Inspire Preschool @ Boulder YMCA

2.223.B.1 · Correction due December 15, 2025

In the infant room, observed two infants placed in equipment that confines movement for more than 15 consecutive minutes.

Required correction: Ensure that children who are awake are not placed in equipment that confines movement for more than 15 minutes at a time. **Corrected at the time of visit. Infants were placed on the floor to allow for freedom of gross motor movement.** Respond with a plan for ongoing compliance by 1/15/26. Correct by 12/15/2025

2.230.B · Correction due December 15, 2025

On the toddler playground, observed exposed weed matting near the picnic tables, creating a potential tripping hazard.

Required correction: Ensure all indoor and outdoor equipment and areas are sturdy, safe, and free of hazards. Correct immediately and respond with a statement of compliance by 1/15/26. Correct by 12/15/2025

2.213.C · Correction due December 15, 2025

Reviewed six staff files and identified SM1's file missing documentation of a Department-approved safe sleep training. SM1 was working with infants less than 12 months old at the time of visit.

Required correction: Obtain documentation of a current Department-approved safe sleep training for SM1. Correct immediately and respond with verification of compliance by 1/15/26. Correct by 12/15/2025

2.213.N · Correction due January 15, 2026

Reviewed six staff files and identified SM1's file missing documentation of a current CDPHE immunization course. SM1 is responsible for the collection, review, and maintenance of the child immunization records.

Required correction: Obtain documentation of current CDPHE immunization course for SM1. Correct and respond with verification of compliance by 1/15/26. Correct by 01/15/2026

2.216.C.3 · Correction due December 15, 2025

Reviewed six staff files and identified that neither of the two staff on duty in the toddler program had documentation of current Department-approved CPR and First Aid certificates.

Required correction: Ensure that there is at least one staff member in the toddler program at all times who has a current Department-approved CPR and First Aid certificate. Correct immediately and respond with a plan for ongoing compliance by 1/15/26. Correct by 12/15/2025

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

Reviewed six staff files and identified SM3 and SM4's files missing documentation of FBI clearance letters. Identified SM4's CBI clearance letter did not appear to be tied to an active license number. Identified SM5's file to be missing documentation of a CBI clearance letter.

Required correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that SM1 has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of FBI clearance letters for SM3 and SM4, and CBI clearance letters for SM4 and SM5 with written response to Specialist by 1/15/26. Correct by 12/15/2025

2.138.A · Correction due December 15, 2025

Reviewed the program's drill log and identified the log to be missing documentation of drills completed from August-November 2025.

Required correction: Obtain documentation of drills completed from August to November 2025 or ensure that drills are completed and documented as required. Correct immediately and respond with documentation or a plan for ongoing compliance by 1/15/26. Correct by 12/15/2025

2.212.G · Correction due March 1, 2025

Reviewed four staff files and identified B. and K.'s files missing documentation of medical statements verifying good health appropriate for the position in which they have been hired.

Required correction: Obtain medical statements for all staff. Correct and respond with a statement of compliance by 3/1/25. Correct by 03/01/2025

2.216.B.1.e

Reviewed four staff files and identified INS M.'s file missing documentation of a current Department-approved CPR and First Aid training. Observed M. alone in the infant room at the time of visit.

2.213.B · Correction due January 30, 2025

Reviewed four staff files and identified preschool teacher B.'s file missing documentation of a current Department-approved standard precautions training.

Required correction: Obtain current Department-approved standard precautions training for B. Correct immediately and respond with verification of compliance by 3/1/25. Correct by 01/30/2025

2.213.D · Correction due January 30, 2025

Reviewed four staff files and identified preschool teacher B.'s file missing documentation of a current Department-approved prevention of abusive head trauma training. Observed a child under three years of age in the preschool classroom.

Required correction: Obtain documentation of a current Department-approved prevention of abusive head trauma training for B. Correct immediately and respond with verification of compliance by 3/1/25. Correct by 01/30/2025

2.213.G

Reviewed four staff files and identified preschool teachers B. and K.'s files missing documentation of a current Department-approved training about child abuse prevention. Both staff have been employed for more than 30 days.

2.213.I · Correction due March 1, 2025

Reviewed four staff files and identified preschool teachers B. and K.'s files missing documentation of a Department-approved training on implicit bias. Both staff have been employed for more than 90 days.

Required correction: Obtain documentation of a Department-approved training on implicit bias for B. and K. Correct and respond with verification of compliance by 3/1/25. Correct by 03/01/2025

2.213.H · Correction due March 1, 2025

Reviewed four staff files and identified preschool teacher B.'s file missing documentation of the Department-approved Intro to Early Intervention training. B. has been employed for more than 90 days.

Required correction: Obtain documentation of the Department-approved Intro to Early Intervention training for B. Correct and respond with verification of compliance by 3/1/25. Correct by 03/01/2025

Reviewed four staff files and identified B.'s file missing verification of qualifications for the position in which she functions. B. is the assigned ECT in the preschool classroom.

2.120.C.1.a.1 · Correction due January 30, 2025

Reviewed four staff files and identified Aide K.'s file missing documentation of a TRAILS clearance letter. K. was observed alone with two preschool children completing diaper changes.

Required correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Director K. has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of TRAILS clearance letter for K. with written response to Specialist by 3/1/25. Correct by 01/30/2025

2.121.J.1

Reviewed four staff files and identified Aide K.'s file missing documentation of an out of state clearance letter. K. has lived out of state in the last five years. K. was observed alone with two preschool children completing diaper changes.

2.213.N · Correction due January 30, 2025

Reviewed four staff files and identified Director K.'s file missing documentation of the CDPHE immunization course. K. is responsible for the collection, review, and maintenance of the child immunization records.

Required correction: Obtain documentation of the CDPHE immunization course for K. Correct immediately and respond with verification of compliance by 3/1/25. Correct by 01/30/2025

2.220.K · Correction due January 30, 2025

Reviewed two children's files and identified both files missing documentation of written authorization for topical preparations.

Required correction: Obtain documentation of written authorization from parents/guardians to administer topical preparations. Correct immediately and respond with a statement of compliance by 3/1/25. Correct by 01/30/2025

Reviewed two children's files and identified both files missing documentation of written authorization from the parents/guardians for emergency medical care.

2.206.A · Correction due January 30, 2025

Reviewed two child files and identified both files missing a signed document stating the parents/guardians agree to the policies and procedures of the program.

Required correction: Obtain signed document stating the parents/guardians agree to the policies and procedures of the program for all enrolled children. Correct immediately and respond with a statement of compliance by 1/30/25. Correct by 01/30/2025

2.230.B · Correction due March 29, 2024

The center's perimeter and playground fencing has at least one area where the metal fence posts are more than 4 inches apart, posing a potential entrapment hazard.

Required correction: Ensure areas between fence posts do not pose an entrapment hazard. Correct and respond with a plan for ongoing compliance by 3/29/24. Correct by 03/29/2024

2.220.F

Reviewed 7 staff files and identified one staff member, designated IPS D.H., to be fully delegated in medication administration; however, the delegation has not been completed by the center's current child care health consultant. Reviewed D.'s file and identified it to contain current CPR and First Aid training from an unapproved vendor.

2.233.A.3 · Correction due March 29, 2024

The program's plan for having infants and toddlers access the outdoor area requires infants and toddlers to go through the preschool/pre-K classroom. The program has submitted a waiver for this that has not yet been approved.

Required correction: Rooms licensed for specific ages of children cannot be used for other ages of children without prior written approval of the licensing authority. Correct and respond with a plan for ongoing compliance by 3/29/24. Correct by 03/29/2024

2.221.B.1 · Correction due March 29, 2024

Reviewed the parent handbook and the child enrollment forms and identified both documents to request the parents/guardians to apply sunscreen to children before drop-off at the center. Observed the facility does not yet have a mechanism for documenting application times to ensure sunscreen is reapplied as directed by the product label.

Required correction: Obtain a mechanism for documenting application times to ensure sunscreen is reapplied as directed by the product label. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

On the preschool playground, observed a metal ladder and building materials. On the toddler playground, observed building materials, exposed weed matting, and adult gardening tools. If accessible to children, these items could pose a potential safety hazard.

2.217.A.3 · Correction due March 29, 2024

The director of the program, R. Fairchild, is currently the director of record of another preschool program. Both programs are open Monday-Friday from 7am to 6pm, making it impossible for the director to be present at both programs for 60% of the day.

Required correction: Ensure the director of the center is present at the center at least 60% of any day that the center is open. Correct and respond with a plan for ongoing compliance by 3/29/24. Correct by 03/29/2024

2.122.B · Correction due March 29, 2024

Facility has not yet received a zoning letter for the program.

Required correction: Obtain written approval for operation from the local zoning department. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

2.210.A.2 · Correction due March 29, 2024

Reviewed 7 staff files and identified the program's designated IPS, D.H., does not have all required documentation necessary to meet IPS qualification.

Required correction: Obtain verification of hours letters documenting hours worked with infants and toddlers for D. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

2.213.A · Correction due March 29, 2024

Reviewed 7 staff files and identified Director R. and ECT C. lacking documentation of a building and physical premises safety training specific to the facility.

Required correction: Obtain documentation of a building and physical premises safety training specific to the facility for R. and C. and ensure this is completed for all staff prior to working with children. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

2.213.B · Correction due March 29, 2024

Reviewed 7 staff files and identified Director R.'s file lacking documentation of a current Department-approved standard precautions training.

Required correction: Obtain current Department-approved standard precautions training for R. and ensure this training is completed for all staff prior to working with children. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

2.213.C · Correction due March 29, 2024

Reviewed 7 staff files and identified Director R.'s file lacking documentation of a Department-approved safe sleep training.

Required correction: Obtain current Department-approved safe sleep training for R. and ensure this training is completed for all staff prior to working with infants. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

2.206.B · Correction due March 29, 2024

Reviewed the center's parent handbook and identified policies 2.206.B.4,5,11,19,25, and 27 to be missing or insufficient.

Required correction: Ensure all required policies are developed. Correct and respond with verification of compliance by 3/29/24. Correct by 03/29/2024

2.209.A.2

Reviewed the child enrollment forms and identified a section allowing parents/guardians to document special instructions for reaching them during child care hours to be missing.

Required correction: Obtain a mechanism to allow parents/guardians to document any special instructions for reaching them during