2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

The provider's file was reviewed at the time of the visit, and it was found that the department-approved medication administration training had expired on 2/8/2025. Correction: Immediately complete the department-approved medication training to include being delegated by a registered nurse of doctor. Submit a copy of a current Department-approved medication administration by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

At the time of the visit, reviewed 3 children files and found that 1 file was missing an updated immunization record. Correction: Immediately review all children's files and ensure all files contain an updated immunization record. Submit a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

2.312.K · Within thirty (30) 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 playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

At the time of the visit, reviewed the provider's file and found the Department-approved playground safety for homes training certificate was missing. Correction: Immediately complete the Department-approved playground safety for homes training. Submit a copy of the training certificate and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training requirements;

At the time of the visit, the provider's training was reviewed, and found the Department-approved introduction to the early intervention and preschool special education training certificate was missing. Correction: Immediately complete the Department-approved introduction to the early intervention and preschool special education training. Submit a copy of the training certificate and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 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;

At the time of the visit, the provider's training was reviewed and found the Department-approved recognizing the impact of bias training certificate was missing. Correction: Immediately complete the Department-approved recognizing the impact of bias training. Submit a copy of the training certificate and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 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.

At the time of the visit, the provider's training was reviewed and found the Department-approved Working with an Early Childhood Mental Health Consultant training certificate was missing. Correction: Immediately complete the Department-approved Working with an Early Childhood Mental Health Consultant training. Submit a copy of the training certificate and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

At the time of the visit, the provider's training was reviewed and found that the provider was missing 15 clock hours of ongoing professional development training each year, which includes at least 3 hours of social-emotional training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately complete 15 clock hours of ongoing professional development training each year, which includes at least 3 hours of social-emotional training. Submit copies of at least 15 hours of training certificates and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: recordkeeping. 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;

At the time of the visit, reviewed 3 children files and found that 1 file was missing a current emergency medical authorization. Correction: Immediately review all children's files and ensure all files contain a current emergency medical authorization. Submit a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: health medication. 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.

At the time of the visit, the provider's medical statement had expired on 1/29/2024. Correction: Immediately obtain a current medical statement. Submit a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

2.324.A.5 · Hand washing areas should promote self-help skills to include, but not be limited to, sturdy and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ age-appropriate step stools, soap, and single-use or disposable towels accessible to children.

During the safety walk-through, in the bathroom, there was not any single-use or disposable towels accessible to children. Correction: Immediately ensure children to have access to single-use or disposable towels when they wash their hands. Submit a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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 the visit, there were uncovered outlets on the kitchen island, in the dining room, in the living room, and in the basement hallway and bathroom. Correction: Immediately cover all open outlets. Submit pictures and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

2.336.C.15.a · Fire extinguishers must be replaced at least every six (6) years.

At the time of the visit, checked the fire extinguisher and observed the fire extinguisher has a date of 2018 stamped on the side. Correction: Immediately replace the fire extinguisher. Submit pictures and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: physical safety. 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.” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit, observed a package of wipes and Aquaphor sitting on the floor accessible to children. Correction: Immediately ensure all items labeled "keep out of reach of children" are inaccessible to children. Submit a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 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.

At the time of the visit, observed a cardboard box was observed sitting next to the hot water heater in the utility closet in the basement. Correction: Immediately ensure all items stored in the utility closet are at least 3 feet from the furnace and hot water heater. Corrected at the time of the visit, the provider removed the box from the closet. Submit a written statement of future compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: physical safety. 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 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.

At the time of the visit, identified through the provider statement that emergency drills, fire drills, and tornado drills had not been documented. Correction: Immediately ensure that emergency drills, lockdown, and active shooter on premises drills are held at least quarterly, fire drills are held monthly, and tornado drills are held monthly from March to October. Submit a schedule of each drill for the next 7 months and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

Identified through the provider's statement, that they have not completed monthly smoke alarm testing. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately complete monthly smoke alarm testing. Submit a schedule of each drill for the next 7 months and a written statement of compliance by 6/4/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed provider file. Missing documentation of a current standard precautions training. Correction: Immediately review provider file. Provider must complete a training in standard precautions and this training must be updated annually. Submit documentation and a written statement of compliance by 8/16/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: ratio. 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 4 child files. 1 child missing documentation of a current health statement from a health care provider. Correction: Immediately, review all child files. Health statements for children over 2 years old must be updated in

Open Not marked corrected in the state record

Category: health medication. 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. Missing documentation of a current infant safe sleep training, and an infant was in care. Correction: Immediately review provider file. Provider must complete a training on infant safe sleep practices and this training must be updated annually. Submit documentation and a written statement of compliance by 8/16/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed provider file. Provider missing documentation of 15 annual hours of ongoing professional develepment. Correction: Review provider file. Provider must complete 15 hours of ongoing professional development each year. Submit documentation and a written statement of compliance by 8/16/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

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 4 child files. 2 children missing documentation of immunizations, and 1 child missing a record of immunizations on the approved CDPHE Form. Correction: Immediately review all child files. All children must have an immunization record prior to the first day of admission, and current immunization records must be submitted to the provider annually or upon changes. Submit a written statement of compliance by 8/16/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: health medication. 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 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.

At the time of visit, the provider was missing documentation of fire, tornado, and lockdown drills. Correction: Immediately, emergency drills, lockdown and active shooter on premises must he held quarterly, fire drills must be held monthly, and tornado drills must be held monthly from March - October, and documentation must be available for review at all times. Submit a written statement of compliance by 8/16/24. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.333.B · A selection of at least ten (10) books must be available for all children over two (2) years of age in care and must be organized and accessible to children most of the day. If children over five (5) years of age are in care, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ books relevant to the age of the child must be included within the ten (10) books

At the time of visit, the provider was caring for 8 children. 3 children were school age children. There were not enough books that were age appropriate to the children in care. Correction: A selection of at least 10 books must be available for all children over two and must be organized and accessible to children most of the day. If children over 5 years old are in care, books relevant to the age of the child must be included within the 10 available books. Submit a written statement of compliance by 8/16/2024. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

2.333.E · At least five (5) types of age-appropriate fine motor materials must be available for use daily which should include at least some of the following: crayons, paper, scissors, non-chokable small building toys, developmentally appropriate multi-size stringing beads, pegs, sewing cards, and puzzles.

At the time of visit, the provider was caring for 8 children. 3 children were school age children. Missing fine motor activities appropriate for school age children. Correction: At least 5 types of age-appropriate fine motor materials must be available for daily use at all times. Submit a written statement of compliance by 8/16/2024. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

2.333.F · Age-appropriate blocks and accessories must be accessible for free play daily allowing at least two (2) children to play independently, yet simultaneously.

At the time of visit, the provider was caring for 8 children. 3 children were school age children. Age-appropriate blocks were not available for school age children. Correction: Age appropriate blocks and accessories must be accessible for free play daily allowing 2 children to play independently and simultaneously. Submit a written statement of compliance by 8/16/2024. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

2.333.G · At least five (5) types of developmentally appropriate nature or science related games, materials, or activities must be available, such as: natural object collections, plants, gardens, pets, magnets, magnifying glasses, and/or science props. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, the provider was caring for 8 children. 3 children were school age children. Provider missing developmentally appropriate nature and science activities and materials for school age children. Correction: At least 5 types of developmentally appropriate nature or science related games, materials or activities must be available at all times. Submit a written statement of compliance by 8/16/2024. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

2.333.I · At least five (5) types of art materials must be available, such as: crayons, pencils, markers, paints, play dough, scissors, and glue. Some art materials must be readily available each day.

At the time of visit, there were insufficient art materials available for the ages of children in care. Correction: At least 5 types of art materials must be availabe at all times. Submit a written statement of compliance by 8/16/2024. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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 provider file, missing documentation of a current standard precautions training. Correction: Immediately, the state department approved training in Standard Precautions must be renewed annually. Submit documentation and a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Category: ratio. Marked corrected in the state record.

7.707.923.B · In rooms accessible to children, all electrical outlets and power strips must nave protective covers, or safety outlets must be installed; and all exposed light bulbs must have protective covers. Electrical cords must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ be in good condition and not posing a hazard, such as strangulation, falling or tripping.

During the safety walkthrough, several outlets throughout the home in areas where children have access did not have protective covers. Correction: Immediately, all electrical outlets must have protective covers at all times. Submit a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

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

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed provider file, missing documentation of a current immunization training. Correction: Immediately, each provider must complete the Colorado Department of Public Health and Environment immunization course which must be renewed annually. Submit documentation and a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

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

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed provider file, missing documentation of a current child abuse training. Correction: Immediately, each provider must complete a department-approved training about child abuse prevention that must be renewed annually. Submit documentation and a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed provider file, missing documentation of a current First Aid and CPR training. Correction: Immediately, the primary provider must complete a First Aid and CPR training, and maintain a current certification. Submit documentation and a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. 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 4 child files. 4 children missing documentation of current immunization status. Correction: Review all child files. Immunizations must be updated and recorded as specified on the certificate of immunization. Submit a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Category: health medication. 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 4 child files. 4 children missing documentation of a current statement of health status. Correction: Review all child files. Parents must submit a statement of the child's current health status or written verification of a scheduled appointment with a health care practitioner. Submit a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Category: ratio. Marked corrected in the state record.

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.

Reviewed 4 child files. 4 children missing current written authorization for emergency medical care. Correction: Review all child files. Written authorization from a parent/guardian for emergency medical care must be re-authorized annually. Submit a written statement of compliance by 9/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Marked corrected in the state record.