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 10 children files and observed 4 with expired emergency medical forms. Correction: Prior to enrollment and then annually a written authorization for emergency medical care signed by guardian. Correct Immediately or before the next day the child is in attendance. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed 10 child files and observed 4 with expired health statements. Correction: Health statements must be updated as required in writing by the health care provider. Correct by 11/2/24. Correct by 11/02/2024

Corrected Corrected by Nov 2, 2024

Category: health medication. 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.”

Disinfectant Wipes on top of the toilet in the bathroom within children's reach, labeled "keep out of the reach of children". Correction: All items labeled "keep out of reach of children" must be inaccessible to children at all times. Correct Immediately 10/2/24. Corrected at the time of inspection, provider moved the wipes into a locked cabinet. No response required. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: physical safety. 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.

One household members FBI to be expired on 7/26/2024. 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 resident has completed the fingerprinting process. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

Category: background checks. 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.

Provider to have an expired health statement. Correction: Health evaluations for provider must be obtained every 2 years or as required in a written plan signed by a licensed physician. Correct by 11/02/2024

Corrected Corrected by Nov 2, 2024

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