7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

While reviewing staff files noticed that Amy N. and Sajeewa P. does not have current documentation of a standard precautions state department approved training. Correction: Immediately ensure that each provider and staff member complete a department-approved training in Standard Precautions that meet current Occupational Safety and Health Administration (OSHA). Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

While reviewing staff files noticed that Audrey C. does not have current documentation of Shaken Baby/Adusive Head Trauma training. Correction: Immediately ensure that each provider and staff member complete Prevention on of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age.. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

While reviewing staff files noticed that Audrey C. and Amy N. does not have current documentation of First Aid and CPR Training. Correction: Immediately ensure that each provider and staff member complete First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.8 · . Effective December 31, 2016, all providers and staff must complete a building and physical premises training prior to working with children. The training must include:

While reviewing staff files noticed that Audrey C., Amy N., and Sajeewa P. does not have current documentation of building and physical premises training. Correction: Immediately ensure that each provider and staff member complete a building and physical premises training prior to working with children. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member responsible for the collection, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

While reviewing staff files noticed that Audrey C. and Amy N. does not have current documentation of Public Health and Environment (CDPHE) immunization course training. Correction: Immediately ensure that each provider and staff member complete the Colorado Department of Public Health and Environment (CDPHE) immunization course within (30) calendar days of employment. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

While reviewing staff files noticed that Audrey C. and Amy N. does not have current documentation of a child abuse prevention training. Correction: Immediately ensure that each provider and staff member complete a department-approved training about child abuse prevention within thirty (30) calendar days of employment. This training must be renewed annually. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

While reviewing staff files noticed that Audrey C., Amy N., and Sajeewa P. does not have current documentation of fifteen (15) completed clock hours of annual training. Correction: Immediately ensure that each provider and staff member complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) hours must be in social emotional development. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.F.2 · . 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.

Upon inspection of the emergency drill log noticed that there is no documentation of current emergency drills and fire drills. Correction: Immediately ensure that emergency drills, lock down 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. Submit a plan of when all drills will be completed each month and quarter and a written statement of compliance is due 11/07/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department approved course of training for medication administration.

While reviewing staff files noticed that Audrey C. and Amy N. does not have current documentation of medication administration training. Correction: Immediately ensure that each provider and staff member complete the State Department approved course of training for medication administration. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: ratio. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

While reviewing staff files noticed that Audrey C. and Amy N. does not have current documentation of a current health evaluation. Correction: Immediately ensure that subsequent health evaluation for the all staff members is conducted as required in a written plan signed by a physician or other health professional. Submit a copy of the health evaluation and a written statement of compliance by 11/30/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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

7.701.33.J.1.a.b.c · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

While reviewing staff files noticed that Amy N., and Sajeewa P. does not have current documentation of a TRAILS abuse background check. Correction: Immediately ensure that background check requests are submitted and successfully completed for each state prior to an individual caring for children or allowing the individual unsupervised access to children. Provider must review

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.707.51.A.1 · The admission record must include:The child's full name, date of birth, current address, and date of enrollment.

While reviewing child files noticed that two (2) children do not have current written documentation of their date of birth. Five (5) child files do not have current written documentation of their enrollment date. Correction: Immediately ensure that all child files include child's date of birth. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.10 · The admission record must include:Written authorization, obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle.

While reviewing child files noticed that five (5) children do not have current documentation of written authorization from parent or guardian to participate in field trips. Correction: Immediately ensure that all child's files include written authorization, obtained in advance of the event from a parent or guardian. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: transportation. Marked corrected in the state record.

7.707.51.A.11 · The admission record must include:Written authorization for media use including, but not limited to, television and video viewing, music, 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

While reviewing child files noticed that five (5) children do not have current documentation of written authorization from parent or guardian for media use. Correction: Immediately ensure that all child's files include written authorization, obtained in advance for media use

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

While reviewing child files noticed that five (5) children do not have current documentation of written verification of a scheduled appointment with a health care practitioner or a current health statement from a health care practitioner. Correction: Immediately ensure that within thirty (30) days after admission each parent or guardian of each child must submit a statement of the child's current health statement signed and dated by a health care provider. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: ratio. 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.

While reviewing child files noticed that five (5) children do not have current documentation from a parent of guardian authorizing the provider to arrange for emergency medical care. Correction: Immediately ensure the care provider obtains a written authority to arrange for emergency medical care from parents and guardians for each child. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Marked corrected in the state record.

7.707.41.B.23 · The written policies and procedures must be developed, implemented and followed, which include all updates, changes, and must include at a minimum the following information: Use of and how often sunscreen is applied, including authorization for use of sunscreen, and how infants are protected from sun exposure without the use of sunscreen

While reviewing child files noticed that five (5) children do not have current documentation authorizing the provider the use of sunscreen. Correction: Immediately ensure that all child files include a written policy and procedure for use of sunscreen, including authorization for use of sunscreen. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Marked corrected in the state record.

7.707.94.E · The home must obtain written permission from the parent or guardian for transportation of the child.

While reviewing child files noticed that five (5) children do not have current written documentation from a parent of guardian authorizing the provider to transport child. Correction: Immediately ensure the provider obtains written permission from parents and guardians for transportation of all children. Submit a copy of a written statement of compliance by 11/7/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: transportation. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

While reviewing child files noticed that five (5) children do not have current written documentation of immunization records or alternate certificate of immunization. Correction: Immediately ensure that all child's files include at the time of admission updated and recorded immunizations

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.