2.138.A · 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.

Reviewed emergency drill logs, no documentation of fire, tornado or lockdown/active shooter drills held over the past twelve months was maintained. Correction: Immediately conduct and document fire, tornado and lockdown/active shooter drills. Submit documentation and written verification of compliance by 4/21/2025. Correct by 04/14/2025

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified 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 files, Rania Y. was missing documentation of current child abuse training. Correction: Immediately ensure that child abuse training is completed and documented. Submit documentation and written verification of compliance by 4/21/2025. Correct by 04/14/2025

Corrected Corrected by Apr 14, 2025

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;

Reviewed eight child files, three were missing current written, signed and dated, authorization for emergency medical care. Correction: Immediately review all child files, ensure that current written, signed and dated authorization for emergency medical care are maintained for each child in care. Submit documentation and written verification of compliance by 4/21/2025. Correct by 04/14/2025

Corrected Corrected by Apr 14, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health care provider. All health statements must be kept at the licensed family child care home.

Reviewed eight child files, two were missing current health statements. Correction: Immediately review all child files, ensure that current health statements are maintained for each child in care. Submit written verification of compliance by 5/14/2025. Correct by 04/14/2025

Corrected Corrected by Apr 14, 2025

Category: ratio. Marked corrected in the state record.

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 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.

Reviewed eight child files, three were missing documentation of current immunization status or nonmedical exemption. Correction: Immediately review all child files, ensure that documentation of current immunization status or nonmedical exemption is maintained for each child in care. Submit documentation and written verification of compliance by 4/21/2025. Correct by 04/14/2025

Corrected Corrected by Apr 14, 2025

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

2.316.B.25 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Protection of children from exposure to second hand smoke;

Reviewed written policies and procedures, protection of children from second hand smoke was not FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ developed. Correction: Develop, implement and follow a policy on the protection of children from exposure to second hand smoke. Submit documentation and written verification of compliance by 5/16/2025. Correct by 04/16/2025

Corrected Corrected by Apr 16, 2025

Marked corrected in the state record.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed two staff files, Walid Y. was missing documntation of shaken baby/abusive head trauma. Correction: Complete shaken baby/abusive head trauma. training and submit documentation by 5/25/2024 Correct by 05/25/2024

Corrected Corrected by May 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.N · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training for recognizing the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed two staff files, Walid Y. and Rania Y. were missing documentation of recognizing the impact of bias on early childhood programs. Correction: Complete recognizing the impact of bias on early childhood programs and submit documentation by 5/25/2024 Correct by 05/25/2024

Corrected Corrected by May 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed two staff files, Walid Y. was missing documentation of Injury Prevention for Homes. Correction: Complete Injury Prevention for Homes and submit documentation by 5/25/2024 Correct by 05/25/2024

Corrected Corrected by May 25, 2024

Category: recordkeeping. 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.

Reviewed two staff files, Walid Y. and Rania Y. were missing documentation of Working with an Early Childhood Mental Health Consultant. Correction: Complete Working with an Early Childhood Mental Health Consultant and submit documentation by 5/25/2024 Correct by 05/25/2024

Corrected Corrected by May 25, 2024

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