2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

At the time of the visit, it was observed that there was approximately 2 inches of resilient surfacing in the use zone of the slide and climbing equipment. Correction: Ensure that there is at least 6 inches of resilient surfacing in the use zones of the slide and climbing equipment. Submit a picture and a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 and staff files and found that Cassandra T had an expired Child Abuse Prevention training certificate. Correction: Review all files to ensure they contain a current Child Abuse Prevention training certificate. Submit a copy of the certificate along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.337.A.16 · If a sand box designated for play is used it must be covered when not in use.

At the time of the visit, it was observed that the sandbox outside was not covered. Correction: Ensure that the sandbox is covered when not in use. Submit a picture and a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Marked corrected in the state record.

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

At the time of the visit, it was observed that the fire extinguisher's dial was in the recharge position. Correction: Ensure that the fire extinguisher is in working condition at all times. Submit a picture of the extinguisher and a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: physical safety. 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 must be renewed annually.

At the time of the visit, reviewed the provider's and staff files and found that Felicia C had an expired Standard Precautions training certificate, which expired on August 12, 2024. Correction: Review all files to ensure they contain a current Standard Precautions training certificate. Submit a copy of the certificate along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

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, review the provider's and staff files and found that Felicia C had an expired Shaken Baby training certificate. Correction: Review all files to ensure they contain a current Shaken Baby training certificate. Submit a copy of the certificate along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

At the time of the visit, Lysol was observed in an unlocked cabinet under the sink in the kitchen, making it accessible to children. Correction: Ensure that the home is kept safe and free from hazards to health at all times. This was corrected at the time of the visit, as the provider moved the Lysol to a high cabinet, making it inaccessible to children. Submit a written statement of future compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

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

2.312.K · Within thirty (30) 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 training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

At the time of the visit, reviewed the provider's and staff files and found that Cassandra T and Felicia C were missing their Playground Safety training certificates. Correction: Review all files to ensure they contain Playground Safety training certificates. Submit a copy of the certificates along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. 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 training requirements;

At the time of the visit, reviewed the provider's and staff files and found that Cassandra T and Felicia C were missing their Introduction to Early Intervention training certificates. Correction: Review all files to ensure they contain the Introduction to Early Intervention training certificate. Submit a copy of the certificates along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · 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 training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

At the time of the visit, reviewed the provider's and staff files and found that Cassandra T and Felicia C were missing their Impact of Bias training certificates. Correction: Review all files to ensure they contain the Impact of Bias training certificate. Submit a copy of the certificates along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.P · 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 training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

At the time of the visit, reviewed the providers and staff files and found that Cassandra T was missing the Injury prevention training certificate. Correction: Review all files to ensure they contain the Injury Prevention training certificate. Submit a copy of the certificate along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 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, reviewed the providers and staff files and found that Cassandra T and Felicia C were missing the Working with a Mental Health Consultant training certificate. Correction: Review all files to ensure they contain a Working with a Mental Health Consultant training certificate. Submit a copy of the certificates along with a written statement of compliance by April 5, 2025. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: health medication. 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 staff file and found that Felicia had an expired child abuse and neglect training certificate. The certificate expired on 9/21/2023. Correction: Immediately have Felicia obtain a current child abuse prevention training certificate. Submit a copy of the certificate and a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 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 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 staff files and found that Felicia had an expired safe sleep training FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ certificate. The certificate expired on 10/21/2023. Correction: Immediately have Felicia obtain a current sleep safe training certificate. Submit a copy of the certificate and a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 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 a staff file and found that Felicia had an expired CDPHE immunization training certificate. The certificate expired on 9/21/2023. Correction: Immediately have Felicia obtain a current CDPHE immunization training certificate. Submit a copy of the certificate and a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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.

Cassandra T. had an expired training about child abuse prevention. Correction: Ensure that providers annually complete a Department-approved training about child abuse prevention. Provide documentation and statement of compliance by 8/12/2023. Correct by 08/12/2023

Corrected Corrected by Aug 12, 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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Felicia C. a regular employee of the program had an expired Standard Precautions training. Correction: Immediately ensure that prior to working with children and annually providers and regular employees complete a Department-approved Standard Precautions training. Provide documentation and statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 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.

Cassandra T. had an expired immunization training. Correction: Ensure providers annually complete an approved CDPHE immunization course. Provide documentation and statement of compliance by 8/12/2023. Correct by 08/12/2023

Corrected Corrected by Aug 12, 2023

Category: health medication. 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.

Three (3) out of seven (7) child files had an expired health statement. Correction: Ensure that within thirty (30) days of expiration parents provide the program with an updated health statement for their children. Provide documentation and statement of compliance by 8/12/2023. Correct by 08/12/2023

Corrected Corrected by Aug 12, 2023

Category: ratio. Marked corrected in the state record.

7.707.72.B.1.a · . The home must have a designated diaper change area for all children in need of diaper changing. The diaper change area must: Have a smooth, durable, nonabsorbent, and easily cleanable surface; and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The diaper changing pad had a tear on the top of the pad where children lay. Correction: Immediately ensure that the diaper changing area is durable and easily cleanable. Provide statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

7.707.922.D · Furnishings and equipment in the area approved for child care must be in good repair.

A swing set in the backyard accessible to children had a saucer swing that was torn and broken. Correction: Immediately ensure that equipment is areas approved for child care are in good repair. Provide statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

Category: physical safety. 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.

Sunscreen, disinfectant wipes, diapers in plastic bags, A&D ointment and garden insect killer all labeled keep out of reach of children were accessible to children within the program. Correction: Immediately ensure that items labeled keep out of reach of children are inaccessible to children. Provide statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

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

7.707.923.B · In rooms accessible to children, all electrical outlets and power strips must nave protective covers, or safety outlets must be installed; and all exposed light bulbs must have protective covers. Electrical cords must be in good condition and not posing a hazard, such as strangulation, falling or tripping.

A yellow electrical cord was accessible to children in the kitchen that posed a strangulation and tripping hazard. Correction: Immediately ensure that in rooms accessible to children electrical cords do not pose a hazard to children. Provide statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

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

7.707.923.L · Flammable or combustible items must be stored in a locked area remote from the kitchen, at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

Paint containers were in the front yard holding down a tarp where children enter the program. Correction: Immediately ensure that flammable items are stored in a locked area. Provide statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

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

7.707.934.B · 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

A broken flipped over water table and a swing with shade that was broken were accessible to children in the backyard. Correction: Immediately ensure that the outdoor play area must be kept safe and free from debris that could cause harm to children. Provide statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

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