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.

Michelle J. had an expired child abuse and neglect training. Correction: Ensure that providers annually complete a department-approved training about child abuse training. Provide documentation and statement of compliance by 10/11/2023. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.91.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

A plastic bag on the downstairs bathroom door with trash in it was accessible to children in care. Additionally two paper plates were observed in the dirt in one of the playhouses. Correction: Immediately ensure that waste is stored in accessible to children. Provide statement of compliance by 10/11/2023. Correct by 09/11/2023

Corrected Corrected by Sep 11, 2023

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

7.707.921.H · Stairways of more than four (4) steps that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the provider is providing direct supervision of the child who is learning climbing skills on the stairs. Because of the risk of serious physical injury to a child, providers, employees, substitutes, volunteers, and visitors must never lift children over the gates while on a stairway.

The gate leading to the upstairs was not up upon arrival to the home, through a paperwork review it was determined that there were two (2) children under two (2) in care. Correction: Immediately ensure that stairways with more than four (4) steps have a gate when children under two (2) are present. Corrected at the time of visit by putting the gate up. Nothing additional needed. Correct by 09/11/2023

Corrected Corrected by Sep 11, 2023

Category: supervision. 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.

Two (2) scooters outside for children were observed to be rusted and could be hazardous. Correction: Immediately ensure that equipment is in good repair. Provide statement of compliance by 10/11/2023. Correct by 09/11/2023

Corrected Corrected by Sep 11, 2023

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

7.707.931.G · All outdoor areas where children may pass or play shall be kept free of animal contamination. All animal wastes must be promptly removed and placed in a lidded container or otherwise inaccessible to children.

Animal waste was observed outside in the play area. Correction: Immediately ensure that outdoor play areas are free of animal contamination. Provide statement of compliance by 10/11/2023. Correct by 09/11/2023

Corrected Corrected by Sep 11, 2023

Marked corrected in the state record.

7.707.51.B · All forms contained in the admission record must be current and accessible to providers, substitutes and to representatives of the State Department. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Two (2) out of ten (10) child files were not able to be reviewed at the time of visit, due to the provider stating they may have accidently been thrown away. Correction: Ensure all forms contained in the admission record are available for review by representatives of the State Department. Provide documentation and statement of compliance by 10/11/2023. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Five (5) out of ten (10) child files had immunization records but were not recorded as approved by CDPHE. Two (2) out of ten (10) child files did not have immunization records to review. Correction: Immediately ensure that immunization records are recorded as approved by CDPHE and obtained prior to the first day. Provide statement of compliance by 10/11/2023. Correct by 09/11/2023

Corrected Corrected by Sep 11, 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 ten (10) child files did not have health statements. Correction: Ensure health statements are obtained within thirty (30) days of enrollment. Provide documentation and statement of compliance by 10/11/2023. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: ratio. Marked corrected in the state record.