2.329.H.11.b · Infant sound monitors must be used when infants are sleeping in a separate room out of the direct supervision of the primary caregiver. When in use, infant sound monitors must meet the following conditions: The receiver of the sound monitoring equipment must be actively monitored by the primary provider or staff member at all times;

6 month old infant sleeping in a pack-n-play in the upstairs bedroom and sound monitoring equipment was not turned on at the time of visit. Correction: Immediately ensure infant sound monitors are used when infants are sleeping in a separate room out of the direct supervision of the primary caregiver. When in use, infant sound monitors must meet the following conditions: The receiver of the sound monitoring equipment must be actively monitored by the primary provider or staff member at all times. Corrected at the time of visit. Infant sound monitor was turned on and actively monitored. Document plan of compliance in written response. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: supervision. Marked corrected in the state record.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 provider file and identified it lacking verification of current Department-approved First Aid and CPR for all ages. Correction: Immediately ensure the primary provider completes the Department-approved First Aid and CPR for all ages of children. Submit copy of First Aid/CPR certification with written response. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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..

Reviewed 4 child files and identified 1 child under the age of 2 years with an expired medical statement. Correction: Ensure statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics. Correct by 06/20/2025

Corrected Corrected by Jun 20, 2025

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

2.321.B.5 · Over-the-counter medications must be labeled with the child's first and last name.

Over-the-counter medication lacking label with the child's first and last name. Correction: Immediately ensure over-the-counter medications must be labeled with the child's first and last name. Corrected at the time of visit. Provider labeled over-the-counter medication with child's first and last name. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Pack-n-play in upstairs bedroom lacking fabric strap on the bottom of mattress and multiple fabric toy baskets with plastic lining that was cracking and breaking off from the inside of basket, posing potential safety hazard. Correction: Immediately ensure all indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Document correction and plan of compliance in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

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.”

Multiple containers of soaps/shampoo on lower shelf in the shower of downstairs bathroom labeled "keep out of reach" and accessible to children. Correction: Immediately ensure all hazardous items are inaccessible to children. Document correction and plan of

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.317.D.1 · Sign In/Out Procedure The provider must maintain a daily sign in/out method containing the date, the child's name, the time that the child arrived at and left the home, and the parent, guardian, or authorized person's signature. A full signature is required by the parent or guardian every time the child arrives at or leaves the home. The provider may sign in or out children who arrive directly from school or an activity as needed on a daily basis. The provider must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

3 children in care at the time of visit and only 1 child signed in. Observed departure time was not listed for children on 6/21/24. Correction: Immediately ensure all children are signed in and out each day, including the name, date, time the child arrived and left and parent or authorized person's signature. Document plan of compliance in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.317.E.1 · Visitors Visits from all non-family members to the home must be on the sign in/out log, including the name, date, and arrival/departure times.

Friend of provider's child not signed in on the visitor log and present at the time of visit. Correction: Immediately ensure all visitors sign in and out on the visitor log including name, date, and arrival and departure times. Corrected at the time of visit. Provider signed visitor in on the log at the time of inspection. Document plan of compliance in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 all with expired health statement and 1 lacking the date the next visit is required by the health care provider. Correction: Ensure all children have current health statement that includes the date the next visit is required. Document plan of compliance in written response. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: ratio. 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;

Reviewed 3 child files and identified 1 with expired emergency medical authorization. Correction: Immediately ensure all children in care have current emergency medical authorization. Document correction in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

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

2.320.A.10 · 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: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

Reviewed 3 child files and identified 1 with expired media authorization. Correction: Immediately ensure all children have media authorization updated annually. Document correction in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 3 child files and identified 2 lacking annually updated policy authorization. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure all children's files have annually updated policy authorization. Document correction in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Marked corrected in the state record.

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

Reviewed 3 child files and identified 1 with expired field trip authorization. Correction: Immediately ensure all children have field trip authorization updated annually and maintained in file. Document correction in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. 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 and identified it lacking verification of at least 15 hours annual training. Correction: Ensure at least 15 hours annual training is completed. Document correction in written response. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed background checks for provider and husband and identified both lacking FBI clearances completed within the past 5 years. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the residents have completed the fingerprinting process. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Category: background checks. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

Reviewed provider file and identified Fabienne with expired health statement. Correction: Ensure subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional. Document correction in written respponse. Correct by 09/06/2023

Corrected Corrected by Sep 6, 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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 2 child files and identified 1 child with an expired health statement. 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 Corrected by Sep 6, 2023

Category: ratio. Marked corrected in the state record.