Maria Wyss

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 2 staff files and identified SM1 with expired Department-approved Prevention of Shaken Baby/Abusive Head Trauma training. Correction: Immediately ensure prior to working with children less than 3 years of age each staff member completes Department-approved Prevention of Shaken Baby/Abusive Head Trauma training and renews at least every two years. Correct by 09/24/2025

Corrected by Sep 24, 2025

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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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 staff files and identified SM1 lacking current completed Department-approved CPR and First Aid training. Correction: Immediately ensure prior to working with children the primary provider and equally qualified provider(s) complete the Department-approved CPR and First Aid training. Correct by 09/24/2025

Corrected by Sep 24, 2025

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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 2 staff files and identified Maria with expired Department-approved First Aid and CPR training for all ages of children. Correction: Immediately ensure primary provider holds current Department-approved First Aid and CPR training for all ages of children. Correct by 09/16/2024

Corrected by Sep 16, 2024

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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.

Reviewed attendance sheet and identified only 6 children had been signed in and 8 children in care at the time of visit. Correction: Immediately ensure 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 is maintained at home. 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. Correct by 09/16/2024

Corrected by Sep 16, 2024

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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) 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 8 child files and identified 3 children lacking proof of immunization status or exemption prior to or on their first day, and 2 children with certificate of immunizations on non-approved form. Correction: Immediately ensure 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) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at

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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 2 staff files and identified both with expired mandated reporter training. Correction: Immediately ensure all staff complete mandated reporter training within 30 days of hire and renew annually. Correct by 09/16/2024

Corrected by Sep 16, 2024

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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 8 child files and identified 1 lacking signed authorization for emergency medical care. Correction: Immediately ensure an admission record must is completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). Correct by 09/16/2024

Corrected by Sep 16, 2024

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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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 child files and identified 3 lacking a statement of health within 30 days of admission, 1 with an expired statement of health, and 1 with a statement of health lacking the date when the next visit is required. 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 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. Correct by 10/16/2024

Corrected by Oct 16, 2024

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2.320.A.2 · 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. Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, and cell numbers ; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the family child care home;

Reviewed 8 child enrollment records and identified all lacking space provided to include employer name, address and phone number and space provided to include any special instructions for reaching parents. Correction: Immediately ensure admission record includes space provided for the parent(s)/guardian(s) home and e-mail addresses; telephone numbers, including home, work, and cell numbers; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the family child care home. Correct by 09/16/2024

Corrected by Sep 16, 2024

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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 2 staff files and identified Leslie lacking verification of exposure control plan as part of Standard Precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure 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. Correct by 09/16/2024

Corrected by Sep 16, 2024

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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.

Reviewed emergency drill log for past 12 months and identified fire drills are not documented monthly, tornado drills not documented monthly March - October and lockdown/active shooter drills not documented quarterly. Correction: Immediately 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. 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. Correct by 09/16/2024

Corrected by Sep 16, 2024

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2.320.A.5 · 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: Names, addresses, and telephone numbers of the child’s health care provider, dentist, and hospital of choice, if applicable;

Reviewed 8 child enrollment records and identified all lacking space provided to include name, address, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ telephone number of the child’s dentist. Correction: Immediately ensure admission record includes the name, address, and telephone number of the child’s dentist. Correct by 09/16/2024

Corrected by Sep 16, 2024

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

3 board books with ripped/torn edges and/or binding, posing potential safety hazards. Correction: Immediately ensure indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Corrected at the time of visit. Books with ripped/torn bindings were moved to higher shelf and made inaccessible to children. NO RESPONSE REQUIRED. Correct by 09/16/2024

Corrected by Sep 16, 2024

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2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

Information regarding how to file a complaint was not posted in a prominent location upon entry to the home. Correction: Immediately ensure at all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address. Corrected at the time of visit. Information regarding how to file a complaint was posted in a prominent location upon entry to the home. NO RESPONSE

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2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

Most recent licensing inspection report or a notice as to where the report may be reviewed at the facility was not posted at the time of visit. Correction: Immediately ensure at all times during the operating hours of a family child care home the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee. Corrected at the time of visit. Information regarding how to review the most recent Report of Inspection was posted. NO RESPONSE REQUIRED. Correct by 09/16/2024

Corrected by Sep 16, 2024

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7.707.71.C.1 · Any routine medication, prescription or non-prescription (over-the-counter), homeopathic or vitamin, may be administered by the provider only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies may never be given to a child.

Provider lacking written order to administer emergency medication needed for a child in care with an identified food allergy. Correction: Immediately ensure any medication is accompanied by a current written order from a health care provider with prescriptive authority and with written parental consent. Home remedies may never be given to a child. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.71.A.1.b · At the time of admission each child's file contains: Information and health care plan on the care of each child who has an identified health condition or developmental concerns, including, but not limited to seizures, asthma, diabetes, allergies, heart or respiratory conditions, and physical or emotional disabilities

Reviewed 5 child files and identfieid 1 child with a known food allergy and provider lacking individual health care plan for child. Correction: Immediately ensure information and health care plan obtained for the care of each child who has an identified

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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.

In main play area: small rock on lower shelf, small wooden tiles in bag on mid-level shelf, foam stickers hanging on art projects above play area, several small crayons on mid-level shelf, small piece of chalk and broken piece of plastic on floor in door frame. Observed in the nap room a small necklace in unlocked desk drawer. All items small enough to fit in a choke tube and accessible to children less than 3 years old at the time of visit and posing potential choking hazards. Correction: Immediately ensure 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. Violation partly corrected at the time of visit. Provider removed small rock on lower shelf, small wooden tiles in bag on mid-level shelf, small crayons on mid-level shelf, small piece of chalk, broken piece of plastic and small necklace from nap room and made items inaccessible to children less than 3 years of age. Document complete correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, 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.

Unlocked bedroom on lower level adjacent to child care area with container of lip gloss on mid-level shelf accessible to children at the time of inspection. Correction: Immediately ensure all hazardous items and materials must be inaccessible to children including, but not

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7.707.83.C · Materials must be available to the children that are developmentally appropriate, culturally sensitive and represent diversity in ethnicity, race, gender, and age. Variety shall exist in toys, books, and pictures.

Puzzle and small finger puppet accessible to children less than 3 years of age and labeled "Ages 3+." Correction: Immediately ensure materials must be available to the children that are developmentally appropriate, culturally sensitive and represent diversity in ethnicity, race, gender, and age. Variety shall exist in toys, books, and pictures. Corrected at the time of visit. Provider removed puzzle and puppet from child care area and made items inaccessible to children less than 3 years of age. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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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.

Reviewed provider file and identified immunization training was expired. Correction: Immediately ensure 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. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 current health evaluation expired and the next health evaluation was recommended in June 2023. 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 response. Correct by 10/19/2023

Corrected by Oct 19, 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 provider file and identfied Standard Precautions training was expired. Correction: Immediately ensure provider completes a state department approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children and renewed annually. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.94.E · The home must obtain written permission from the parent or guardian for transportation of the child. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 child files and identified 3 lacking signed transportation authorization. Correction: Immediately ensure the home must obtain written permission from the parent or guardian for transportation of the child. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 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 5 child files and identified 3 lacking verification of signed sunscreen authorization. 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 09/19/2023

Corrected by Sep 19, 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 5 child files and identified 2 lacking certificate of immunization or exemption maintained in files prior to or on the first day of care. 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 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.

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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 5 child files and identified 3 lacking current emergency medical authorization signed and dated by parent/guardian. Correction: Immediately ensure provider obtains 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. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.41.A · At the time of enrollment, the provider must give the parent(s) or guardian(s) a written statement of the 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 and by signing the policies and procedures document, the parent(s)/guardians(s) agree to follow, accept the conditions of, and given authorization and approval for the activities described in the policies and procedures.

Reviewed 5 child files and identified 3 lacking verification of signed handbook acknowledgment. Correction: Immediately ensure at the time of enrollment, the provider must give the parent(s) or guardian(s) a written statement of the 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 and 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. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.51.A.10 · The admission record must include:Written authorization, obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle.

Reviewed 5 child files and identified 1 lacking field trip permission. Correction: Immediately ensure written authorization is obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 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) 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 5 child files and identified 2 with expired health statements and 2 lacking health statements within 30 days of enrollment. 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 10/19/2023

Corrected by Oct 19, 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 emergency drill log and identified fire drills were not documented monthly, tornado drills not documented monthly March - October and the last lockdown/active shooter drill was documented October 2022. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately 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. 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. Document correction in written response. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.922.D · Furnishings and equipment in the area approved for child care must be in good repair.

Pink fidget toy (pop-it) not in good repair and with torn off pieces of plastic accessible to children, posing potential safety hazard. Correction: Immediately ensure furnishings and equipment in the area approved for child care must be in good repair. Corrected at the time of visit. Provider threw away worn fidget toy making item inaccessible to children. NO RESPONSE REQUIRED. Correct by 09/19/2023

Corrected by Sep 19, 2023

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