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.

Alicia M. had an expired Shaken Baby training. Correction: Primary providers must complete a Department-approved prevention of shaken baby/abusive head trauma training every two (2) years. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 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;

Alicia M. had not yet completed a Department-approved introduction to the early intervention and preschool special education programs training. Correction: Within ninety (90) days of caring for children the primary provider must complete a Department-approved

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;

Alicia M. had not yet completed a Department-approved training for recognizing the impact of bias on early childhood professionals training. Correction: Within ninety (90) days of caring for children the primary provider must complete a Department-approved training for recognizing the impact of bias on early childhood professionals training. Provide statement of compliance to licensing specialist. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.335.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

Trash was accessible to children in an open trash can in one of the children's bedrooms. Correction: Garbage and waste must be stored inaccessible to children. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.336.A.5 · All rooms must be kept in a clean and sanitary condition and be free of any evidence of pest or rodent infestation.

The two playrooms where children play were not clean, additionally the bathroom that children in care use had an unclean toilet and toothpaste on the counter tops. Correction: Rooms must be kept in a clean and sanitary condition. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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.”

Adult scissors were observed on a box in the laundry room, toothpaste, labeled, "keep out of reach of children" was on the sink in the bathroom, lighter fluid was accessible on the porch leading out to the backyard play area. Correction: All hazardous materials must be inaccessible to children. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

The fire extinguisher was on a lower shelf of the pantry still in the box and not easily identifiable as to were it is located. Correction: The fire extinguisher must be easily accessible or have an identifying sign as to where to locate it. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 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.

Outlets were observed uncovered in a child's room and a playroom accessible to children. Correction: Outlets in rooms accessible to children must have protective covers. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

A liter box was accessible to children in care in the pantry, there was nothing blocking access to the liter box. Correction: Animal must be inaccessible to children. Provide statement of compliance to licensing specialist. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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 Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

One (1) out of one (1) child file was missing their two year old well child physical, additionally that physical should have been updated February 2025. Correction: Children under the age of two (2) must have their health statements updated as required by the AAP guidelines. Provide statement of compliance to licensing specialist. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

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

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.

The program did not have a record of emergency drills being completed. Correction: Emergency drills must be conducted quarterly, fire drills monthly and tornado drills monthly between March and October. A record of these drills must be maintained in the home. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Alicia M. had an expired child abuse prevention training. Correction: The primary provider must annually complete a Department-approved child abuse prevention training. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Alicia M. had 6 out of 15 hours of annual training completed. Correction: The primary provider must complete a minimum of fifteen (15) hours of ongoing professional development. Correct by 08/30/2024

Corrected Corrected by Aug 30, 2024

Category: recordkeeping. 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.

Three (3) out of five (5) child files were missing or had expired health statements. Correction: Parents must submit a health statement signed by a health care professional within thirty (30) days of enrollment and every year after that. Correct by 08/30/2024

Corrected Corrected by Aug 30, 2024

Category: ratio. Marked corrected in the state record.