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 4 children's files and observed 3 files to be missing documentation of a signed statement from parents/ guardians that they have received the facilities policies and procedures. Correction: Obtain documentation of signed statements that parents have received the policies and procedure statement for the facility and add to files. Submit a written statement of compliance to specialist with response form Correct by 08/15/2025

Corrected Corrected by Aug 15, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 4 children's files and observed 1 file to be missing documentation of a current health statement. Child is over 2 years of age. Correction: Obtain documentation of current health statement and add to file Submit a written statement of compliance to specialist with response form Correct by 08/15/2025

Corrected Corrected by Aug 15, 2025

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

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

A package of baby wipes labeled "keep out of reach" on the back of the toilet in the upstairs bathroom used by children, accessible to children. Correction: The home must be kept safe and free from hazards to health at all times. Correct immediately. Corrected at the time of inspection. Provider moved wipes to a locked cabinet inaccessible to children 7/16/2025. No response required for this violation. Correct by 07/16/2025

Corrected Corrected by Jul 16, 2025

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

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Reviewed provider's file and observed Ali to be missing documentation of current vaccines for the family cat. Correction: Obtain documentation of current vaccine records for the family cat and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 07/16/2025

Corrected Corrected by Jul 16, 2025

Marked corrected in the state record.

2.320.A.2 · 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. Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, and cell numbers ; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the family child care home;

Reviewed the admission form and 2 children's files and observed the admission form to be missing parent/ guardian employer work address. Correction: Add parent/ guardian employer address to the admission form and make available to parents to complete. Correct immediately. Submit a written statement to specialist with response form. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.5 · An admission record must be completed for each child prior to or at the time of the child’s admission FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: Names, addresses, and telephone numbers of the child’s health care provider, dentist, and hospital of choice, if applicable;

Reviewed the admission form and 2 children's files and observed the admission form to be missing hospital of choice name, address and phone number. Correction: Add hospital of choice name, address and phone number to the admission form and make available to parent/ guardians to complete. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

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

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Several small magnets used to display items on the refrigerator in the kitchen accessible to children under 3 years of age, posing a potential choke hazard. Correction: Toys. toy parts, furnishings, equipment, and any materials accessible to children under 3 years of age must not be a choke hazard. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: physical safety. 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.”

A bottle of hand soap at the bathroom sink, where children wash hands labeled "keep out of reach of children", accessible to children. Observed a bottle of nasal wash labeled "keep out of reach of children" in an unlocked cabinet in the kitchen, accessible to children. Observed several boxes of plastic storage bags in various sizes in an unlocked drawer in the kitchen, accessible to children. Observed boxes of Foil and Plastic wrap with sharp serrated edges in an unlocked drawer in the kitchen, accessible to children. Correction: All hazardous items and materials must be inaccessible to children, including plastic bags, and items labeled

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.316.B · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information:

Reviewed the policy and procedure statement for the facility and observed it to be missing: B.12-storage, loss, damage, or theft of provider's or child's personal belongings, B.28: storing of children's medications, B.35: identifying recalled toys, equipment, furnishings, and food. Correction: Add the missing policies to the policy and procedure statement (parent handbook) and make available to parents. Submit a written statement of compliance to specialist with response form Correct by 09/20/2024

Corrected Corrected by Sep 20, 2024

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