2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed 1 staff members files. Observed 1 staff members( Ellen L. ) files missing department approved certificate for mandated training child abuse prevention and reporting. Correction: Correct immediately Prior to working with children the primary provider and all staff members must complete a department approved training about Child Abuse Prevention. this training must be renewed annually. Submit a written statement of compliance to the specialist by. 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. 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.

Reviewed the facilities emergency drill logs, facility was missing monthly drill logs for lockdown and active shooter, fire drills, tornado drills for the last 12 months Correction: Emergency drills, fire drills, and tornado drills must be held monthly from March to October. A record of the drills held over the last 12 months must be maintained by the facility. Submit a written statement of compliance to the Specialists by Correct by 05/10/2024

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed 1 staff members files. Observed 1 staff members( Ellen L. ) files missing department approved Safe sleep training certificate.. Correction: Correct immediately. Prior to working with infants the provider and all staff members must complete a department approved safe sleep training. This training must be renewed annually. Submit a written statement of compliance to the specialist by 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually.

Reviewed 1 staff members files. Observed 1 staff members( Ellen L. ) files missing department approved Immunization course certificate. Correction: Within 30 days of caring for children the primary provider and all individuals responsible for collection, review, and maintenance of the child's immunization records must complete Department approved immunization course. This training must be renewed annually. Submit a written statement of compliance to the specialist by Correct by 05/10/2024

Corrected Corrected by May 10, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed 1 staff members files. Observed 1 staff members( of Ellen L.) files missing - hours of the required 15 hours annual training. Correction: All staff members must complete a minimum of 15 clock hours of trainings each year, at least 3 hours must be in the focus of social emotional development. Submit a written statement of compliance to the specialist by Correct by 05/10/2024

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 1 staff members files. Observed 1 staff members (Ellen L.) files missing department approved Standard Precautions Certificate. Correction: Correct immediately, prior to working with children provider must complete a department approved training and standard precautions, this training must be renewed annually. Submit a written statement of compliance to the Specialists by. 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: ratio. Marked corrected in the state record.

2.320.A.1 · 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: The child’s full name, date of birth, current address, and date of enrollment;

Reviewed 3 children files, 1 child's ( Kadash K.) file was missing an admission record, with child's name, date of birth, current address, and date of enrollment. Correction: Correct immediately At all times and admission record must be completed for each child prior or at the time of the child's admission, and updated annually, or when changes occur. submit a written statement of compliance to the specialist by 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. 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 3 children files, 1 child's ( Kadash K.) file was missing an admission record with written authorization for media use. Correction: Correct immediately. an admission record must be completed for each child prior to the time of the child's admission and updated annually for authorization for media use. Submit a written statement of compliance to the specialist by 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.321.A.2.c · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Documentation of school-required immunization status or medical or nonmedical exemption, is required by the Colorado Board of Health.. Up-to-date, school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 3 children files, 1 child's ( Kadash K.) file was missing Immunization records. Immunization records Correction: Correct immediately. at the time of the emission the parent or Guardian must provide the facility with documentation of school required immunization status or medical or non-medical exemption. Submit a written statement of compliance to the Specialists by 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: health medication. 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 3 children files, 1 child's ( Kadash K.) file was missing an admission record with written authorization for emergency Medical Care. Correction: Correct immediately. an admission record must be completed for each child prior to the time of the child's admission and updated annually it for authorization for emergency Medical Care and updated annually. Submit a written statement of compliance to the specialist by 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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

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.”

At the time of the visit there was a purse on the couch that was accessible to children, there was a box of Neutrogena wipes labeled Keep Out Of Reach of children on the floor accessible to children, there were a box of diapers on the floor accessible to children, also there was an unlocked drawer with scissors and electrical lighters accessible to children. Correction: Correct immediately. All hazardous items and materials must be inaccessible to children, and all items labeled by manufacturer as Keep Out Of Reach of children should be inaccessible to children corrected at the time of the visit the provider removed the person from the couch, put the box of Neutrogena wipes in a cabinet inaccessible to children, put the box of diapers on a counter inaccessible to children, and put the scissors and electrical lighters and a locked drawer inaccessible to children. 05/10/2024 Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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