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 file was reviewed, and it was found that Carlie M had an expired child abuse prevention training certificate, which expired on 8/16/2024. Correction: Immediately review your file to ensure it contains a current child abuse and neglect training certificate. Please submit a copy of the certificate and a written statement of compliance by 1/27/2025. Correct by 01/13/2025

Corrected Corrected by Jan 13, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually.

At the time of the visit, the provider's file was reviewed, and it was found that Carlie M had an expired child immunization records training certificate, which expired on 8/21/2024. Correction: Immediately review your file to ensure it contains a current child immunization records training certificate. Please submit a copy of the certificate and a written statement of compliance by 1/27/2025. Correct by 01/13/2025

Corrected Corrected by Jan 13, 2025

Category: health medication. 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;

At the time of the visit, reviewed the provider's file and found that the First Aid/ CPR training had expired in September of 2023. Correction: Immediately obtain a current First Aid and CPR training certificate. Submit a copy of the training certificate and a written statement of compliance by 3/8/2024. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.37.D.2 · The following records must be kept and maintained in the files at the home for three (3) years after termination of care or employment: Children's records per Section 7.707.51.;

Unable to verify if the policy and procedures were provided to the legal guardian due to the provider not having kept some records after children left the program. Correction: Ensure that child records are kept at the home for three (3) years after termination of care. Provide statement of compliance by 8/21/2023. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.37.E.2 · Employee and children's records must be available, upon request, to authorized representatives of the State Department.

Unable to verify if enrollment records including medical/immunization records are complete due the provider FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ not having kept some records after children left the program. Correction: Ensure that children's records are available for review upon request of the state department. Provide statement of compliance by 8/21/2023. Correct by 08/21/2023 ________________________________________________

Corrected Corrected by Aug 21, 2023

Category: health medication. 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.

Carlie M. had an expired Prevention of Shaken Baby/Abusive Head Trauma training. Correction: Immediately ensure that prior to working with children and annually providers complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training. Provide documentation and statement of compliance by 8/21/2023. Correct by 08/07/2023

Corrected Corrected by Aug 7, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Carlie M. had an expired training about child abuse prevention. Correction: Ensure that annually providers complete a Department-approved training about child abuse prevention. Provide documentation and statement of compliance by 8/21/2023. Correct by 08/21/2023

Corrected Corrected by Aug 21, 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,

Carlie M. had an expired Standard Precautions training. Correction: Immediately ensure that prior to working with children and annually providers complete a Department approved training in Standard Precautions. Provide documentation and statement of compliance by 8/21/2023. Correct by 08/07/2023

Corrected Corrected by Aug 7, 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.

Carlie M. had an expired CDPHE immunization course. Correction: Ensure that providers annually complete a CDPHE approved immunization course. Provide documentation and statement of compliance by 8/21/2023. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Carlie M. had an expired Safe Sleep training. Correction: Immediately ensure that prior to and annually providers who work with infants complete a Department approved safe sleep training. Provide documentation and statement of compliance by 8/21/2023. Correct by 08/07/2023

Corrected Corrected by Aug 7, 2023

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