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.

Reviewed Provider's file, current Standard Precautions training had expired. Correction: Immediately complete a department approved training in Standard Precautions. Submit documentation and written statement of compliance by 8/14/2024. Correct by 08/07/2024

Corrected Corrected by Aug 7, 2024

Category: ratio. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed Provider's file, current Child Abuse Prevention training had expired. Correction: Immediately complete a department approved training in Child Abuse Prevention. Submit documentation and written statement of compliance by 8/14/2024. Correct by 08/07/2024

Corrected Corrected by Aug 7, 2024

Category: recordkeeping. 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 the visit, observed that the provider's and child's physical was missing. Correction: Immediately ensure that all children residing in the home under 12 years of age have a current health statement and the provider also has a current health evaluations. Submit a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ may count towards ongoing training requirements.

At the time of the visit, reviewed the provider's training certificates and found that the Shaken Baby certificate had expired on 1/3/2023. Correction: Immediately complete the required Department-approved Prevention of Shaken Baby/ Abusive Head Trauma training. Submit a written statement of compliance and a copy of the certificate by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 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 the visit, reviewed the provider's training certificates and found that the Department-approved Standard Precautions training certificate was missing. Correction: Immediately complete the Department-approved Standard Precautions training. Submit a written statement of compliance and a copy of the training certificate by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 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.

At the time of the visit, reviewed the provider's training certificates and found that the Colorado Department of Public Health and Environment immunization training certificate was missing. Correction: Immediately complete the Colorado Department of Public Health and Environment immunization training. Submit a written statement of compliance and a copy of the training certificate by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

At the time of the inspection reviewed the provider's training certificates and found that the provider was FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ missing 15 clock hours with at least 3 hours in Social Emotional development. Correction: Immediately complete at least 15 hours of training including at least 3 hours in Social Emotional development. Submit copies of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. 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.

At the time of the inspection reviewed the provider's training certificates and found that the Safe Sleep training certificate had expired on 1/3/2023. Correction: Immediately complete the Safe Sleep Training. Submit a written statement of compliance and a copy of the training certificate by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: physical safety. 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.

At the time of the visit, reviewed the provider's training certificates and found that the Department-approved Child Abuse training certificate had expired on 1/3/2023. Correction: Immediately complete the required Department-approved Child Abuse training. Submit a written statement of compliance and a copy of the certificate by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

At the time of the visit, reviewed 5 children's files and found that 2 files had expired emergency medical authorizations. Correction: Immediately review all children files and ensure all files contain a current signed emergency medical authorization. Submit a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Marked corrected in the state record.