2.337.B.3.a · Toddler climbing equipment, sliding equipment, or equipment with attached platforms must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

Identified the climbing and sliding structure in the backyard did not have a 3 foot use zone around the equipment or a 6 foot use zone from the base of the slide. Correction: Immediately, all climbing and sliding equipment must have a 3 foot use zone around the equipment and a 6 foot use zone from the base of the slide. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

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

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

Identified a rake, cans of paint, wood pallettes, a piece of wood with exposed nails and other pieces of wood on the east side of the house and around the sand box that were accessible to children. Also, there is a gap in the north fence that is a head entrapment hazard. Correction: Immediately, the outdoor play space must be free from safety hazards at all times. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 child files. Identified 2 children missing documentation of a current written authorization for emergency medical care. Correction: Immediately, the written authorization for emergency medical care must be updated annually. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

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

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.

Provider missing documentation of a current CDPHE immunization training certificate. Correction: The primary provider must complete the CDPHE immunization training annually. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

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

2.320.A.6 · 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: Health admission information, including health care plans, chronic medical conditions, allergies, and immunization history, shall be provided to the family child care provider prior to the first day the child attends the family child care home;

Reviewed 6 child files. Identified one child missing documentation of the immunization record and child enrolled in the program in 10/2024. Correction: A current immunization record must be submitted at the time of admission for all children enrolled and attending the program. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Category: health medication. 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 dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 child files. Identified one child missing documentation of a current health statement. Correction: Review all child files. All children must have documentation of a current health statement on file and available for review at all times. Correct by 11/08/2025

Corrected Corrected by Nov 8, 2025

Category: ratio. Marked corrected in the state record.

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 6 child files. All children missing a written parent authorization to apply sunscreen and other topical preparations. Correction: Immediately, all children must have a written authorization to apply topical preparations on file and available for review at all times. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Category: ratio. Marked corrected in the state record.

2.321.E.2 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, or staff members must apply sunscreen, have the parent(s) and/or guardian(s) apply sunscreen, or use an alternative form of sun protection for children approved by the parent(s) or guardian(s), prior to children going outside. Sunscreen must be reapplied as directed by the product label.

Identified through provider's statements, sunscreen is not always applied prior to the children going outside. Correction: Immediately, sunscreen must be applied prior to the children going outside. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department of Early Childhood, including the telephone number and mailing address.

Identified the provider is missing the required posting for filing a complaint with the Department. Correction: Immediately, the provider must post in a consipicuous place the information regarding the procedures for filing a complaint with the department. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Marked corrected in the state record.

2.121.C.2 · The fingerprint process shall be completed at an approved vendor within five (5) calendar days of when any new resident, eighteen (18) years of age or older, begins residing in a family child care home or qualified exempt provider home. Adults must not be allowed unsupervised access to children in care until all background checks have been successfully completed.

Identified a new resident over 18 years old moved into the home in August, 2025, and did not complete the required fingerprint check at an approved vendor within 5 calendar days. Correction: Immediately, all new residents over 18 years old must complete the fingerprint process within 5 calendar days of moving into the home. Provider must review Navigating the Background Check Investigation Unit's webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify the licensing specialist in writing once the resident has completed the fingerprinting process. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Category: supervision. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Identified a new resident over 18 years old living in the home who lived out of state in the last 5 years and did not complete the required State-Based Background Checks. Correction: Immediately, all new residents who have lived out of state in the last 5 years must complete the State Based Background Check process. Provider must review Navigating the Background Check Investigation Unit's webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify the licensing specialist in writing once the resident has completed the fingerprinting process. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

Category: supervision. 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.”

Identified the following hazardous items in the home that were accessible to children: Two pairs of adult scissors in the back room, and a bag of miracle grow potting soil in the backyard labeled 'keep out of reach of children'. Correction: Immediately, all hazardous items must be inaccessible to children at all times. Corrected at time of visit, the provider moved the scissors to a high cabinet and moved the bag of potting soil to the garage making the items inaccessible to children. No response needed. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

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

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

Identified two electrical outlets in the child care area that were lacking protective covers and were accessible to children. Correction: Immediately, all electrical outlets must have protective covers at all times. Corrected at time of visit, the provider put protective covers on the outlets. No response needed. Correct by 10/08/2025

Corrected Corrected by Oct 8, 2025

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