Melissa Easley

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.

Reviewed the provider's file and observed Melissa E. lacking a current documentation of a standard precautions training. Correction: Immediately, the provider must have a standard precautions training and must renew annually. Submit documentation and a written statement of compliance by 10/22/2024. Correct by 10/15/2024

Corrected by Oct 15, 2024

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 13 child files. Observed 3 files lacking current authorization for emergency medical authorization. Correction: Immediately, all children must have authorization from a parent/guardian for emergency medical care. Submit a

7.707.51.A.10 · The admission record must include:Written authorization, obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle.

Reviewed 12 child files. Observed Evelyn T. missing current documentation of a written authorization from a parent or guardian to participate in field trips. Correction: Immediately, written authorization must be obtained in advance from a parent or guardian, for a child to participate in field trips or excursions. Submit a written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023

7.707.51.A.11 · The admission record must include:Written authorization for media use including, but not limited to, television and video viewing, music, 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 12 child files. Observed Evelyn T. missing current documentation of a written authorization for media use. Correction: Immediately, written authorization for media use must be on file. Submit a written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023

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.

Reviewed 12 child files. Observed Sophia R. missing current documentation of immunization status. Correction: Immediately, immunizations must be updated and recorded by the Colorado Department of Public Health and Environment. Submit written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023

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.

Reviewed 12 child files. Observed Sophia R. and Braxton S. missing a current health statement. Correction: Immediately, a current health status must be signed and dated by a health care provider within the last twelve (12) months. Submit a written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 12 child files. Observed Sophia R. missing current written authorization to obtain emergency medical care. Correction: Immediately, written authorization to obtain emergency medical care must be on file and re-authorized annually. Submit a written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023

7.707.71.C.1.c · . Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization.

Reviewed 12 child files. Observed Sophia R. missing current written authorization to administer topical preparations. Correction: Immediately, topical preparations can be administered solely with a parent authorization. Submit a written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023

7.707.94.E · The home must obtain written permission from the parent or guardian for transportation of the child.

Reviewed 12 child files. Observed Sophia R. missing current documentation of a written permission from a parent for transportation of the child. Correction: Immediately, written permission from the parent or guardian must be obtained for transportation of the child. Submit a written statement of compliance by 12/13/2023. Correct by 11/29/2023

Corrected by Nov 29, 2023