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 abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed the provider's training records and observed the record to be missing the required current child abuse prevention training. Correction: Obtain the required child abuse prevention training. Correct immediately by 7.21.2025, and submit a written statement of compliance to the Specialist by 8.21.2025. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the provider's training records and observed the record to be missing the required current introduction to the early intervention and preschool special education programs training. Correction: Obtain the required introduction to the early intervention and preschool special education program training. Correct by 8.21.2025, and submit a written statement of compliance to the Specialist. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's training records and observed the record to be missing the required recognizing the impact of bias on early childhood professionals training. Correction: Obtain the required recognizing the impact of bias on early childhood professionals training. Correct by 8.21.2025, and submit a written statement of compliance to the Specialist. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed the provider's training records and observed the record to be missing the required current Injury Prevention for Homes training. Correction: Obtain the required Injury Prevention for Homes training. Correct by 8.21.2025, and submit a written statement of compliance to the Specialist. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the provider's training records and observed the record to be missing the required Working with an Early Childhood Mental Health Consultant training. Correction: Obtain the required Working with an Early CHildhood Mental Health Consultant. Correct by 8.21.2025, and submit a written statement of compliance to the Specialist. Correct by 08/21/2025

Corrected Corrected by Aug 21, 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 seven children's records and observed two records to be missing documentation of the required emergency medical authorization. Correction: Obtain documentation of the required emergency medical authorization for all children's records. Correct immediately by 7.21.2025, and submit a written statement of compliance to the Specialist by 8.21.2025. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

Category: health medication. 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 seven children's records and observed three children's records to be missing documentation of the required immunization record. Correction: Obtain current immunization records for all children's records as required. Correct immediately by 7.21.2025, and submit a written statement of compliance to the Specialist by 8.21.2025. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

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

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed seven children's records and observed three records to be missing documentation of the required medical statement. Correction: Obtain documentation of the required medical statement for all children's records. Correct by 8.21.2025, and submit a written statement of compliance to the Specialist. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

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

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

A large round crack on the bigger slide outside posing a potential safety hazard. Correction: Equipment must be sturdy, safe, and free from hazards. Correct immediately by 7.21.2025, and submit a written statement of compliance to the Specialist by 8.21.2025. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

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

2.336.C.11 · Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

Cardboard boxes and plastic bags placed alongside the furnace posing a potential safety hazard. Correction: Flammable or combustible items must be at least three feet from the furnace and water heater. Correct immediately by 7.21.2025, and submit a written statement of compliance to the Specialist by 8.21.2025. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

Category: physical safety. 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 providers and observed no documentation of 1st aid CPR training. Correction: Obtain current 1st aid/CPR department approved training and add to file. Correct immediately and send written verification to specialist with response. Correct by 08/23/2024

Corrected Corrected by Aug 23, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 providers file and observed no documentation of emergency drills. Correction: A record of all emergency drills held over the last 12 months must be maintained by the facility, correct immediately and send written response to specialist. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

reviewed providers file and observed no documentation of medical health status for husband, daughter, granddaughter and son all who provider identified as living in the home. Correction: Obtain current medical health statements for all homes living in the home and send written verification to specialist with response. Correct by 09/20/2024

Corrected Corrected by Sep 20, 2024

Category: health medication. 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 providers file and observed no documenation of department approved immunization training. Correction: Obtain current department approved immunization training for provider and add to providers file. Correct immediately and send written verification to specialist with response. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

reviewed providers file and observed no documentation of Disaster preparedness training. Correction: Obtain current disaster preparedness training and add to providers file. Correct immediately and send written

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

reviewed provider file and observed provider Patricia and Husband to need to renew FBI background check. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: background checks. 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 files and observed ch1,ch3,ch4 to have expired emergency medical authorization as of 6.23.24 and 4.19.24. Observed ch2 to have no documentation of emergency medical authorization. Correction: Obtain current emergency medical authorization for all children and add to files. Correct immediately and send written response to specialist. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: health medication. 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 children files and observed ch1, ch2, ch3, ch4, ch5 to have no documentation of immunizations records. Correction: Obtain current immunization documentation for all children and add to files. Correct immediately and send written response to specialist. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

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 files and observed no documentation of medical health statements for any child. Correction: Obtain current medical health statement for all children and add to files, and send written response to specialist. Correct by 09/20/2024

Corrected Corrected by Sep 20, 2024

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

in the kitchen unlocked cabinet under sink to have cleaning supplies all labeled "keep out of reach of children" to be accessible to children . Observed unlocked cabinet under the sink in the bathroom to have mouth wash to be labeled "keep out of reach of children"to be accessible to children. Observed in living room corner on child vanity bottles of essence oil labeled keep out of reach of children to be accessible to children. On living room stairs a large bottle of ezcema cream to be labeled "keep out of reach of children" to be accessible to children. Correction: all hazardous items ,all items labeled keep out of reach of children must be inaccessible to children, correct immediately, corrected at time of visit provider made items inaccessible to children. No response needed. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: physical safety. 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.

in the playroom on the neon green wall an electrical outlet accessible to children with no protective cover. Correction: All rooms accessible to children, all electrical outlets ,power strips must have protective covers. Correct immediately, corrected at time of visit provider added protective cover. No respone needed. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed providers file and observed provider to have expired Standard Precautions training. (10/22) Correction: Obtain current Standard Precautions Training and maintain in file. Correct Immediately Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: ratio. Marked corrected in the state record.