Angela Grace

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.

Missing documentation of emergency drills for 2025. Correction: Immediately, a record of all emergency drills held over the past 12 months must be maintained and available for review at all times. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 child files. 2 children missing a written authorization for media use. Correction: Immediately, a written authorization for media use, as stated in the provider policies and procedures, must be obtained prior to or at the time of admission and updated annually. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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;

Provider and assistant missing documentation of a current medication administration training. Correction: Immediately, the medication administration course must be completed every three years. Submit documentation and a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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.

Provider and assistant (applicant 2) missing documentation of 15 clock hours of ongoing professional development for 2025. Correction: Immediately, the primary provider and applicant 2 must complete a total of 15 clock hours of ongoing professional development each year. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ twelve (12) months: Dates of monthly smoke alarm testing.

Missing documentation of smoke alarm testing for 2025. Correction: Immediately, monthly smoke alarm testing must be recorded and available for review at all times. Submit a written statement of compliance to the licensing specialist, Correct by 01/21/2026

Corrected by Jan 21, 2026

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Missing documentation of current vaccination records for three cats in the home. Correction: Immediately, current vaccinations must be maintained in accordance with state law and local ordinance and documentation must be available for review at all times. Submit documentation and a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

The provider and assistant missing fire extinguisher training. Correction: Immediately, each staff member of the facility must be trained in the use of available fire extinguishers. Submit documentation to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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. 4 children have either missing or expired emergency medical authorizations. Correction: Immediately, a written authorization for emergency medical care must be completed prior to or at the time of admission, and reauthorized annually. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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 8 child files. 2 children missing documentation of a written authorization for field trips and excursions. Correction: Immediately, a written authorization for field trips and excursions must be obtained prior to or at the time of admission, and updated annually. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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. 2 children missing immunization records. Correction: Immediately, a current immunization record must be obtained at the time of admission, and updated in accordance with the American Academy of Pediatrics. Documentation must be on file and available for review at all times. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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 8 child files. One child who has been in the program since August, 2025 is missing documentation of a current health status from a pedatrician or other health care provider. Correction: Within 30 days of admission, each child must have a current statement of health status on file and available for review at all times. Submit a written statement of compliance to the licensing specialist. Correct by 02/21/2026

Corrected by Feb 21, 2026

2.321.B.11 · Topical preparations such as diaper rash ointments, sunscreen, insect repellants, sprays, and other ointments may be administered to children with written parent and/or guardian authorization. These preparations may not be applied to open wounds or broken skin unless there is a written order from a prescribing health care provider.

Reviewed 8 child files. 2 children missing a written authorization to apply sunscreen and other topical preparations. Correction: Immediately, sunscreen and other topical preparations can only be applied with written authorization. Submit a written statement of compliance to the licensing specialist. Correct by 01/21/2026

Corrected by Jan 21, 2026

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 9 child files and found 2 to have expired emergency medical authorization. Correction: Obtain and maintain current emergency medical authorization. Correct immediately 3/4/2025. Correct by 03/04/2025

Corrected by Mar 4, 2025

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 two staff files and found both to have expired health statements. Correction: Obtain and maintain health statements for providers. Correct within 30 days 4/4/2025. Correct by 04/04/2025

Corrected by Apr 4, 2025

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

Reviewed 9 child files and found 2 with no sign off for policies. Correction: Obtain and maintain family sign-off for policies and procedures. Correct within 30 days 4/4/2025. Correct by 04/04/2025

Corrected by Apr 4, 2025

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 9 child files and found 4 expired and one to be missing health statements. Correction: Obtain and maintain current health statements for all children in care. Correct within 30 days 4/3/2025. Correct by 04/04/2025

Corrected by Apr 4, 2025

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

Current fire extinguisher to have a date of 2000. Correction: Obtain a new fire extinguisher. Correct immediately 3/4/2025. Correct by 03/04/2025

Corrected by Mar 4, 2025

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.

No documentation of a current immunization training for Christian. Previous training expired 2/14/2024. Correction: Obtain a copy of required training certificate for Christian and send a copy to specialist with written response. Correct immediately. Correct by 04/11/2024

Corrected by Apr 11, 2024

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.

No documentation of a current safe sleep training for Christian. Previous training expired 1/24/2024. Correction: Obtain a copy of required training certificate for Christian and send a copy to specialist with written response. Correct immediately. Correct by 04/11/2024

Corrected by Apr 11, 2024

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 9 child files and observed 5 children to be missing current emergency medical authorization from their files. Correction: Obtain required authorizations for children and place in child files. Send specialist a statement that all emergency authorizations have been obtained and filed.Correct immediatley. Correct by 04/11/2024

Corrected by Apr 11, 2024

2.127.A · At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility.

Child care license was not posted in a conspicuous location but was posted on a wall in the infant sleep room. Correction: Ensure the current child care license is posted in a prominent and conspicuous location which can be observed

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.

No documentation of a current Standard precautions training for Christian N.. Previous training expired 2/2/2024. Correction: Obtain a copy of required training certificate for Christian and send a copy to specialist with written response. Correct immediately. Correct by 04/11/2024

Corrected by Apr 11, 2024

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;

No documentation of current First Aid and CPR training for Angela G.. Previous training expired 3/14/2024. Correction: Obtain a copy of required training certificate for Angela and send a copy to specialist with written response. Correct by 05/11/2024

Corrected by May 11, 2024

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

No documentation of a current child abuse prevention training for Christian. Previous training expired 1/16/2024. Correction: Obtain a copy of required training certificate for Christian and send a copy to specialist with written response. Correct immediately. Correct by 04/11/2024

Corrected by Apr 11, 2024

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.

Facility did not post the procedures for filing a complaint against the facility in a prominent location. Correction: Ensure the information on how to file a complaint is posted in a prominent and conspicuous location which can be observed by anyone entering the child care facility. Correct immediately and send a statement on how the violation was corrected. Correct by 04/11/2024

Corrected by Apr 11, 2024

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 9 child files and observed 2 children to be missing documentation of immunization status or exemption paperwork in their files. Correction: Obtain required immunization records and place in child files. Send specialist a statement that all immunization records have been obtained and filed. Correct immediately. Correct by 04/11/2024

Corrected by Apr 11, 2024

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 9 child files and observed 5 children to be missing documentation of a health statement. Correction: Obtain documentation of required health statements for children and place in child files. Send specialist a statement that all health statements have been obtained and filed. Correct by 05/11/2024

Corrected by May 11, 2024

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 9 child files and observed 1 child between the ages of 2 and 7 to have an expired health statement. Correction: Obtain documentation of required health statement for child and place in child file. Send specialist a statement that health statement has been obtained and filed. Correct by 05/11/2024

Corrected by May 11, 2024

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

Two prescription medications accessible on a shelf in the kitchen. Prescription eye drops on a shelf in an unlocked bedroom. Correction: Ensure all provider's medications are locked and inaccessible to children. Correct immediately and send a statement of compliance to specialist with written response. Correct by 04/11/2024

Corrected by Apr 11, 2024

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.”

Spray and wash and Gain fabric softener accessible to children on the dryer in the laundry room. Adult scissors accessible to children on the kitchen counter. Correction: Ensure all hazardous items are inaccessible to children at all times. Correct immediately and send specialist a

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.

No documentation of fire, tornado or emergency drills were available for review. Correction: Hold all required drills and maintain documentation of required drills. Correct immediately and send a statement of compliance to specialist with written response. Correct by 04/11/2024

Corrected by Apr 11, 2024