2.509.B.1 · Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must have completed at least one (1) of the following qualifications:

Reviewed 12 staff files and observed staff 10 and 12 missing documentation of lead qualifications. Identified by Director staff are working as a lead. Correction: Obtain lead qualifications for all staff working as a lead. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

Marked corrected in the state record.

2.510.D · The maximum group size for children is thirty (30) children.

Observed 34 children in room 147 and 148 all intermingling not separated into groups. Correction: Maintain maximum group size of 30 children except when specified in rule. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

Category: ratio. 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 12 staff files and observed Staff 10 missing CBI result letter, and staff 5,8,9 missing FBI results. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 5, 8, and 9 have reviewed the powerpoint within 24 hours. Submit documentation of CBI for staff 10 and FBI for staff 5, 8, and 9 with written response to the Specialist. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

Category: supervision. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 12 staff files and observed Trails letter to be expired as of 8/28/17 and staff 1 and 11 missing Trails FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 1 and 11 have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members 1 and 11 with written response to the Specialist. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

Category: supervision. Marked corrected in the state record.

2.506.A.1 · Staff must verify attendance before and after every group transition from one physical space to another. Written or electronic documentation of attendance verification must be maintained for at least twelve (12) months.

Reviewed attendance record and observed staff not documenting transitions from one physical space to another. Correction: Maintain attendance before and after every group transition from one physical space to another. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

Category: recordkeeping. Marked corrected in the state record.

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

CH medication not to be in original labeled bottle or container. Correction: All medications must be kept in the original labeled bottle or container. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

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

2.513.G · All medications, except those medications specified in the Department’s approved medication administration training as emergency medications, must be locked and in an area inaccessible to children, but available to staff trained in administering medication. If refrigeration is required, the medication must be stored in either a separate refrigerator or a leak proof container in a designated area of a food storage refrigerator, separate from food and inaccessible to children. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the centers policies. Access to these medications must be limited (see sections 27-80-210 and 12-280-134(3), C.R.S.).

2 non emergency medication in backpack accessible to children. Correction: Keep all non emergency medications locked and inaccessible to children. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

Category: ratio. Marked corrected in the state record.

2.530.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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 3 children files and observed missing documentation of emergency medical authorization for all children. Correction: Obtain documentation of emergency medical authorization for all children. Correct by 06/23/2026

Corrected Corrected by Jun 23, 2026

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