Christie Bunch

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;

One child's file reviewed had an authorization for emergency medical care that was expired. Correction: Immediately (04/17/2026) obtain current signed authorization for emergency medical care and retain in child's file. Submit verification to Licensing with written response no later than 04/24/2026. Correct by 04/17/2026

Corrected by Apr 17, 2026

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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.”

A knife block with knives was present and accessible on the counter in the kitchen. Correction: Immediately (04/17/2026) remove knife block and store so that it is inaccessible to children. Corrected during visit by provider removing the knife block from the counter. No written response is required. Correct by 04/17/2026

Corrected by Apr 17, 2026

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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;

Three children's files reviewed were missing a current authorization for emergency medical care. Correction: Immediately (05/27/2025) obtain current authorizations for emergency medical care and retain in children's file. Submit verification of correction to Licensing with written response no later than 06/10/2025. Correct by 05/27/2025

Corrected by May 27, 2025

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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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

One child's file reviewed did not have any information regarding immunizations. Correction: Immediately (05/27/2025) obtain immunization information and retain in child's file. Submit verification of correction to Licensing with written response no later than 06/10/2025. Correct by 05/27/2025

Corrected by May 27, 2025

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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.

Two children's files reviewed did not have a current physical. Correction: Immediately (05/27/2025) obtain current physicals and retain in each child's file. Submit verification of correction to Licensing with written response no later than 06/10/2025. Correct by 05/27/2025

Corrected by May 27, 2025

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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.”

A sharp knife was present on a kitchen counter at the time of the visit. Correction: Immediately (05/27/2025) remove sharp knife from counter and store so that it is inaccessible to children. Corrected during visit by provider removing knife and storing it so that it is inaccessible to children. No written response is required. Correct by 05/27/2025

Corrected by May 27, 2025

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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.

No current standard precautions training was available at the time of the visit. Correction: Immediately (06/28/2024) complete current standard precautions training. Submit copy of completed training certificate to Licensing with written response no later than 07/12/2024. Correct by 06/28/2024

Corrected by Jun 28, 2024

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2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

No current first aid and CPR training was available at the time of the visit. Correction: Immediately (06/28/2024) complete current first aid and CPR training. Submit copy of completed training

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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.

No current safe sleep training was available at the time of the visit. Correction: Immediately (06/28/2024) complete current safe sleep training. Submit copy of completed training certificate to Licensing with written response no later than 07/12/2024. Correct by 06/28/2024

Corrected by Jun 28, 2024

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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;

The authorization for emergency medical care in one child's file was expired. Correction: Immediately (06/28/2024) obtain current authorization for emergency medical care and retain in child's file. Submit copy to Licensing with written response no later than 07/12/2024. Correct by 06/28/2024

Corrected by Jun 28, 2024

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2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) 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 provider. The statement of the child’s current health status must 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 statements must be kept at the licensed family child care home.

One child's file had an expired physical. Correction: Immediately (06/28/2024) obtain current physical and retain in child's file. Submit copy to Licensing with written

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2.327.A · The primary provider, applicant 2, equally qualified providers, and/or qualified substitutes must supervise all children by sight and or sound and know the location and the activity of all children, both indoors and outdoors, at all times while they are in care.

There is an area behind the backyard shed (between the shed and he fence) that is accessible to children but cannot be supervised unless provider is in that area. Children can go behind the shed and not be seen. Correction: Immediately (06/28/2024) develop a method to close off the area behind the shed between the shed and the fence to prevent children from going into an area where they cannot be seen or supervised. Submit verification of correction to Licensing with written response no later than 07/12/2024. Correct by 06/28/2024

Corrected by Jun 28, 2024

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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.”

Observed sharp knives accessible in an unlocked kitchen drawer and in a knife block on the open kitchen counter. Observed plastic bags in an unlocked cabinet under the kitchen sink. Observed "Insect Killer" spray and air freshener labeled to "Keep Out of Reach of Children" (KORC) accessible on an open shelf area between the kitchen and living room. Observed Pepto Bismol labeled KORC on a low shelf in the door of the refrigerator. Correction: Immediately (06/28/2024) ensure that all potentially hazardous items are stored so that they are inaccessible to children. Corrected during visit by moving the knives to an inaccessible area; removing the plastic bags from under the sink; removing the "Insect Killer" spray and air freshener and storing them so that they are inaccessible to children and removing the Pepto Bismol so that it is inaccessible to children. No written response is required. Correct by 06/28/2024

Corrected by Jun 28, 2024

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2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

Observed animal feces in one area of the back yard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (06/28/2024) remove animal feces from back yard. Corrected during visit by provider removing the feces and properly disposing of them. No written response is required. Correct by 06/28/2024

Corrected by Jun 28, 2024

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2.337.D.2 · 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.

There are sharp bush stumps protruding from the ground near the backyard shed that are sharp and presenting a potential injury hazard. Correction: Immediately (06/28/2024) remove sharp stumps so that they are not protruding. Submit written verification of correction directly to Licensing with written response no later than 06/28/2024. Correct by 06/28/2024

Corrected by Jun 28, 2024

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2.337.D.1 · Children must be directly and actively supervised near standing water including, but not limited to, fountains, buckets, wading pools, and animal troughs.

Per discussion with Provider confirmed that CH2 and CH3 found a puddle in the backyard area behind the shed and were playing in the puddle. The area behind the shed cannot be directly supervised unless provider is standing right by it. Provider called children to come out after approximately 1 1/2 minutes. Correction: Immediately (06/28/2024) ensure that children are directly supervised around any standing water. Submit written verification of correction directly to Licensing no later than 07/05/2024. Correct by 06/28/2024 Stage II Licensing Concern : CH2 had played n the puddle in the backyard, then CH2's clothes were soaked, and CH2 was left in wet clothes for the rest of the day. - FOUNDED

Corrected by Jun 28, 2024

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2.328.G · The primary provider, applicant 2, equally qualified provider, qualified substitute, and staff members must respond promptly to the needs of a child, including, but not limited to: crying, toileting, hunger, and thirst.

Discussion with provider confirmed that CH2 had played in a puddle and gotten their clothes wet. CH2 did not have any additional clothes and provider also did not have any clothes to change CH2 into. Provider stated POC of CH2 arrived to pick up CH2 within 15 minutes. Correction: Immediately (06/28/2024) ensure that children are changed out of wet clothing promptly. Submit written verification of correction to Licensing no later than 07/05/2024. Correct by 06/28/2024 ________________________________________________ Stage II Licensing Concern : CH2 alleged provider hit CH1 and CH2 on their hands. FOC of CH2 noticed bruises on CH1's side. Large bruises were alleged to be present on CH1's thigh. - UNFOUNDED Stage II Licensing Concern : Children are subjected to excessive time outs. The provider had their arm around CH1's neck when CH1 was sent to time out. - UNFOUNDED Stage II Licensing Concern : The provider was often on the phone or sleeping when children were in care. - UNFOUNDED Stage II Licensing Concern : Feces and food were present in CH2's underwear. CH1 not properly cleaned after using the toilet. - UNFOUNDED ________________________________________________

Corrected by Jun 28, 2024

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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.

At the time of the visit, reviewed the Emergency drill log and found that only the fire drills were completed. Correction: Immediately ensure all drills are completed. Tornado drills are monthly March through October; and Lockdown, Emergency drills, and Active shooter on premise are completed quarterly. Submit a plan for the next year of when the drills will be completed and a written statement of compliance by 8/29/2023. Correct by 08/22/2023

Corrected by Aug 22, 2023

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