7.707.742.K.2 · Parent(s) or guardian(s) shall be allowed access to their children and all approved and licensed areas at all times.

Confirmed through provider statement that a parent was not allowed access to all approved and licensed areas at all times. Correction: Immediately, parents/guardians shall be allowed access to their children and all approved and licensed areas at all times. Submit a statement of compliance by 8/23/2023. Correct by 08/16/2023 Stage II Licensing Concern : The provider is running over the allowed licensed capacity. - FOUNDED

Corrected Corrected by Aug 16, 2023

Marked corrected in the state record.

7.707.22.E.1 · A large child care home: Child care may be provided to children from birth to eighteen (18) years of age. The provider needs an assistant when the ninth child arrives at the facility.

Confirmed through provider statement that there were 9 children in care today with only one provider and no assistant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, for a large child care home child care may be provided to children from birth to 18 years of age. The provider needs an assistant when the ninth child arrives at the facility. Submit a statement of compliance by 8/23/2023. Correct by 08/16/2023 ________________________________________________ Stage II Licensing Concern : Children are confined in car seats for extended periods of time while awake. - UNFOUNDED Stage II Licensing Concern : Children are allowed to sleep in car seats. - UNFOUNDED Stage II Licensing Concern : The provider did not actively supervise the children in care. - UNFOUNDED Stage II Licensing Concern : Children have to watch TV and when they cry during the activity they get put in time-out. - UNFOUNDED Stage II Licensing Concern : Crying children are placed in car seats in the bathroom or closet. - UNFOUNDED Stage II Licensing Concern : Infants were left unsupervised without a monitoring device in use. - UNFOUNDED ________________________________________________

Corrected Corrected by Aug 16, 2023

Marked corrected in the state record.

7.707.75.H.14 · . Children who are awake must not be confined for more than fifteen (15) minutes at a time to cribs, playpens, swings, high chairs, infant seats, or other equipment that inhibits freedom of movement. Children who are actively eating may be in a high chair or other approved feeding equipment for longer than fifteen (15) minutes. Children must be moved once feeding is complete. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit, observed an infant child confined to a pack and play for longer than one hour. Correction: Immediately, children who are awake must not be confined for more than 15 minutes at a time to cribs, playpens, swings, high chairs, infant seats, or other equipment that inhibits freedom of movement. Submit a written statement of compliance by 8/23/2023. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

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

7.707.91.E · All weapons must be locked and inaccessible to children. Ammunition and arrows must be locked and stored separately. This includes, but is not limited to, firearms, air rifles, bb guns, paintball guns, bows, hunting knives, swords, hunting sling shots, and martial arts weapons. Trigger locks are acceptable. Antique and other guns used for decoration must be unloaded, inoperable and have the firing pin removed. An unstrung bow need not be stored in a locked container. Weapons must not be transported in any vehicle in which children are riding unless the weapons are made inoperable and inaccessible. The provider, employees and substitutes must know the location of any weapons in the home

At the time of the visit, observed that the weapons inside the home were stored in a safe that had the key to unlock the safe inside the key hole making it easily accessible to children. Correction: Immediately, all weapons must be locked and inaccessible to children. Submit a statement of compliance by 8/23/2023. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: ratio. Marked corrected in the state record.

7.707.6.C · Sign In/Out Procedure The provider must maintain a daily sign in/out method containing the date, the child's name, the time that the child arrived at and left the home, and the parent, guardian, or authorized person's signature. A full signature is required by the parent or guardian every time the child arrives at or leaves the home. The provider may sign in or out children who arrive directly from school or an activity as needed on a daily basis. The provider must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

At the time of the visit, confirmed through provider statement that a daily sign in/out method is not maintained. Correction: Immediately, the provider must maintain a daily sign in/out method containing the date, the child's name, the

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.707.75.H.18 · . Infants must not be placed to sleep in the same crib or futon as another infant or child, and must never sleep with an adult in a bed, on a couch, or in any other setting or manner.

At the time of the visit, observed one toddler to be sleeping in a pack and play and another infant awake and standing in the same pack and play. Correction: Immediately, infants must not be placed to sleep in the same crib or futon as another infant or child, and must never sleep with an adult in a bed, on a couch, or in any other setting or manner. Submit a statement of compliance by 8/23/2023. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: physical safety. 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) 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.

At the time of the visit, reviewed 9 children's files and observed that 3 children were missing documentation of a current health statement. Correction: Immediately, 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 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

At the time of the visit, reviewed 9 children's files and observed that 1 child was missing documentation of an immunization status. Correction: Immediately, At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the home: 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. Submit a written statement of compliance by 8/23/2023. Correct by 08/16/2023

Corrected Corrected by Aug 16, 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.

At the time of the visit, reviewed 9 children's files and observed that 4 children were missing documentation of a curent medical authorization. Correction: Immediately, 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. Submit a statement of compliance by 8/23/2023.

Open Not marked corrected in the state record

Open / not marked corrected.