2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Identified through documentation and staff statement, Toddler classroom attendance roster did not record transition at 10 am to playground and 10:30 am back to classroom. Correction: Immediately ensure that all attendance rosters reflect all transitions completed throughout the day. Submit a written statement of compliance to specialist by 4/7/26. Correct by 03/31/2026

Corrected Corrected by Mar 31, 2026

Category: recordkeeping. Marked corrected in the state record.

2.128.C.1 · The following documents are confidential and not available for review: Information identifying children or their families;

In the Pre-K classroom posted on the wall were several houses with children's names, home addresses, and telephone numbers in order for children to learn their addresses and phone numbers. Correction: Identifying children information must remain confidential. Correct immediately. Submit written response to licensing specialist. Correct by 05/15/2025

Corrected Corrected by May 15, 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 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. Submit written response to licensing specialist. Correct by 05/15/2025

Corrected Corrected by May 15, 2025

Category: health medication. 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.

One (1) out of ten (10) child files had an expired health statement. Correction: Health statements must be updated within thirty (30) days of expiration. Correct by 06/14/2025

Corrected Corrected by Jun 14, 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 complete written attendance verification periodically throughout the day, including during transitions.

The Kid City USA name to face sheets require staff to sign into each classroom upon entering and leaving. It was observed that Evelyn P. did not sign into Pre-K upon arrival. Correction: Periodic name to face sheets must be completed throughout the day. Submit written response to licensing specialist. Correct by 05/15/2025

Corrected Corrected by May 15, 2025

Category: recordkeeping. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

While licensing specialist was sitting in the school-age classroom doing paperwork they could overhear a staff member in Pre-K yell at a child, "NO! Get in line!" in a very harsh and elevated tone. Correction: Guidance must be appropriate to the development of children. Correct immediately. Submit written response to licensing specialist. Correct by 05/15/2025

Corrected Corrected by May 15, 2025

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 observed in the walls in the hallway leading to the toddler classroom. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Thumb tacks must not be used in areas accessible to children. Corrected at the time of visit by Monika P. removing the tacks. Nothing additional needed. Correct by 05/15/2025

Corrected Corrected by May 15, 2025

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 basketball hoop on the preschool playground had a tattered and ripped net that was hanging from the hoop that could pose a hazard. Correction: The playground must be kept safe and free of hazard by removal of broke materials. Corrected at the time of visit by Monika P., removing the net from the hoop. Nothing additional needed. Correct by 05/15/2025

Corrected Corrected by May 15, 2025

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

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed staff member in infant room bottle feeding an infant, under 6 months of age, while infant was laying in a bouncer. Correction: Facility will submit a plan of action of compliance for the proper feeding of an infant. Correct immediately. Submit a written response to specialist. Correct by 01/31/2025

Corrected Corrected by Jan 31, 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.

PreK classroom to have one staff member with twelve children ranging in age from 2 1/2 to 5. Staff to child ratio is 1 to 10. This is a direct violation of stipulation B: Licensee shall comply with required staff to child ratios at all times. Ratios and room capacities must be posted in each classroom. Correction: Facility will submit a plan of action of compliance for meeting staff to child ratio at all times. Correct immediately. Corrected at time of visit. Second staff member arrived during inspection, removed 5 children and placed in a second classroom. Submit a written reponse for future compliance to specialist. Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

Category: ratio. 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.

Two staff files were reviewed, staff members Lindsay D. and Gracie G. did not have verification of the second part signed for the standard precautions training to be valid. Correction: All staff must complete both parts to the department approved standard precautions training. The second part must be signed and dated when the exposer control plan has be reviewed by the director or health consultant. Correct immediately. Submit a written statement of compliance by 1/20/25. Correct by 01/13/2025

Corrected Corrected by Jan 13, 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.

One (1) out of eight (8) child files did not have a physical present in their file. Correction: Parent's must submit a statement of health for their enrolled child within thirty (30) days of admission. Correct by 01/12/2025

Corrected Corrected by Jan 12, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

One (1) out of eight (8) child files was missing their most recent 18 month well child check. Correction: Children under the age of two (2) years of age must have their health statement updated and submitted to the center as required by the AAP guidelines. Correct by 01/12/2025

Corrected Corrected by Jan 12, 2025

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

2.206.B.8.a · The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting children with challenging behaviors, including how the center will:Promote responsive and positive child, staff, and family relationships and interactions;

The programs policy on guidance were not followed, with LS overheard SM1 say to CH1 who was crying, "You need to figure your life out, I'm done with you!" The program's procedure states, "communicate to children using positive statements". Correction: The center must have a procedure on positive guidance and how they will promote responsive and positive child and staff interactions. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

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.

Monika P. had an expired immunization training. Correction: Staff responsible for the collection of immunization records must annually complete a CDPHE immunization course. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

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

2.120.C.1.a.1 · 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Grace G., Teandra G., and Samantha T., had not yet submitted TRAILS requests to the department. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Grace G., Teandra G., and Samantha T., have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Grace G., Teandra G., and Samantha T., with written response to Specialist. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: supervision. 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 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: health medication. 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.

Monika P. had an expired Shaken Baby/Abusive Head Trauma training. Correction: Every two (2) years staff must complete a Department-approved prevention of shaken baby/abusive head

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Teandra G., Danielle F., and Samantha T., had not yet completed one (1) hour of child development training. Correction: Staff must complete at least one (1) hour of child development training within the first ninety (90) days of hire. Correct by 09/26/2024

Corrected Corrected by Sep 26, 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:

Grace G., Teandra G., and Danielle F., were all identified to have lived outside the state of Colorado and had not yet submitted for 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 Grace G., Teandra G., and Danielle F., have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff members Grace G., Teandra G., and Danielle F., with written response to Specialist. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: supervision. Marked corrected in the state record.

2.214.E.1.c · Persons may be denied an original or renewal of a director letter; a director letter may be revoked if substantial evidence has been found that the applicant or director is responsible for one or more of the following at any FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ child care facility, including, but not limited to:Providing false information

Monika P., the director provided licensing specialist with four (4) falsified TRAILS clearance letters, this finding was verified with BIU. Correction: A person may be denied a renewal of a director letter if there is substantial evidence of the director providing false information. Correct by 08/27/2024

Corrected Corrected by Aug 27, 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 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.

One (1) out of ten (10) child files had an expired health statement. Another one (1) file had a health statement but it was not signed and dated by a health care professional. Correction: Within thirty (30) days of admission and within thirty (30) days of expiration parents must submit a health statement for their enrolled child that is signed and dated by a health care professional. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: ratio. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

LS overheard SM1 yelling at CH1 as they were entering the classroom. SM1 said loudly, "You need to figure your life out, I'm done with you!" CH1 was crying while entering the building. Correction: Guidance must be appropriate for the development of the child and must be used as an opportunity to teach the child. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Wipes were accessible in low cabinets in the preschool and pre-k rooms. Correction: Items labeled "keep out of reach of children," must be inaccessible to children at all times. Corrected at the time of visit by Monika P. moving the wipes to an inaccessible location. Nothing additional needed. Correct by 08/27/2024

Corrected Corrected by Aug 27, 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.

Four (4) helmets for children to wear on the preschool playground when riding bicycles were broken, the plastic shell that covers the foam was missing from all four helmets. Correction: Equipment used by children must be safe. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: physical safety. 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.

Verified with BIU that the TRAILS clearance letters for Grace G., Teandra G., Samantha T., and Lindsay D., were falsified. 26.5-5-317(2)(g) C.R.S. Furnish or make any misleading or any false statement or report to the department. Correction: The department may deny, revoke, suspend or fine a program for violations of child care licensing statutes, including making any false or misleading statements to the department. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

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

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identifed through staff statement and documentation SM1 seemed frustrated and used discipline methods that were inappropriate in a child care setting. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All staff must demonstrate knowledgeable decision making, judgement and concern for the proper care and well being of children. Director will submit a plan of action of compliance. Correct immediately. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: supervision. Marked corrected in the state record.

7.702.64.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through staff statements and documentation SM1 pulled CH1 from gate causing CH1 to fall on bottom. SM1 then proceeded to lift CH1 and place CH1 in chair at table abruptly. SM1 also told CH1, "it's your fault" when CH1 fell. Correction: Children must not be subjected to physical, emotional harm or humiliation. Director will submit a plan of action of compliance. Correct immediately. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.702.31.B.8 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: 8.The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting children with challenging behaviors, including how the center will:

SM1 failed to follow facility policy and procedures on proper guidance and discipline. SM1 signed statement of understanding on 2/11/21. Correction: Director will submit a plan of action of compliance for staff members following policy and procedures. Submit written response to specialist. Correct by 09/22/2023 Stage II Licensing Concern : Facility did not notify The Office of Early Childhood, Division of Early Care and Learning of the incident that occurred at the facility regarding SM1 and CH1. - FOUNDED

Corrected Corrected by Sep 22, 2023

Category: supervision. Marked corrected in the state record.

7.701.52.B.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 Office of Early Childhood, Division of Early Care And Learning 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 statement and documentation facility failed to report incident to The Office of Early FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Childhood, Division of Early Care and Learning of a critical incident within the time frame required by statute and licensing regulations. Correction: Director will submit a plan of action of compliance for reporting criticial incidences to The Office of Early Childhood, Division of Early Care and Learning. Correct immediately. Correct by 09/08/2023 Stage II Licensing Concern : Parents were not notified of reportable incident between SM1 and CH1. - FOUNDED

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

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

Staff did not follow facility policy and procedures regarding the notification of parents of an incident. SM1 signed statement of understanding on 2/11/21. Identified through staff statement parents were not notified by staff of the incident involving CH1. Correction: Director will develop a plan of action of compliance for staff following policy and procedures of center. Submit written response to specialist. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.

7.702.34.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ record, with a copy provided to the parent(s)/guardian(s).

CH1 file reviewed with no documentation of incident in file. Correction: Center must maintain and update child file with records of an incident. Director will submit a plan of action for compliance. Correct immediately. Correct by 09/08/2023 Stage II Licensing Concern : SM2 and SM3 are mandatory reporters and failed to report an incident within the time frame as required by statute and licensing regulations. - FOUNDED

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.53.B · . Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

Identified through staff statements and documentation SM2 witnessed incident between SM1 and CH1 and failed to report an incident within the time frame required by statute and licensing regulations. Correction: Any staff member who has observed or has reasonable cause to know or suspect that a child has been subjected to abuse or neglect must immediately report to the department of human services. Director will submit a plan of action of compliance. Correct immediately. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.702.31.B.26 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting of child abuse (see section 7.701.53, of the General Rules for Child Care Facilities).

SM2 failed to follow center policy and procedures regarding mandatory reporting. SM2 signed statement of acknowledgement on 2/11/21. Correction: Director will submit a plan of action of compliance for staff following policy and procedures. Submit a written response to specialist. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.702.46.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

During walk through toddler classroom, ages 12-36 months to have 11 children and 2 staff members exceeding staff to child ratio. Correction: Director will submit a plan of action for compliance to meet staff to child ratio at all times. Corrected at time of visit. Director removed one child and placed in the mixed age preschool classroom. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.A.15 · Maximum Group Size for Children by AGES OF CHILDREN and MAXIMUM GROUP SIZE: 6 weeks to 18 months: 10 infants 12 months to 36 months: 10 toddlers 24 months to 36 months: 14 toddlers 2-1/2 years to 3 years: 16 children 3 years to 4 years: 20 children FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 4 years to 5 years: 24 children 5 years and older: 30 Children Mixed age group 2-1/2 to 6 years of age: 20 Children

During walk through toddler classroom, ages 12-36 months to have 11 children and 2 staff members exceeding group max for age group. Correction: Director will submit a plan of action for compliance to meet group max size at all times. Corrected at time of visit. Director removed one child and placed in the mixed age preschool classroom. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: ratio. Marked corrected in the state record.