7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

At time of visit, reviewed four (4) child files and three (3) had an expired emergency medical care form. Correction: Immediately, written authorization to obtain emergency medical care must be on file and must be re-authorized annually. Submit a written statement of complaince by 8/9/2023. Correct by 07/26/2023

Corrected Corrected by Jul 26, 2023

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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At time of visit, observed diaper wipes labeled "keep out of reach of children" were on a low shelf near the diaper changing table accessible to children. Correction: Immediately, all items labeled "keep out of reach of children" must be inaccessible to children at all times. Corrected at time of visit, the provider moved the wipes to a locked cabinet making them inaccesible to children. Submit a written statement of future complaince by 8/9/2023. Correct by 07/26/2023

Corrected Corrected by Jul 26, 2023

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

7.707.931.M · The use of a trampoline by children in care is prohibited. If there is a trampoline on the property of the home, it must be stored in a way that makes it totally inaccessible to children.

At time of visit, observed a small trampoline in the backyard accessible to children. Correction: Immediately, the use of trampolines are prohibited at all times. Corrected at time of visit, the provider removed the trampoline making it inaccessible to children. Submit a written statement of future compliance by 8/9/2023. Correct by 07/26/2023

Corrected Corrected by Jul 26, 2023

Marked corrected in the state record.