2.313.A · Prior to working with children, unless otherwise specified in rules, personnel files for equally qualified providers, qualified substitutes, and all staff members must be available for review by the Department and must include:

At the time of the visit, the provider was lacking their staff file. None of the Department approved trainings could be verified by the Licensing Specialist. Correction: Immediately ( 4/1/2025) , Prior to working with children, all personnel files for all staff members must be available for review by the Department. Submit documentation and a written statement of compliance by 5/1/2025. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

At the time of the visit, observed 3 uncovered electrical outlets in the room where children sleep. Correction: Immediately ( 4/1/2025), In rooms accessible to children, all electrical outlets must be covered. **Corrected at the time of the visit when the provider added protective covers to the outlets.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 5 children's files and observed two files to be lacking documentation of a child's current health status, signed and dated by a health care provider. Correction: Review all children's files. All children's files must include a statement of the child's current health status, signed and dated by a health care provider. Submit a written statement of compliance by 5/1/2025. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: ratio. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 children's files and observed two files to be lacking documentation of immunization status. Correction: Immediately (4/1/2025) Review all children's files. All children must have documentation of immunization status. Submit a written statement of compliance by 5/1/2025. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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 5 children's files and observed 3 files to be lacking updated written authorization for emergency medical care, signed and updated annually by the parent or guardian. Correction: Immediately (4/1/2025) Review all children's files. All children must have updated written authorization for emergency medical care, signed and updated annually by the parent or guardian. Submit a written statement of compliance by 5/1/2025. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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

2.113.A.7 · Any person intentionally making a false statement or report to the Department or to any agency delegated by the Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

On the providers response form dated 6/15/2024, the provider stated that a child's parents had an appointment with the child's doctor and would provide updated immunizations.. A child file that was reviewed during a previous inspection still did not have documentation of immunization status during today's visit on 4/1/2025. On the provider's response form dated 6/15/2024, the provider stated that all parents had returned emergency medical authorization forms. During today's inspection on 4/1/2025, three children's files that were reviewed on the last inspection, still had expired emergency medical authorization forms. Correction: Immediately ( 4/1/2025), any person making a false statement or report to the Department may be fined. Submit a written statement of compliance by 5/1/2025. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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