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.

Reviewed eight (8) children's files. Two (2) files were missing a current health statement updated in accordance with the American Academy of Pediatrics Recommendations Correction: Immediately review all children's files and ensure all files contain a current health statement updated in accordance with the American Academy of Pediatrics Recommendations. Provide a written statement of compliance by 11/28/2024. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

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;

Reviewed eight (8) children's files. Five (5) files was missing a current written authorization for emergency medical care. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all children's files and ensure all files contain a current written authorization for emergency medical care. Provide a written statement of compliance by 11/28/2024. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

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

2.331.E · Children must not be punished for not resting or sleeping, toileting accidents, failure to eat all or part of meals or snacks, or failure to complete an activity. Food or drink must not be denied or forced upon children as a disciplinary measure.

Identified through providers statements that children are sometimes hosed off outside when they have toileting accidents. Correction: Immediately ensure children are not punished for not resting or sleeping, toileting accidents, failure to eat all or part of meals or snacks, or failure to complete an activity. Submit a written statement of compliance by 7/8/2024. Correct by 07/01/2024

Corrected Corrected by Jul 1, 2024

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

2.311.A.7 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Identified through providers statements that children are sometimes hosed off outside when they have toileting accidents. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure providers demonstrate an interest in the knowledge of children and a concern for their proper care and well-being. Provide a written statement of compliance by 7/8/2024. Correct by 07/01/2024 ________________________________________________ Stage II Licensing Concern : Children are locked in a room in the basement. - UNFOUNDED Stage II Licensing Concern : Provider hits children on the bottom of their feet with a wooden spoon. - UNFOUNDED Stage II Licensing Concern : Provider puts hot peppers in children's mouths when they won't stop crying. - UNFOUNDED ________________________________________________

Corrected Corrected by Jul 1, 2024

Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

At the time of inspection the provider did not have a current health evaluation signed by a licensed physician or other health care provider. Correction: Immediately ensure to complete a current health evaluation signed by a licensed physician or other health professional. Provide a statement of compliance by 12/20/2023. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

At the time of inspection the provider did not have a current department-approved child abuse prevention training. Correction: Immediately complete a department-approved child abuse prevention training. Submit certificate and written statement of compliance by 12/20/23. Correct by 12/13/2023

Corrected Corrected by Dec 13, 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 the provider did not have a current department-approved standard precautions training. Correction: Immediately complete a department-approved standard precautions training. Submit certificate and written statement of compliance by 12/20/23. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

Category: ratio. Marked corrected in the state record.