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 8 child records and observed 1 record to be lacking current documentation of a medical health statement signed and dated by a health care provider. Correction: Review all child files. Within thirty days after admission and within thirty days following the expiration date, parents of each child must submit a statement of the child's health status. Submit statement of compliance. Correct by 07/06/2024

Corrected Corrected by Jul 6, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 child records and observed 1 record to be lacking current documentation of written authorization for medical emergency care. Correction: Immediately, 6/6/2024, review all child files. Prior to or at time of admission, the record must include a dated, written authorization for emergency medical care, updated annually. Submit statement of compliance by 7/6/2024. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: health medication. 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 8 child records and observed 1 record to be lacking current documentation of written authorization for media use. Correction: Immediately, 6/6/2024, review all child files. Prior to or at time of admission, the record must include written authorization for media use. Submit statement of compliance by 7/6/2024. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 8 child records and observed 1 record to be lacking current documentation of written authorization for the application of sunscreen. Correction: Review all child files.The primary provider must obtain written authorization from parents for application of sunscreen. Submit statement of compliance. Correct by 07/06/2024

Corrected Corrected by Jul 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed the provider’s file and observed the file lacking documentation of CPR and First Aid training. Correction: Immediately, 6/6/2024, The primary provider must complete the Department approved First Aid and CPR training. Submit documentation and written statement of compliance by 7/6/2024. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization and approval for the activities described in the policies and procedures.

Reviewed 8 children’s files and observed one child’s file to be lacking current documentation of a signed document stating that parents/guardians have received the policies and procedures. Correction: Immediately, 6/6/2024, Review all children’s files. At time of enrollment, the provider must obtain a signed document stating that parents/guardians have received a copy of the policies and procedures. Submit a written statement of compliance by 7/6/2024. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

At the time of the visit, the family cat was missing documentation of proof of vaccination. Correction: Immediately, 6/6/2024, Any animals in the home must be vaccinated as required by state law. Submit documentation and written statement of compliance by 7/6/2024. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.