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.

At the time of the visit, reviewed providers files and it was found that Baby Girl B (expired on 7/16/2024) and Matthew A (expired on 6/3/2024) had expired standard precautions training certificates. Correction: Immediately review all files to ensure they contain a current standard precautions training certificate. Submit a copy of the certificates and a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

At the time of the visit, provider files were reviewed, and it was found that Baby Girl B and Matthew A were missing medication administration training certificates. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all files to ensure they contain a current medication administration training certificate. Submit a copy of the certificates and a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

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.

At the time of the visit, the provider's files were reviewed, and it was found that Baby Girl B (expired on 7/3/2024) and Matthew A (expired on 8/21/2024) had expired abuse and neglect training certificates. Correction: Immediately review all files to ensure they contain current child abuse and neglect training certificates. Submit a copy of the certificates and a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

At the time of the visit, provider files were reviewed, and it was found that Baby Girl B (expired on 7/16/2024) and Matthew A (expired on 5/11/2024) had expired safe sleep training certificates. Correction: Immediately review all files to ensure they contain current safe sleep training certificates. Submit a copy of the certificates and a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

Category: physical safety. 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.

At the time of the visit, the provider's files were reviewed, and it was found that Baby Girl B (expired on FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 7/18/2024) and Matthew A (expired on 8/26/2024) had expired immunization training certificates. Correction: Immediately review all files to ensure they contain a current immunization training certificate. Submit a copy of the certificate and a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

Category: health medication. 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..

At the time of the visit, eight child files were reviewed, and it was found that one file was missing documentation of a health statement. Correction: Immediately review all child files to ensure they contain a current health statement. Submit a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 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.

At the time of the visit, eight child files were reviewed, and it was found that one file had an expired health statement, and two files were missing health statements. Correction: Immediately review all child files to ensure they contain a current health statement. Submit a written statement

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

At the time of the visit, eight child files were reviewed, and it was found that one file had documentation of immunizations on the wrong form, and three files were missing documentation of immunizations. Correction: Immediately review all child files to ensure they contain documentation of immunizations on the CDPHE certificate or an approved alternate certificate. Submit a written statement of compliance by 1/24/2025. Correct by 01/10/2025

Corrected Corrected by Jan 10, 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;

At the time of the visit, eight child files were reviewed, and it was found that three files had expired medical emergency authorization forms. Correction: Immediately review all child files to ensure they contain a signed and dated emergency medical form, updated

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.