2.223.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

in infant classroom 3 loose fitting sheets in cribs, that can cause a suffocation hazard. Correction: Remove all soft bedding that could pose a suffocation hazard. Correct by 02/25/2026

Corrected Corrected by Feb 25, 2026

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

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Observed CH's medication to not have authorization of parent signed. Correction: Obtain documentation of parent and physician authorization for all medications. Correct by 02/25/2026

Corrected Corrected by Feb 25, 2026

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

2.213.G · All employees and regular volunteers must be trained using a Department-approved training about Child Abuse Prevention prior to working with children, 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 21 staff files and observed missing current documentation of child abuse and neglect training for staff 13-expired 2/18/25. Correction: Obtain current documentation of child abuse and neglect training for all staff. Correct by 02/25/2026

Corrected Corrected by Feb 25, 2026

Category: recordkeeping. 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 must be in the focus of social-emotional development.

Reviewed 21 staff files and observed missing documentation of 15 hours of staff training for staff 8 (8), staff 11 (0) staff 5 (8) and staff 6 (8). Correction: Obtain 15 hours of annual professional development training for all staff. Correct by 03/25/2026

Corrected Corrected by Mar 25, 2026

Category: recordkeeping. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 9 children's files and observed CH 4 immunizations to be on a non approved immunization form. Correction: Obtain documentation of immunizations on approved state form. Correct by 02/25/2026

Corrected Corrected by Feb 25, 2026

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 Document ID: 8d28320247264f5ee238f63f611dcb753c6eeb26bc5b02619bf9ed31ae24ec89 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 children's files and observed missing documentation of general health appraisal for CH2 (enrollment date 5.8.24)and expired for CH1 - expired 10.22.25 and ch 6 expired 8/6/2025 CH 8 missing and CH9 expired. Correction: Obtain documentation of current medical statement for all children in care. Correct by 03/25/2026

Corrected Corrected by Mar 25, 2026

Category: ratio. 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 9 children's files and observed missing documentation of current emergency medical authoriation for CH 1,2,5,6,9. Correction: Obtain current documentation of emergency medical authorization for all children in care. Correct by 02/25/2026

Corrected Corrected by Feb 25, 2026

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