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.

A health inspection had not been completed within the last 2 years. Correction: Ensure that at least every 2 years the childcare facility receives a health inspection from the health department. In your Response to the Report of Inspection, provide a copy of the most recent health inspection and also provide a written statement showing your future compliance with the rule in question and send it to your licensing specialist. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ assigned the responsibility to supervise

At two moments during the inspection when outdoor play was occurring, there were 2 children around the corner of the building talking and playing without direct supervision. Correction: Ensure that all children can be directly supervised at all times by a qualified adult. In your Response to the Report of Inspection, provide a written statement showing your compliance with the rule in question and send it to your licensing specialist. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

Category: supervision. 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.

A gray climbing structure with a red slide measuring 22 inches was placed on the grass without any resilient surfacing. A red and blue slide measuring 22 inches was placed on the grass without any resilient surfacing. Correction: Ensure that any climbing structure measuring 18 inches or higher has at least 6 inches of resilient surfacing in the use zone surrounding the equipment. **This violation was corrected on site** 5/27/25 the Director moved the play structures out of the play area making them inaccessible to the children. No written response is required for this violation. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

that the information for filing a complaint with the Colorado Department of Early Childhood was not posted. Correction: ensure information regarding the procedures for filing a complaint to be posted. Corrected at the time of inspection, provider posted the notice, 6/27/24. No written response required for this violation. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Marked corrected in the state record.

2.217.C.3 · The monthly consultation must be conducted on-site at least quarterly or more frequently as required by the Child Care Health Consultant. Teleconsultations are allowed for the remaining months.

last monthly consultation documented on 10.31.23 Correction: ensure that center staff consult monthly with the Child Care Health Consultant. Document compliance to licensing specialist in written response. Correct by 07/27/2024

Corrected Corrected by Jul 27, 2024

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

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

that the office, which contained hazards like scissors and cords was accessible to the children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: ensure that the office space, if accessible to children, is free of hazards. Correct immediately. Document compliance to licensing specialist with written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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.

disinfecting wipes that were labeled keep out of reach of children, to be accessible to children in both bathrooms adjacent to the classrooms. Correction: ensure that items labeled keep out of reach of children are kept inaccessible to children. Correct immediately. Document compliance to licensing specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

that a sign for the licensing capacity of the room including the staff to child ratio to be missing. Correction: ensure that a sign with the licensing capacity including the staff-to-child ratio is posted in every room of the childcare facility. Correct immediately. Document compliance to licensing specialist in written response Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: ratio. Marked corrected in the state record.

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

a tricycle to be missing a pedal, a plastic container to be cracked, a mesh chair to be torn, a plastic umbrella base to be cracked, blue steps leading to a slide to be cracked, and hooks protruding from the fence at eye level of children. Correction: ensure that all indoor and outdoor equipment are sturdy, safe and free of hazards. Correct immediately. Document compliance to licensing specialist. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

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

a metal weather strip on the exterior office door to be peeling up and exposing nails. Observed two fence slats to be missing or broken. Correction: ensure that the building is kept in good repair and maintained in a safe condition. Correct immediately. Document compliance to licensing specialist with written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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.

a yellow and blue plastic slide structure measuring approximately 24 inches to be missing resilient surfacing. Correction: ensure that all play structure eighteen inches or higher have at least 6 inches of resilient surfancing in the use zone surrounding the equiptment, or make inacessible to children. Correct immediately. Document compliance to licensing specialist with written response Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

2.230.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

the grey climbing structure to be approximately 42 inches from fences, tree and stumps. Observed the pink and orange slide play structure to be within 32 inches of the fence. Correction: Ensure that all school age climbing equiptment have a 6 foot use zone surrounding the equiptment. Correct immediately. Document compliance to licensing specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

2.205.D · Any center having a director assigned to a classroom must have qualified and adequate staff, allowing the director or qualified staff the ability to attend to the duties of a director as they arise.

the director to not be available for director duties without negatively affecting the child to staff ratio. Correction: ensure that the director is able to attend to director duties without negatively affecting the the operation of the

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.206.B · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information:

the policies and procedures to be missing: B.7-- procedure for identifying children at all times, B.14--a media plan and an internet usage policy including information on online safe practices, B.17--procedure for when a child is not picked up before staff leave for the day, B.18--procedure for when children arrive late to the center and their class is away, B.27--the center's procedures for when a child is not picked-up, B.20-- the procedure concerning the safe keeping of children's personal belongings, B.26 the procedure, including the name of the county department, of where child abuse reports should be made. Correction: ensure that the written policies and procedures are complete. Send a copy of the updated policies and procedures. Document compliance in written response to the licensing specialist. Correct by 07/27/2024

Corrected Corrected by Jul 27, 2024

Marked corrected in the state record.

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

children alone in the cubby-room without an adult supervising them at various times. Correction: ensure that children are under the direct supervision of a qualified adult who is responsible for their supervision at all times. Correct immediately. Document compliance to licensing specialist with written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: supervision. 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 maintain proof of course completion.

an expired immunization course for Healther Prokaski, the childcare health consultant. Correction: ensure that all department approved child care health consultants have a current immunization course

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

prescription medication to be missing original pharmaceutical label. Correction: ensure that all medications are kept in original container and that prescription medications have the original pharmacy label. Correct Immediately. Document compliance to licensing specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

an over-the-counter medicaiton to be missing a child's first and last name Correction: ensure that all over-the-counter medications are labeled with the child's first and last name. Correct immediately. Document compliance to licensing specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

a missing parent signature for the policies and procedures authorization form. Correction: ensure that all parents of children enrolled in the program accept the conditions of activities described in the policies and procedures by signing the authorization form. Correct immediately. Document compliance to licensing

Open Not marked corrected in the state record

Open / not marked corrected.

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;

an expired medical authorization form for one child. Correction: ensure that a current written authorization form for emergency care is signed and updated annually by the parents/guardian(s). Correct immediately. Send a copy of the missing form. Document compliance to licenscing specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

2.209.A · 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:

observed one child file to be missing a complete and current admission record. Correction: ensure that all admission records are complete and updated annually. Correct immediately. Document compliance to licensing specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

one child's health statement to be missing. Correction: ensure that a current signed health statement of the child's health status is available at the center. Correct immediately. Document compliance to licesning specialist in written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: ratio. Marked corrected in the state record.

2.209.A.2 · 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:Parent(s)/guardian(s) names; home and e-mail addresses; telephone numbers, including home, work, and cell numbers; employer name and work address; and, any special instructions as to how the parent(s)/guardian(s) may be reached during the hours that the child is in care at the center;

the enrollment form to be missing a section where instructions are requested as to how the parents/guardians may be reached while the child is at the center. Correction: ensure that the child enrollment form has a section provided where instructions can be given for how the parents/guardians may be reached while the child is at the center. Correct immediately. Provide a copy of the updated child enrollment form. Document compliance to licensing specialist in written response Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.6 · 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 health history, including any health care plans, which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, any necessary health procedures or special diets, and immunization record;

2 out of 3 admission records to be missing a health history and health care plan. Correction: Ensure that all child admission records contain a health history and health care plan. Correct immediately. Provide a copy of the updated child admisison record. Document compliance in written report to licensing specialist. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: health medication. 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.

the admission form to be missing the contact information for the child's dentist. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: ensure that the admission form provides a section where parents/gaurdians can list the dentist's contact information. Correct immediately. Provide updated copy of admission form. Document compliance in written response to licensing specialist. Correct by 06/27/2024

Corrected Corrected by Jun 27, 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.

emergency drills to be incomplete. Missing tornado and quarterly drills. Missing fire drills for February, March and April 2024. Correction: Fire drills must be held monthly, tornado drills must be held monthly between March to October, and other emergency drills must be held quarterly so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Record of drills must include date, time, number of adults, number of children, and the amount of time taken to evacuate. Correct immediately. Ensure that emergency drills are conducted and documented in full. Document compliance to the Licensing Specialist with the written response. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: recordkeeping. Marked corrected in the state record.