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.

There was a hose that was spread throughout the backyard, posing a tripping hazard. A hose was on the turf near the mister that the children use for outdoor time. The hose posed a tripping hazard. Correction: All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazards. Correct Docusign Envelope ID: 47857373-0209-4C1D-9F75-FB8B5196E6D1

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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.

There was animal contamination in the backyard which children had access to. Correction: All outdoor areas where children may pass or play must be kept free or animal contamination. Correct immediately and document compliance to the Department on the response form. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Marked corrected in the state record.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

The provider's health evaluation expired on 1/17/2024, due to the written plan signed by a health care provider. A child residing in the home who was less than ten (10) years old had a health evaluation expire on 1/17/2024, due to the written plan signed by a health care provider. Correction: Obtain, maintain and update documentation of health evaluations. Correct and document compliance to the Department on the response form. Correct by 08/10/2024

Corrected Corrected by Aug 10, 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 Docusign Envelope ID: 47857373-0209-4C1D-9F75-FB8B5196E6D1 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;

There was one (1) child that did not have a current emergency medical authorization on file. Correction: Obtain, maintain and update annually documentation of emergency medical authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

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

7.707.91.E · All weapons must be locked and inaccessible to children. Ammunition and arrows must be locked and stored separately. This includes, but is not limited to, firearms, air rifles, bb guns, paintball guns, bows, hunting knives, swords, hunting sling shots, and martial arts weapons. Trigger locks are acceptable. Antique and other guns used for decoration must be unloaded, inoperable and have the firing pin removed. An unstrung bow need not be stored in a locked container. Weapons must not be transported in any vehicle in which children are riding unless the weapons are made inoperable and inaccessible. The provider, employees and substitutes must know the location of any weapons in the home

Two guns located on the top shelf of the master bedroom closet were not locked. Correction: Ensure that the weapons stored inside your house are locked. Correct immediately and document compliance to the Department on the response form. Correct by 08/17/2023

Corrected Corrected by Aug 17, 2023

Category: ratio. Marked corrected in the state record.

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, 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.

In the grill area, there was charcoal sitting on the ground near the grill, which was accessible to children. Additionally, there were sharp grill utensils hanging off the grill that were also accessible to children. Correction: Ensure all hazards are inaccessible to children. Correct immediately and document compliance to the Department on the response form. Correct by 08/17/2023

Corrected Corrected by Aug 17, 2023

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

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.

Two (2) child files were reviewed one (1) child who was enrolled on 6/30/22 did not have a medical statement in their file. Correction: Within thirty (30) days after enrollment a children must have a medical form, and a record must be maintained. Correct and document compliance to the Department on the response form. Correct by 09/16/2023

Corrected Corrected by Sep 16, 2023

Category: ratio. Marked corrected in the state record.

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

A blue disc swing on the playground in the grass did not have any resilient material underneath it. Correction: All permanently installed playground equipment must have at lease six inches (6") of resilient underneath it, and in the use zone. Correct immediately and document compliance to the Department on the response form. Correct by DocuSign Envelope ID: B1558DEE-B305-47CB-827C-4EE46217773D

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.707.932.E · By December 31, 2010, all swing sets or permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards.

At the time of inspection, the blue disc swing vertical distance between the pivot point and the ground measured six feet and nine inches (6'9"). The fall zone for the swing was less than six feet and nine inches (6' 9"). Correction: Ensure that the fall zone is consistant with nationally recognized standards. Correct immediately and document compliance to the Department on the response form. Correct by 08/17/2023

Corrected Corrected by Aug 17, 2023

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