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.

Reviewed 3 child files and observed one child to have an expired health statement. Correction: Obtain current health statement for child, correct by 9/28/25. Correct by 09/28/2025

Corrected Corrected by Sep 28, 2025

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

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.

Facility did not verify attendance throughout the day. Correction: Attendance must be verified throughout the day, correct immediately 9/20/24. Correct by 09/20/2024

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. 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

Child was left alone for approximately 2 1/2 hours in the sleeping area. Correction: All children must be under direct supervision of a qualified adult at all times, correct immediately 9/20/24. Correct by 09/20/2024 Stage II Licensing Concern :

Corrected Corrected by Sep 20, 2024

Category: supervision. Marked corrected in the state record.

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.

Program has been monitoring the separate sleep room with IPADS, no staff have been actively in the sleep area while children are sleeping. Correction: All staff must demonstrate concern for proper care and well being of children, correct immediately 9/20/24. Correct by 09/20/2024 Stage II Licensing Concern : Staff sign children in and out daily. Parents/guardians do not verify attendance. - FOUNDED

Corrected Corrected by Sep 20, 2024

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

2.207.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

Staff are signing children in/out during the day. Parents/guardians do not verify the attendance. Correction: Parents/guardians must verify attendance, correct immediately 9/20/24. Correct by 09/20/2024 Stage II Licensing Concern : Attendance was not verified throughout the day. - FOUNDED

Corrected Corrected by Sep 20, 2024

Category: transportation. Marked corrected in the state record.

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 10 staff files and observed Sydney B and Maleah M. to be missing a child abuse and neglect check (TRAILS). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members with written response to the Specialist. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

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

Reviewed 10 staff files and observed Sydney B to be missing a CBI and FBI 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 have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members with written response to the Specialist. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

Category: supervision. Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 10 staff files and observed Maleah M to be missing an emergency and disaster preparedness training. Correction: Obtain an emergency and disaster preparedness training for staff, correct immediately 7/30/24. Correct by 07/30/2024

Corrected Corrected by Jul 30, 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 10 staff files and observed Sydney B and Maleah M to be missing health statements. Correction: Obtain health statements for staff, correct by 8/30/24. Correct by 08/30/2024

Corrected Corrected by Aug 30, 2024

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

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

An unlocked drawer in the art room to have plastic bags accessible to children. Correction: Plastic bags must be stored inaccessible to children. *Corrected at the time of inspection, Director removed the bags from the classroom. No response is required. Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

Marked corrected in the state record.

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.

Several broken crayons and marker lids in an unlocked drawer in the art room, posing a potential choking hazard. Correction: Materials must not be a choking hazard for children under the age of 3 years. *Corrected at the time of inspection, Director removed the crayons and marker lids from the classroom. No response is required. Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

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

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

A red three wheel trike to be missing a handbar cover, posing a potential safety hazard. Correction: Materials must be safe and free of hazards, correct immediately 8/7/23. Document compliance to specialist by 9/7/23. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

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

7.702.46.A.15.d · The licensed room capacity must not be exceeded at any time.

8 children in the Toy Room which is only licensed for 6 children. Correction: Room capacity must not be exceeded, correct immediately 8/7/23. *Corrected at time of inspection 8/7/23, Director moved some children and staff to another room, bringing the classroom into compliance. No response is needed. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

Marked corrected in the state record.

7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 11 staff files and observed Lael N and Madi A to be missing health statements and to be employed longer than 30 days. Correction: Obtain health statements for staff, correct by 9/7/23. Document compliance to specialist by 9/7/23. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.702.51.A.2.d · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 recommended schedule for routine well child exams.

Reviewed 5 child files and observed 2 children to be missing health statements and to by enrolled longer than 30 days. Correction: Obtain health statements for children ,correct by 9/7/23. Document compliance to specialist by 9/7/23. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 11 staff files and observed Lael and Jessica A. to be missing out of state clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for staff members with written response to Specialist. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

Category: supervision. Marked corrected in the state record.

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.

Reviewed 11 staff files and observed Natalia C. to have an expired department approved training about child abuse prevention (12/21/21) and Maggie S to be missing the training and to be employed longer than 30 days. Correction: Obtain current department approved training about child abuse prevention, correct by 9/7/23. Document compliance to specialist by 9/7/23. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: recordkeeping. Marked corrected in the state record.