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 August to December 2024 Fire drills, August to October Tornado drills, and 1 quarterly drill from 2025. Correction: Emergency drills must be held at least quarterly, fire drills must be held monthly and tornado drills must be held monthly from March to October. Correct immediately and respond with a plan for ongoing compliance by 7/25/25 Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. 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.

Primary provider and Applicant 2 missing a current health statement (exp. 3/14/25) Correction: Obtain documentation of current health statement for Angie and Chris. Correct within 30 days and respond with verification of compliance by 7/25/25. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

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

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 observed Provider Angie and Applicant 2 Chris's files to be missing a current department-approved prevention of shaken baby/abusive head trauma training. Correction: Obtain documentation of current department-approved prevention of shaken baby/ abusive head trauma training. Correct immediately and respond with verification of compliance by 7/25/2025 Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. 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 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 7 child files and observed ch1, ch2, ch4, ch5, and ch6's files to be missing a current authorization for emergency medical care. Correction: Obtain documentation of current emergency medical authorization for all children. Correct immediately and respond with verification of compliance by 7/25/2025. Correct by 06/25/2025

Corrected Corrected by Jun 25, 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.

Reviewed 7 child files and observed ch4, ch6, and ch7 to be missing immunizations on the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ department-approved form. Correction: Obtain documentation of current immunizations on the department-approved form for all enrolled children. Correct immediately and respond with a statement of compliance by 7/25/2025 Correct by 06/25/2025

Corrected Corrected by Jun 25, 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 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 7 child files and observed ch1, ch2, ch4, ch5, ch6, and ch7's files to be missing a current health statement. Correction: Obtain documentation of a current health statement for all enrolled children. Correct within 30 days and respond with a statement of compliance by 7/25/2025. Correct by 07/25/2025

Corrected Corrected by Jul 25, 2025

Category: ratio. Marked corrected in the state record.

2.122.C · All child care facilities must operate in compliance with local planning and zoning requirements of the municipality, city and county, or county where the facility is located.

Missing Zoning letter Correction: Obtain approving zoning letter. Correct and respond with verification of compliance by 9/2/24 Correct by 09/02/2024

Corrected Corrected by Sep 2, 2024

Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Missing health statements for Angie and Chris Correction: Obtain current health statements for all persons residing in the home. Correct and respond with verification of compliance by 9/2/24 Correct by 09/02/2024

Corrected Corrected by Sep 2, 2024

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

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 observed Angie and Chris's files to be missing current Department-approved standard precautions training. Correction: Obtain documentation of current and completed Department-approved standard precautions training. Correct and respond with verification of compliance by 9/2/24. Correct by 09/02/2024

Corrected Corrected by Sep 2, 2024

Category: ratio. Marked corrected in the state record.

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 observed Angie and Chris's files to be missing current Department-approved First Aid and CPR training. Correction: Obtain documentation of current and completed Department-approved First Aid and CPR training. Correct and respond with verification of compliance by 9/2/24. Correct by 09/02/2024

Corrected Corrected by Sep 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 2 staff files and observed Angie and Chris's files to be missing current Department-approved safe sleep training. Correction: Obtain documentation of current and completed Department-approved safe sleep training. Correct and respond with verification of compliance by 9/2/24. Correct by 09/02/2024

Corrected Corrected by Sep 2, 2024

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

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 observed Angie and Chris's files to be missing current Department-approved Child abuse prevention training. Correction: Obtain documentation of current and completed Department-approved Child abuse prevention training. Correct and respond with verification of compliance by 9/2/24. Correct by 09/02/2024

Corrected Corrected by Sep 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

In the main play room coat shelves, observed 2 packages of Kirkland brand wipes to be accessible to children. Correction: All hazardous items including those labeled "keep out of reach of children" must be inaccessible at all times. Corrected at time of visit-staff stored items inaccessible to children 2/14/24. No response required. Correct by 02/14/2024

Corrected Corrected by Feb 14, 2024

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