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 program drills and observed log lacking documentation of all August and September emergency drills. Correction: Immediately (10/08/2025) ensure that all required drills are completed within the required timeframes and documentation of each drill is maintained. Provide a written statement of compliance within the overall response. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Category: recordkeeping. Marked corrected in the state record.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Program lacking documentation of current fire inspection report. Correction: Immediately (10/08/2025) ensure a current fire inspection has been obtained and will be maintained. Provide documentation through an approving fire inspection from the local fire department, along with a written statement of compliance within the overall response. Correct by 10/08/2025