2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

Seven sunscreens in Twos 2 and 10 sunscreens in Twos 1 not labeled with children's last names. Correction: Sunscreens must be labeled with child's first and last name. Submit a written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

Marked corrected in the state record.

2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

On the Preschool Playground, under the swing the woodchips shifted and not retaining its resiliency. Correction: Resilient surfaces must be raked to retain its resiliency. Submit a written statement of complaince to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

Category: physical safety. 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 14 child files and identified one child's emergency medical authorization to be expired. Correction: The emergency medical care authorization must be updated annually. Submit a written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

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

2.213.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed 18 staff files and identified Laile B. with expired child abuse prevention training. Correction: The training must be completed annually. Submit documentation with written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

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 18 staff files and identified 6 staff missing the medical statement and one staff member with expired medical statement and no self-reported health history. Correction: All staff must submit a health statement and a subsequent self-reported history sign off for expired health statements. Submit a written statement of compliance to specialist. Correct by 08/01/2025

Corrected Corrected by Aug 1, 2025

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

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 18 staff files and identified and identified Alyssa F. and Summer S. with expired Standard Precautions training. Correction: The training must be updated annually. Submit documentation with written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Infant 2 Room teacher, Summer S. with expired Safe Sleep training. Correction: Staff working with infants must complete the training annually. Submit documentation with written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

Category: physical safety. 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.

Reviewed emergency drill logs and identified fire and tornado drills to be missing for May. Correction: Fire drills must be completed monthly and tornado drills must be completed monthly from March through October. Submit a written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

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.

Reviewed 14 child files and identified 3 children's medical statement to be expired. Correction: The health statements must be current. Submit a written statement of compliance to specialist. Correct by 08/01/2025

Corrected Corrected by Aug 1, 2025

Category: ratio. 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.

Five diaper creams in the Twos 2 and five diaper creams in the Twos 1 not labeled with children's last name. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Diaper creams must be labeled with child's first and last name. Submit a written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

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

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 14 child files and identified one child to be missing written authorization for sunscreen application. Correction: Sunscreens must be applied with written parental authorization. Submit a written statement of compliance to specialist. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

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 16 children files and observed 3 children to have expired emergency medical authorization. Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 8/6/24 and submit compliance by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 16 children files and observed 9 children to have expired health statements, and 1 child to be missing a health statement. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit compliance by 9/6/24. Correct by 09/06/2024

Corrected Corrected by Sep 6, 2024

Category: health medication. 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.

Wood chips under preschool playground swing observed to be measured less than 3 inches deep. Correction: Ensure resilient material under swings, and all equipment 18 inches or higher, has resilient material 6 inches deep in the use zone surrounding the equipment. Correct immediately 8/6/24. ***Corrected at time of visit by placing more wood chips under the swings. No response required. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

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

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

In classroom Two's #2, child size soft chair observed to have pieces of vinyl peeling off and gaps in seams exposing foam. Correction: Ensure all indoor furnishings accessible to children are sturdy, safe, and free of hazards. Correct immediately 8/6/24. ***Corrected at time of visit by removing chair from classroom. No response required. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

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

2.218.C.5.c · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following: Medical equipment or adaptive devices, including instructions;

In classroom Primary #2, observed an expired health care plan for child. Correction: Obtain current health care plan for child whose has expired. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed drill log and observed the facility to have not completed a fire drill in Feb 2024 or a tornado drill in March 2024. Correction: All drills must be held in accordance with rule. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Observed the facility's fire inspection to be expired (5/2/24). Correction: Obtain documentation of a current, passing fire inspection for the facility. Correct immediately by 8/6/24 and submit documentation with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: health medication. 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 23 staff files and observed 3 staff to be missing a current health statement within 30 days of hire. Correction: Obtain a current health statement for the staff who are missing one. Correct and submit written statement of compliance with overall response by 9/6/24. Correct by 09/06/2024

Corrected Corrected by Sep 6, 2024

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

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 23 staff files and observed 4 staff to be missing documentation of a Department approved Standard Precautions training. Correction: Obtain documentation of a Department approved Standard Precautions training for the staff missing it. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 23 staff files and observed one staff member to be missing documentation of a pre-service building and physical premises training. Correction: Obtain documentation of a pre-service building and physical premises training for the staff missing it. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 23 staff files and observed 1 staff to have an expired Shaken Baby Prevention training. Correction: Obtain documentation of a Department approved Shaken Baby Prevention training for the staff missing it. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.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 23 staff files and observed 4 staff to be missing documentation of a Department approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Mandated Reporter training. Correction: Obtain documentation of a Department approved Mandated Reporter training for the staff missing it. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 23 staff files and observed 1 staff to be missing documentation of a Department approved Introduction to the Early Intervention and Preschool Special Education training within 90 days of hire. Correction: Obtain documentation of a Department approved Introduction to the Early Intervention and Preschool Special Education training for the staff missing it. Correct and submit written statement of compliance with overall response by 9/6/24. Correct by 09/06/2024

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 23 staff files and observed 1 staff to be missing documentation of a Department approved Recognizing the Impact of Bias training within 90 days of hire. . Correction: Obtain documentation of a Department approved Recognizing the Impact of Bias training for the staff missing

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 23 staff files and observed 2 staff to be missing documentation of a Child Development training within 90 days of hire. Correction: Obtain documentation of a Child Development training for the staff missing it. Correct and submit written statement of compliance with overall response by 9/6/24. Correct by 09/06/2024

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.J.1 · 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-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 23 staff files and observed 5 staff members (Meredith P, Hannah, Summer S, Kacey S and Samantha H) to have lived outside of Colorado in the last 5 years and to not have documentation of an out-of-state 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 M Pritts,Hannah, S Sevchuk, Kacey S and S Herrera have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check clearance letters for staff members M Pritts, S Sevchuk, Kacey S and S Herrera with written response to the Specialist. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: supervision. Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 23 staff files and observed 1 staff to be missing documentation of a fire safety and the use of fire FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ extinguisher/alarms training. Correction: Obtain documentation of a fire safety and the use of fire extinguisher/alarms training for the staff missing it. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

Reviewed 23 staff files and observed 1 staff to be missing documentation of a Department approved First Aid/CPR module training. Correction: Obtain documentation of a Department approved First Aid/CPR module training for the staff missing it. Correct immediately by 8/6/24 and submit written statement of compliance with overall response by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 2024

Category: ratio. Marked corrected in the state record.

7.701.100.F.2 · . 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.

Identified that no Tornado drills or Emergency drills were completed in the past 12 months, the last Tornado drill and Emergency drill were completed in August 2022. Also identified that only 2 fire drills were completed during 2023. Correction: 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 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. Correct immediately. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. 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 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 12 staff members' files, two files (Jasmine F. and Daytona Y.) are lacking documentation of their medical statement. Correction: 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. Correct by 10/15/2023

Corrected Corrected by Oct 15, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 12 staff members' files, two files (Jasmine F. and Nancy P.) are lacking documentation of the department approved Standard Precautions training. Correction: Immediately (9/15/2023) review all staff members' files, and ensure all files have updated documentation of the department-approved Standard Precautions training. Submit documentation with the written statement of compliance Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be renewed annually.

Reviewed 12 staff members' files, two files (Jasmine F. and Nancy P.) are lacking documentation of the department-approved Child Abuse Prevention training. Correction: Review all staff members files, ensure all files have updated documentation of the department-approved Child Abuse Prevention training. Submit documentation with the written statement of compliance Correct by 10/15/2023

Corrected Corrected by Oct 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the visit observed an air freshener spray bottle, and dish soap bottle on a low shelf accessible to children in the Primary 5 classroom. Both items are labeled "keep out of reach of children" and can pose a safety hazard for the children. Correction: All items labeled "keep out of reach of children" must be inaccessible to children at all times. **Corrected at the time of the visit, a staff member removed the items and made them inaccessible to the children. No need for a written statement of compliance to be submitted. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

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

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

Observed several empty trash bags accessible to children in the bathroom in the Primary 4 classroom. Correction: Loose plastic bags must be stored in areas inaccessible to children. **Corrected at the time of the visit, a staff member removed the items and made them inaccessible to the children. No need for a written statement of compliance to be submitted. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

Marked corrected in the state record.