2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

At the time of the visit, observed that Benita C and Luis C had expired FBI clearance letters. Correction: Providers must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the providers reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Category: background checks. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training requirements;

At the time of the visit, the provider’s file was reviewed and found to be missing the Introduction to Early Intervention training certificate. Correction: Review the file to ensure it contains the Introduction to Early Intervention training certificate. Submit a copy of the certificate along with a written statement of compliance by May 3, 2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 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.

At the time of the visit, the provider’s file was reviewed and found to be missing the Working with a Mental Health Consultant training certificate. Correction: Review the file to ensure it contains the Working with a Mental Health Consultant training certificate. Submit a copy of the certificate along with a written statement of compliance by May 3, 2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Category: health medication. 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 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, three child files were reviewed, and it was found that two of the files had immunization documentation on the incorrect form. Correction: Review all child files to ensure they contain documentation of immunizations on the CDPHE certificate or an

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

At the time of the visit, the provider was missing a current medical statement. The medical statement expired on 11/16/2023. Correction: Immediately obtain a current medical statement signed and dated by a licensed physician. Submit a copy of the medical form and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be renewed annually.

At the time of the visit, reviewed the provider's file and found that the Standard Precautions training had expired on 8/14/2022. Correction: Immediately complete the Standard Precautions training. Submit a copy of the training certificate and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

Category: ratio. Marked corrected in the state record.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

At the time of the visit, reviewed the provider's file and found that the Prevention of Shaken Baby/ Abusive Head Trauma had expired on 7/3/2021. Correction: Immediately complete the Prevention of Shaken Baby/ Abusive Head Trauma training. Submit a copy of the training certificate and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

Category: recordkeeping. 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, reviewed the provider's file and found that the Child Abuse Prevention training had expired on 12/7/2021. Correction: Immediately complete the Child Abuse Prevention training. Submit a copy of the training certificate and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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, reviewed the provider's file and found that the Safe Sleep training had expired on 10/21/2023. Correction: Immediately complete teh Safe Sleep training. Submit a copy of the training certificate and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

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, reviewed the provider's file and found that the Colorado Department of Public Health and Environment immunization course had expired on 11/3/2021. Correction: Immediately complete the Colorado Department of Public Health and Environment immunization course. Submit a copy of the training certificate and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

At the time of the visit, reviewed the provider's file and found that the provider was missing the 5 hours of the required 15 clock hours of annual training. Correction: Immediately complete the additional 5 hours of training and ensure every year that at least 15 hours of training are completed every year. Submit a copy of the training certificate and a written statement of compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

Category: recordkeeping. 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.”

During the health and safety walk-through, observed leather cleaning on a table in the basement, Poo-Pourri and Aveeno baby lotion on the sink counter in the basement bathroom, and plastic bags in a bottom drawer in the basement bathroom accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all plastic bags and items labeled "keep out of reach of children," are stored in areas inaccessible to children. Corrected at time of visit. The provider moved all items to an area inaccessible to children. Submit a written statement of future compliance by 5/30/2024. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

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

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

At the time of the visit, observed the provider did not have a copy of their building and physical premises training. Correction: Immediately complete a building and physical premise training of your home. Submit a written statement of compliance by 5/30/2024/ Correct by 05/16/2024

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.31.A.3 · Providers, employees, substitutes, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Identified that the provider completed safe sleep training 10/21/2022 and a child in their care was observed sleeping in an unsafe sleep environment. Correction: Immediately all providers must demonstrate an interest in knowledge of children and a concern for their proper care and well being. Safe sleep guidelines must be followed at all times. Submit a written statement of compliance by 8/22/2023 Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of inspection provider had not completed the Department approved prevention of shaken baby/abusive head trauma training. Correction: Immediately provider must complete the Department approved prevention of shaken baby/abusive head trauma training. This training must be updated annually. Submit training certificate and a written statement of compliance by 8/22/2023 Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: recordkeeping. 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.

At the time of inspection provider had not completed the Department approved Child Abuse Prevention training. Correction: Immediately provider must complete the Department approved Child Abuse Prevention training. This training must be updated annually. Submit training certificate and a written statement of compliance by 8/22/2023 Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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,

At the time of inspection provider had not completed the Department approved Standard Precautions training that meets OSHA requirements Correction: Immediately provider must complete the Department approved Standard Precautions training that meets OSHA requirements. This training must be updated annually. Submit training certificate and a written statement of compliance by 8/22/2023 Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

At the time of inspection provider had not completed the CDPHE approved immunization course. Correction: Immediately provider must complete the CDPHE approved immunization course. This training must be updated annually. Submit training certificate and a written statement of compliance by 8/22/2023 Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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

7.707.75.H.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, plush toys, and stuffed animals.

At the time of inspection observed an infant sleeping in a crib with items and materials that could pose a suffocation hazard. Correction: Immediately remove all items from crib that could pose a suffocation hazard to children. Submit a written statement of compliance by 8/22/2023 Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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