2.336.C.11 · Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

Two cardboard boxes within 2 feet of the furnace and hot water heater in the basement. Correction: Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. Correct by 10/29/24. Provider moved the boxes more than 3 feet away from the furnace and hot water heater. Corrected at the time of inspection. No response necessary. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 8 child files and observed 1 child to be missing documentation of immunization status. Previously cited on 12/12/23. Correction: Obtain documentation of immunization status. Correct by 10/29/24. Document compliance to Specialist by 11/5/24. Correct by 11/05/2024

Corrected Corrected by Nov 5, 2024

Category: health medication. 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;

Provider to be missing a current medication administration training. Correction: Obtain a current medication administration training. Correct by 10/29/24. Document compliance to Specialist by 11/5/24. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

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.

Reviewed 7 child files and observed one file to be missing documentation of immunization status. Correction: Obtain documentation of immunization status. Previously cited on 1/26/23. Correct by 12/12/23. Document compliance to Specialist by 1/12/24. Correct by 12/12/2023

Corrected Corrected by Dec 12, 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 7 child files and observed 3 children to be missing a statement of health status and 1 child to have an expired statement of health status. Correction: Obtain current statement of health status signed and dated by a health care provider. Correct by 1/12/24. Document compliance to Specialist by 1/12/24. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed providers staff file and observed Jennifer B. to have an expired Prevention of Shaken Baby/Abusive Head Trauma training. Correction: Obtain a current Prevention of Shaken Baby/Abusive Head Trauma training. Correct by 12/12/23. Document compliance to Specialist by 1/12/24. Correct by 12/12/2023

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Provider Jennifer B. to have an expired Child Abuse Prevention training. Correction: Obtain a current Child Abuse Prevention training. Correct by 12/12/23. Document compliance to Specialist by 1/12/24. Correct by 12/12/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Environment (CDPHE) immunization course within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed providers file and observed Jennifer B. to have an expired Immunization training. Correction: Obtain a current CDPHE approved Immunization training. Correct by 12/12/23. Document compliance to Specialist by 1/12/24. Correct by 12/12/2023

Corrected Corrected by Dec 12, 2023

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

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.

Reviewed 7 child files and observed 1 child to be missing emergency medical authorization. Correction: Obtain emergency medical authorization. Previously cited on 1/26/23. Correct by 12/12/23. Document compliance to Specialist by 1/12/24. Correct by 12/12/2023

Corrected Corrected by Dec 12, 2023

Marked corrected in the state record.

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Reviewed providers file and observed Jennifer B. to have an expired Safe Sleep training. Correction: Obtain a current Safe Sleep training. Correct by 12/12/23 Document compliance to Specialist by 1/12/24. Correct by 12/12/2023

Corrected Corrected by Dec 12, 2023

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

7.707.923.B · In rooms accessible to children, all electrical outlets and power strips must nave protective covers, or safety outlets must be installed; and all exposed light bulbs must have protective covers. Electrical cords must be in good condition and not posing a hazard, such as strangulation, falling or tripping.

One lower electrical outlet, accessible to children, to be missing an outlet cover in the main play area. Correction: All electrical outlets accessible to children must have outlet covers. Correct by 12/12/23. Provider added an outlet cover to the exposed outlet. Corrected at the time of inspection. No response necessary. Correct by 12/12/2023

Corrected Corrected by Dec 12, 2023

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