Judith Eggleston

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.

Reviewed the providers file and observed it to be missing a current CDPHE immunizations course. Correction: Obtain documentation of a completed CDPHE Immunizations course. Correct within 30 days and respond with verification of compliance by 4/17/26. Correct by 04/17/2026

Corrected by Apr 17, 2026

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2.120.C.1.c · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For each adult eighteen (18) years of age or older, who begin residing in the home after care begins, requests must be submitted within five (5) calendar days of when he or she begins residing in the home, and these adults must not be allowed unsupervised access to children in care until all background checks have been successfully completed. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through provider statement that someone over 18 resides in the home. After review of that individuals file, observed this person to be missing a Trails clearance letter. 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 the Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct immediately and respond with verification of compliance by 4/17/26 Correct by 03/17/2026

Corrected by Mar 17, 2026

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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 5 child files and observed ch2's file to be missing a current immunization card on the approved form. Correction: Obtain documentation of immunizations for all children on the approved form. Correct immediately and respond with a statement of compliance by 5/30/2025. Correct by 04/30/2025

Corrected by Apr 30, 2025

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2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's file and observed it to be missing the department-approved introduction to the early intervention and preschool special education programs training. Correction: Obtain documentation of department-approved introduction to the early intervention and preschool special education programs training. Correct within 30 days and respond with verification of compliance by 5/30/2025. Correct by 05/30/2025

Corrected by May 30, 2025

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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 drill from June 2024 through March 2025. Correction: 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. Correct immediately and respond with a plan for ongoing compliance by 5/30/2025. Correct by 04/30/2025

Corrected by Apr 30, 2025

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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 5 child files, observed Ch1, Ch4, and Ch5's files to be missing current health statement. Correction: Obtain current health statement for all children. Correct within 30 days and respond with a statement of compliance by 7/5/2024. Correct by 07/05/2024

Corrected by Jul 5, 2024

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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.

Provider missing all 2024 Emergency drills Correction: Emergency drills, lock down and active shooter on premises drills must be held at least quarterly. Fire drills must be held monthly. Tornadoes drills must be held monthly from March to October. Correct immediately and respond with a plan for ongoing compliance by 7/5/2024. Correct by 06/05/2024

Corrected by Jun 5, 2024

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2.312.K · Within thirty (30) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Provider missing Department approved playground safety for homes training. Correction: Obtain documentation of completed Department-approved training regarding playground safety for homes. Correct within 30 days and respond with verification of compliance by 7/5/2024. Correct by 07/05/2024

Corrected by Jul 5, 2024

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2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Provider missing Department-approved injury prevention for homes training. Correction: Obtain documentation of completed Department-approved injury prevention for homes training. Correct within 30 days and respond with verification of compliance by 7/5/2024. Correct by 07/05/2024

Corrected by Jul 5, 2024

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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 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 5 child files, observed Ch4 and Ch5's files to be missing a current media authorization sign off. Correction: Obtain media authorization for all children. Correct immediately and respond with verification of compliance by 7/5/2024. Correct by 06/05/2024

Corrected by Jun 5, 2024

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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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 5 child files, observed Ch4 and Ch5's files to be missing a current emergency medical authorization. Correction: Obtain documentation of emergency medical authorization for all children. Correct immediately and respond with verification of compliance by 7/5/2024. Correct by 06/05/2024

Corrected by Jun 5, 2024

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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 5 child files, observed Ch3's file to be missing a health statement within the last 6 months. Ch3 is less than 2-1/2 years of age. Correction: Obtain documentation of a current health statement for all children under 2-1/2 years of age. Correct within 30 days and respond with a statement of compliance by 7/5/2024. Correct by 07/05/2024

Corrected by Jul 5, 2024

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2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the back yard, observed a rose bush with sharp thorns to be accessible to children. Correction: The outdoor play area must be safe and free of hazards. Correct immediately and respond with a plan for ongoing compliance by 7/5/2024. Correct by 06/05/2024

Corrected by Jun 5, 2024

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7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 statementsmust be kept at the licensed child care home.

Reviewed 4 child files and identified one child's medical statement to be expired. Correction: All children must have a current physical status. Submit a written statement of compliance to specialist. Correct by 08/12/2023

Corrected by Aug 12, 2023

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7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

Reviewed 4 child files and identified one child's written emergency medical authorization to be expired. Correction: All children must have a current written authorization for emergency medical care. Correct immediately and

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