BETHANY EARLY CHILDHOOD CENTER

2.133.A

At the time of visit, reviewed 8 staff files. Observed 2 files to be missing Department approved training in emergency and disaster preparedness.

2.213.I · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 2 files to be missing a Department approved Recognizing the Impact of Bias on Early Childhood Professionals training.

Required correction: Immediately. All staff required to register with Colorado Shines must complete a Department approved Recognizing the Impact of Bias on Early Childhood Professionals training. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.138.A · Correction due January 8, 2026

At the time of visit, reviewed drill log. Observed missing tornado drills for September and October. Also observed missing monthly fire drills for November and December months.

Required correction: Immediately. Tornado drills and fire drills must be held monthly and a record of the drills must be maintained by the facility including date and time of drill. Submit written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.209.B.4 · Correction due January 8, 2026

At the time of visit, reviewed 5 child files. Observed 2 files to be missing updated annual health statements.

Required correction: Immediately. A center must maintain and update annually a copy of the child's health statement completed by a health care provider. Submit written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.213.B · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 1 file to be missing Department approved standard precautions training.

Required correction: Immediately. All staff must complete a Department approved standard precautions training prior to working with children and this training should be renewed annually. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.213.F · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 1 file to have expired First Aid and CPR training.

Required correction: Immediately. All employees caring for children must complete a department approved Introduction to First Aid and CPR module and it must be renewed every 2 years. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.213.G

At the time of visit, reviewed 8 staff files. Observed 1 file to have expired Department approved Child abuse prevention training.

2.213.H · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 1 file to be missing a Department approved Introduction to Early Intervention and Preschool Special Education training.

Required correction: Immediately. All staff required to register with Colorado Shines must complete a Department approved Introduction to Early Intervention and Preschool Special Education training. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.126.A · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 1 file to be missing a signed child abuse and neglect statement.

Required correction: Immediately. A child care facility must require each staff member to read and sign a statement defining child abuse and neglect outlining the staff members responsibility to report incidents. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.213.M · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 8 files to be missing 15 clock hours of professional development.

Required correction: Review all staff files. All staff who work with children are required to15 clock hours of professional development each year. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.215.A.2 · Correction due January 8, 2026

At the time of visit reviewed 2 director files. Observed 1 file to have an expired large center and level 6 credential.

Required correction: Immediately. The director must meet large center director qualifications or possess a current early childhood professional credential. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.217.A.9 · Correction due January 8, 2026

At the time of visit, reviewed 8 staff files. Observed 2 files to have expired Department approved medical administration training and expired delegations

Required correction: Immediately. At least one staff member with current Department approved medical administration training and delegation must be on duty at all times. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.219.B.1 · Correction due January 8, 2026

At the time of visit, reviewed 5 child files. Observed 1 file to be missing current immunization records.

Required correction: Immediately. At the time of admission parents/guardians must provide up-to-date documentation of school required immunization status. Submit written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.223.A.2 · Correction due January 8, 2026

At the time of visit, observed in the Owls classroom 8 children signed in, but only 7 children present

Required correction: Immediately. Staff members must complete written attendance verification periodically throughput the day, including during transitions. Submit written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.229.C

At the time of visit, observed in the owls classroom diaper wipes on the counter accessible to children. Observed in the Ducklings classroom, hand sanitizer on the shelf near the door accessible to children.

Required correction: Immediately. Items labeled keep out of reach of children must be inaccessible to children. Corrected at the time of visit. Staff member placed diaper wipes in a locked cabinet. Staff member moved hand sanitizer to an inaccessible

2.237.B · Correction due January 8, 2026

At the time of visit, observed in the Ducklings classroom paint chipping on the green wall. Observed in the Owls classroom paint chipping on the far green wall near the sinks, and observed on the outdoor play area a hole in the wall near the toddler playground.

Required correction: Immediately. Buildings must be kept in good repair and maintained in a safe condition. Submit documentation and written statement of compliance by 2/8/2026. Correct by 01/08/2026

2.120.C.1 · Correction due February 10, 2025

Reviewed 9 staff files. Leticia missing documentation of a successful TRAILS background check.

Required correction: Immediately review all staff files. All staff must have documentation of a successfully completed TRAILS background check on file and available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members X, Y, and Z have reviewed the powerpoint within 24 hours. Submit documentation of a completed TRAILS background check for staff member Leticia with a written statement of compliance by 2/17/2025. Correct by 02/10/2025

2.138.A

At the time of visit, facility missing documentation of tornado drills for 2024.

2.209.A.7 · Correction due February 10, 2025

Reviewed 10 child files. 3 children missing updated authorizations for emergency medical care.

Required correction: Immediately review all child files. A dated, written authorization for emergency medical care must be signed and updated annually. Submit a written statement of compliance by 2/17/2025. Correct by 02/10/2025

2.212.G · Correction due March 10, 2025

Reviewed 9 staff files. Leticia missing documentation of a medical statement signed and dated by a physician.

Required correction: Review all staff files. All staff must submit to the center a medical statement within the first 30-days of the first date of employment. Submit a written statement of compliance by 3/10/2025. Correct by 03/10/2025

2.222.A.1.b · Correction due February 10, 2025

At the time of visit, in the Owls classroom, diaper changing supplies were on a low shelf and accessible to children.

Required correction: Immediately, all diaper changing supplies must be inaccessible to children at all times. Corrected at time of visit, the center director moved the diapering supplies to a high shelf making them inaccessible to children. No response needed. Correct by 02/10/2025

2.237.B · Correction due February 10, 2025

At the time of visit, in the Jr.-K classroom, the paint on the block shelves was chipped and peeling. In the 4-yr-old classroom, there was a piece of the wall missing by the cubbies. On the Toddler playground, two metal poles had peeling paint and rust stains. In the Owls classroom, an electrical cord for a fan was loose and accessible to children.

Required correction: Immediately, all buildings must be kept in good repair and maintained in a safe condition at all times. Partially corrected at time of visit, the center director moved the fan out of the Owls classroom bringing the room into compliance. Submit photo documentation of the rest and a written statement of compliance by 2/17/2025. Correct by 02/10/2025

2.213.A · Correction due March 22, 2024

Reviewed 9 staff files. All staff missing documentation of a building and physical premise safety training.

Required correction: Immediately review all staff files. All staff must complete a pre-service building and premises safety training prior to working with children. Submit documentation and a written statement of compliance by 4/22/2024. Correct by 03/22/2024

2.217.A.7

At the time of visit, in the Sparrows classroom, a teacher was working alone with a group of children and was lacking early childhood teacher qualifications.

2.222.A.1.b · Correction due March 22, 2024

At the time of visit, in the Owls classroom, diapers, wipes and gloves were on a low shelf under the diaper changing table and were accessible to children.

Required correction: Immediately, all diaper change supplies must be inaccessible to children at all times. Submit a written statement of compliance by 4/22/2024. Correct by 03/22/2024