circle as a pseudo element

.item::before{
       content: '';
       display: inline-block;
       width: 15px;
       height: 15px;
       -moz-border-radius: 7.5px;
       -webkit-border-radius: 7.5px;
       border-radius: 7.5px;
       background-color: #69b6d5;
    }