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Home › CO › Westminster › Primrose School Of Torrey Peaks
5483 W 118th PL, Westminster CO 80020 · License #1548095 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Schedule type not published.
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Ages not published.
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 from the local fire department. Correction: Facility must obtain an approving fire inspection every 2 years. Submit documentation with written statement of compliance to specialist. Correct by 02/04/2026
Corrected Corrected by Feb 4, 2026
Category: health medication. Marked corrected in the state record.
2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.
In the Young Infant room, a basket was stored in one of the evacuation cribs. Correction: Nothing may be stored in the evacuation equipment. CORRECTED AT THE TIME OF THE INSPECTION. Staff removed the basket. No response required. Correct by 02/04/2026
Corrected Corrected by Feb 4, 2026
Category: physical safety. Marked corrected in the state record.
Disposition: Founded
Disposition: Unfounded
Disposition: Unfounded
Disposition: Unfounded
Disposition: Founded
Disposition: Founded
Disposition: Founded
Generated from this facility's specific inspection record
Data synced from Colorado Department of Early Childhood (CDEC) on Jul 9, 2026 · Source records · Report an error
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 9 child files and identified 2 children's medical statement to be expired. Correction: All children's medical statement must be current. Submit a written statement of compliance to specialist. Correct by 02/23/2026
Corrected Corrected by Feb 23, 2026
Category: ratio. Marked corrected in the state record.
2.223.D.4 · In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian.
In the Toddler 3 classroom seven nap cots placed less than 2 feet apart. Correction: Nap cots must be placed at least 2 feet apart. CORRECTED AT THE TIME OF THE INSPECTION. Staff placed the cots 2 feet apart. No resposne required. Correct by 01/23/2026
Corrected Corrected by Jan 23, 2026
Category: physical safety. 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 Early Preschool room, marker lids in the dry erase board, accessible to children under 3 years of age. In the Preschool 1 room, broken crayons, marker and highlighter lids, staples, eyedroppers, small magnetic letters, accessible to children under 3 years of age. This is a violation of stipulation L on the probationary license. Probationary stipulation L states: "Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age." Correction: Choke hazards must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Staff removed the choke hazards from both classrooms. No response required. Correct by 12/02/2025
Corrected Corrected by Dec 2, 2025
Category: physical safety. Marked corrected in the state record.
2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.
Four sunscreens not labeled with child's name in the EPS room. Correction: Sunscreen must be labeeld with child's first and last name. CORRECTED AT THE TIME OF THE INSPECTION. Staff labeled the sunscreens. No response required. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
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 28 staff files and identified 1 staff member lived outside of the state in the past 5 years and to be missing 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 reviewed the powerpoint within 24 hours. Submit documentation of out of State Clearance Letters for staff member with written response to the Specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: supervision. Marked corrected in the state record.
2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.
Reviewed 15 child files and identified 2 children's immunization record to be missing, 1 immunization record to be expired and 1 child with an incorrect exemption certificate from the parent. Correction: All children must have a current immunization form or a certificate of exemption. Submit a written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 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 15 child files and identified one child with expired parental emergency medical authorization. Correction: The Emergency medical authorization must be signed annually. Submit a written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
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 28 staff files and identified 9 staff members to be missing a medical statement and 2 staff members with expired annual self-reported history. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All staff must submit a current medical statement then sign a self-reported history annually. Submit a written statement of compliance to specialist. Correct by 09/05/2025
Corrected Corrected by Sep 5, 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 28 staff files and identified 1 staff member with expired Standard Precautions training. Correction: The training must be updated annually. CORRECTED AT THE TIME OF THE INSPECTION. Staff member completed the training. No response required. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
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 28 staff files and identified 1 staff member (DOH 3/4/25) to be missing the Child Abuse Prevention training. Correction: All staff must complete the training. Submit documentation with written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: recordkeeping. Marked corrected in the state record.
2.216.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 28 staff files and identified no documentation of Intant/Toddler orientation for any staff working with Infants and Toddlers. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff working with Infants and Toddlers must complete 8 hours of orientation. Submit a written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: supervision. Marked corrected in the state record.
2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.
Reviewed 28 staff files and identified 2 staff members to be missing CBI clearance letter and 1 staff member to be missing FBI 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 have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI Clearance Letters for staff members with written response to the Specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: supervision. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________
Reviewed 15 child files and identified 8 children with expired medical statement and 1 child to be missing the medical statement. Correction: All children must have a current medical statement. Submit a written statement of compliance to specialist. Correct by 09/05/2025
Corrected Corrected by Sep 5, 2025
Category: ratio. Marked corrected in the state record.
2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.
One emergency medication to be missing parental signature and date on the health form in the Prek1 Room, one health care plan for emergency medication to be expired in the PreK1 room, and one health care plan to be expired in the Preschool 2 room. Correction: Emergency medication must be administered only with a current written plan and with parental consent. Submit a written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: health medication. 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 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.
One emergency medication to be expired in the PreK 1 room. Correction: Any medication that is out of date must be picked up by the parent or disposed by the center. Submit a written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 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.
Four diaper creams not labeled with child's name in the EPS room. Correction: Diaper creams must be labeeld with child's first and last name. CORRECTED AT THE TIME OF THE INSPECTION. Staff labeled the diaper creams. No response required. Correct by 08/05/2025
Corrected Corrected by Aug 5, 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 15 child files and identified 3 children to be missing written topical authorization from the parents. Correction: Topical preparations must be administered with written parental authorization. Submit a written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: ratio. Marked corrected in the state record.
2.216.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:
Two staff members working together in EPS and no documentation of ECT qualifications. Correction: Classrooms must be staffed with qualified staff. Submit documentation with written statement of compliance to specialist. Correct by 08/05/2025
Corrected Corrected by Aug 5, 2025
Category: supervision. 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 2 staff files and identified Faelicia F. (DOH 6/30/25) to be missing Standard Precautions training. Correction: All staff must complete the training prior working with children. Submit documentation with written response to specialist. Correct by 07/10/2025
Corrected Corrected by Jul 10, 2025
Category: recordkeeping. Marked corrected in the state record.
2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.
Reviewed 2 staff files and identified Faelicia F. (DOH 6/30/25) to be missing FBI clearance letter and working with children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Faelicia reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter with written response to the Specialist. Correct by 07/10/2025
Corrected Corrected by Jul 10, 2025
Category: supervision. 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:
Identified through staff statement that Faelicia F. has lived outside of the State in the past 5 years and to be missing 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 Faelicia reviewed the powerpoint within 24 hours. Submit documentation of Out-of-State Clearance Letter with written response to the Specialist. Correct by 07/10/2025
Corrected Corrected by Jul 10, 2025
Category: supervision. Marked corrected in the state record.
2.216.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:
Reviewed 3 staff files and identified that Staff 1, who acts as Lead Teacher does not have documentation of qualifications and the other staff act as Aides with no qualification. Correction: Lead teachers must meet qualification. Submit documentation with a written statement of compliance to
Open Not marked corrected in the state record
Category: supervision. 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;
Diapers in the Preschool 1 room, in a bathroom on a chair, accessible to children. Correction: Diapers must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Director put the diapers to an area inaccessible to children. No response required. Correct by 04/24/2025
Corrected Corrected by Apr 24, 2025
Marked corrected in the state record.
2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.
Identified through attendance roster and teacher sign/in-out log that EPS classroom (ages 2-2.5 years) had 11 children and one teacher between 3:30 pm and 5:16 pm on 3/3/25. Additionally indetified through attendance roster and teacher sign-in/out log that EPS room had 13 children and one teacher between 7:11 am- 8:30 am on 3/3/25. Correction: Classrooms must maintain teacher-child ratio at all times. Submit documentation of written statement of compliance to specialist. Correct by 03/12/2025 ________________________________________________ ________________________________________________
Corrected Corrected by Mar 12, 2025
Category: ratio. Marked corrected in the state record.
2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.
Identified through staff statement that preschool aged classrooms are often out of ratio. Identified through attendance roster documentation that the PreK 1 room had 1 teacher with 20 children before 9:00 am on 2/5/25. Correction: Ratio must not be exceeded at any time. Submit documentation with written statement of compliance to specialist. Correct by 02/18/2025 ________________________________________________ ________________________________________________
Corrected Corrected by Feb 18, 2025
Category: ratio. Marked corrected in the state record.
2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.
Identified through staff statement that the staff was aware of the biting and saw CH1 getting bit. Correction: All staff must demonstrate knowledgeable decision making for the well-being of children. Submit a written statement of compliance to specialist. Correct by 02/18/2025
Corrected Corrected by Feb 18, 2025
Marked corrected in the state record.
2.207.F · The center must release the child only to an individual over the age of sixteen (16) for whom written authorization has been given by the parent(s)/guardian(s) and is maintained in the child's record (see rule section 2.208). In an emergency, the child may also be released to an individual for whom the child's parent/guardian has given verbal authorization. If the staff member who releases the child does not know the individual, identification must be required to assure that the individual is authorized to pick up the child.
This allegation was investigated at a follow-up inspection and cited on 2/6/25 with a response date of 2/13/25. Correction: Director submitted a complete response on 2/11/25 to Licensing Specialist. No response required. Correct by 02/18/2025 ________________________________________________ ________________________________________________
Corrected Corrected by Feb 18, 2025
Category: recordkeeping. Marked corrected in the state record.
2.229.S.1 · In the toddler program, some play materials and equipment easily accessible to children must be provided from each of the following categories: Books and pictures
Three fabric books accessible to children in the Young Toddler Room. Correction: Obtain adequate number of books in classroom. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: physical safety. Marked corrected in the state record.
2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.
Reviewed 31 staff files and identified CBI Clearance letter for Simone B., Tanes L., Taylor M., Brianna G., Adison T and FBI clearance letter for Simone B., Tanes L., Madison H., Taylor M., Brianna G., Addison T., Nancy C., Jessica B. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of CBI Clearance Letters for staff members Simone
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
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 31 staff files and identified Tanes L., Taylor M., Brianna G., Addison T., Lyndsey H., Heather A., Amy I., to be missing the Early Intervention and Preschool Special Education Programs training. Correction: All staff must complete the Early Intervention and Preschool Special Education Programs training. Correct by 10/05/2024
Corrected Corrected by Oct 5, 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 31 staff files and identified Madison L (Illinois), Sarah R. (New York); Rosio E (New York and Kansas); Nancy C. (Florida and California) Kyra L. (Iowa); Deb R. (Pennsylvania and Nevada) to be missing Out-of-state Clearance Letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of Out-of-State Clearance letters for Madison L (Illinois), Sarah R. (New York); Rosio E (New York and Kansas); Nancy C. (Florida and California) Kyra L. (Iowa); Deb R. (Pennsylvania and Nevada) with written response to the Specialist. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: supervision. Marked corrected in the state record.
2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.
Reviewed 31 staff files and identified Taylor b., Cecilia M., Rosario F., Tanes L., Taylor M., Addison T., Nancy H., Amy I., Kayla L. to be missing the Emergency and Disaster Preparedness training. Correction: All staff must complete the Emergency and Disaster Preparedness training prior working with children. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: recordkeeping. 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 31 staff files and identified all staff to be missing a fire safety/use of fire extinguisher and fire alarms training. Correction: All staff must be trained in the fire safety/use of fire extinguishers and fire alarms. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: recordkeeping. 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 drills and identified that no drills were conducted since April of 2024. Correction: Emergency drills must be held quarterly, fire drill must be held monthly and tornado drills must be held monthly from March through October. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: recordkeeping. Marked corrected in the state record.
2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.
Reviewed 31 staff files and identified Jennifer L., Jacelyn G., Dion R., Tanes L., Madison H., Katheryn O., Taylor M., Aleece Y., Tamara D. to be missing immunization statement. Correction: All staff must sign an immunization statement. Correct by 09/05/2024
Corrected Corrected by Sep 5, 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 31 staff files and identified Jennifer L., Jacelyn G., Dion R., Tanes L., Madiosn H., Katheryn O., Taylor M., Rosio E., Brianna G., Adison G., Tamara D., Jessica B., Kyra L., Lyndsey H., Lyndsey L., Deb R., to be missing health statement. Subsequent self-reported health history to be missing for Nancy C., Maria G., Abigail T., Amy I., Chelli H, Kayla L. Correction: All staff must have a medical statement form a health care provider then a subsequent self-reported health history must be submitted annually. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: health medication. 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 31 staff files and identified all staff to be missing a signed statement for policies and procedures for the administration of medications. Correction: All staff must a sign a statement for policies and procedures for the administration of medications prior to working with children. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: ratio. 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 31 staff files and identified all staff to be missing the pre-service building and physical premises safety training. Correction: All staff must have the pre-service building and physical premises safety training. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
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.
Reviewed 31 staff files and identified Infant Room staff Taylor M., Addison T. to be missing the Safe Sleep Training. Correction: Staff working with infants must complete the Safe Sleep training prior working with children. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: physical safety. 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 31 staff files and identified Taylor B., Cecilia M., Rosario F., Simone B., Tanes L., Kathryn O., Taylor M., Rosio E, Brianna G., Addison T., Tamara D., Lyndset H., Chellii H., Kayla L., to be missing shaken baby/abusive head trauma training. Correction: Staff working with children less than 3 years of age must complete the shaken baby training. Correct by 09/05/2024
Corrected Corrected by Sep 5, 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 31 staff files and identified Jennifer L., Jacelyn G., Dion R., Tanes L., Taylor M., Addison T., Nancy C., Tamara D., Kyra L., Maria G., Heather A., Kayla S., Kayla L. to be missing the First Aid and CPR Module. Correction: Staff not required by rule to be certified in First Aid/CPR, must complete the module. Correct by 10/05/2024
Corrected Corrected by Oct 5, 2024
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 31 staff files and identified Tanes L., Kathryn O., Taylor M., Brianna G., Addison T., Maria G., Lyndsey H., Kayla L. to be missing Child Abuse Prevention training. Identified Rosio E., Abigail T. with expired Child Abuse Prevention training. Correction: All staff must have a current child abuse prevention training. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: recordkeeping. Marked corrected in the state record.
2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.
In the Preschool 2 classroom, with children ages 3-4 years, one staff member left the classroom to go outside with 12 children, making the classroom out of staff-child ratio. Correction: Maintain child staff ratio at all times. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: ratio. Marked corrected in the state record.
2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________
Reviewed 31 staff files and identified Tanes L., Madison M., Aleece Y., Brianna G., Adison T., Tamara D. to be missing Trails 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 Tanes L., Madison M., Aleece Y., Brianna G., Adison T., Tamara D. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Tanes L., Madison M., Aleece Y., Brianna G., Adison T., Tamara D with written response to the Specialist. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: supervision. 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 31 staff files and identified Tanes L., Kathryn O., Brianna G., Addison T., Maria G., Lyndsey H., Amy I., Kayla S. to me missing the Recognizing the Impact of Bias Training. Correction: All staff must complete the Recognizing the Impact of Bias Training. Correct by 10/05/2024
Corrected Corrected by Oct 5, 2024
Category: recordkeeping. Marked corrected in the state record.
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 31 staff files and identified Lisbeth P., Tanes L., Taylor M., Brianna G., Addison T., Nancy C., Tamara D., to be missing documentation of at least one hour of child development training. Correction: All staff must have a least one hour of child development training. Correct by 10/05/2024
Corrected Corrected by Oct 5, 2024
Category: recordkeeping. Marked corrected in the state record.
2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:
Reviewed 31 staff files and identified Lisbeth P., Tamara D., Maria G., Abigail T., Deb R., to be missing qualifications of ECT. Correction: Staff acting as ECT must have documentation of ECT qualifications. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: supervision. Marked corrected in the state record.
2.216.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 31 staff files and observed Lyndsey L, Infant ECT to be missing Infant orientation. Correction: Obtain documentation of 8 hours of infant orientation for all ECTs working in the infant classroom. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: supervision. Marked corrected in the state record.
2.216.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 31 staff files and identified Jennifer L., Maria G, Abigail T missing eight hours of toddler orientation. Correction: Obtain documentation of 8 hours of toddler orientation for all staff working in the toddler classroom. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: supervision. Marked corrected in the state record.
2.216.B.1.d · The infant program staff aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an infant early childhood teacher.
Reviewed 31 staff files and observed Symmone, Taylor, Sarah to be missing 8 hours of infant orientation. Correction: Obtain documentation of 8 hours of infant orientation for all staff aides working in the infant classroom. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: supervision. 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 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.
One child’s emergency medication to be expired in the PreK 2 classroom. Correction: Return or dispose all expired medications. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: health medication. 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 supplies and disinfecting solutions and products; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________
Diapers, diaper ointments, and wet wipes accessible to children in the bathroom floor of Early Preschool and Preschool 1 Classrooms. This violation was previously cited on 8/28/24. Correction: Make all diaper changing supplies inaccessible to children. Correct by 09/05/2024
Corrected Corrected by Sep 5, 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.
On the Preschool 2/PreK playground, exposed weed covering posing a potential tripping hazard. This violation was previously cited on 8/28/24. Correction: Make all outdoor equipment, materials, and furnishings sturdy, safe and free of hazards. Correct by 09/05/2024
Corrected Corrected by Sep 5, 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.
On the Preschool 2/ PreK playground under the tire swing, black swings, slide and in the use zone, resilient surfacing not meeting 6 inches in depth requirement. This violation was previously cited on 8/28/24. Correction: Install 6 inches of resilient material in the use zone of all climbing equipment. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: physical safety. Marked corrected in the state record.
2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.
Adult scissors on the teacher table in the PreK 1 Classroom, accessible to children, posing a potential hazard. Correction: Make all sharp tools and instruments inaccessible to children. Corrected at time of visit, staff put the scissors to an area inaccessible to children. No response required. Correct by 09/05/2024
Corrected Corrected by Sep 5, 2024
Category: physical safety. Marked corrected in the state record.
2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.
Identified through staff 3 statement that Former Director told staff 3 that that a person walked by and saw staff 1 aggressively pushed CH1 against wall and reported incident to Former Director. Identified through staff 2 statement that Former Director told Staff 2 that Staff I aggressively pushed CH 1 against wall resulting in scratches on back. Correction: Never subject children to physical or emotional harm, humiliation or threats. Correct by 08/21/2024 Stage II Licensing Concern : Facility failed to report an incident as required by Licensing - FOUNDED
Corrected Corrected by Aug 21, 2024
Marked corrected in the state record.
2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.
Identified through staff 3 statement that Former Director told staff 3 that that a person walked by and saw staff 1 aggressively pushed CH1 against wall and reported incident to Former Director. Identified through staff 2 statement that Former Director told Staff 2 that Staff I aggressively pushed CH 1 against wall resulting in scratches on back. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Identified by staff 3 and staff 2 statements that no persons reported this reportable incident. Correction: Report all allegations of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or county department of human or social services. Correct by 08/21/2024 Stage II Licensing Concern : Facility provides misleading information. - FOUNDED
Corrected Corrected by Aug 21, 2024
Category: ratio. Marked corrected in the state record.
2.121.F · The Department may deny, revoke, suspend, change to probationary or fine a child care facility if the applicant(s), an affiliate of the applicant, or any person living with or employed by the applicant has been found to violate any of the provisions set forth in section 26.5-5-317(2), C.R.S.
Identified through staff 3 statement that Former Director told staff 3 that that a person walked by and saw staff 1 aggressively pushed CH1 against wall. Identified through staff 2 statement that Former Director told Staff 2 that Staff I aggressively pushed CH 1 against wall resulting in scratches on back. Identified by staff 2 statement she reported that she signed an incident report after CH1 sat in front of the wall and threw CH1 backwards, scraping CH1 back. Observed signed incident report stating while CH1 was playing outside, CH1 scraped CH1's back on the brick wall . Identified though Staff 2 statement that Staff 2 did not report this additional information nor amended incident report. This demonstrates false and misleading statements 26.5-5-317(2)(g) Furnishes or makes any misleading or any false statement to the Department. Correction: Never make any false and misleading information to the Department. Correct by 08/21/2024 ________________________________________________
Corrected Corrected by Aug 21, 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.
Pen caps, small counting bears, small insects, small Unifix cubes, and small geo shapes accessible to children younger than 3 years of age in the Preschool 1 classroom. Observed children younger than 3 years of age. Correction: Choke hazards must be inaccessible to children younger than 3 years of age. Corrected at the time of the inspection. Director removed items. No response necessary. Correct by 08/21/2024
Corrected Corrected by Aug 21, 2024
Category: physical safety. Marked corrected in the state record.
2.229.R.3 · A variety of material and equipment from the following categories must be available: Books and Pictures.
8 books accessible to children in the Preschool 1 classroom. Correction: Obtain a variety of books and make books accessible to children. Correct by 09/04/2024
Corrected Corrected by Sep 4, 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.
Exposed weed covering on the Toddler and the Preschool Playgrounds, causing a potential tripping hazard. Correction: Make all outdoor areas free of hazards. Correct by 08/21/2024
Corrected Corrected by Aug 21, 2024
Category: physical safety. 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 a Lysol spray bottle, a cleaner bottle and several sunscreen bottles accessible to children in unlocked cabinet underneath the sink in the PreK classroom. All items are labeled "keep out of reach of children" and can pose a safety hazard for 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 all items and made them inaccessible to the children. No need for a written state,ment of compliance to be submitted. Correct by 10/10/2023
Corrected Corrected by Oct 10, 2023
Category: physical safety. 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.
At the time of the visit, observed the resilient surface around all falling zones and underneath the swings in the PS/ PreK playground and the EPS/ PS playground to be less than 2 inches in depth. Correction: All climbing equipment 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Correct immediately Correct by 10/10/2023
Corrected Corrected by Oct 10, 2023
Category: physical safety. Marked corrected in the state record.
7.702.62.D.5.a · If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child.
At the time of the visit, observed 3 children were not provided with blankets during rest time in the PS1 classroom. Correction: A sheet and blanket, or other suitable covering, must be provided for each child during rest time. **Corrected at the time of the visit, a staff member provided the children with blankets. No need for a written statement of compliance to be submitted. Correct by 10/10/2023
Corrected Corrected by Oct 10, 2023
Marked corrected in the state record.
7.702.62.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.
At the time of the visit observed only 8 cribs in the Older Infant classroom while the classroom is licensed for 10 children. Correction: Each infant up to 18 months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards. Correct by 11/10/2023
Corrected Corrected by Nov 10, 2023
Category: physical safety. Marked corrected in the state record.