2.217.C.3 · The monthly consultation must be conducted on-site at least quarterly or more frequently as required by the Child Care Health Consultant. Teleconsultations are allowed for the remaining months.

It was determined through director statement that the Health Consultant does not visit on a regular basis. Correction: Monthly consultations must be conducted on site at least quarterly. Correct and provide a written statement of compliance. Correct by 09/20/2025

Corrected Corrected by Sep 20, 2025

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

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ doors. All door hardware must be within the reach of children.

There were large foam pads stacked in front of the door leading into the infant room. There were numerous items stored in the sleeping area of the infant room. There were little chairs, boppy pillow, and other items stored on the floor around the cribs. Correction: Exits must be arranged and maintained to provide free and unobstructed egress. Correct and provide a written statement of compliance. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

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

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

The Health Consultant does not have documentation of a current training in abuse prevention. Correction: Health Consultants must complete approved training in abuse prevention every 3 years. Correct and provide documentation with a written statement of compliance. Correct by 09/20/2025

Corrected Corrected by Sep 20, 2025

Category: health medication. 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.

Outlets in the school aged room did not have covers. Correction: All outlets accessible to children must have prtective covers. ***Corrected at time of inspection, covers were placed on outlets. No response needed. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

Marked corrected in the state record.

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

There was lysol under the sink in the upstairs bathroom used by preschool. In the basement bathroom used by children there was room spray and scented room beads. All the items were accessible and were labeled Keep out of Reach. Correction: All items labeled keep out of reach of children must be made inaccessible. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

Marked corrected in the state record.

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

In the entry area and in the school aged room there are metal heater vents with exposed sharp edges. The end caps have been pulled loose. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Buildings must be kept in good repair. Correct and provide a written statement of compliance. Correct by 08/20/2025

Corrected Corrected by Aug 20, 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 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.

There were 6 toddlers present in the Blue Rangers room with one staff member. Correction: Maintain proper ration at all times. Correct and provide a written statement of compliance. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

Category: ratio. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 6 child files and found one to be missing documentation of a signed emergency medical authorization. Correction: Admission record must include a dated signed authorization for emergency medical care. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

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

The evacuation crib in the infant room had a tote stored under it. Correction: Nothing may be stored under evacuation equipment. Correct and provide a written statement of compliance. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

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

2.218.E · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the toddler program 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.

Through staff statement it was determined that a child in the Blue Rangers toddler room is not walking independently and does not have a statement from a health care provider. Correction: Children in the toddler room must be independently walking or must have a written statement from a health are provider. Correct and provide a written statement of compliance. Correct by 08/20/2025

Corrected Corrected by Aug 20, 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 7 staff files and found one staff member to be missing a current medical statement signed and dated by a physician. Correction: With in 30 days of employment all staff must have a medical statement signed by a physician. Correct and provide a written statement of compliance. Correct by 09/20/2025

Corrected Corrected by Sep 20, 2025

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

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

Reviewed 7 staff files and found the date on the delegation forms was not legible. Correction: At least one staff member on site must have current delegation. Correct and provide a written statement of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 7 staff files and found staff working in the infant room to be missing documentation of a current training in shaken baby. Correction: Staff working with children less than 3 must complete a training in shaken baby every 2 years. Correct and provide documentation with a written statement of compliance. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

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 7 staff files and found 1 to be missing documentation of immunization record. Correction: Staff must maintain a record of immunizations. Correct and provide a written statement of compliance. Correct by 09/20/2025

Corrected Corrected by Sep 20, 2025

Category: health medication. 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.

Staff responsible for collection of immunization records does not have documentation of a current training in Immunization records. Correction: Staff responsible for collection of immunizations must complete a training in immunization records. Correct and provide documentation with a written statement of compliance. Correct by 09/20/2025

Corrected Corrected by Sep 20, 2025

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

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

There were staples observed in the Yellow explorers room, Blue explorers room and in the hall. Correction: Staples must be inaccessible to children under 3 years. Correct and provide a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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 8 staff files and found Yami to be missing a current training in Shaken Baby. Correction: Staff working with children less than 3 years must complete a training in Shaken baby/abusive head trauma prior to working with children and must update annually. Correct and provide documentation with a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ covers, or safety outlets must be installed.

In the Green explorers room there were outlets without protective covers. Correction: In rooms used by children all outlets must have protective covers. Correct and provide a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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.

Drill log had not been updated since April. Correction: A record of emergency drills held over the past 12 months must be maintained by the facility. Correct and provide a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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 found one to be missing a current emergency medical authorization form. Correction: Each child must have a written authorization for emergency medical care and must update annually. Correct and provide a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 8 staff files and found Yami to be missing a current training in Standard Precautions. Correction: All staff must complete a training in standard precautions prior to working with children and must update annually. Correct and provide documentation with a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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 8 staff files and found Tina and Sandra to be missing a current training in Infant safe sleep. Correction: Staff working with infants less than 12 months must complete a training in safe sleep prior to working with infants and must update annually. Correct and provide documentation with a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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.

There were thumbtacks being used in the Yellow explorers room. There were small clothespins being used in the Blue explorers room. Correction: Materials accessible to children under 3 must not be a choke hazard. ***Thumbtacks were removed at time of inspection. Correct and provide a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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 8 staff files and found Kari to be missing the First Aid and CPR module. Correction: Within 30 days of employment all employees not required to be CPR/First Aide certified must complete the module. Correct and provide documentation with a written statement of compliance. Correct by 10/24/2024

Corrected Corrected by Oct 24, 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 8 staff files and found Tina and Jazmin to be missing a current training about child abuse prevention. Correction: Within 30 days of employment and annually all employees must complete a training in child abuse prevention. Correct and provide documentation with a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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 8 files and found Jazmin to be missing a training in Child Development. Correction: All staff must have at least 1 hour of training in child development. Correct and provide documentation with a written statement of compliance. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

There were only 2 consultations from the health consultant documented and on file for review. Correction: Date and content of each consultation from the health consultant must be recorded and maintained for 3 years. Correct and provide a written statement of compliance. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

The health consultant was missing current documentation of the Immunization course. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Health consultants must complete the approved Immunization course annually. Correct and provide documentation with a written statement of compliance. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.231.A.2 · Indoor play areas must be uncluttered, safe, and allow for freedom of movement.

During the safety walk through cords were observed loose and accessible to children in the Yellow explorers room, Blue explorers room and in the Green explorers room. Correction: Indoor play areas must be safe. Correct and provide a written statement of compliance. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Marked corrected in the state record.