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 provider's file and 1 staff file and observed Stephanie and Miranda to be missing documentation of introduction to the early intervention and preschool special education programs training. Correction: Obtain documentation of the Department approved training introduction to the early intervention and preschool special education programs training and add to files. Submit a written statement of compliance to specialist with response form. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed provider's file and 1 staff file and observed Stephanie to be missing documentation of the training "Working with an Early Childhood Mental Health Consultant" Correction: Obtain documentation of the Department approved training "Working with an Early Childhood Mental Health Consultant" and add to file. Submit a written statement of compliance to specialist with response form Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: health medication. 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 12 children's files and observed 1 file to be missing documentation of current written, dated authorization for emergency medical care. Correction: Obtain documentation of current written authorization for emergency medical care signed and dated by parents/ guardians and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 05/28/2025

Corrected Corrected by May 28, 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 children's files and observed 2 files to be missing documentation of current health statements (children over 2 years to 7 years of age). Correction: Obtain documentation of current health statements and add to files. Submit a written statement of compliance to specialist with response form Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: health medication. 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.”

Several bottles of dish washing soap labeled "keep out of reach of children" in the unlocked pantry, accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Corrected at the time of inspection. Provider locked the pantry door, making the dish soap inaccessible to children 7/16/2024. No response required for this violation. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: physical safety. 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 children's files and observed 1 file (child over 2 years to 7 years of age) to be missing documentation of current health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain documentation of current health statement and add to file. Submit a written statement of compliance to specialist with response form Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

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 12 files and observed 1 file to be missing documentation of a health statement. Correction: Obtain documentation of a health statement and add to file. Submit a written statement of compliance to specialist with response form. Correct by 08/15/2024

Corrected Corrected by Aug 15, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 children's files and observed 1 file to be missing documentation immunization records. Correction: Obtain documentation of immunization records on a Colorado Department of Public Health and Environment (CDPHE) approved form and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: health medication. 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 12 children's files and observed 2 files to be missing documentation of current written authorization for emergency medical care. Correction: Obtain documentation of current written authorization for emergency medical care and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 07/16/2024

Corrected Corrected by Jul 16, 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 provider's files and observed Stephanie to be missing documentation of current standard precautions training. Correction: Obtain documentation of current Department approved standard precautions training and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: ratio. 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 provider's files and observed Stephanie to be missing documentation of current child abuse prevention training. Correction: Obtain documentation of current Department approved child abuse prevention training and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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 2 provider's files and observed Stephanie to be missing documentation of current immunizations training. Correction: Obtain documentation of the Colorado Department of Public Health and Environment (CDPHE) immunization course and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

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

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.

The written authorization, from parents, for emergency medical care was not updated annually in six out of the seven children's files reviewed. Correction: Immediately obtain current written authorization, signed and dated by parent, for emergency medical care for each child in care. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

Marked corrected in the state record.

7.707.34.B.1 · Employees and substitutes for the primary provider, for fourteen (14) days (112 hours) or more per calendar year must complete: Verification of current certification of First Aid and CPR for all ages of children;

Identified through discussion with the provider, employee, M.S., works five days per week. Observed M.S.'s First Aid and CPR certification expired in December 2022. Correction: Immediately obtain and maintain documentation of M.S.'s current First Aid and CPR certification. Submit documentation of training completion to Licensing Specialist along with final, written response. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

Marked corrected in the state record.

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Provider's safe sleep training expired on 1/11/23. Observed no evidence of provider renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

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

7.707.34.B.2 · Employees and substitutes for the primary provider, for fourteen (14) days (112 hours) or more FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ per calendar year must complete: A statement of a current health evaluation, signed by an approved health care professional, that was completed within the last twenty-four (24) months;

M.S.'s health statement signed by health care professional indicated next visit due is 2/23/23. Correction: Immediately obtain and maintain documentation in personnel file. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

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

7.707.32.A.1 · Prior to issuance of the license: A State Department approved fifteen (15) clock hour pre-licensing course of training that includes nine (9) core knowledge standards. The content of one of the standards must specifically address appropriate guidance with children and that corporal discipline is never allowed. The clock hours of pre-licensing training do not include certification in First Aid, CPR, and medication administration training

Identified through discussion with the provider, M.S. has substituted for the provider when necessary. Observed no evidence of M.S. completing the pre-licensing training. Correction: Immediately obtain and maintain documentation of training completion. Submit documentation of training completion to Licensing Specialist along with final, written response. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

Category: ratio. Marked corrected in the state record.

7.707.71.A.6 · Health statements for children over two (2) years to seven (7) years of age must be updated annually.

No evidence of current health statements in three of the seven children's files reviewed. Correction: Obtain and maintain current health statements for all children enrolled. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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