2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 12 child files and observed ch6's file to be missing an authorization and instructions from parents for the application of sunscreen. Correction: The Provider must obtain written authorization and instructions from the parents for the application of sunscreen. Correct immediately and respond with verification of compliance by 5/17/2025. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

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 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 12 child files and observed ch2-5, ch7, and ch9-12's files to be missing current emergency medical authorization. Correction: Obtain a current emergency medical authorization for all children enrolled. Correct immediately and respond with verification of compliance by 5/17/2025. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

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

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 12 child files and observed Ch5 and Ch11's files to be missing a current health statement Correction: Obtain documentation of a current health statement for all children enrolled in the program. Correct within 30 days and respond with a statement of compliance by 5/17/2025 Correct by 05/17/2025

Corrected Corrected by May 17, 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 12 child files and observed ch6 and ch8's immunizations to be on the incorrect form. Correction: Obtain documentation of current immunizations for all children enrolled on the approved form. Correct immediately and respond with a statement of compliance by 5/17/2025. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

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

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 12 child files and observed ch2-7 and ch9-12's files to have expired or missing authorization for field trips. Correction: Obtain documentation of written authorization for field trips for all children enrolled. Correct immediately and respond with verification of compliance by 5/17/2025. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

Category: recordkeeping. 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.”

Observed the following items in an unlocked cabinet under the kitchen sink to be accessible and labeled "Keep out of reach of children": -"Mrs. Meyers" dish soap -"Mr. Clean" surface cleaner -"Ultra Sun Light" dishwasher liquid -"Kirkland" ultra shine dishwasher pouches Correction: All items labeled "Keep out of reach of children" must be inaccessible to children. Corrected at time of visit -provider blocked the unlocked cabinet making items inaccessible. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 12 child files and observed ch2-7 and ch9-12's files to have missing or expired written authorization for media use. Correction: Obtain written authorization for media use for all children enrolled. Correct immediately and respond with verification of compliance by 5/17/2025. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 12 child files and observed ch2-5, Ch7, and ch9-12's files to be missing current signatures stating that parents have received the policies and procedures. Correction: Obtain documentation and signatures from parents/ guardians stating that they received program's policies and procedures for all enrolled children. Correct within 30 days and respond with verification of compliance by 5/17/2025. Correct by 05/17/2025

Corrected Corrected by May 17, 2025

Marked corrected in the state record.

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.

Reviewed the providers file and observed it to be missing the department-approved training regarding Injury prevention for homes. Correction: Obtain documentation of department-approved training regarding injury prevention in homes. Correct within 30

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.312.N · 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 for recognizing the impact of bias on early childhood professionals. 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 training for recognizing the impact of bias on early childhood professionals. Correction: Obtain documentation of department-approved training for recognizing the impact of bias on early childhood professionals. Correct within 30 days and respond with verification of compliance by 5/17/2025. Correct by 05/17/2025

Corrected Corrected by May 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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 department-approved introduction to the early intervention and preschool special education programs training. Correction: Obtain documentation of completed department-approved introduction to the early intervention and preschool special education programs training. Correct within 30 days and respond with verification of compliance by 5/17/2025. Correct by 05/17/2025

Corrected Corrected by May 17, 2025

Category: recordkeeping. 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.

Provider missing current standard precautions training. Correction: Obtain documentation of current and completed department approved standard precautions training. Correct immediately and respond with verification of compliance by 7/1/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: ratio. 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 5 child files and observed Ch2's file to be missing updated immunization card on the department approved form. Correction: All child files must have a current immunization card on the department approved form. Correct immediately

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 current immunizations training. Correction: Obtain documentation of current and completed immunizations training. Correct within 30 days and respond with verification of compliance by 7/1/2024. Correct by 07/01/2024

Corrected Corrected by Jul 1, 2024

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