Child Care Centers

Our Environmental Health staff inspects child care centers every 1-2 years, depending on the program. During health inspections, we ensure minimum health regulations are met as well as provide educational information. This helps to ensure children have a healthy environment to learn and grow in.

Tri-County Health Department does not license child care facilities. However, a passing health inspection is required by the Office of Early Childhood of the Colorado Department of Human Services in order for a child care to receive a license from Human Services or to remain in good standing.


The current Regulations Governing the Health and Sanitation of Childcare Facilities went into effect on January 14, 2016. Health inspections are public record and can be accessed on our Health Inspections webpage.

Online Regulation Training

  1. COVID-19 Support
  2. Inspections
  3. COVID-19  FAQs & Guidance
  4. General Resources

Support for Child Care Leaders and Staff during COVID-19

Our Child Care Task Force is working with child care programs in providing COVID-19 support and resources. Contact for programs in Adams, Arapahoe, and Douglas Counties. Continue to refer back to this page for updated information as things change often. 

Update Illness Policies

Updating your illness policies to include new COVID-19 guidance will ensure that your facility is ready to respond appropriately if you have a COVID-19 positive individual or if a child or teacher is associated with someone outside your facility that is ill. Continue to refer to the Cases and Outbreak Guidance in Child Care and Schools to help guide decisions regarding COVID-19. 

Illnesses at Your Facility

Use an illness log to help keep track of sick people and their symptoms. If you have a case or suspect an outbreak is occurring at your facility, contact us at with the name of your center, the person to contact to discuss further and a brief description of your situation. Please do not include specific names or other identifying information in your description. 

Watch Recorded Webinars

Please find all recorded webinars and slides on our School Support Page. These are school specific, but they highlight important topics related to COVID-19 response efforts, like how to use the outbreak guidance.