2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, 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.”

In kitchen one drawer unlocked containing sharp kitchen knifes and another containing screw drivers. Correction: Make all hazardous items inaccessible to children. Correct by 06/04/2024

Corrected Corrected by Jun 4, 2024

Category: physical safety. 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 Lori and Dennis's background checks and observed their FBI background checks to be expired as of 05/13/2024 Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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.

Reviewed provider file and observed missing documentation of current health evaluation. Correction: Obtain documentation of current health evaluation. Correct by 07/04/2024

Corrected Corrected by Jul 4, 2024

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

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 5 children's files and observed CH 1, 2, 4 , 5 to have expired health statements. Correction: Obtain documentation of current health statements for all children in care. Correct by 07/04/2024

Corrected Corrected by Jul 4, 2024

Category: ratio. Marked corrected in the state record.

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ trained in administering medication.

In master bedroom with door open two prescription medication on each end table accessible to children. Observed in kitchen medications stored in unlocked cabinet. Correction: Store all medication locked and inaccessible to children. Correct by 06/04/2024

Corrected Corrected by Jun 4, 2024

Category: ratio. 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 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 5 children's files and observed CH 4, 5 emergency medical authorization to be expired as of 03/01/24 Correction: Obtain documentation of emergency medical authorization for all children in care. Correct by 06/04/2024

Corrected Corrected by Jun 4, 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 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.

No documentation of fire, tornado or lockdown drills being conducted. Correction: Conduct and maintain documentation of all required emergency drills as listed above. Correct by 06/04/2024

Corrected Corrected by Jun 4, 2024

Category: recordkeeping. Marked corrected in the state record.