2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed the facility's records and observed out of state background checks clearance letter/or background check ckecklist for the Provider Martha F. and indivuduals residing in the home Martin G. and Saul F. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the the provider and residents Martin G. and Saul F. has completed the out of state background check/ out of state background check checklist. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: supervision. Marked corrected in the state record.

2.311.A.19 · Prior to working with children, all equally qualified providers, qualified substitutes, and all staff members must read and be trained on the policies and procedures for the administration of medications and sign a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed the facility's records and observed Martin G. (applicant 2) file to be missing a signed statement indicating that he has read and has been trained on the center's administration of medication policies and procedures. Correction: Obtain a signed statement indicating that Martin G. (applicant 2) has read and has been trained on the center's administration of medication policies and procedures. Send verification with written response to Specialist. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: ratio. 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 (2) staff files and observed Martin G. (applicant 2) file to be missing the department-approved training prevention of shaken baby/abusive head trauma. Correction: Obtain the department-approved training prevention of shaken baby/abusive head trauma for Martin G. (applicant 2). Correct by 05/15/2024

Corrected Corrected by May 15, 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 (2) staff files and observed Martha F. (primary provider) and Martin G. (applicant 2) files to be missing a department-approved introduction to the early intervention and preschool special education programs course. Correction: Obtain a department-approved introduction to the early intervention and preschool special education programs course for Martha F. (primary provider) and Martin G. (applicant 2). Send verification with written response to Specialist. Correct by 06/15/2024

Corrected Corrected by Jun 15, 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 (2) staff files and observed Martha F. (primary provider) and Martin G. (applicant 2) files to be missing a department-approved training for recognizing the impact of bias on early childhood professionals. Correction: Obtain a department-approved training for recognizing the impact of bias on early childhood professionals for Martha F. (primary provider) and Martin G. (applicant 2). Send verification with written response to Specialist. Correct by 06/15/2024

Corrected Corrected by Jun 15, 2024

Category: recordkeeping. 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 (2) staff files and observed Martha F. (primary provider) and Martin G. (applicant 2) files to be missing a department-approved training "working with aEarly Childhood Mental Health Consultant". Correction: Obtain a department-approved training "working with an Early Childhood Mental Health Consultant" for Martha F. (primary provider) and Martin G. (applicant 2). Send verification with written response to Specialist. Correct by 06/15/2024

Corrected Corrected by Jun 15, 2024

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

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 (2) staff files and observed Martin G. (applicant 2) file to be missing a department-approved training regarding "injury prevention for homes". Correction: Obtain a department-approved training regarding "injury prevention for homes" for Martin G. (applicant 2).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed the facility's records and observed Saul F. to be missing a FBI and CBI clearance letter. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the Provider has reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident Saul F. has completed the fingerprinting process. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: supervision. Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed the facility's records and observed to be Martha F. (primary provider) and Martin G. (applicant 2) files to be missing a signed statement indicating clearly defining child abuse and neglect pursuant to state law and outlining staff responsibility to report all incidents of child abuse or neglect. Correction: Obtain a a signed statement indicating clearly defining child abuse and neglect pursuant to state law and outlining staff responsibility to report all incidents of child abuse or neglect for Martha F. (primary provider) and Martin G. (applicant 2). Send verification with written response to Specialist. Correct by 05/15/2024

Corrected Corrected by May 15, 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 include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed twelve (12) children files and observed one (1) file to have an expired written authorization for emergency medical care. Correction: Obtain a current written authorization for emergency medical care for one (1) child. Corec immediately. Send verification with written response to Specialist. Correct by 05/15/2024

Corrected Corrected by May 15, 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 twelve (12) children files and observed one (1) file to have an expired statement of the child's health status signed and dated by a health care provider. The statement of the child's health status was dated 6/30/2021. Correction: Obtain a current statement of the child's health status signed and dated by a health care provider. Send verification with written response to Specialist. Correct by 06/15/2024

Corrected Corrected by Jun 15, 2024

Category: ratio. 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

Reviewed twelve (12) children files and observed ten (10) files to have an expired written authorization for media use including but not limited to television and video games viewing, music, tablet and/or smart phone usage, video games and computer use. Correction: Obtain a current written authorization for media use including but not limited to television and video games

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Reviewed nine (9) children files and observed ten (10) files to be mising written authorization and instruction from the parent(s) or guardian(s) for the application of sunscreen. Correction: Obtain a written authorization and instruction from the parent(s) or guardian(s) for the application of sunscreen for ten (10) children. Send verification with written response to Specialist. Correct by 05/15/2024

Corrected Corrected by May 15, 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.

Reviewed twelve (12) children files and observed twelve (12) files to be missing a signed document stating that they have received of the amended family child care policies and procedures. Correction: Obtain a signed document stating that the parent(s)/guardian(s) of all the children enrolled in the family child care home have received the amended family child care home policies and procedures. Send verification with written response to Specialist. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Marked corrected in the state record.