Stepping Up

2.120.I · Correction due April 10, 2026

Reviewed 7 staff files and observed the program to be lacking documentation of updated Trails clearance for 2 staff members. Trails clearance on file dated 5/1/2018 and 9/28/2020.

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 have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members with written response to the Specialist. Correct by 04/10/2026

2.121.D.5

Reviewed 7 staff files and observed the program to be lacking documentation of updated CBI & FBI clearance for 1 staff member. CBI on file dated 9/8/2020 and FBI on file dated 9/17/2020.

2.213.C · Correction due April 10, 2026

Reviewed 7 staff files and observed the program to be lacking documentation of an updated Safe Sleep training for 1 staff member.

Required correction: Staff working with infants less than twelve months old must complete a Department-approved Safe Sleep training prior to working with infants and annually thereafter. Correct immediately. Submit written verification to specialist. Correct by 04/10/2026

2.213.D · Correction due April 10, 2026

Reviewed 7 staff files and observed the program to be lacking documentation of an updated Prevention of Shaken Baby/Abusive Head Trauma training for 1 staff member.

Required correction: Staff working with children less than three years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children and every two years thereafter. Correct immediately. Submit written verification to specialist. Correct by 04/10/2026

2.213.G

Reviewed 7 staff files and observed the program to be lacking documentation of an updated Child Abuse Prevention training for 4 staff members.

2.213.N · Correction due May 10, 2026

Reviewed 7 staff files and observed the program to be lacking documentation of an updated CDPHE immunization training for 1 staff member responsible for the collection, review, and maintenance of child immunization records.

Required correction: All staff members responsible for the collection, review, and maintenance of child immunization records must complete the CDPHE immunization course within 30 days of employment and annually thereafter. Submit written verification to specialist. Correct by 05/10/2026

2.223.C.2 · Correction due April 10, 2026

In Infant classroom, three infants actively sleeping with blankets located in cribs.

Required correction: All infants must immediately be placed in a safe sleep environment. Immediately remove blankets from infant cribs. Correct immediately. Director removed blankets from cribs at the time of visit. Submit written verification to specialist. Correct by 04/10/2026

2.217.A.9 · Correction due April 10, 2026

Reviewed 7 staff files and observed the program to be lacking at least one staff member with a current medication delegation on duty at time of visit.

Required correction: At least one staff member with the current Department-approved medication delegation must be on duty at all times. Correct immediately. Submit written verification and documentation to specialist. Correct by 04/10/2026

2.212.A · Correction due April 10, 2026

Identified that the provider completed infant safe sleep training on 11/12/2025 and a child in their care was found in an unsafe sleep environment.

Required correction: All staff must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Ensure all safe sleep practices are followed. Correct immediately. Submit written verification to specialist. Correct by 04/10/2026

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.

The cabinet under the diaper changing table in the second toddler classsroom was unlocked with items

2.133.A · Correction due May 12, 2025

In a review of nine staff files, two staff (Baetrice and Ariana) were found to be missing current certification of a department-approved training in emergency and disaster preparedness.

Required correction: Immediately (5/12/25) ensure that the program obtains and maintains documentation of a FEMA training certificate for all staff to include the above listed staff. Provide a written statement of compliance within the overall response Correct by 05/12/2025

2.213.G

Reviewed 9 staff files and observed four staff member (Kristina, Reginald, Baetrice & Ariana) lacking documentation of the Department-approved training regarding child abuse prevention.

2.213.H · Correction due June 11, 2025

Reviewed 9 staff files and observed (Baetrice and Ariana) lacking the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs.

Required correction: Provide a written statement of compliance within the overall response ensuring that all staff to include the above listed staff have completed the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correct by 06/11/2025

2.213.I · Correction due June 11, 2025

Reviewed 9 staff files and observed (Baetrice and Ariana) lacking the Department-approved training for The Impact of Bias on Early Childhood Professionals or other Department-Approved training on implicit bias.

Required correction: Provide a written statement of compliance within the overall response ensuring that the program obtains documentation of training completion, for all staff, for the Impact of Bias on Early Childhood Professionals or other department approved training on Implicit Bias. Correct by 06/11/2025

2.217.C.9 · Correction due June 11, 2025

Reviewed Child Care Health Consultant file and observed it to be lacking the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect.

Required correction: Provide a written response ensuring the Child Care Health Consultant has completed the Department- approved training for Child Abuse Prevention. Correct by 06/11/2025

2.230.B · Correction due May 12, 2025

The outdoor fence next to the exit gate on the north side of the playground to be loose from the wall exposing a nail and a screw that could be hazardous to children.

Required correction: Immediately (5/12/25) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Provide a written statement of compliance within the overall response. Correct by 05/12/2025

2.237.H · Correction due May 12, 2025

Electrical outlets in the Toddler C room to be missing covers.

Required correction: Immediately (5/12/25) ensure electrical outlets have protective covers. Teacher corrected at time of visit by placing covers in all open outlets. No further response required. Correct by 05/12/2025

2.237.K · Correction due May 12, 2025

Observed kitchen was unlocked, accessible to children

Required correction: Immediately (5/12/25) make Kitchen inaccessible to children. Teacher corrected at time of visit by closing and locking kitchen door. No further response required. Correct by 05/12/2025

2.216.C.2

In a review of six staff files, four staff members Aanee, Kiyra, Deshawna and Shaya were missing documentation of a completed 8 hours of orientation at the toddler program and identified through verification of attendance records that staff Kiyra and Shaya were working with children without the direct supervision of the director or a toddler early childhood teacher on 2/11/2025.

Required correction: Immediately ensure that all staff aides work directly under the supervision of the Director of an Early childhood teacher and have documentation of 8 hours of orientation at the toddler program. Provide a written plan of action, along

2.120.C.1.a · Correction due March 3, 2025

In a review of six staff files, Deshawa was found to be missing documentation of the TRAILS Clearance letter.

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 Deshawa has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member Deshawa with written response to Specialist. https://docs.google.com/presentation/d/1Dve1uqcQzgGrgXcupoW8iFTY40EXqRXVguaJ-UI4iko/edit#slide=id.g13ed17175 94_3_0 Correct by 03/03/2025

2.213.B · Correction due March 3, 2025

In a review of six staff files, two staff members Kiyra and Shaya were found to be missing documentation of a Department-approved standard precautions training.

Required correction: Immediately ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 03/03/2025

2.213.D · Correction due March 3, 2025

In a review of six staff files, four staff members Aanee, Kiyra, Deshawa and Shaya were found to be missing documentation of a Department-approved shaken baby / abusive head trauma training.

Required correction: Immediately ensure that the program obtains and maintains current documentation of the Shaken Baby Abusive Head trauma training certificates for all staff who work with children less than 3 years of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 03/03/2025

2.213.G

In a review of six staff files, two staff members Kiyra and Shaya were found to be missing documentation of a Department-approved Mandated reporter (Child Abuse Prevention and Reporting) training.

Required correction: Immediately ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of

2.213.I · Correction due March 17, 2025

In a reivew of six staff files, Shaya was found to be missing documentation of a Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training.

Required correction: Provide a written statement of compliance within the overall response ensuring that the program obtains documentation of training completion, for all staff, for the Impact of Bias on Early Childhood Professionals or other department approved training on Implicit Bias. Correct by 03/17/2025

2.213.F · Correction due March 17, 2025

In a review of six staff files, one staff member Deshawa was found to be missing documentation of the Department-approved Introduction to First Aid and CPR module.

Required correction: Provide a written statement of compliance within the overall response ensuring that all staff, to include the above listed staff, have completed the Department-approved training for Introduction to First Aid and CPR module. Correct by 03/17/2025

2.213.B · Correction due March 3, 2025

In a review of six staff files, two staff members Kiyra and Shaya were found to be missing documentation of a Department-approved standard precautions training.

Required correction: Immediately ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 03/03/2025

2.213.D · Correction due March 3, 2025

In a review of six staff files, four staff members Aanee, Kiyra, Deshawa and Shaya were found to be missing documentation of a Department-approved shaken baby / abusive head trauma training.

Required correction: Immediately ensure that the program obtains and maintains current documentation of the Shaken Baby Abusive Head trauma training certificates for all staff who work with children less than 3 years of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 03/03/2025

2.213.G

In a review of six staff files, two staff members Kiyra and Shaya were found to be missing documentation of a Department-approved Mandated reporter (Child Abuse Prevention and Reporting) training.

Required correction: Immediately ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of

2.213.I · Correction due March 17, 2025

In a reivew of six staff files, Shaya was found to be missing documentation of a Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training.

Required correction: Provide a written statement of compliance within the overall response ensuring that the program obtains documentation of training completion, for all staff, for the Impact of Bias on Early Childhood Professionals or other department approved training on Implicit Bias. Correct by 03/17/2025

2.213.F · Correction due March 17, 2025

In a review of six staff files, one staff member Deshawa was found to be missing documentation of the Department-approved Introduction to First Aid and CPR module.

Required correction: Provide a written statement of compliance within the overall response ensuring that all staff, to include the above listed staff, have completed the Department-approved training for Introduction to First Aid and CPR module. Correct by 03/17/2025

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.

2.121.D.4.a · Correction due July 1, 2024

In a review of 7 staff files one staff member (Tasia) was found to be missing documentation of their FBI background check and clearance.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Tasia has reviewed the powerpoint within 24 hours. Submit documentation of (FBI) for staff member Tasia with written response to Specialist. https://docs.google.com/presentation/d/1Dve1uqcQzgGrgXcupoW8iFTY40EXqRXVguaJ-UI4iko/edit#slide=id.g13ed17175 94_3_0 Correct by 07/01/2024

2.213.G

In a review of 7 staff files, two staff members (Reginald and Ashanti) were found to be missing documentation of the department-approved trainng about child abuse and prevention.

2.121.J.1 · Correction due July 1, 2024

In a review of 7 staff files, one staff member, Tasia, as found to be missing documentation of their out of state background check and clearance.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Tasia has reviewed the powerpoint within 24 hours. Submit documentation of (Out of state background checks) for staff member Tasia with written response to Specialist. Correct by 07/01/2024

2.133.A

In a review of 7 staff files, two staff members (Reginald and Ashanti) were found to be missing documentation of a state-approved training in emergency and disaster preparedness.

Required correction: Prior to caring for children, all staff must complete a department approvded training in emergency and disaster

2.213.B · Correction due July 1, 2024

In a review of 7 staff files, one staff member (Amyah) was found to be missing documentation of a department-approved standard precautions training.

Required correction: All staff must complete a department-approved standard precautions training prior to working with children. Correct immediately. Submit written verification to licensing specialist once training is complete and place documentation in the staff member's file. Correct by 07/01/2024

2.213.C · Correction due July 1, 2024

In a review of 7 staff files, two staff members (Reginald and Ashanti) were found to be missing documentation of a department-approved safe sleep training.

Required correction: All staff must complete a department-approved safe sleep training prior to working with infants. Correct immediately. Submit written verification to licensing specialist once training is complete and place documentation in the staff member's file. Correct by 07/01/2024

2.213.D

In a review of 7 staff files, two staff members (Reginald and Ashanti) were found to be missing documentation of a department-approved shaken baby/abusive head trauma training.

2.213.F · Correction due July 31, 2024

In a review of 7 staff files, one staff member (Ashanti) was found to be missing documentation of the department-approved Introduction to first aid and CPR module.

Required correction: Staff member must complete a department-approved Introduction to First Aid and CPR module training. Submit written verification to licensing specialist once training is complete and place documentation in the staff member's file. Correct by 07/31/2024

2.120.C.1.a

In a review of 7 staff files, two staff members, Kristina and Tasia, were found to be missing documentation of their TRAILS background check and clearance.

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 Kristina and Tasia have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members Kristina Tasia with written response to Specialist.

2.213.H · Correction due July 1, 2024

In a review of 7 staff files, two staff members (Reginald and Ashanti) were found to be missing documentation of the department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs.

Required correction: All staff must complete a department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. Correct Immediately. Submit written verification to licensing specialist once training is complete and place documentation in the staff member's file. Correct by 07/01/2024

2.213.I · Correction due July 1, 2024

In a review of 7 staff files, two staff members (Reginald and Ashanti) were found to be missing documentation of the department-approved training course: Recognizing the Impact of Bias on Early Childhood Professionals.

Required correction: All staff must complete a department-approved training course: Recognizing the Impact of Bias on Early Childhood Professionals. Correct Immediately. Submit written verification to licensing specialist once training is complete and place documentation in the staff member's file. Correct by 07/01/2024

2.216.B.1.d · Correction due July 1, 2024

In a review of 7 staff files, one staff member (Amyah) was found to be missing documentation of 8 hours of orientation for infant care.

Required correction: The infant program aide must have completed 8 hours of orientation for the infant program. Correct immediately. Submit written response to licensing specialist that training was completed and documentation was place in staff member file. Correct by 07/01/2024

2.217.A.9 · Correction due July 1, 2024

In a review of 7 staff files, it was observed that no staff had current medication delegation. All delegations were expired.

Required correction: At least one staff member with current department-approved medication administration training and delegation must be on duty at all times. Correct immediately. Complete current medication delegation for staff to ensure one staff member with current delegation is on duty at all times. Submit written verification to licensing specialist that delegation has been provided and file documentation in staff member's files. Correct by 07/01/2024

2.217.C.9

In a review of the CCHC file, it was observed to be missing current documentation of a department approved trainin about child abuse prevention.

Required correction: All department approved child care health consultants must complete the department-approved training about child abuse prevention. Submit written verification to licensing specialist that CCHC has completed the training and file

2.220.F · Correction due July 1, 2024

In a review of 7 staff files, it was observed that two staff had current medication administration training but no current delegation. All delegations were expired.

Required correction: All staff members with current department-approved medication administration training designated to provide medications must hold current delgation from the child care health consultant. Correct immediately. Complete current medication delegation for staff to ensure one staff member with current delegation is on duty at all times. Submit written verification to licensing specialist that delegation has been provided and file documentation in staff member's files. Correct by 07/01/2024

2.230.B · Correction due July 1, 2024

In the back corner of the back playground there was a slat in the fencing missing and a gap that was approximately 5 inches wide was left posing a hazard.

Required correction: Indoor and outdoor equipment and materials must be sturdy, safe, and free of hazards. Correct immediately. Submit written verification to licensing specialist when gap has been mended. Correct by 07/01/2024

Founded · 7.702.91.H · Indoor/Safety Requirements · Correction due February 14, 2023

In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Required correction: Outlets must be covered. ***CORRECTED AT TIME OF INSPECTION, outlets were covered.*** No response required.

Founded · 7.702.72.B · Correction due February 14, 2023

Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Required correction: Ensure all indoor spaces are free of hazards. ***CORRECTED AT TIME OF INSPECTION, doors were all locked.*** No response required.

Founded · 7.702.41.A · Personnel · Correction due February 14, 2023

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 demonstrate knowledgeable decision-making, judgment, and concern for the well-being of children. Immediately correct and submit a written statement of compliance.

Founded · 7.702.42.C · Correction due February 14, 2023

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.

Required correction: Staff members working with children less than 12 months must take the training prior to working with children and annually. Immediately correct and submit a written statement of complaince with documentation to the Specialist.

Founded · 7.702.62.D.5.a.1 · General Requirement/Physical Care · Correction due February 14, 2023

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.

Required correction: Ensure children are spaced at least 2 feet apart. Immediately correct and submit a written statement of compliance.

Founded · 7.702.62.C.2.a · Correction due February 14, 2023

Mattresses for cribs and futons must have a properly fitted, clean sheet.

Required correction: All cribs must have a properly fitting sheet. Immediately correct and submit a written statement of compliance.

Founded · 7.702.51.B.7 · Health/Medication · Correction due February 14, 2023

All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

Required correction: All medication must be locked and inaccessible to children. Immediately correct and submit a written statement of compliance.

Founded · 7.702.46.A.14 · General Requirement/Physical Care · Correction due February 14, 2023

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

Required correction: Ratio must be followed at all times. Immediately correct and submit a written statement of compliance.

Founded · 7.702.71.C · Equipment/Materials · Correction due February 14, 2023

Items labeled ?keep out of reach of children? must be inaccessible to children.

Required correction: Ensure items labeled "keep out of reach of children" are inaccessible. ***CORRECTED AT TIME OF INSPECTION, all items were moved.*** No response required.

Founded · 7.702.71.H · Equipment/Materials · Correction due February 14, 2023

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

Required correction: Ensure sharp objects are kept inaccessible. ***CORRECTED AT TIME OF INSPECTION, items were moved.*** No response required.

Founded · 7.702.91.K · Building Requirements · Correction due February 14, 2023

Kitchens, including all hazardous items, must be inaccessible to children at all times.

Required correction: Ensure kitchens are locked. ***CORRECTED AT TIME OF INSPECTION, kitchen was locked.*** No response required.

Founded · 7.702.92.C · Building Requirements · Correction due February 14, 2023

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

Required correction: Ensure exits are unobstructed at all times. ***CORRECTED AT TIME OF INSPECTION, egress was cleared.*** No response required.

Founded · 7.702.71.E · Equipment/Materials · Correction due February 14, 2023

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

Required correction: Thumb tacks must not be used in areas accessisble to children under the age of 3. ***CORRECTED AT TIME OF INSPECTION, thumb tack was removed.*** No response required.