2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

No current health evaluation was available for Katrina at the time of the visit. Correction: Immediately (07/02/2025) obtain current health inspection and retain in file. Submit copy to Licensing with written response no later than 07/16/2025. Correct by 07/02/2025

Corrected Corrected by Jul 2, 2025

Category: health medication. 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.

No verification of completed "Working with an Early Childhood Health Consultant" training was available for Katrina at the time of the visit. Correction: Immediately (07/02/2025) complete required training and submit verification to Licensing with written response

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

No verification of current training in medication administration was available for Katrina at the time of the visit. Correction: Immediately (07/30/2024) complete current medication administration training and retain verification in file. Submit copy of training certificate to Licensing with written response no later than 08/13/2024. Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

Category: ratio. Marked corrected in the state record.

2.320.A.1 · 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: The child’s full name, date of birth, current address, and date of enrollment;

One child's file reviewed did not have the date of enrollment listed. Correction: Immediately (07/30/2024) obtain date of enrollment and retain in file. Submit verification of correction to Licensing with written response no later than 08/13/2024. Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. 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;

One child's file reviewed did not have a current authorization for emergency medical care. Correction: Immediately (07/30/2024) obtain current written authorization for emergency medical care and retain in file. Submit verification of correction to Licensing with written response no later than 08/13/2024. Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

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

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

A printer and an electric pencil sharpener were sitting on a shelf and in the windowsill in one of the rooms used for care. The cords were dangling and accessible to children. Correction: Immediately (07/30/2024) secure cords and equipment so that they cannot be pulled or knocked down. Submit verification of correction to Licensing with written response no later than 08/13/2024. Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

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

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.

A section of the fence near the designated outdoor play area has been damaged and is leaning over toward the play area. Correction: Immediately (07/30/2024) secure / repair the fence so that it does not resent a hazard. Restrict access to the area until the repairs have been completed. Submit verification of correction to Licensing with written response no later than 08/13/2024 Correct by 07/30/2024

Corrected Corrected by Jul 30, 2024

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.

Confirmed through provider statement that a child has burned themselves on a hot cookie sheet that was accessible to the children. At the time of the visit, observed disinfecting wipes labeled "keep out of reach of children" accessible to children in the bathroom on a low shelf and in the basement on a low table. Correction: Immediately, all hazardous items and materials must be inaccessible to children. Submit a written statement of compliance by 2/15/2024. Correct by 02/08/2024 Stage II Licensing Concern :

Corrected Corrected by Feb 8, 2024

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

7.707.51.A.9 · The admission record must include:A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent or guardian.

Confirmed through provider statement that incident or injury reports are not completed for injuries. Correction: Immediately, a record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent or guardian. Submit a written statement of compliance by 2/15/2024. Correct by 02/08/2024 ________________________________________________ Stage II Licensing Concern : Parents/guardians were not informed of injuries or incidents occuring to their children. - UNFOUNDED Stage II Licensing Concern : The provider's pets have scratched or physically harmed children in care. - UNFOUNDED Stage II Licensing Concern : Staff-to-child ratios are not maintained throughout the day. - UNFOUNDED Stage II Licensing Concern : Children are not being properly supervised while they are in care. - UNFOUNDED Stage II Licensing Concern : During transportation, car seats are not securely tightened. - UNFOUNDED Stage II Licensing Concern : Children have fallen out of car seats during transportation and obtained an injury. - UNFOUNDED ________________________________________________

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.3 · The admission record must include:Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, cell and pager numbers, if the parent chooses to provide those numbers; employer name and work address; and, any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the child care home.

At the time of the visit, observed that the parents' email addresses, work addresses, and work phone numbers were missing from the children's enrollment packet. Correction: Immediately review all files and ensure that the enrollment paperwork has an area where parents can list their employer name, work address, and phone number, as well as an area where they can list their personal email addresses. Submit a copy of the form and a written statement of compliance by 9/7/2023. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.6 · The admission record must include:Names, addresses,and telephone numbers of the child's health care provider,dentist,pedadontist,and hospital of choice, if applicable.

At the time of the visit, reviewed the child's enrollment form observed the hospital name, address, and phone number; and the dentist name, address, and phone number to be missing. Correction: Immediately review all files and ensure all files contain information about the hospital name, address, and

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

At the time of the visit, reviewed 9 children's files and found 1 child;s file was missing a copy of their immunization record. Correction: Immediately review all children's files and ensure all files contain a current immunization record. Submit a written statement of compliance by 9/7/2023. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.707.71.A.5 · Statements of health status of children under two (2) years of age must be updated in accordance with the national pediatric recommended schedule for routine health supervision or as required in writing by health care provider.

At the time of the visit, reviewed 9 children's files and found that 1 file was missing the current health statement for an infant. Correction: Immediately review all children's files and ensure all files contain current health statements. Submit a written statement of compliance by 9/7/2023. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

Category: supervision. Marked corrected in the state record.

7.707.71.A.6 · Health statements for children over two (2) years to seven (7) years of age must be updated annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the inspection, reviewed 9 children's files and found that 1 children's file was missing a health statement for children between the ages of 2 years and 7 years old. Correction: Immediately review all children's files and ensure all files contain a current health statement for children ages 2 to 7 years old. Submit a written statement of compliance by 9/7/2023 Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

At the time of the visit, observed that the cat's vaccination record for rabies was missing. Correction: Immediately obtain a copy of the cat's vaccination record. Submit a copy of the certificate and a written statement of compliance by 9/7/2023. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.707.34.B.2 · Employees and substitutes for the primary provider, for fourteen (14) days (112 hours) or more per calendar year must complete: A statement of a current health evaluation, signed by an approved health care professional, that was completed within the last twenty-four (24) months;

At the time of the visit, reviewed two staff files and found that 1 file (Kirsten) was missing a current medical evaluation. Correction: Immediately have Kirsten obtain a current medical health evaluation. Submit a written statement of compliance by 9/7/2023. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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