Alvarium Learning Center

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

weed fabric exposed on the PRS playground posing a tripping hazard and a wagon used to transport infants to be fraying and coming apart posing a safety hazard. Correction: Ensure all equipment is sturdy, safe and free of hazards. Correct immediately 10/20/25 and submit compliance by 11/20/25. Correct by 10/20/2025

Corrected by Oct 20, 2025

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.

Reviewed climbing equipment on the toddler playground to have @3 inches of resilient material in the fall zones. Correction: Ensure there is at least 6 inches of resilient material under equipment. Correct immediately 10/20/25 and submit compliance by 11/20/25. Correct by 10/20/2025

Corrected by Oct 20, 2025

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 14 staff files and observed 4 staff to not have health statements within 30 days of hire. Correction: Obtain and maintain documentation of current health statements within 30 days of hire and place in staff files. Correct by 11/20/2025

Corrected by Nov 20, 2025

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 14 staff files and observed 1 staff member to not have documentation of current standard precautions. Correction: Obtain and maintain documentation of current standard precautions. Correct immediately 10/20/25 and submit compliance by 11/20/25. ***This is a violation of stipulation G on the settlement agreement. Correct by 10/20/2025

Corrected by Oct 20, 2025

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 14 staff files and observed 2 staff to not have documentation of current first aid and CPR by an approved vendor or the department approved module. Correction: Obtain and maintain documentation of current first aid and CPR or the department approved module. Correct immediately 10/20/25 and submit compliance by 11/20/25. ***This is a violation of stipulation G on the settlement agreement. Correct by 10/20/2025

Corrected by Oct 20, 2025

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

Reviewed files for infant staff and observed neither staff had first aid and CPR through an approved vendor. Correction: Ensure that there is at least one staff member in the infant room that holds first aid and CPR through an approved vendor. Correct immediately 10/20/25 and submit plan of compliance by 11/20/25. ***Did move a staff with first aid and CPR in to the classroom at the time of the visit. ***This is a violation of stipulation G on the settlement agreement. Correct by 10/20/2025

Corrected by Oct 20, 2025

2.216.C.3 · For every fifteen (15) or fewer toddlers, there must be at least one (1) staff member in the toddler program at all times who has a current Department-approved first aid and safety certificate that includes (CPR) for all ages of children.

Reviewed staff files and observed in the Busy Bees toddler room that neither staff had first aid and cpr through an approved vendor. Correction: Ensure that there is at least one staff member in the busy bees toddler room that holds first aid and CPR

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 14 staff files and observed that there were no staff on site at the time of the visit with current medication delegation. Correction: Obtain and maintain delegation for at least 1 staff member on site at all time. Correct immediately 10/20/25 and submit compliance by 11/20/25. ***This is a violation of stipulation G on the settlement agreement. Correct by 10/20/2025

Corrected by Oct 20, 2025

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.

Reviwed 11 children's files and observed 1 child with an expired health statement. Correction: Obtain and maintain documentation of current health statements for all children enrolled with expired statements. Correct by 10/20/2025

Corrected by Oct 20, 2025

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

an expired medication in a classroom. Correction: Ensure all expired medications are disposed of as required by the CDPHE. Correct immediately 10/20/25 and submit compliance by 11/20/25. Correct by 10/20/2025

Corrected by Oct 20, 2025

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

cardboard blocks in the busy bees classroom to be ripped posing a choking hazard for toddlers. Correction: Ensure all indoor and outdoor equipment is sturdy, safe and free of hazards. Correct immediately 8/18/25. ***Corrected at time of visit by removing from the classroom. No response is required. Correct by 08/18/2025

Corrected by Aug 18, 2025

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.

1 puppet marked 3+ in the busy bee's room licensed for ages 1-2 years of age. Correction: Ensure all toys and materials accessible to children are age appropriate. Correct immediately 7/22/25. ***Corrected at time of visit by removing from class. No response is required. Correct by 07/22/2025

Corrected by Jul 22, 2025

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

awning on a playhouse on the pre-school room to be ripped. Correction: Ensure all indoor and outdoor materials are sturdy, safe and free of hazards. Correct immediately 7/22/25. Corrected at time of visit, no response is required. Correct by 07/22/2025

Corrected by Jul 22, 2025

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

in the Bumble Bees & honey Bees classrooms, and all of the bathroom sinks to have soap marked out of reach of children. Correction: Ensure all items marked keep out of reach of children are inaccessible to children at all times. Correct immediately 6/24/25. *****Corrected at time of visit by making inaccessible to children. No response is required. Correct by 06/24/2025

Corrected by Jun 24, 2025

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.

googly eyes on artwork in the hallway accessible to children under the age of 3. Correction: Ensure that materials accessible to children under the age of 3 do not pose choking hazards. Correct immediately 5/29/25. ***Corrected at time of visit by removing from the door. No response is required. Correct by 05/29/2025

Corrected by May 29, 2025

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 11 staff files and observed 3 staff (Genesis HD 9/24, Amanda HD 8/24 & Valery HD 8/24) to not have current health statements within 30 days of hire. Correction: Obtain and maintain documentation of current health statements within 30 days of hire. Correct by 12/20/2024

Corrected by Dec 20, 2024

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 11 staff files and observed 1 staff to have an expired certificate. (Emily ex. 11/8/24) Correction: Obtain and maintain documentation of current training. Correct immediately 11/20/24 and submit compliance by 12/20/24. Correct by 11/20/2024

Corrected by Nov 20, 2024

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 11 staff files and observed 1 staff to have an expired certificate. (Emily ex. 11/4/24) Correction: Obtain and maintain documentation of current training. Correct immediately 11/20/24 and submit compliance by 12/20/24. Correct by 11/20/2024

Corrected by Nov 20, 2024

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 11 staff files and observed 2 staff (Maddie & Emily) to not have documentation of 15 hours of annual training for the previous year. Correction: Obtain and maintain documentation of current training hours. Submit statement of compliance. Correct immediately 11/20/24 and submit compliance by 12/20/24. Correct by 11/20/2024

Corrected by Nov 20, 2024

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.

Reviewed the nurse consultants file and observed an expired immunization course. (ex. 8/20/24) Correction: Obtain and maintain documentation of current training. Correct immediately 11/20/24 and submit compliance by 12/20/24. Correct by 11/20/2024

Corrected by Nov 20, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 11 children's files and observed 2 children with expired health statements. Correction: Obtain and maintain documentation of current health statements for all children enrolled with expired statements. Correct by 12/20/2024

Corrected by Dec 20, 2024

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

in the Honeybees classroom wipes on the changing table and the back of the toilet accessible to children. Correction: Ensure all diaper changing supplies are inaccessible to children at all times. Correct immediately 11/20/24. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 11/20/2024

Corrected by Nov 20, 2024

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Hand sanitizer on a low shelf in the Builder bee's classroom. Correction: Ensure all keep out of reach of children items are inaccessible to children at all times. Correct immediately 11/20/24. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 11/20/2024

Corrected by Nov 20, 2024

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

sharp scissors accessible to children on a low shelf in the Builder Bee's classroom. Correction: Ensure all sharp tools are inaccessible to children at all times. Correct immediately 11/20/24. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 11/20/2024

Corrected by Nov 20, 2024

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.

Identified that staff 1 falsified diaper logs stating they changed diapers when in fact they had not. Correction: Ensure all staff show concern for the proper care and well being of children. Correct by 04/08/2024 ________________________________________________ Stage II Licensing Concern : Identified that staff stated she would "drop kick and throw children into a snow bank and they would tape children's shoes to their feet. - UNFOUNDED ________________________________________________

Corrected by Apr 8, 2024

2.223.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

in Bumble Bees, Honey Bees and Golden Bees to have children sleeping on cots without a sheet. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure each child is supplied a sheet and blanket. Correct immediately 4/8/24 and submit compliance by 4/15/24. Correct by 04/08/2024

Corrected by Apr 8, 2024

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

a door to the bathroom in the builder bees bathroom to not have a door knob and have sharp metal exposed posing a safety hazard. Correction: Ensure all buildings are maintained in safe condition. Correct immediately 4/8/24. Corrected at time of visit. Correct by 04/08/2024

Corrected by Apr 8, 2024

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

Reviewed 1 staff file and observed staff member Riley in the Busy Bees classroom to not be ECT qualified. Correction: Ensure there is an ECT qualified staff supervising each group of children. Correct immediately 4/8/24. Corrected at time of visit by combining classrooms. Submit plan of compliance going forward. Correct by 04/08/2024

Corrected by Apr 8, 2024

7.702.45.B.1.c · Prior to being assigned a group of children, the Infant Program Early Childhood Teacher must complete eight (8) hours of orientation in the infant program under the supervision of the Infant Program Supervisor. The orientation may include, but not limited to, the following topics:

Reviewed staff files and observed staff working in the infant room to not have documentation of 8 hours of infant orientation. Correction: Obtain and maintain documentation of orientation for all staff working in the infant room. Correct immediately 12/6/23 and submit compliance by 1/6/24. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.72.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

a ball marked ages 3 + in Honeybees classroom with children under the age of 3. Correction: Ensure all equipment in the classroom is appropriate for the ages of children. Correct immediately 12/6/23. ***Corrected at time of visit by removing from the room. No response is required. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.45.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved First Aid and Safety certificate that includes CPR for all ages of children.

Reviewed 14 staff files and observed no staff working in the infant room to hold a current department approved first aid and CPR certificate. Correction: Obtain and maintain documentation of current first aid and CPR for staff in the infant room. Correct immediately 12/6/23 and submit compliance by 1/6/24. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 11 children's files and observed 1 child to have an immunization record but not on the CDPHE FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approved form. Correction: Transfer immunizations to the CDPHE approved form and maintain in child's file. Correct immediately 12/6/23 and submit compliance by 1/6/24. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 11 children's files and observed 1 child to not have a health statement within 30 days of enrollment and a 2nd child to not have one within 30 days of expiration. Correction: Obtain and maintain documentation of current health statements within 30 days of enrollment and expiration for all children enrolled. Correct by 01/06/2024

Corrected by Jan 6, 2024

7.702.71.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

sunscreen in an unlocked maintenance closet and gloss spray and hand soap in an unlocked pantry all marked keep out of reach of children. Correction: Ensure all keep out of reach of children items are inaccessible to children at all times. Correct immediately 12/6/23. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 12/06/2023

Corrected by Dec 6, 2023

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 14 staff files and observed 1 staff member Madelyn C to have an expired child abuse prevention training. (ex. 11/10/23) Correction: Obtain and maintain documentation of current training in staff file. Correct immediately 12/6/23 and submit compliance by 1/6/24. Correct by 12/06/2023

Corrected by Dec 6, 2023

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

a ripped climbing mat on the toddler playground and weed fabric exposed in multiple areas on the prs playground posing a potential hazard. Correction: Ensure all materials and equipment are sturdy, safe and free of hazards. Correct immediately 12/6/23 and submit compliance by 1/6/24. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.41.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

Reviewed 14 staff files and observed 1 staff (Madison C) to have an expired health statement and not signed the subsequent self reported health history form. Correction: Obtain and maintain a current health statement of the signed self reported health history for staff. Correct immediately 12/6/23 and submit compliance by 1/6/23. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.45.C.2 · Staff Aides must be at least sixteen (16) years of age, must work directly under the supervision of the Director or a Toddler Early Childhood Teacher, and must have completed eight (8) hours of orientation at the toddler program.

Reviewed 14 staff files and observed staff aides in the toddler room to not have documentation of 8 hours of orientation for the toddler program. Correction: Obtain and maintain documentation of 8 hours of orientation for staff aides working in the toddler classrooms. Correct immediately 12/6/23 and submit compliance by 1/6/23. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.46.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

Reviewed the nurse consultation file and observed no documentation of consistent monthly visits. Correction: Ensure documentation is maintained for monthly consults. Correct immediately 12/6/23 and submit compliance by 1/6/24. Correct by 12/06/2023

Corrected by Dec 6, 2023

7.702.35.A.6 · A record must be maintained, either written or electronic, for each staff member that includes the following: All information from background checks as required in the General Rules for Child Care Facilities at Section 7.701.32.

Identified that staff are working in classrooms without all 4 background clearance letters.(Makaya no trails, FBI & out of state, Sydney no trails & FBI, Riley no Trails & FBI, Ada no CBI, FBI, Trails & Out of state, Sheridan No trails, Madalyn no out of state) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Makaya, Sydne, Riley, Ada,, Sheridan & Madalyn 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 listed above with written response to Specialist. Correct by 10/02/2023

Corrected by Oct 2, 2023

7.702.45.A.1 · An Early Childhood Teacher, assigned responsibility for a single group of children and working under the supervision of a Director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Makayah in the Bumble bees, Sydney in the Honeybees, Riley in the Busy Bees to not have documentation of ECT qualifications. Correction: Ensure each group of children is supervised by a qualified early childhood teacher. Correct 10/2/23 and submit documentation of staff by 10/3/23 and plan of compliance by 10/9/23. Correct by 10/02/2023

Corrected by Oct 2, 2023

7.702.63.A.10 · Meal menus must be planned at least one week in advance, dated, and posted in a place visible to parents. After use, menus must be filed and retained for three (3) months.

Identified that facility did not serve what was on the posted menu on the date of inspection. Correction: Facility must plan menues and have them visible to parents. Keep menus and changes for at least 3 months. Correct immediately 10/2/23 and submit compliance by 10/9/23. Correct by 10/02/2023 ________________________________________________

Corrected by Oct 2, 2023

7.702.62.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

cots in each classroom with children sleeping on them to not have a fitted sheet Correction: Each child should have a sheet and blanket or suitable covering. Correct immediately 10/2/23 and submit compliance by 10/9/23. Correct by 10/02/2023

Corrected by Oct 2, 2023

7.702.71.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Sanitizer and sunscreen accessible to children in the honey bees classroom, Sunscreen in the golden bees, a storage room with paint and work materials in the worker bees classroom all marked keep out of reach of children and accessible to children. Correction: Ensure all keep out of reach of children items are inaccessible at all times. Correct immediately 10/2/23 and submit compliance by 10/9/23. Correct by 10/02/2023

Corrected by Oct 2, 2023

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

in the busy bees a tablet cord accessible to children and a sound machine cord over a walkway all posing a hazard to children. Correction: Ensure all quipment is sturdy, safe and free of hazards. Correct immediately 10/2/23 and submit compliance by 10/9/23. Correct by 10/02/2023

Corrected by Oct 2, 2023

7.702.35.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

Identified that staff are working in classrooms without verification of current trainings. Ada-disaster preparedness, Tamara Abuse training, Sheridan, Abuse training, and Alayna no safe sleep. Correction: Ensure all staff have the required trainings prior to working in classrooms. Correct immediately 10/2/23 and submit compliance by 10/9/23. Correct by 10/02/2023

Corrected by Oct 2, 2023