Rana Akbar

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.

At the time of visit, reviewed 2 staff files, observed both files to be lacking an updated department-approved training for immunization course. Correction: Immediately 9/22/2025, all staff must complete the department-approved immunization training. Submit documentation and a written statement of compliance by 10/13/2025. Correct by 09/22/2025

Corrected by Sep 22, 2025

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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.

At the time of visit, reviewed 2 staff files, observed both files to be lacking an updated department-approved safe sleep training. Correction: Immediately 9/22/2025, all staff must complete the department-approved safe sleep training. Submit documentation and a written statement of compliance by 10/13/2025. Correct by 09/22/2025

Corrected by Sep 22, 2025

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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.

At the time of visit, reviewed 2 staff files, observed both files to be lacking an updated department-approved child abuse prevention training. Correction: Immediately 9/22/2025, all staff must complete the department-approved child abuse prevention training. Submit documentation and a written statement of compliance by 10/13/2025. Correct by 09/22/2025

Corrected by Sep 22, 2025

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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.

At the time of visit, reviewed 2 staff files, observed both files to be lacking an updated department-approved standard precautions training. Correction: Immediately 9/22/2025, all staff must complete the department-approved standard precautions training. Submit documentation and a written statement of compliance by 10/13/2025. Correct by 09/22/2025

Corrected by Sep 22, 2025

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2.316.B · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and must include at a minimum the following information:

At the time of the visit, observed the parent handbook to be lacking sufficient documentation regarding the following policies: - Substitute care, and the clarification of responsibility for obtaining back-up care. - Field Trips and Excursions - Developmentally appropriate media use including, but not limited to, television shows, video, music, tablets, smartphones, and software used at the family child care home, and time limits for all media use. - How disciplinary decisions are made, Identify and consult with an early childhood mental health consultant or other specialists as needed. - Diapering and toileting - How parents are notified, for any child who has been separated from the group. - Regularly identifying on a routine basis recalled toys, equipment, furnishings, and food; developing a plan to remove the recalled items from the family child care home. Correction: Prior to submitting the license for approval, the parent handbook must include documentation regarding the listed policies. Submit documentation and a written statement of compliance by Correct by 10/30/2024

Corrected by Oct 30, 2024

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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, observed the following hazardous materials accessible to children: - Aluminum foil pack with sharp edges in an unlocked drawer in the kitchen. - Several bottles of cleaning supplies labeled "keep out of reach of children" underneath the kitchen sink in an unlocked cabinet. - A roll of trash bags in an unlocked cabinet underneath the sink. Correction: Immediately (9/30/2024), all hazardous materials must be stored in areas inaccessible to children. **Corrected at the time of the visit, the provider locked the drawer and the cabinet and made all items inaccessible to children. Submit a written statement of compliance by 10/30/2024 Correct by 09/30/2024

Corrected by Sep 30, 2024

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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 an uncovered electrical outlet accessible to children in the living room. Correction: Immediately (9/30/2024), all electrical outlets must have protective covers and be inaccessible to children. **Corrected at the time of the visit, the provider covered the electrical outlet with a plastic cover. Submit a written statement of compliance by 10/30/2024 Correct by 09/30/2024

Corrected by Sep 30, 2024

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2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

At the time of the visit observed the following tools and hazardous items accessible to children in the backyard: - Several propane tanks - Several garden shovels - 2 large size ladders - 2 snow shovels Correction: Immediately (9/30/2024) outdoor play space must be free from hazards at all times. Submit pictures and a written statement of compliance by 10/30/2024 Correct by 09/30/2024

Corrected by Sep 30, 2024

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2.320.A.2 · 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. Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, and cell numbers ; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the family child care home;

Reviewed the children's admission record, the record lacked information on parents'/guardians' email addresses and information about special instructions to reach parents. Correction: The admission record must be completed for each child prior to or at the time of the child’s admission. The admission record must include: information on parents'/guardians' email addresses and information about special instructions to reach parents. Submit documentation and a written statement of compliance by 10/30/2024 Correct by 09/30/2024

Corrected by Sep 30, 2024

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2.320.A.4 · 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: Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s) or guardian(s) cannot be reached immediately;

Reviewed the children's admission record, the record lacked information on the emergency contact address. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The admission record must be completed for each child prior to or at the time of the child’s admission. The admission record must include information on the emergency contact address. Submit documentation and a written statement of compliance by 10/30/2024 Correct by 09/30/2024

Corrected by Sep 30, 2024

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2.317.E.1 · Visitors Visits from all non-family members to the home must be on the sign in/out log, including the name, date, and arrival/departure times.

At the time of the visit, the program is lacking a visitors' log. Correction: All non-resident visitors to the family child care home during child care hours, including friends of the provider’s own children, must be documented on the sign-in/out log, including the name, date, arrival, and departure times. **Corrected at the time of the visit, the provider provided the licensing specialists with a piece of paper to log their names, the date, and the times. Submit documentation and a written statement of compliance by 10/30/2024 Correct by 09/30/2024

Corrected by Sep 30, 2024

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2.320.A.8 · 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 written record of any reportable accident, illness, or injury as defined in rule section 2.124 of “The Geneal Rules for Child Care Facilities” occurring during care must be retained in each child’s record, with a copy provided to the parent or guardian;

Reviewed the children's admission record, the record is lacking documentation of the injury reports. Correction: The admission record must include written record of any reportable accident, illness, or injury occurring during care must be retained in each child’s record, with a copy provided to the parent or guardian. Submit documentation and a

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