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 7 child files. 2 children missing current medical statements. Correction: Review all child files. All children must have health statements updated in accordance with the American Academy of Pediatrics or as required in writing by a health care provider. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

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

2.329.E · Toddlers, preschoolers, and older children, as necessary, must have a suitable mat at least two inches thick, cot, bed, or sofa, with a clean washable sheet and blanket or other suitable covering that has been laundered between uses by different children.

At the time of visit, in the upstairs bedroom, two children were resting on fold out foam toddler couches that were less than 2 inches thick and did not have clean washable sheets. These were not suitable for rest time. Correction: Immediately, toddlers, preschoolers, and older children must have a suitable rest equipment as listed in rule at all times. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

2.336.A.5 · All rooms must be kept in a clean and sanitary condition and be free of any evidence of pest or rodent infestation.

At the time of visit, in the kitchen, a dirty diaper was on the edge of the kitchen counter, the home had thick, dusty surfaces where children were accessing toys, and the bedroom where children were resting had piles of clothes on the floor. Large clumps of pet hair were observed throughout the home. Correction: Immediately, all rooms used for child care must be kept clean and sanitary at all times. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

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 visit, in the kitchen, the cupboard under the sink was unlocked and cleaning supplies labeled 'keep out of reach of children' were accessible to children. The kitchen was not blocked off and children were awake and active. Correction: Immediately, all hazardous items and materials must be inaccessible to children at all times. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, throughout the home, there were loose charging cords and electrical cords that were accessible to children. Correction: Immediately, all electrical cords must be inaccessible to children and must not pose a strangulation, falling, or tripping hazard at any time. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

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

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

At the time of visit, in the backyard, the climing structure did not have the required 6 inches of resilient surface under the play structure. Correction: Immediately, all climbing equipment just have resilient surface of at least six (6) inches in the use zone at all times. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

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

2.335.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

At the time of visit, in the kitchen and upstairs bathroom, the cabinets under the sinks were unlocked making garbage cans accessible to children. In the kitchen, a bag of empty aluminum cans was accessible to children. The kitchen was not blocked off and children were awake and active. Correction: Immediately, all garbage and other wastes must be inaccessible to children at all times. Submit a written statement of compliance by 9/29/2024. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

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

2.337.B.3.a · Toddler climbing equipment, sliding equipment, or equipment with attached platforms must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

At the time of visit, the use zone area around the climbing structure had toys and materials within it, and the resilient surface did not extend 6 feet in all directions. Correction: Immediately, all play structures must have the appropriate use zone surrounding the equipment as listed in

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.707.91.H · All stairways must be free from hazards, and those with more than five (5) steps must be equipped with banisters or handrails within reach of children. The slats on all railings must be no wider than four (4) inches apart or modified to prevent entrapment.

At the time of visit, items including buckets, rugs and a booster seat were at the bottom of the stairs creating a evacuation and tripping hazard from the child care space. Correction: Immediately, all stairways must be free from hazards at all times. Corrected at the time of visit, the provider moved the items into the storage room making them inaccessible to children. Submit a written statement of future compliance by 8/2/2023. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, in an unlocked cabinet under the sink in the bathroom used for child care, bottles of cleaning products and hand soap labeled 'keep out of reach of children' were accessible to children. Correction: Immediately, all hazardous items must be inaccessible to children at all times. Corrected at time of visit, the provider moved the items to a high shelf making them inaccessible to children. Submit a written statement of future compliance by 8/2/2023. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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

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 6 child files. One (1) child missing current statement of health status from a health practitioner. Correction: Review all child files. All children must have a current statement of health status. Submit a written statement of compliance by 8/2/2023. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Category: ratio. Marked corrected in the state record.