self reported and submitted annually. Submit a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be in the focus of social-emotional development.

Reviewed 8 staff files 3 staff members Drury H, Aspen S and Ashley L had not completed 15 hours of ongoing professional development training. Correction: Immediately all staff must complete a minimum 15 hours of ongoing professional development training annually. Submit training transcript and a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved child care health consultant introductory training course within six (6) months of hire. Child care health consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

At the time of inspection CCHC had not completed the required Department approved child care health consultant introductory training course. Correction: Immediately CCHC must complete the required Department approved child care health consultant introductory training course within 6 months of hire. Submit training certificate and a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ maintain proof of course completion.

At the time of inspection CCHC had an expired Department approved CDPHE immunization course on file for review Correction: Immediately CCHC must complete the required Department approved CDPHE immunization course. This training must be updated annually. Submit training certificate and a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: health medication. 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 6 children's files. 1 child did not have current authorization for emergency medical care on file for review. Correction: Immediately review all children's files. All children must have on file at the time of admission written authorization for emergency medical care. This authorization must be updated annually. Submit a written statement of compliance by 9/6/2024 Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: health medication. 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 6 children's files. 5 children did not have current statement of health signed and dated by a health care professional on file for review. Correction: Immediately review all children's files. All children within 30 days must have a current statement of health

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

At the time of inspection classroom 1 did not know how many children were present. Correction: Immediately the time a child arrives and leaves the center must be recorded. Attendance verification must be checked periodically throughout the day. Submit a written statement of compliance by 4/29/2024 Correct by 04/22/2024

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

At the time of inspection there were sharp objects in an unlocked drawer in room 1 Correction: Immediately all sharp tools and instruments must be stored in areas inaccessible to children. Violation was corrected at the time of inspection. Drawer was locked. No additional documentation is required. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Marked corrected in the state record.

2.209.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the pa

Reviewed center documents and policies. Center does not provide copies of accident, illness or injury reports to parents. Correction: Immediately a copy of accident, illness or injury reports must be provided to parents. Submit a written statement of compliance by 2/12/2024 Correct by 02/05/2024 ________________________________________________

Corrected Corrected by Feb 5, 2024

Category: recordkeeping. Marked corrected in the state record.