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 logs which notes fire drills conducted for this school year. Observed no evidence of monthly severe weather (tornado) drills or quarterly emergency drills being held over the past 12 months. Correction: Ensure to conduct all required emergency drills per required timelines stated in licensing rules. Immediately conduct all required emergency drills. Ensure to maintain a record of all drills conducted. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.316.B.19 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: How disciplinary decisions are made and what steps are taken prior to the suspension, expulsion or request to parents or guardians to withdraw a child from care due to concerns about the child’s behavioral issues. These procedures must be consistent with the policy as stated in 2.316(A)(18) , and include documentation of the steps taken to understand and respond to the child’s challenging behavior;

Reviewed provider's policies and procedures. Observed no evidence of written policy on what steps are taken prior to the suspension, expulsion or request to parents or guardians to withdraw a child from care due to concerns about the child's behavioral issues. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Update policies to include steps taken prior to the suspension, expulsion or request to parents or guardians to withdraw a child from care due to concerns about the child's behavioral issues. Submit updated policies to Licensing Specialist along with the final, written response. Correct by 08/10/2025

Corrected Corrected by Aug 10, 2025

Marked corrected in the state record.

2.316.B.19.a · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Identify and consult with an early childhood mental health consultant or other specialists as needed.

Reviewed provider's policies and procedures. Observed no evidence of a policy identifying and consulting with an early childhood mental health consultant or other specialists as needed. Correction: Update policies to include a policy identifying and consulting with an early childhood mental health consultant or other specialists as needed. Submit updated policies to Licensing Specialist along with the final, written response. Correct by 08/10/2025

Corrected Corrected by Aug 10, 2025

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

2.316.B.31 · The written policies and procedures must be developed, implemented, and followed, by the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: The procedures, including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted;

Reviewed provider's policies and procedures. Observed no evidence of a procedure including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted. Correction: Update policies to include a procedure including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted. Submit updated policies to Licensing Specialist along with the final, written response. Correct by 08/10/2025

Corrected Corrected by Aug 10, 2025

Category: supervision. Marked corrected in the state record.

2.316.B.30 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: The procedures for emergencies and disaster preparedness such as but not limited to, tornadoes, fires, shelter in place, lockdown, active shooter on premises, reunification with families after emergency or disaster, and evacuating children with disabilities in compliance with the rule sections 2.126, 2.127, 2.128, 2.129, 2.130, and 2.131 of the “General Rules for Child Care Facilities”;

Reviewed the "Emergency Plan" section of provider's policies and procedures. Observed no evidence a procedure for evacuating children with disabilities. Correction: Update the "Emergency Plan" section to include a procedure for evacuating children with disabilities. Submit updated policies to Licensing Specialist along with the final, written response. Correct by 08/10/2025

Corrected Corrected by Aug 10, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 Provider's 3/14/24 health evaluation signed and dated by health care provider indicated next health evaluation was due in April 2025. Observed no evidence of a current health evaluation signed and dated by a health care provider. Correction: Obtain and maintain documentation of a current health evaluation. Submit documentation to Licensing Specialist. Correct by 08/10/2025

Corrected Corrected by Aug 10, 2025

Category: health medication. 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) 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.

No evidence of children's immunizations records being on an approved certificate of immunization in 9 out of the 11 children's files reviewed. Correction: Immediately obtain documentation of children's immunization records on an approved certificate of immunization. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 08/05/2024

Corrected Corrected by Aug 5, 2024

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

2.337.A.13 · The use of any trampoline by children in care is prohibited. If there is a trampoline on the property of the family child care home, it must be stored in a way that makes it inaccessible to children.

A mini yellow and green "Ancheer" trampoline accessible to children on the outdoor play space. Correction: Immediately ensure the use of any trampoline by children in care is prohibited. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 08/05/2024

Corrected Corrected by Aug 5, 2024

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.

The two household members' background checks were completed in 2011. Observed no evidence of an updated FBI clearance letter (dated within the past five years) for both household members. Correction: Provider and household member must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification of reviewing the powerpoint within 24 hours. Notify Licensing Specialist in writing once both residents complete the fingerprinting process. Correct by 08/05/2024

Corrected Corrected by Aug 5, 2024

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

2.337.A.2 · The outdoor play space must be enclosed with at least a forty-two inch (42) fence with slats no more than four (4) inches apart, or a natural barrier. If a natural barrier is used, it must begin no higher than three and one-half inches (3-1/2) from the ground. If the family Child Care home does not have a fenced play space, the provider may apply for an outdoor hardship waiver.

Measured the height of the fence surrounding the outdoor play space. Observed the height of the slats measured between 37 inches - 42 inches. Correction: Ensure the outdoor play space is enclosed with at least a 42 inch fence. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 08/05/2024

Corrected Corrected by Aug 5, 2024

Marked corrected in the state record.