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Home › CO › Alamosa › Cindy Khoketkham
Alamosa CO 81101 · License #36566 · Home-based · Family Child Care Home
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2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children under two and one-half (2-1/2 ) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the licensed family child care home.
Reviewed ten files. One child file to have expired medical statement. Correction: Within thirty (30) days of admission, and within thirty (30) days of following the expiration date, the parents or guardians of each child must submit a statement of the child's health status or written verification of a scheduled appointment with a health care provider. Submit documentation and written compliance to licensing specialist. Correct by 08/22/2025
Corrected Corrected by Aug 22, 2025
Category: ratio. Marked corrected in the state record.
2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.
Generated from this facility's specific inspection record
Data synced from Colorado Department of Early Childhood (CDEC) on Jul 9, 2026 · Source records · Report an error
At time of inspection Khanoi K. to be missing medical statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All new family members who are new resident of the home must obtain a health evaluation form signed and dated by a licensed physical or other health care provider within thirty (30) days form the date the individual began living in the home. Document compliance to licensing specialist with written response. Correct by 08/22/2025
Corrected Corrected by Aug 22, 2025
Category: health medication. Marked corrected in the state record.
2.121.C.1 · Any resident of the family child care home or qualified exempt provider home turning eighteen (18) years of age shall complete the fingerprint process at an approved vendor fourteen (14) calendar days prior to their 18th birthday.
Identified an individual over 18 years of age living in the home and has not completed CBI/FBI background checks Correction: Any residents of the family child care home or qualified exempt provider home turning eighteen (18) years of age shall complete fingerprint process at an approved vendor fourteen (14) calendar days prior to their 18th birthday. Correct Immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint on the CDEC website. Submit verification that the staff members named above have reviewed the PowerPoint within 24 hours. Submit documentation and written documentation to licensing specialist. Correct by 07/23/2025
Corrected Corrected by Jul 23, 2025
Category: background checks. Marked corrected in the state record.
2.138.A · 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.
At time of inspection Drill logs to be missing emergency drills, lockdown and active shooter drills. Correction: A record of all emergency drills held over the past twelve (12) months must be maintained by the facility including date and time of drill, number of adults and children participating at the time of evacuation. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 07/23/2025
Corrected Corrected by Jul 23, 2025
Category: recordkeeping. Marked corrected in the state record.
7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.
Provider, Cindy K., to be missing renewed FBI criminal record check. Correction: Every five years providers must renew their FBI criminal background check. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint on the CDEC website. Submit verification that the staff members named above have reviewed the video within 24 hours. Document compliance to the Licensing Specialist with the written response. Correct by 10/09/2023
Corrected Corrected by Oct 9, 2023
Category: background checks. Marked corrected in the state record.
7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________
Provider Cindy K. to be missing documentation of Colorado Department of Public Health and Environment (CDPHE) immunization training course. Correction: Each provider or staff member that is responsible for the collection, review, and maintenance of the child immunization records must complete the CDPHE immunization course and renew annually. Correct immediately. Obtain documentation of the training and add to staff file. Send a copy of the training certificate to the Licensing Specialist. Document future compliance with the written response. Correct by 10/09/2023
Corrected Corrected by Oct 9, 2023
Category: health medication. Marked corrected in the state record.
7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian of each child must submit a statement of the child's current health status or written verification of a scheduled appointment with a health care practitioner. The statement of the child's current health statusmust be signed and dated by a health care provider who has seen the child within the last twelve (12)months, or within the last six (6) months for children under two and one-half (2-1/2 ) years of age. The statement must include when the next visit is required by the health care provider. All health statementsmust be kept at the licensed child care home.
Three of ten children files to have expired health statements. Correction: Obtain a current health statement for the children missing one and add it to the child's file. Send copies of missing health statements and document compliance to the Licensing Specialist with the written response. Correct by 11/09/2023
Corrected Corrected by Nov 9, 2023
Category: ratio. Marked corrected in the state record.
7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.
One of ten children files to be missing immunization records on the Colorado Department of Public Health and Environment's (CDPHE) required form. Correction: Prior to or on the first day of admission all children must present documentation of immunization status or exemption as required by the Colorado Department of Public Health and Environment. Correct immediately. Obtain
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.
Two of ten children files reviewed to be missing the parent's authorization for emergency medical care form and five of ten children files reviewed to have an expired authorization for emergency medical care form. Correction: Obtain an authorization for emergency medical care form for all children enrolled and update annually. Correct immediately. Send copies of the emergency medical authorization form for the children missing it to the Licensing Specialist. Document future compliance with the written response. Correct by 10/09/2023
Corrected Corrected by Oct 9, 2023
Marked corrected in the state record.
7.707.41.B.23 · The written policies and procedures must be developed, implemented and followed, which include all updates, changes, and must include at a minimum the following information: Use of and how often sunscreen is applied, including authorization for use of sunscreen, and how infants are protected from sun exposure without the use of sunscreen
Policy regarding the use of sunscreen to be missing from the written policies and procedures. Correction: Add the missing policies to the policy statement and make available to parents. Send a copy of updated policy statement to the Licensing Specialist. Document compliance with the written response. Correct by 11/09/2023
Corrected Corrected by Nov 9, 2023
Marked corrected in the state record.
7.707.932.E · By December 31, 2010, all swing sets or permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________
Climbing Jeep to be approximately 36" from the fence and 25" from another climbing structure. Observed Lil Tikes blue slide to be approximately 8" form the fence. Observed Step to climber to be approximately 46" from wooden post and 33" from basketball hoop. Correction: Ensure a fall zone consistent with the nationally recognized standard on all sides of permanent climbing equipment and swings. Correct immediately or make inaccessible to children. Document compliance to the Licensing Specialist with the written response. Correct by 10/09/2023
Corrected Corrected by Oct 9, 2023
Category: physical safety. Marked corrected in the state record.
7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment
Climbing jeep, Lil Tikes, and Step 2 climbers to be missing resilient surfacing and placed on dirt. Correction: Permanently installed playground equipment must have at least six inches of protective surfacing. Correct immediately or make inaccessible to children. Document compliance to the Licensing Specialist with the written response. Correct by 10/09/2023
Corrected Corrected by Oct 9, 2023
Category: physical safety. Marked corrected in the state record.