Barbara Mcgregor

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.

Hammock in the outdoor play area with fall height over 20", accessible to children and lacking resilient surface in use zone. Correction: Immediately ensure all climbing equipment over 18" has minimum required use zone and resilient surface. Correct by 04/07/2026

Corrected by Apr 7, 2026

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2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) 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 provider. The statement of the child’s current health status must 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 statements must be kept at the licensed family child care home. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 3 child files and identified 1 child (CH3) with an expired health statement (expired 6/24/25). Correction: Ensure within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a healthcare provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months. The statement must include when the next visit is required by the health care provider. Correct by 05/07/2026

Corrected by May 7, 2026

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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;

Reviewed provider file and identified it lacking current medication administration training completed within the past 3 years (expired 1/22/26). Correction: Immediately ensure the primary provider, applicant 2, equally qualified provider, and qualified substitutes 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. Correct by 04/07/2026

Corrected by Apr 7, 2026

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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.”

3 containers of shampoo in upstairs bathroom on mid-level shelf and 2 lighters in unlocked kitchen drawer labeled "keep out of reach of children" and accessible to children. Observed roll of plastic trash bags on mid-level shelf in upstairs bathroom and roll of plastic trash bags in unlocked kitchen drawer accessible to children. Correction: Immediately ensure all hazardous and "keep out of reach" items are inaccessible to children. Corrected at the

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2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Reviewed both provider files and identified both with expired health evaluations. Correction: Ensure subsequent health evaluations for the primary provider and applicant 2 are obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. Correct by 06/07/2025

Corrected by Jun 7, 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.

Reviewed both provider files and identified both with expired Standard Precautions training. Correction: Immediately ensure both providers complete Department-approved Standard Precautions training and renew

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2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed both provider files and identified both with expired First Aid and CPR certifications. Correction: Immediately ensure both providers complete Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age. Submit copies of current First Aid and CPR certifications for both providers with written response statement. Correct by 05/08/2025

Corrected by May 8, 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.

Reviewed both provider files and identified both with expired mandated reporter training. Correction: Immediately ensure both providers 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. This training must be renewed annually. Correct by 05/08/2025

Corrected by May 8, 2025

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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 both provider files and identified both with expired immunization training. Correction: Ensure 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

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2.337.A.10 · Water used by children in play areas, including wading pools, must be drained and equipment must be cleaned and disinfected at the end of each day.

Standing water (approximately 2") with leaves in the black water table trough used by children in the backyard play area that had not been cleaned and disinfected at the end of the previous day. Correction: Immediately ensure water used by children in play areas, including wading pools, must be drained and equipment must be cleaned and disinfected at the end of each day. Violation partly corrected at the time of visit. Provider drained water from black wading trough. Document complete correction in written response. Correct by 05/08/2025

Corrected by May 8, 2025

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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.

Uncovered outlet in office accessible to children in care. Correction: Immediately ensure 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. Corrected at the time of visit. Provider covered outlet with a safety cover. NO RESPONSE REQUIRED. Correct by 05/08/2025

Corrected by May 8, 2025

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

Adult scissors in unlocked desk drawer in office accessible to children. Correction: Immediately ensure all hazardous items and materials and inaccessIble to children. Corrected at the time of visit. Provider moved scissors to area inaccessible to children. NO RESPONSE REQUIRED. Correct by 05/08/2025

Corrected by May 8, 2025

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2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) 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 provider. The statement of the child’s current health status must 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 statements must be kept at the licensed family child care home.

Reviewed 3 child files and identified 1 with an expired health statement. Correction: Ensure within 30 days of admission, and within 30 days following the expiration date, each child in care must have a statement of health status signed and dated by a health care provider. Document correction in written response. Correct by 06/19/2024

Corrected by Jun 19, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Pile of wooden boards, several with protruding nails, accessible to children in outdoor play area and posing potential safety hazards. Correction: Immediately ensure outdoor play space is kept free from hazards. Corrected at the time of visit. Nails were removed from boards and made inaccessible to children. Document plan of compliance in written response. Correct by 05/20/2024

Corrected by May 20, 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.”

Metal shovel on back patio deck within reach of children and package of baby wipes on side of bathtub, within reach of children, labeled "keep out of reach of children." Correction: Immediately ensure all hazardous items and materials are inaccessible to children. Corrected at the time of visit. Package of wipes was moved to higher shelf in bathroom and metal shovel was moved to higher worktable outside, and made inaccessible to children. NO RESPONSE REQUIRED. Correct by 05/20/2024

Corrected by May 20, 2024

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7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Reviewed both provider files and identified both with expired safe sleep training. Correction: Immediately ensure safe sleep training is completed by both providers. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed both provider files and identified both with expired Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than 3 years of age. Correction: Immediately ensure Prevention of Shaken Baby/Abusive Head Trauma training is completed by both providers. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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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 7 child files and identified 1 child with expired emergency medical authorization. Correction: Immediately ensure each child has a current, signed emergency medical authorization that is updated annually by parent(s) or guardian(s). Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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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.

Reviewed 7 child files and identified 4 certificates of immunization on non-approved form. Correction: Immediately ensure 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

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7.707.91.N · All exercise equipment must be inaccessible to children.

TRX suspension trainer straps hanging from ceiling and blue exercise/balance ball in downstairs play area, accessbile to children and posing potential safety hazards. Correction: Immediately ensure all exercise equipment is inaccessible to children. Violation partly corrected at the time of visit. TRX straps were removed from ceiling and made inaccessible to children. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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7.707.923.K · Any cooking stoves with controls within reach of a child shall have a safety guard.

5 knobs on kitchen stove lacking safety guards and within reach of children. Correction: Immediately ensure any cooking stove with controls within reach of children has safety guards. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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7.707.932.D · Portable climbing equipment over two feet (2') in height, whether indoor or outdoor, must be on a protective surfacing. No equipment can be placed on cement or grass.

Fabric hammock with fall height over 2' lacking protective surfacing and accessible to children in the backyard. Correction: Immediately cease use of hammock with children in care and ensure portable climbing equipment over two feet (2’) in height, whether indoor or outdoor, must be on a protective surfacing. No equipment can be placed on cement or grass. Corrected at the time of visit. Provider removed hammock from backyard and made it inaccessible to children in care. Document plan of compliance in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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7.707.922.A · Toys, toy parts and any material accessible to children under three (3) years of age must be large enough that they cannot be swallowed or inhaled, to prevent a choking hazard.

4 small glass gems in the backyard, toy train parts in the living room, hallway, and upstairs play room, with small parts that pose a choke hazard for children less than 3 years of age, accessible to child under the age of 3 at the time of inspection. Correction: Immediately ensure all toys, toy parts and any material accessible to children under 3 years of age does not present a choke or inhalation hazard. Violation partly corrected at the time of visit. Small glass gems were removed from backyard and made inaccessible to child less than 3 years of age. Document complete correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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7.707.923.L · Flammable or combustible items must be stored in a locked area remote from the kitchen, 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.

2 lighters in unlocked kitchen drawer and 1 propane blow torch on Don's work table near cubbies, accessible to children and posing potential hazards. Correction: Immediately ensure flammable or combustible items must be stored in a locked area remote from the kitchen, 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. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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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 both provider files and identified both with expired mandatory reporter training. Correction: Immediately ensure 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.

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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.

2 wine openers and 1 roll of aluminum foil with sharp serrated metal edge in unlocked kitchen drawers. Observed 2 containers Lysol wipes labeled "keep out of reach of children" in upstairs bathroom. Observed 1 container super glue, 1 container sunscreen, and 1 container bug spray within reach of children in cubbie room and labeled "keep out of reach of children." All items accessible to children and posing potential safety hazards. Correction: Immediately ensure all hazardous items and materials are inaccessible to children. Violation partly corrected at the time of visit. Lysol wipes and wine keys were moved to higher shelf and made inaccessible to children. Document complete correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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7.707.71.C.1.c · . Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization.

Reviewed 7 child files and identified all lacking signed authorization for insect repellant. Identified through provider statement that this is the first year that they have needed to use bug spray with the children, and was used once when taking a field trip. Correction: Immediately ensure topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 child files and identified 1 health statement lacking the date the next visit is required. Correction: Ensure 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 status must 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 statements must be kept at the licensed child care home. Document correction in written response. Correct by 09/06/2023

Corrected by Sep 6, 2023

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7.701.100.F.2 · . 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.

Reviewed past 12 months of emergency drills and identified no drills have been documented since December 2022. Correction: Immediately ensure tornado drills are held monthly from March to October. Ensure 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. 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. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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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 both provider files and identified both with expired Standard Precautions training. Correction: Immediately ensure both providers complete 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. Document correction in written response. Correct by 08/07/2023

Corrected by Aug 7, 2023

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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 be in good condition and not posing a hazard, such as strangulation, falling or tripping.

Uncovered outlet on powerstrip in upstairs bedroom accessible to children. Correction: Immediately ensure 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 must have protective covers. Corrected at the time of visit. Electrical outlet was covered with a protective cover. NO RESPONSE REQUIRED. Correct by 08/07/2023

Corrected by Aug 7, 2023

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