Everbrook Academy of Northfield

2.211.F · Correction due July 22, 2026

At the time of the visit, the attendance verification sheet for the Infant 1 classroom for 6/16/2026 was requested for review. The facility could not locate the attendace verification sheet for that date.

Required correction: Records daily attendance for each child and daily records of the time the child arrives at and departs from the center for the past twelve (12) months must be on file at the center. Correct Immediately and respond with a plan for ongoing compliance by 8/5/2026. Correct by 07/22/2026

2.212.A · Correction due July 22, 2026

At the time of the visit, Licensing Specialist asked the staff in the Preschool classroom how many children were present. The Early Childhood teacher stated there were 11 children present. There were 12 children present. Staff member did not know how many chiddren were in attendance. This is in direct violation of stipulation N. All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Required correction: All staff must show proper care and well-being of children including knowing how many children they have in thier care at all times. Correct Immediately and respond with a plan for ongoing compliance by 8/5/2026. Correct by 07/22/2026

2.237.E · Correction due July 22, 2026

Outside on the Toddler playground, there was a pitcher that contained two bottles of disinfectant cleaning solution sitting on the ground near the door, accessible to children.

Required correction: 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. ***Corrected at the time of the visit a staff member removed items listed above and making all items listed above inaccessible to children on 7/22/2026.*** Respond with a plan for ongoing compliance by 8/5/2026. Correct by 07/22/2026

2.212.G · Correction due August 5, 2026

Licensing Specialist reviewed 2 new staff files and staff member 1 was lacking a health statement signed and dated by a doctor. Staff member 1 (DOH 6/1/2026) has worked at the facility for longer than 30 days.

Required correction: All staff members must submit a current health statement signed and dated by a doctor within 30 days after their first date of employement. Correct and repond with a plan for ongoing compliance by 8/5/2026. Correct by 08/05/2026

2.216.B.1.a

The Licensing Specialist reviewed the attendance sheets and staff schedules for the Infant 1 classroom. The assigned Infant Program Supervisor for the following dates, 6/16/2026 and 6/17/2026, did not meet the Infant Nursery Program Supervisor qualifications. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times.

2.212.A · Correction due July 22, 2026

At the time of the visit, Licensing Specialist asked the staff in the Preschool classroom how many children were present. The Early Childhood teacher stated there were 11 children present. There were 12 children present. Staff member did not know how many chiddren were in attendance. This is in direct violation of stipulation N. All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Required correction: All staff must show proper care and well-being of children including knowing how many children they have in thier care at all times. Correct Immediately and respond with a plan for ongoing compliance by 8/5/2026. Correct by 07/22/2026

2.237.E · Correction due July 22, 2026

Outside on the Toddler playground, there was a pitcher that contained two bottles of disinfectant cleaning solution sitting on the ground near the door, accessible to children.

Required correction: 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. ***Corrected at the time of the visit a staff member removed items listed above and making all items listed above inaccessible to children on 7/22/2026.*** Respond with a plan for ongoing compliance by 8/5/2026. Correct by 07/22/2026

2.212.G · Correction due August 5, 2026

Licensing Specialist reviewed 2 new staff files and staff member 1 was lacking a health statement signed and dated by a doctor. Staff member 1 (DOH 6/1/2026) has worked at the facility for longer than 30 days.

Required correction: All staff members must submit a current health statement signed and dated by a doctor within 30 days after their first date of employement. Correct and repond with a plan for ongoing compliance by 8/5/2026. Correct by 08/05/2026

Founded

The state lists this complaint on the provider’s record and publishes an investigation report for it. Shortlist has not read that report, so this row includes no citation detail.

2.138.A

Licensing Specialist review the emergency drill logs. The facility was lacking Tornado Drills completed March through May and all Active shooter / Lockdown drills.

Required correction: 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

2.219.B.3 · Correction due July 29, 2026

Reviewed 5 children's files and 2 children less than 2 years old had expired health statements.

Required correction: Review and ensure all children less than 2 years old must have a current health statement that is in accordance with AAP schedule. Correct and respond with verification of compliance by 7/29/2026. Correct by 07/29/2026

2.209.A.7 · Correction due June 29, 2026

Reviewed 5 children's files and 1 child had an expired (4/11/2026) written authorization for emergency medical care.

Required correction: The facility must review and ensure that all children have a current written authorization for emergency medical care. The written authorization for emergency medical care must be updated annually. Correct immediately and respond with a plan for ongoing compliance by 7/29/2026. Correct by 06/29/2026

2.212.G · Correction due July 29, 2026

Reviewed staff files and staff members 2 (DOH 5/18/2026) and 7 (DOH 5/4/2026) were lacking a health statement signed by a health care professional. Staff members 2 and 5 have been working at the facility for longer than 30 days.

Required correction: Review and ensure that all staff members must submit a health statement signed and dated by a doctor within 30 days of emplyment. This violation was previously cited on 4/2/2026 and 6/9/2026. Correct and respond with verification of compliance by 7/29/2026. Correct by 07/29/2026

2.213.D · Correction due June 29, 2026

Staff member 7 was working in the Toddler 3 classroom. A staff file review was completed and it was found that staff member 7 had an expired Shaken Baby training.

Required correction: Review and ensure that all staff members must complete a Shaken Baby training and renew every 2 years. Correct immediately and respond with verification of compliance by 7/29/2026. Correct by 06/29/2026

Licensing Specialist completed a review of the attendance sheets for the Preschool classroom there were 12 children ages 3 to 5 years old with 1 staff member from 8:08 AM to 8:11 AM. This is a direct violations of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom.

2.217.A.15 · Correction due June 29, 2026

Licensing Specialist completed a review of the attendance sheets for the Toddler 3 classroom. On the attendance sheet there were 11 children ages 1 to 2 years old with two staff members from 9:30 to 9:39 AM. Licensing Specialist completed a review of the attendance sheets for the Preschool classroom. On the attendance sheet there were 22 children ages 3 to 6 years old. There were 23 children ages 3 to 6 years from 9:12 AM to 9:24 AM.

Required correction: The facility must follow the max group size at all times. This violation was previously cited on 4/2/2026,4/20/2026. Correct immediately and respond with a plan of ongoing compliance by 7/29/2026. Correct by 06/29/2026

2.217.C.9

Reviewed the Child Care Health Consultant's immunization training and it was expired (9/6/2025.)

2.122.A · Correction due June 29, 2026

At the time of the visit licensing specialist reviewed the fire inspection. The facility had a failed fire inspection at the time of the visit.

Required correction: The facility must obtain an approving fire inspection. Correct immediately and respond with verification of compliance by 7/29/2026. Correct by 06/29/2026

2.219.B.4 · Correction due July 29, 2026

Reviewed 5 children's files and 1 child over the age of two had an expired health statement.

Required correction: Review and ensure all children over the age of two must have an updated health statement in accordance with AAP schedule well child exams or as required by the child's health care provider. Correct and respond with verification of compliance by 7/29/2026. Correct by 07/29/2026

In the school age bathroom on a low stand there was a bag of hand soap labeled "keep out of reach of children" accessible to children. This is a direct violation of stipulation M.Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be

2.230.C.8 · Correction due June 29, 2026

Outside on the preschool playground there was a large gap at the bottom of the black fence. The gap is posing a possible entrapment hazard. Outside throughout all three playgrounds there were weeds with sharp edges posing a possible safety hazard.

Required correction: All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazards by removal of debris, dilapidated structures, and broken or worn play equipment to reduce the possibility of injuries and accidents. This violation was previously cited on 2/10/2026 and 4/2/2026 Correct immediately and respond with a plan for ongoing compliance by 7/29/2026. Correct by 06/29/2026

2.233.B.1

At the time of the visit the licensing specialist observed the Infant 1 classroom top half of the dutch door was open.

Required correction: If the infant program is in the same building as a facility caring for children of other ages, the infant program must be physically separated in different rooms by walls no less than eight (8) feet and full doors. ***Corrected at the time

2.238.C · Correction due June 29, 2026

In the Toddler 3 classroom there was soft blocks placed right in front of the back door leading to the outside playground obstructing the exit.

Required correction: 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 doors. All door hardware must be within the reach of children. ***Corrected at the time of the visit the teacher removed the soft blocks and ensuring the egress exit on 6/29/2026.*** Respond with verification of compliance by 7/29/2026. Correct by 06/29/2026

2.121.D.4.a

Reviewed the attendance verification sheet for the infant 1 classroom and Staff member 8 was working alone with infants from 6:58 AM to 8:10 AM. Staff member # 8 was to be missing a State Based Clearance letter on 6/29/2026. This is direct violation of stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks must be maintained in the staff file at all times.

2.216.B.1.a · Correction due June 29, 2026

Reviewed staff files and the facility did not have a staff member who meets quailifactions to be a infant program supervisor. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times.

Required correction: The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications. This violation was previously cited on 4/2/2026. Correct immedaitely and respond with a plan of ongoing complaince by 7/29/2026. Correct by 06/29/2026

Founded

The state lists this complaint on the provider’s record and publishes an investigation report for it. Shortlist has not read that report, so this row includes no citation detail.

2.138.A

Reviewed the emergency drills and there were no drills completed for the month of March. The facility was lacking a Fire drill for the month of April. The facility was lacking quarterly lockdown and active shooter drills.

Founded

The state lists this complaint on the provider’s record and publishes an investigation report for it. Shortlist has not read that report, so this row includes no citation detail.

2.217.A.15 · Correction due April 20, 2026

Confirmed through staff members' statements and confirmed through the name to face sheets Infant 1, toddler 3, and the Preschool classrooms have exceeded the max groups size on several days throughout the months of March and April.

Required correction: The facility must follow the max group size at all times. Correct immediately and respond with a plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026

Confirmed through staff members' statements and confirmed through review of the name to face sheets the Infant 1, Toddler 3, Preschool were all to be exceeding the licensed capacity of classrooms on several days throughout the

2.217.A.2 · Correction due April 20, 2026

Confirmed through staff members' statements and the review of the name to face sheets the facility combines at the end of the day in the Brooks classroom with over 9 children ages 1 to 5 years old.

Required correction: For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2)present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty. Correct and respond with a plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026 Complaint Allegation : RP stated there was not enough food for lunch and there was no fruit served at lunch on 4/15/2026. - FOUNDED

2.224.A.1

Confirmed through staff members' statements the facility did not have enough food the week of 4/13/2026. The facility was not following Child and Adult Care Food Program (CACFP) meal pattern requirements as they were lacking required food components.

2.224.A.10 · Correction due April 20, 2026

Confirmed through the staff members' statements the cook has not been preparing or posting planned menus as required by rule.

Required correction: Meal menus must be planned at least one week in advance, dated, and posted in a place visible to parents. After use, menus must be filed and retained for three (3) months. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/20/2026 Complaint Allegation : RP stated that the director is telling staff members to fill out name to face sheets incorrectly to avoid proving the classrooms are over ratio and over capacity. - FOUNDED

2.113.A · Correction due April 20, 2026

Confirmed through the staff members' statements, the director has requested that staff members the write in false information on the name to face sheets to ensure that it does not appear the rooms are over ratio. At the time of the visit licensing specialist reviewed several name to face sheets and found that times were being changed on the name to face sheets.

Required correction: Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the Department or to any agency lawfully delegated by the Department to make an investigation or inspection may result in fines assessed of not more than $250 a day the first day, $500 for the second day, and $1,000 a day for the third and subsequent days, to a maximum of $10,000: Correct immediately and respond with a written plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026

2.225.A · Correction due April 27, 2026

Licensing Specialist observed a staff member in the Twos 2 classroom use inappropriate guidance by yelling at a child to go sit down.

Required correction: Guidance used at the center must be appropriate to the child. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/27/2026

Licensing Specialist observed a staff member threatening a child. The staff member told the child go sit

2.216.B.1.a · Correction due April 20, 2026

Reviewed staff files and the facility did not have a staff member who meets quailifactions to be a infant program supervisor. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times.

Required correction: The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications. Correct immedaitely and respond with a plan of ongoing complaince by 4/27/2026. Correct by 04/20/2026

2.213.G

Reviewed 8 staff files and staff member 4 was lacking a current Child Abuse Prevention training. This is a direct violation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

2.216.B.1.d · Correction due April 20, 2026

Reviewed 8 staff files and staff member 3 was working in the Infant 1 classroom and was lacking an 8 hour infant orientation. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

2.133.B

Reviewed 8 staff files and staff member 1 was lacking a training in fire safety and the use of fire extinguishers and fire alarms. This is a direct violation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

2.213.A · Correction due April 20, 2026

Reviewed 8 staff files and staff member 1 was lacking a pre-service building and physical premises safety training. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: All staff must complete a Pre-Service Building and Physical Premises Safety training prior to working with children. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

2.217.A.15.e · Correction due April 20, 2026

Confirmed through review of the attendance sheet there were on 3/24/2026 there were 14 preschool age children and 7 toddler children all interacting in the Brook classroom.

Required correction: Toddler-age groups of children must be separated from each other by permanent or portable dividers or other methods as approved by the Department. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/20/2026

2.217.A.14

Confirmed through staff members statements and the review of attendance sheets Infant 1, Toddler 3, Preschool, and the Brook classroom have all been out of ratio in the months of March and April. This is a direct violation of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom.

Licensing Specialist observed a staff member threatening a child. The staff member told the child go sit

2.216.B.1.a · Correction due April 20, 2026

Reviewed staff files and the facility did not have a staff member who meets quailifactions to be a infant program supervisor. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times.

Required correction: The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications. Correct immedaitely and respond with a plan of ongoing complaince by 4/27/2026. Correct by 04/20/2026

2.213.G

Reviewed 8 staff files and staff member 4 was lacking a current Child Abuse Prevention training. This is a direct violation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

2.216.B.1.d · Correction due April 20, 2026

Reviewed 8 staff files and staff member 3 was working in the Infant 1 classroom and was lacking an 8 hour infant orientation. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

2.133.B

Reviewed 8 staff files and staff member 1 was lacking a training in fire safety and the use of fire extinguishers and fire alarms. This is a direct violation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

2.213.A · Correction due April 20, 2026

Reviewed 8 staff files and staff member 1 was lacking a pre-service building and physical premises safety training. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: All staff must complete a Pre-Service Building and Physical Premises Safety training prior to working with children. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

2.217.A.15.e · Correction due April 20, 2026

Confirmed through review of the attendance sheet there were on 3/24/2026 there were 14 preschool age children and 7 toddler children all interacting in the Brook classroom.

Required correction: Toddler-age groups of children must be separated from each other by permanent or portable dividers or other methods as approved by the Department. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/20/2026

Founded

The state lists this complaint on the provider’s record and publishes an investigation report for it. Shortlist has not read that report, so this row includes no citation detail.

Reviewed 4 staff files and staff member 3 was acting as the assistant director and was lacking the Working with an Early Childhood Mental Health Consultant. The assistant director has been in this position for over 90 days. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to:

2.223.D.5.a.1 · Correction due April 14, 2026

At the time of the visit there were 2 children asleep on cots that were less than 2 feet apart in the Preschool classroom.

Required correction: Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards. ***Corrected at the time of the visit the staff moved the cots 2 feet apart on 4/14/2026. Respond with a plan for ongoing complaince by 4/28/2026. Correct by 04/14/2026

2.230.B · Correction due April 14, 2026

In the Two's 2 classroom there was a long black loose cord connected to the light table posing a possible strangulation hazard.

Required correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately and respond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

2.233.A.3 · Correction due April 14, 2026

Confirmed through a staff member's statement a parent dropped off a child who was 3 years and a week in the Toddler 3 classroom at 8:03 AM. Licensing Specialists reviewed the attendance sheet a child listed at 3 years old was marked on the attendance sheet. This classroom is licensed for children ages 12 to 36 months.

Required correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. This was cited on 4/2/2026. ***Corrected at the time of the visit the director moved the child to the preschool classroom at 8:06AM on 4/14/2026.***Repond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

2.212.A · Correction due April 14, 2026

Confirmed through staff members' statements Ch1 was not given their medication due to staff member not being able to identify the correct medication delegation paperwork that was located in the Nurse binder. This is a director violation of stipulation N. All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Required correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct immediately and respond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

Identified through staff members' statements the facility failed to report several reportable incidents. This is a direct violation of stipulation of U. Within 24 hours of the occurrence of a critical incident at the facility as defined in 8 CCR 1402-1 General Rules for Child Care Facilities section 2.124, the Licensee shall report the incident in writing to the Department via the online reporting system at https://coloradoshinesportal.force.com/providerhub/s/login/.

Confirmed through a staff member's statement Ch1 did not get their medication all week for the week of

2.223.D.5.a.1 · Correction due April 14, 2026

At the time of the visit there were 2 children asleep on cots that were less than 2 feet apart in the Preschool classroom.

Required correction: Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards. ***Corrected at the time of the visit the staff moved the cots 2 feet apart on 4/14/2026. Respond with a plan for ongoing complaince by 4/28/2026. Correct by 04/14/2026

2.230.B · Correction due April 14, 2026

In the Two's 2 classroom there was a long black loose cord connected to the light table posing a possible strangulation hazard.

Required correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately and respond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

2.233.A.3 · Correction due April 14, 2026

Confirmed through a staff member's statement a parent dropped off a child who was 3 years and a week in the Toddler 3 classroom at 8:03 AM. Licensing Specialists reviewed the attendance sheet a child listed at 3 years old was marked on the attendance sheet. This classroom is licensed for children ages 12 to 36 months.

Required correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. This was cited on 4/2/2026. ***Corrected at the time of the visit the director moved the child to the preschool classroom at 8:06AM on 4/14/2026.***Repond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

2.212.A · Correction due April 14, 2026

Confirmed through staff members' statements Ch1 was not given their medication due to staff member not being able to identify the correct medication delegation paperwork that was located in the Nurse binder. This is a director violation of stipulation N. All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Required correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct immediately and respond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

Identified through staff members' statements the facility failed to report several reportable incidents. This is a direct violation of stipulation of U. Within 24 hours of the occurrence of a critical incident at the facility as defined in 8 CCR 1402-1 General Rules for Child Care Facilities section 2.124, the Licensee shall report the incident in writing to the Department via the online reporting system at https://coloradoshinesportal.force.com/providerhub/s/login/.

Founded

The state lists this complaint on the provider’s record and publishes an investigation report for it. Shortlist has not read that report, so this row includes no citation detail.

2.212.G · Correction due May 2, 2026

Reviewed staff files and staff member 2 was lacking a health statement signed and dated from a health care provider. Staff member number 2 has been working longer than 30 days (DOH 3/1/2026).

Required correction: All staff members must have a health statement within the first 30 days of employment. Correct and respond with verification of compliance by 5/2/2026. Correct by 05/02/2026

2.217.A.15 · Correction due April 2, 2026

At the time of the visit the attendance sheets were reviewed. On the attendance sheet for the Toddler 3 classroom there were 14 children in the classroom ages 1 to 3 years old from 8:45 to 8:47AM. The Toddler 3 classroom was over the max group size by 4 children. This is a direct violations of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom.

Required correction: The facility must follow the maximum group size for children by ages. ***Corrected at the time of the visit the staff moved all the older children into the Two's Two classroom on 4/2/2026.***Respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

2.230.C.8 · Correction due April 2, 2026

Outside on the preschool playground there was a large carpet folded up and sitting on the side walk. The folded up carpet was posing a possible tripping hazard. Outside on the preschool playground there was trash all throughout the playground.

Required correction: All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazards by removal of debris, dilapidated structures, and broken or worn play equipment to reduce the possibility of injuries and accidents. Correct immediately and respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

In the Two's Two classroom the license age is 12 to 36 months. There was one child in the classroom who

2.221.B · Correction due April 2, 2026

At the time of the visit the preschool classroom was going outside and did not apply sunscreen before going outside.

Required correction: The center must apply sunscreen, have the parent(s)/guardian(s) apply sunscreen, or use another form of parent/guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label. Correct immediately and respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

2.230.B · Correction due March 9, 2026

Outside on the sidewalk leading to the preschool playground there were 3 large wooden slates. The 3 large wooden slates were posing a possible tripping hazard.

Required correction: Indoor and outdoor equipment, materials, and furnishings including 3 large wooden slates. the must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit a staff member removed all the wooden slates from the playground on 3/9/2026.***Respond with a plan for ongoing compliance by 3/16/2026.*** Correct by 03/09/2026

2.230.C.8 · Correction due February 10, 2026

Outside on the Preschool playground there was trash and other debris throughout the playground.

Required correction: All outdoor areas used for children's activites must be checked daily and kept safe and free from hazardous material or debris by removal of debris. ***Corrected at the time of the visit the director picked up the trash from the Preschool playground on 2/10/2026.*** Respond with a plan for on going compliance by 2/17/2026. Correct by 02/10/2026

In the hallway outside of the preschool classroom there were art projects that were covered in small feathers. The art projects were being displayed on a shelf that was accessible to children under the age of 3 years old. The small

2.229.C

In the Two 2 classroom there was an unlocked drawer accessible to children next to the sink that had a small bottle of lotion labeled "keep out of reach children." In the hallway the laundry room was unlocked and and accessible to children. There were several bottles of cleaning supplies that were labeled "keep out of reach of children." This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age.

Required correction: Items labeled "keep out of reach of children" including all lotion and cleaning supplies must be inaccessible to children. ***Corrected at the time of the visit the staff members disposed of small bottle of lotion and locked the laundry room making all items inaccessible to children on 1/15/2026.***Respond with a plan of ongoing compliance by 1/22/2026.

2.230.B · Correction due January 15, 2026

In the Two 2 classroom there was an unlocked drawer accessible to children next to the sink that contained a long purple charging cord. The long purple cord was posing a possible stragulation hazard. In the Pre-K classroom there was a long white charging cord sitting on the counter top accessible to children. The white charging cord was posing a possible stragulation hazard. This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age.

Required correction: Indoor and outdoor equipment, materials, and furnishings including charging cords must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit the director moved the cords and placed them up high and inaccessible to children on 1/15/2026.***Respond with a plan for ongoing compliance by 1/22/2026. Correct by 01/15/2026

2.223.C.4 · Correction due December 1, 2025

In the EPS classroom there were several small items including rubber bands, foam bugs, and a green pom pom located in an unlocked drawer accessible to children under the age of 3 years old. All items listed above were posing a possible choking hazard.

Required correction: 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. ***Corrected at the time of the visit a staff member removed all items listed above and placed all items up high making all items inaccessible to children under the age of 3 years old on 12/1/1025.*** Respond with a plan for ongoing compliance by 12/8/2025. Correct by 12/01/2025

In the EPS classroom there was a loose long charging cord over 18 inches long sitting on top of the counter

2.217.A.7 · Correction due October 9, 2025

In the Two 2 classroom staff member # 3 was acting as the assigned qualified early childhood teacher. A staff file review was completed and it was identified that staff member 3 was not a qualified early childhood teacher.

Required correction: There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children. ***Corrected at the time of the visit the director placed a qualified early childhood teacher in the classroom on 10/9/2025.*** Respond with plan of ongoing compliance by 11/8/2025. Correct by 10/09/2025

2.216.B.1.d · Correction due October 9, 2025

Staff member 1 was observed working in the infant classroom. A staff file review was completed and it was identified that staff member #1 was lacking 8 hours of orientation. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: The infant program staff aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an infant early childhood teacher. ***Correct immediately and respond with a plan of ongoing compliance by 11/8/2025. Correct by 10/09/2025

2.212.G · Correction due November 8, 2025

Reviewed 4 new staff files and staff member #3(DOH 8/4/2025) and staff member #4(DOH 8/18/2025) were lacking a health statement signed and dated by a health care provider within the first 30 days of employment.

Required correction: All staff members must have a health statement signed and dated from a health care provider within the first 30 days of employment. Correct and respond with verification of complaince by 11/8/2025. Correct by 11/08/2025

2.212.G

Reviewed 17 staff files and staff member #2,#6,#7,#12,#14 were lacking health statement or a Subsequent self-report health history.

2.219.B.3 · Correction due October 15, 2025

Reviewed 6 children's file and 1 child less than 2 was lacking a current health statement.

Required correction: Review and ensure that all children under the age of 2 must have current health statement that is in accordance with AAP schedule. Correct and respond with a plan of ongoing compliance by 10/15/2025. Correct by 10/15/2025

2.213.B

Reviewed 17 staff files and staff member #4 and #14 were lacking a current Department-approved Standard Precautions training. This is a direct violation of stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

2.213.C · Correction due September 15, 2025

Reviewed 17 staff files and staff member #1,#4, and #14 were all lacking a current Department- approved safe sleep training. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: 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. Correct immediately and respond with plan of on going compliance by 10/15/2025. Correct by 09/15/2025

2.213.D

Reviewed 17 staff files and staff member #2 and #14 were lacking a current Department-approved shaken baby training. This is a direct stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

2.213.F · Correction due October 15, 2025

Reviewed 17 staff files and staff member #6 was lacking both a Full CPR and First Aid certification and a CPR and First Aid module and has been working at the facility for longer than 30 days. This is a direct stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: 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. Correct and respond with verification of compliiance by 10/15/2025. Correct by 10/15/2025

Reviewed 17 staff files and staff member #4,#10, #14 were lacking a current Department approved Child Abuse Prevention training. This is a direct stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid,

2.217.A.14 · Correction due September 15, 2025

Reviewed the attendance sheet for the Twos 2 classroom and there were 8 children ages 2 to 3 with 1 staff member at 8 AM on 9/15/2025. This is a direct violation of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom.

Required correction: The facility must maintain staff to child ratio by ages of children. ***Corrected at the time of the visit identified through a staff member's statement a second staff member came in as soon as the 8th child arrived but did not sign into the classroom on 9/17/2025. ***Respond with a plan of plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Reviewed 6 children's files and 1 child was lacking documentation of immunizations.

2.138.A

Reviewed the facility's emergency drill log and the facility is lacking several fire, tornado, and lockdown and active shooter.

Required correction: Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often

2.219.B.4 · Correction due October 15, 2025

Reviewed 6 children's file and 1 child over the age of 2 was lacking a current health statement.

Required correction: Review and ensure that all children over the age of 2 must have current health statement that is in accordance with AAP schedule. Correct and respond with a plan of ongoing compliance by 10/15/2025. Correct by 10/15/2025

2.229.C · Correction due September 15, 2025

In the unlocked staff lounge under the sink in unlocked cabinet there was a large bottle of bleach. The bleach was labeled "keep out of reach of children" and accessible to children. This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age.

Required correction: Items labeled “keep out of reach of children” including bleach must be inaccessible to children. ***Corrected at the time of the visit the director placed the large bottle of bleach up high and inaccessible to children on 9/17/2025.*** Respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Outside on the toddler playground there were a few weeds that had sharp edges that were posing a possible safety hazard.

2.120.C.1

Reviewed 17 staff files and staff member # 15 was lacking a Trails clearance letter. This is a direct violation of stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks must be maintained in the staff file at all times.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member #15 has reviewed the powerpoint within 24 hours.

2.121.D.4.a · Correction due September 15, 2025

Reviewed 17 staff files and staff member # 15 was lacking a FBI clearance letter. This is a direct violation of stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks must be maintained in the staff file at all times.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member #15 has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for staff member #15 with written response to the Specialist by 10/15/2025. Correct by 09/15/2025

2.217.A.7

Identified through the director's statement staff member # 17 was given 10 minute breaks for qualified early childhood teachers. Indentified through a staff file review staff member #17 was not a qualified early childhood teacher. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times.

Required correction: There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children. On 9/15/2025 licensing specialist did not witness this staff member acting as the qualified early childhood teacher. ***Corrected at the

2.223.C.2.a · Correction due September 15, 2025

In the infant 1 classroom there was one crib sheet that was very loose and did not properly fit a crib mattress. At the time of the visit there was no infant in the crib.

Required correction: Mattresses for cribs and futons must have a properly fitted, clean sheet. ***Corrected at the time of the visit the director replaced the crib sheet on 9/15/2025.*** Respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

2.122.A · Correction due September 15, 2025

The facility was lacking a copy of the Denver fire inspection.

Required correction: Prior to the original license being issued, following the renovation of the facility that would affect the 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 (CDPHE) 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. Correct immediately respond with verification of compliance by 10/15/2025. Correct by 09/15/2025

Unfounded

The state lists this complaint on the provider’s record and publishes an investigation report for it. Shortlist has not read that report, so this row includes no citation detail.

2.218.C.5.a

Reviewed 3 health care plans for 3 children and 1 child's health care plan listed 3 required medications. The facility was lacking 1 required medication listed on the child's health care plan.

2.121.D.4

Observed three staff members Aisha R, Sabria, R., and Yanitsa I. working in classrooms. Identified through a staff file review all 3 staff members Aisha R. (DOH 5/5/2025) Sabria R. (5/12/2025), and Yanitsa I. (DOH 4/20/2025) were lacking a request for criminal record checks (CBI and FBI) and have been working for longer than 5 days. This is a direct violation of Stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks must be maintained in the staff file at all times.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Aisha R, Sabria, R., and Yanitsa I. have reviewed the

2.213.G · Correction due July 9, 2025

Reviewed the Acting Director Virgina D's (DOH 11/22/2024)file and she was lacking a current Child Abuse Prevention training. This is a direct violation of Stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times.

Required correction: All staff members must complete a Child Abuse Prevention training and renew annually. Correct and respond with a plan of ongoing compliance by 7/16/2025. Correct by 07/09/2025

2.217.A.7

Observed the Twos classroom outside with Korin M. acting as the qualified early childhood teacher. Obseved the Toddler 3 classroom and Monique S was acting as the qualified early childhood teacher. After a file review for both Korin M and Monique S. it was idenified both staff members Korin M and Monique S. are not qualified early childhood teachers. This is a direct violation of stipulation D. All children must be under the direct and active supervision of qualified staff at all times, both indoors and outside.

Required correction: There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children. ***Corrected at

2.206.B.4 · Correction due July 9, 2025

Identified through a staff members statement the policy is children go outside for 15 minutes when its 90 degrees and children do not go out if it is 95 degrees and higher. Licensing Specialist observed two classrooms playing outside and it was 95 degrees outside at the time of the visit.

Required correction: The facility must follow the center's procedure regarding excessively hot weather. ***Corrected at the time of the visit the facility had the children come inside.*** Respond with a plan of ongoing compliance by 7/16/2025. Correct by 07/09/2025