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 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;

Reviewed five (5) children files and observed two (2) files to have expired written authorizations for emergency medical care signed by the child's parent(s) or guardian(s). Correction: Obtain two (2) written authorizations for emergency medical care signed by the child's parent(s) or guardian(s). Correct immediately. Send verification with written response to Specialist. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: health medication. 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.

Reviewed the facility's records and observed to be missing dosumentation of emergency drills, fire drills, tornado drills, lockdown and active shooter drills for the year of 2024. Correction: Ensure to conduct emergnecy drills, fire drills must be held monthly, tornadoes drills must be held monthly from March to October, lockdown and active shooter drills must be held at least quarterly. Correct immediately. Send verification with written response to Specialist. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. 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 the Provider's file and observed to be missing the department-approved Prevention of Shaken Baby/Abusive Head Trauma training. The training certificate on file was dated 09/11/2022. Correction: Obtain the department-approved Prevention of Shaken Baby/Abusive Head Trauma training. Correct immediately. Send verification with written response. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. 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 the Provider's file and observed to be missing the department-approved safe sleep training. The training certificate on file was dated 10/01/2022. Correction: Obtain the department-approved safe sleep training. Correct immediately. Send verification with written response. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as "keep out of reach of children.

The following hazardous items were found accessible to children: A bottle of one soft scrub, a bottle of car cleaner, a large bottle of Dawn dish soap, and a bottle of leather cleaner were observed under the kitchen sink. Also in the kitchen, inside two (2) unlocked drawers it was observed many sharp knives, two (2) adult scissors, an apple cutter. Additionally, in the bathroom, on top of the counter it was observed a bottle of Febreze air freshner, and inside an unlocked cabinet drawer there were many heir products. All hazardous items listed above were labeled by manufacturer as "keep out of reach of children", posing a potential safety harazous. Correction: All hazardous items and materials must be inacessible to children. Correct immediately. The Provider corrected the violation at the time of the inspection by placing safety locks on the kitchen cabinet and drawers, on the bathroom drawer and by removing the Febreze air freshner from the bathroom counter and placing it on top of the refrigerator. No response is necessary. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

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

7.707.91.M · All play equipment must be designed to guard against entrapment and strangulation. Swing sets and other outdoor play equipment must be correctly assembled, well maintained, and securely stabilized or anchored. All swings for children three (3) years of age and older must have seats made of flexible material.

The playground slide had an opening on top of the slide, posing a potential strangulation hazard. Correction: All play equipment must be designed to guard against entrapment and strangulation. Correct immediately. Send verification with written response. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

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

7.707.922.A · Toys, toy parts and any material accessible to children under three (3) years of age must be large enough that they cannot be swallowed or inhaled, to prevent a choking hazard.

On the floor of the playroom many small toys such as little chairs, little shoes, little dishwashers. little doll FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ barretts, accessible to children under three (3) years of age, posing a potential choking hazard. Correction: Toys, toy parts and any material accessible to children under three (3) years of age, must be large enough that they cannot be swallowed or inhaled, to prevent a chocking hazard. Correct immediately. The Provider corrected the violation at the time of the inspection by picking up the small toys from the playroom floor and placing it up where the children under three (3) years of age cannot access. No response is necessary. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

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