2.209.A · 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:

One (1) out of ten (10) child files did not have their own admission record on file. Correction: Prior to enrollment their must be an admission record for each enrolled child. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Staples were observed in the walls in the Preschool classroom (a child who is under 2 is enrolled) and the toddler classroom. Additionally staples were being used in the Toddler/PRS hallway. Correction: Staples must be inaccessible to children under the age of three (3) years old. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

One (1) out of ten (10) child files did not have a signed and dated authorization for emergency medical care. Correction: Prior to admission and annually parents must submit a written authorization for emergency medical care for their enrolled child. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: health medication. 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.

Sarah M., Sequoia F., and Patty W., did not have a completed one (1) hour of child development training. Correction: Within ninety (90) days of hire all staff must complete at least one (1) hour of child development training. Correct by 05/23/2025

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Five (5) out of ten (10) child files were missing, had expired or not signed health statements. Correction: Parents must submit a signed and dated health statement for their enrolled child within thirty (30) days of enrollment or expiration. Correct by 05/23/2025

Corrected Corrected by May 23, 2025

Category: ratio. Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ complete written attendance verification periodically throughout the day, including during transitions.

Staff are not completing daily periodic attendance. Correction: Staff must complete written periodic attendance for their class daily. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.229.B · Window blind cords must be secured out of children's reach to prevent strangulation.

The blind cords in Pre-K & Toddler rooms were not tied up all the way out of reach of children. Correction: Window blind cords must be secured out of reach of of children. Corrected at the time of visit by staff tying the blinds up high. Nothing additional needed. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Marked corrected in the state record.

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

Wipes, q-tips, Meyers soap, & vasaline were accessible to children in the center. All items were labeled keep out of reach of children. Correction: Items labeled keep out of reach of children must be inaccessible to children at all times. Corrected at the time of visit by staff removing the items. Nothing additional needed. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Marked corrected in the state record.

2.207.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

Two (2) children who were at the center were not signed in by their parents. Correction: For security purposes children must be signed in/out of the facility daily. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: transportation. Marked corrected in the state record.

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Thumb tacks were observed in the walls in the Preschool classroom (a child who is under 2 is enrolled) and the toddler classroom. Additionally thumb tacks were being used in the Toddler/PRS hallway. Correction: Thumb tacks must not be used in areas accessible to children under three (3) years old. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

A stapler and scotch tape with a sharp cutter were on a low shelf in the preschool classroom. Correction: Sharp tools must be inaccessible to children. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

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.

Small buttons, legos, and art googly eyes, small enough to fit in a choke tube were accessible to children under three (3) in the preschool room. Correction: Items that could be a choking hazard must not be accessible to children under three (3) years old. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

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.

Several pieces of climbing equipment outside with wooden platforms were not in good repair potentially creating a hazard. Correction: Outdoor equipment must be free of hazard. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

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.

A climber measuring 20 inches in the toddler room was not on approved resilient surfacing. A little Tykes Climber, the toddler swings & a Rock wall climber all had less than 2 inches of resilient surfacing under them. Correction: All climbing equipment over eighteen (18) inches must have at least six (6) inches in the use zone. Correct by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.230.C.3.a · Toddler climbing equipment must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

Two (2) Little Tykes slides on the toddler playground did not have a 3 foot use zone. One was very close to a tree and the other very close to a fence. Correction: Toddler equipment must have a three (3) foot use zone surrounding the equipment. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: physical safety. 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.

Two white capped tubes were poking out of the woodchips on the toddler playground that could cause a potential tripping hazard. Correction: Staff must identify hazardous areas and make them inaccessible to children. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Diane F., had an FBI clearance letter that was completed over five (5) years ago. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Diane F. has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff member Diane F. with written response to Specialist. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Two (2) out of ten (10) child files were missing health statements. Three (3) out of ten (10) child files had health statements but they were not signed by a health care provider. Three (3) out of ten (10) child files had expired health statements. Correction: Parents must annually submit a health statement for their enrolled child that is signed and dated by a health care professional. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

Category: ratio. 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.

The program did not have a record of tornado or lock down drills being completed. Correction: Emergency, lock down drills must be completed at least quarterly and tornado drills completed monthly from March to October. Correct by 07/29/2024

Corrected Corrected by Jul 29, 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;

One (1) out of ten (10) child files had an expired authorization for emergency medical care. Correction: Written authorization for emergency medical care must be updated annually. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

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

2.209.A.8 · 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:Written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle;

Three (3) school-age children who were attending today's bowling field trip did not have written authorization. Correction: Written authorization for field trips away from the center must be obtained prior to children going on the field trip. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: transportation. 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.

Megan O., Shelley F., Alex K., and Sequoia F., all had expired health statements and did not have subsequent self-report health histories. Correction: Staff must annually complete a self-report health history after obtaining an initial medical statement upon hire. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Jill C., Sequoia F., Shelley F., Alex K., and Sarah M., had not yet completed at least one (1) hour of child development training. Correction: Staff must complete at least one (1) hour of child development training. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. 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.

One (1) out of ten (10) child files did not have an immunization record. Correction: Immunization records must be provided to the program prior to or on the first day of admission. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

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

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Megan O. and Diane F., had child and abuse neglect checks that were completed over five (5) years ago. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Megan O. and Diane F. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Megan O. and Diane F. with written response to Specialist. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: background checks. Marked corrected in the state record.

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

Wipes, sunscreen and a plastic wrapper for paper towels labeled "keep out of reach of children were accessible in the Toddler room. Open bags of ice melt were observed by the front door where children enter. Hand sanitizer was in a preschool child's cubby. Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. CORRECTED AT THE TIME OF VISIT by various staff making the items inaccessible to children. Nothing additional needed. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Marked corrected in the state record.

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

Staples were observed low on the walls in the toddler classroom. Correction: Staples must be inaccessible to children less than three (3) years of age. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Marked corrected in the state record.

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Thumb tacks were used in the toddler classroom as well as observed throughout the hallways where children less than three (3) have access. Correction: Thumb tacks must not be used in areas accessible to children less than three (3) years of age. Correct by 07/29/2024

Corrected Corrected by Jul 29, 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.

Marker lids and small broken crayons were observed in an accessible bin in the toddler classroom. Correction: Items that could pose a choking hazard must not be accessible to children less than three (3) years of age. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

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

2.230.C.5 · Metal equipment must be placed in the shade.

Three (3) different metal playground structures, including ladders and slides were observed on the preschool playground and were not shaded. Licensing specialist touched each item and found them to be extremely hot. Correction: Metal equipment must be placed in the shade. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: physical safety. 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.

A Little Tykes castle was observed on the preschool playground with caution tape all around it. Director Meagan O. stated that the structure is broken and the children cannot play on it. Correction: Items that are broken or dilapidated must be removed from the outdoor play area to reduce the possibility of injuries. Correct by 07/29/2024

Corrected Corrected by Jul 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.

Cleaning mops were accessible to children in the toddler bathroom, as well as a propane tank attached to a grill on the school-age playground. Correction: Combustible items must be stored inaccessible to children. Correct by 07/29/2024

Corrected Corrected by Jul 29, 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.

Several outlets in the hallway where parents sign their children in were observed uncovered. Correction: Electrical outlets in rooms used by children must have protective covers. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Marked corrected in the state record.