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 identified SM4 and SM6 with expired Standard Precautions training. Correction: The training must be updated annually. Submit documentation with written statement of compliance to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Director with expired Immunization training and no other staff member with the training. Correction: The training must be completed annually. Submit a written statement of compliance to specialist. Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

Category: health medication. 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.

Reviewed 11 staff files and identified SM1 with expired Safe Sleep training. Correction: The training must be updated annually. CORRECTED AT THE TIME OF THE INSPECTION. SM1 completed the training. No response required. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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

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 11 staff files and identified SM6, SM9, SM10 with expired CPR/Firts Aid Module and expired CPR/First Aid Certificate. Correction: The training or certification must be completed every 2 years. Submit documentation with written statement of compliance to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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 11 staff files and identified SM4 and SM6 with expired Child Abuse Prevention training. Correction: The training muts be updated annually. Submit documentation with written statement of compliance to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Assistant Director to be missing the Introduction to childcare health consultation training. Correction: Assistant Directors must complete the training. Submit a written statement of compliance to specialist Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

Category: health medication. 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 5 child files and identified the written authorization for emergency medical care to be expired for 2 children. Correction: The emergency medical care authorization must be updated annually. Submit a written statement of compliance to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: health medication. 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.

Three children's over the counter medication not labeled with child's name in the Toddler 1; Preschool and PreK classrooms. Correction: The medication muts be labeled with child's full name. CORRECTED AT THE TIME OF THE INSPECTION. Director labeled all 3 medications. No response required. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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

2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation.

In the Toddler 1 classroom, the emergency medication for one child was not located in the backpack. The medication was located in another classroom. In the Preschool classroom, emergency medication for one child was not located in the backpack. SM did not know where the medication is located. Director stated the medication was located in the cabinet. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Emergency medication must be easily accessible and identifiable to staff. Submit a written statement of compliance to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: health medication. 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.

In the EPS classroom, latch puzzle labeled 3+ and small pine cones accessible to children under 3 years of age. Correction: Choke hazards must be inaccessible to children under 3 years of age. CORRECTED AT THE TIME OF THE INSPECTION. Director removed the latch puzzle and the pine cones form the classroom. No response required. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: physical safety. 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.

Facility to be missing a current approving fire inspection report. Correction: The facility must obtain an approving fire inspection report every 2 years. Submit documentation with written statement of compliance specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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 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 log and identified Fire and Tornado drill not completed in July and lockdown drill FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ completed for the month of June only. Correction: Fire drills must be completed monthly, tornado drill monthly from March through October and Lock down quarterly. Submit a written statement of compliance to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ supplies and disinfecting solutions and products;

In the Toddler Room diapers accessible on low shelf in the bathroom. Correction: Diapers must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Staff placed the diapers to an area inaccessible to children. No response required. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

Marked corrected in the state record.

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

Loose sheets on three crib mattresses in the infant room. No children were observed sleeping in the cribs. Correction: Mattresses must have properly fitted sheets. CORRECTED AT THE TIME OF THE INSPECTION. Staff replaced the loose sheets with fitted sheets. No response required. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In the Preschool 2 classroom loose plastic sheets and sunscreen in unlocked cabinet, accessible to children. Battery powered LED candles on the shelves, accessible to children. Correction: Hazardous items must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Staff placed the hazardous items to a place inaccessible to children. No response required. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

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

2.237.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

In the Toddler room, cleaning mop in a bucket in the bathroom accessible to children. Correction: Cleaning mops must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Director removed the mop from the classroom. No response required. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

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 drill logs for 2024 and identified no documentation that active shooter drills were conducted, no documentation for fire drills for the month of January, June and August, and no documentation for tornado drills for the month of March, June, August and September. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Active shooter drills must be held quarterly, fire drills must be held monthly and tornado drills must be held monthly from March to October. Submit a written statement of compliance to specialist. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 11 staff files and identified all staff to be missing a signed statement that they have been trained on the center's policy for medication administration. Correction: All staff must sign the statement. Submit a written statement of compliance to specialist. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

Category: ratio. Marked corrected in the state record.

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.

Reviewed 3 children's emergency medication and identified one child's emergency medication and written order to be expired. Identified one child's emergency medication to be expired and no parent signature on the written order. Correction: Expired medications must be picked up by the parent or disposed by the program. Submit a written statement of compliance to specialist. Correct by 10/29/2024

Corrected Corrected by Oct 29, 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 11 staff files and identified Anne V., Denise V., and Andrea H. with expired Standard Precautions training. Correction: All staff must complete the training. Submit documentation with written statement of compliance to specialist. Correct by 10/29/2024

Corrected Corrected by Oct 29, 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 11 staff files and identified Andrea H. , Toddler 1 teacher with expired shaken baby training. Correction: All staff working with children under the age of 3 must complete the training. Submit documentation with a written statement of compliance to specialist. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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 11 staff files and identified Andrea H. with expired CPR/ First Aid Module and no CPR/First Aid certification. Correction: Staff not required to be CPR/First Aid certified must renew the Module every 2 years. Submit documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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 5 child files and identified one child to be missing a current health statement. Correction: All children must have a current health statement. Submit a written statement of compliance to specialist. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: ratio. 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 11 staff files and identified Andrea H. and Sophia no current self reported health history and Bianca C. to be missing initial health statement. Correction: All staff must submit a medical statement, then subsequent self-reported health history. Submit a written statement of compliance to specialist. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

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

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Identified through staff statement that wild mushrooms were observed to be growing on the retaining wall, by the planter boxes and in clumps by the tree. The mushrooms were beige/black and white/beige. and were accessible to children posing a potential safety concern. Correction: All outdoor areas used for children's activities must be checked daily and kept safe from hazardous materials. These areas/materials must be made inaccessible to children to reduce the possibility of injuries and accidents. Correct immediately. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

2.212.E · When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

Specialist observed 2 staff on the infant/toddler playground, 1 staff was observed to be looking at a cell phone, showed the screen to the 2nd. staff member, and then continued to look at their cell phone while outside supervising toddlers. Correction: When caring for children, statt must refrain from the personal use of electronic equipment. Correct immediately. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: supervision. Marked corrected in the state record.

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Reviewed 2 incident reports, identified one report dated 3/11/24, signed by staff and parent on 3/21/24. The facility did not follow their one written policies/procedures on notifying the parent's/guardians. Correction: The written policies/procedures must be developed, implemented and followed. Correct immediately. Correct by 03/22/2024 ________________________________________________

Corrected Corrected by Mar 22, 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.

In EPS room 105 (licensed for 2 1/2 to 3 yrs) chokeable sized magnets on a white board, google eyes on art, boppers in a bin on a low shelf labeled "choking hazard not for use for children under the age of 3 yrs." and rocks on a science shelf all accessible to children under the age of 3 yrs. and posing a potential choking hazard/concern. Correction: Any materials accessible to children under 3 yrs. of age must not be a choke hazard. Correct immediately. Corrected at the time of inspection. No response is necessary to this violation. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

1 uncovered electrical outlet in the multipurpose classroom in the NorthEast corner accessible to children posing a potential safety concern. Correction: In rooms used by children, all electrical outlets must have protective covers. Correct immediately. Corrected at the time of the inspection. No response is necessary for this violation. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

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

Door to the laundry room (off of the multipurpose room) was open with bottles of cleaning solutions on the floor accessible to children. Observed a cord plugged into an outlet in the EP3 classroom with a live end accessible to children. In toddler 3 room 212 observed 2 extension cords in an unlocked cabinet underneath the sink. The cleaning solutions, extension cords, and the cord plugged in with the live end all posed potential safety hazards to children. Correction: Indoor and outdoor materials and furnishings must be sturdy, safe and free of hazards. Correct immediately.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 hallway an open basket and rubbermaid drawer bins containing diapers and pull ups accessible to children. Correction: All diaper change areas must have a place inaccessible to children for storing diaper change supplies and products. Correct immediately. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Door leading to the kitchen from a hallway through which the preschool children go down to be open at the time of the inspection. Correction: Kitchens must be inaccessible to children at all times. Correct immediately. Corrected at the time of inspection. No response is necessary for this violation. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: physical safety. 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.

6 ft. tall climber on the preschool playground to have 2 to 3 inches of resilient surfacing in the use zones posing a potential safety concern. Correction: All climbing equipment 18 inches or higher must have at least 6 inches of resilient surfacing installed in the use zone surrounding the equipment. Correct immediately. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

7.702.43.A · Large center directors must have a current director qualifications letter issued by the Department or a current Early Childhood Professional Credential level III or higher in version 3.0 as determined by the Department prior to working as the director of a large center.

The assigned director of the program is lacking documentation of the current director qualifications letter issued by the Department. Correct immediately Correction: Large center directors must have a current director qualifications letter issued by the Department or a current Early Childhood Professional Credential level III or higher in version 3.0 as determined by the Department prior to working as the director of a large center. Submit documentation with the written statement of compliance. Correct immediately. Correct by 12/06/2023

Corrected Corrected by Dec 6, 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 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 10 staff members's files, one file (Karla V.) is lacking documentation of the medical statement. Correction: Review all staff members files, ensure all files have documentation of the staff member medical statement. Correct by 01/06/2024

Corrected Corrected by Jan 6, 2024

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

7.702.66.C.9 · Drivers must complete a minimum of four (4) hours of Department-approved driver training. The Department’s approval will be based on the review of a training curriculum that includes at a minimum: behind the wheel training; participant transport attendance procedures including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedure; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and vehicle evacuation.

It was identified that Brian S. is one of the assigned drivers in the program. Brian's file is lacking documentation of the department approved driver training. Correct immediately Correction: Drivers must complete a minimum of four (4) hours of Department-approved driver training. Submit documentation with the written statement of compliance. Correct immediately. Correct immediately. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

Category: transportation. 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.

Observed damaged area in the turf material, creating a hole that can pose a tripping hazard for children in the Toddlers' playground (in the middle of the playground) by the slide. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

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

7.702.5.E · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the toddler program FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ who is twelve (12) months old but not walking independently, or is over thirty-six (36) months old, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program.

Observed a child who is not walking independently to be cared for in the Toddler program. The child's file is lacking written statement from a health care provider confirming that care for the child is appropriate in the toddler program. Correction: If the parents agree that the center should care for a child in the toddler program who is 12 months old but not walking independently, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program. **Corrected at the time of the visit, the child was moved back to the Infant classroom. No need for a written statement of compliance to be submited Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

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

7.702.72.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.

Observed the resilient surface around the playground structure in the preschool playground area to be less than 2 inches in depth posing a safety hazard for children. Correction: Immediately (9/12/2023) ensure all climbing equipment 18 inches or higher have resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

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.

Observed overgrown weeds in the sandbox area and the Preschool playground area can pose a tripping hazard for children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Indoor and outdoor equipment, materials, and furnishing must be sturdy, safe, and free of hazards. Correct immediately Correct by 09/12/2023 ________________________________________________

Corrected Corrected by Sep 12, 2023

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

7.702.41.E · When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

At the time of the visit, observed the staff member who is assigned to Preschool1 classroom to be using a cell phone while caring for 10 children in the playground. Correction: When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices. Correct immediately Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

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

7.702.63.A.1 · All meals and snacks provided by the center must meet current United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal pattern requirements and be offered at suitable intervals not more than three (3) hours apart. Children who are at the center for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m.

At the time of the visit, observed only Graham crackers and water were served to children during snack time, this doesn't meet the current United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal pattern requirements. Correction: All meals and snacks provided by the center must meet current United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal pattern requirements. Correct immediately Correct by

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

7.702.72.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

At the time of the visit observed a gap in the middle of the green slide, between 2 pieces connecting the green slide in the Preschool playground. This gap can pose a strangulation hazard for children. Correction: Immediately (9/12/2023) ensure that playground equipment are designed to guard against entrapment and strangulation. Correct by 09/12/2023

Corrected Corrected by Sep 12, 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 an empty trash bag in an unlocked cabinet by the sink accessible to children in the Early Preschool classroom. Also, observed several empty trash bags in an unlocked cabinet accessible to children in the PreK classroom. Empty plastic bags can pose a safety hazard for children. 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 09/12/2023

Corrected Corrected by Sep 12, 2023

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

7.702.91.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

At the time of the visit observed adult-size scissors accessible to children in an unlocked cabinet in the Early Preschool classroom. Also, observed another adult-size scissors accessible to children in an unlocked cabinet in the Preschool1 classroom. Correction: Hazardous items 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.51.B.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

At the time of the visit, several diaper rash cream tubes were not labeled with the child's first and last names in the Toddler 3 classroom. Correction: Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name. **Corrected at the time of the visit, a staff member labeled the diaper rash cream tubes with children's first and last names. No need for a written statement of compliance to be submitted. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

Category: health medication. 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 several diaper rash cream tubes on a low shelf in the bathroom accessible to children in the Toddler 3 classroom. All items are labeled "keep out of reach of 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 09/12/2023

Corrected Corrected by Sep 12, 2023

Marked corrected in the state record.

7.702.51.C.3 · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

In the PreK classroom, observed a sunscreen bottle on a shelf not to be labeled with the child's first and last names. Correction: When supplied for an individual child, the sunscreen must be labeled with the child's first and last name. **Corrected at the time of the visit, a staff member labeled the sunscreen bottle with the child's first and last name. No need for a written statement of compliance to be submitted. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

Marked corrected in the state record.

7.702.46.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.

At the time of the visit, observed Ms. Denisse to be the assigned ECT-qualified staff member in the PreK classroom. Ms. Denisse's file is lacking documentation of ECT qualifications. Correction: Immediately (9/12/2023) ensure there is a qualified ECT supervising each group of children at all times. **Corrected at the time of the visit, Ms. Anne (director) went to the PreK classroom. Submit documentation with the written statement of compliance Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

Category: supervision. Marked corrected in the state record.