2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed provider file. Provider missing documenation of a current shaken baby/abusive head trauma training. Previously cited on 7/21/2023. Correction: Immediately, review provider file. Provider must renew the shaken baby/abusive head trauma training every 2 years and documentation must be available for review at all times. Submit documentation and a written statement of compliance by 8/3/2024. Correct by 07/03/2024

Corrected Corrected by Jul 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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 provider file. Provider missing documenation of a current child abuse prevention training. Previously cited on 8/27/2021 & 7/21/2023. Correction: Immediately review provider file. Provider must renew the child abuse prevention training annually and documentation must be available for review at all times. Submit documentation and a written statement of compliance by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Reviewed provider file. Provider missing documenation of a current safe sleep training. Previously cited on 7/21/2023. Correction: Immediately review provider file. Provider must renew a safe sleep training annually and documentation must be available for review at all times. Submit documentation and a written statement of compliance by 8/3/2024. Correct by 07/03/2024

Corrected Corrected by Jul 3, 2024

Category: physical safety. 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 provider file. Provider missing documenation of a current immunizations training. Previously cited on 8/27/2021, 7/21/2022, & 7/21/2023. Correction: Immediately review provider file. Provider must renew the immunizations training annually and documentation must be available for review at all times. Submit a written statement of compliance by 8/3/2024. Correct by 07/03/2024

Corrected Corrected by Jul 3, 2024

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

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, in the kitchen, prescription medication was in a low, unlocked drawer and accessible to children. Correction: Immediately, all prescription medication must be locked and inaccessible to children at all times. Submit a written statement of compliance by 8/3/2024. Correct by 07/03/2024

Corrected Corrected by Jul 3, 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, 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 unlocked kitchen drawers, there were 5 lighters, open boxes of loose, plastic ziploc bags, a bottle of corizone cream labeled 'keep out of reach of children' and a bottle of Benadryl cream labeled 'keep out of reach of children', all accessible to children. Correction: Immediately, all hazardous items and materials must be inaccessible to children at all times. Submit a written statement of compliance by 8/3/2024. Correct by 07/03/2024

Corrected Corrected by Jul 3, 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.

At the time of visit, in the living room, guest bedroom/nap room, and kitchen, several outlets were missing outlet covers. In the living room, electrical cords for a foot massager and tower fan were accessible to children and posed tripping hazards. Correction: Immediately, in rooms accessible to children, all electrical outlets must be covered and electrical cords must not pose a hazard. Submit a written statement of compliance by 8/3/2024. Correct by 07/03/2024

Corrected Corrected by Jul 3, 2024

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