2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed two staff files, Janet M. and John M. to be missing department-approved training in emergency and disaster preparedness. Correction: Prior to caring for children, all staff must complete a department-approved training in emergency and disaster

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed two staff files, Janet M. and John M. to be missing injury prevention in homes training. Correction: Within ninety (90) calendar days of caring for children the primary provider, applicant 2, must complete a department-approved training regarding injury prevention in homes. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.309.A.4 · When more than eight (8) children are present, a second staff member that is qualified as an applicant 2, equally qualified provider, qualified substitute, staff member, or staff aide is required.

At time of inspection provider was alone in the home with 14 children in care. Correction: When more than eight (8) children are present a second staff member that is qualified as an applicant 2, or equally qualified provider, sub or staff aide must be present. Corrected at time of inspection. The providers husband (provider 2) came back home. The provider made phone calls for (2 parents) of children to be picked up to be in compliance at the time of inspection. Submit a written plan of action for compliance by the end of the day. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed two staff files, John M. to be missing standard precautions training. Correction: Prior to working with children, the primary provider applicant 2 must complete a department-approved training in standard precautions that meets current (OSHA) requirements. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: ratio. Marked corrected in the state record.

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed two staff files, John M. to be missing department approved course for medication administration. Correction: Prior to working with children, the primary provider applicant 2 must complete a department-approved training in medication administration. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: ratio. Marked corrected in the state record.

2.309.A · A large family child care home license allows a provider to care for up to twelve (12) children from birth to eighteen (18) years of age; the capacity includes the provider’s own children under ten (10) years of age. Care may be provided to no more than two (2) children under eighteen(18) months of age. This license may be approved with the following conditions:

At time of inspection observed 14 children in care. Provider was over capacity per LFCH license type. Correction: A large family child care home license allows for a provider to care for up to twelve (12) children from birth to eighteen (18) years of age. Care may be provided to no more than two children under eighteen (18) months of age. Providers husband came home, he is the second applicant. Provider called two parents to come pick up children bringing provider back into compliance with LFCH license type. Correct Immediately. Submit a written plan of action compliance by the end of the day. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed two staff files, John M. to be missing prevention of shaken baby/abusive head trauma. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, must complete a department-approved prevention of shaken baby/abusive head trauma. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed two staff files, John M. to be missing child abuse prevention training. Correction: Prior to working with children the primary provider, applicant 2, must complete a department-approved child abuse prevention training annually, including symptoms and signs of child abuse and how to report it. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed two staff files, John M. to be missing safe sleep training. Correction: Prior to working with infants, the primary provider, applicant 2, must complete a department-approved safe sleep training annually. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: physical safety. Marked corrected in the state record.

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals 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. This training must be renewed annually.

Reviewed two staff files, John M. to be missing child immunization course training. Correction: Within thirty (30) calendar days of caring for children the primary provider and all the individuals responsible for the collection, review and maintenance of child immunization records must complete the the (CDPHE) immunization course annually. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: health medication. Marked corrected in the state record.

2.312.K · Within thirty (30) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed two staff files, John M. to be missing playground safety for homes training. Correction: Within thirty (30) calendar days of caring for children the primary provider, applicant 2, must complete the department-approved training regarding playground safety for homes. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Reviewed two staff files, Janet M. and John M. to be missing early intervention and preschool special education programs training. Correction: Within ninety (90) calendar days of caring for children the primary provider, applicant 2, must complete a department-approved introduction to early intervention and preschool special education programs training. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.N · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed two staff files, Janet M. and John M. to be missing recognizing the impact of bias on early childhood professionals training. Correction: Within ninety (90) calendar days of caring for children the primary provider, applicant 2, must complete a department-approved training recognizing the impact of bias on early childhood professionals. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. 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.

Reviewed two staff files. Janet M. to be missing verification of completing her FBI criminal background check. Correction: Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage powerpoint. Submit verification that Janet M. has reviewed the powerpoint within 24 hours. Correct immediately. Submit documentation of (FBI) for staff members with written response to Licensing Specialist. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: background checks. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Reviewed two staff files, Janet M. and John M. to be missing working with an early childhood mental health consultant training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within ninety (90) calendar days of caring for children the primary provider, applicant 2, must complete a department-approved training working with an early childhood mental health consultant. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: health medication. Marked corrected in the state record.

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed two staff files, Janet M. and John M. to be missing fifteen (15) clock hours of ongoing professional development. Correction: The primary provider, applicant 2, must complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least 3 hours need to be in social emotional development. Submit documentation to licensing specialist with written response. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Twelve child files were reviewed. Three child files found to be missing signed policies and procedures. Correction: At the time of enrollment and upon any amendments to policies and procedures, the provider must obtain verification of parent signature that they have received the policies and procedures. Submit documentation to licensing

Open Not marked corrected in the state record

Open / not marked corrected.

2.320.A.1 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: The child’s full name, date of birth, current address, and date of enrollment;

Twelve child files were reviewed. Four child files missing documentation of date of birth and date of enrollment. Correction: An admission record must be completed for each child prior to or at the time of admission and updated annually. The admission record must include full name, date of birth, current address and date of enrollment. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.10 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

Twelve child files were reviewed. Three child files to be missing media authorization forms. Correction: An admission record must be completed for each child prior to or at the time of admission and updated annually or when changes occur. The admission record must include written authorization for media use. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Twelve child files were reviewed. Two child files to be missing emergency medical authorization form. Correction: The admission record must include signed written emergency authorization form and updated annually. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: health medication. Marked corrected in the state record.

2.320.A.9 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

Twelve child files were reviewed. Two child files to be missing field trip authorization forms. Correction: The admission record must include signed written filed trip authorization form and updated annually. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.321.A.2.c · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Documentation of school-required immunization status or medical or nonmedical exemption, is required by the Colorado Board of Health.. Up-to-date, school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Twelve child files were reviewed. Four child files to be missing proof of immunization. Correction: At the time of admission, parents or guardians must provide documentation of school-required immunizations or medical exemption. Correct immediately. Submit documentation to licensing specialist with written response. Correct

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

Twelve child files were reviewed. Three child files to be missing health statements and two child files with expired health statements. Correction: Within thirty (30) days of admission or thirty (30) days of expiration date the parents or guardians must submit a statement of the child's current health status signed and dated by health care provider or written verification of appointment. Submit documentation to licensing specialist with written response Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Category: ratio. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Twelve child files were reviewed. Three child files to be missing suncreen authorization form. Correction: The primary provider must obtain written authorization and instructions from the parents or guardians for the application of sunscreen or alternate sun protection. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

2.334.D · For children two (2) to five (5) years of age, screen time must be limited to no more than sixty (60) minutes per day.

At the time of inspection observed 12 children sitting in front of TV for 2 hours without other activities. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: For children two (2) to five (5) years of age, screen time must be limited to sixty (60) minutes per day. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

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

At time of inspection observed 2 ripped balls in outdoor play area accessible to children. Correction: All indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards. Correct immediately. Submit documentation to licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: physical safety. Marked corrected in the state record.