2.320.A.10 · 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: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

Reviewed six child files and observed CH1, CH2, CH4, CH5 and CH6's files to be missing current media use authorization form, signed and dated by parent/guardian. Correction: .Obtain a current media use authorization form, signed and dated by parent/ guardian, for all children at the time of enrollment and annually thereafter. Correct immediately and respond with verification of signed media use authorization form to licensing specialist. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.321.B.11 · Topical preparations such as diaper rash ointments, sunscreen, insect repellants, sprays, and other ointments may be administered to children with written parent and/or guardian authorization. These preparations may not be applied to open wounds or broken skin unless there is a written order from a prescribing health care provider.

Reviewed six child files and observed CH1, CH2, CH4, CH5 and CH6's files to be missing current topical authorization form, signed and dated by parent/guardian. Correction: Obtain a current topical authorization form, signed and dated by parent/ guardian, for all children at the time of enrollment and annually thereafter. Correct immediately and respond with verification of signed topical authorization form

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed six child files and observed CH1, CH2, CH4, CH5 and CH6's files to be missing documentation of a signed statement of policies and procedures from the parent/ guardian. Correction: Ensure all child files have a signed statement of the program's policies and procedures at the time of enrollment. Submit documentation of signed policies and procedures to licensing specialist. Correct by 01/18/2026

Corrected Corrected by Jan 18, 2026

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed provider’s file and observed it to be missing documentation of completion of Department-approved “Injury Prevention for Homes" training. Correction: Obtain documentation of completion of Department-approved “Injury Prevention for Homes" training for Provider and all applicable staff. Correct and respond with a copy of training certificate to licensing specialist. Correct by 01/18/2026

Corrected Corrected by Jan 18, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

Identified through provider's statement that, lockdown, active shooter drills, and Tornado drills have not been conducted in the calendar year of 2025. Correction: Fire drills must be conducted monthly; tornado drills must be conducted monthly between March and October; and, “other type” drills must be conducted quarterly so that all drill types are practiced within the calendar year. Correct immediately and respond with a plan for ongoing compliance. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed provider's FBI criminal record check in database and observed expiration date to be 03/23/2006. Correction: All individuals requiring a background check must review 'Navigating the Background Check; the investigation Unit's (BIU) Web page powerpoint on the CDEC website. Submit verification (via email) that Provider has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation that backgrounds have been completed for provider with written response to specialist. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: ratio. Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

Missing posting of the most recent licensing report of inspection or notice of availability for review upon request. Correction: The facility must post its most recent licensing inspection report or a notice of availability for review upon request in a prominent and conspicuous area. Correct immediately and respond with verification compliance. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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 six child files and observed CH1, CH2, CH4, CH5 and CH6's files to be missing current emergency medical authorization form, signed and dated by parent/guardian. Correction: Obtain a current emergency medical authorization form, signed and dated by parent/ guardian, for all children

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Identified through provider's statement that safe sleep training has not been completed. Correction: Prior to working with children all staff must complete safe sleep training. Correct immediately and respond with copy of training certificate to licensing specialist for provider and all staff. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals 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. This training must be renewed annually.

Reviewed Provider’s file and observed it to be missing documentation of completion of the Colorado Department of Public Health and Environment (CDHPE) Immunization course. Correction: Obtain documentation for provider and all applicable staff of completion of the Colorado Department of Public Health and Environment (CDHPE) Immunization course. Correct immediately and respond with a copy of training certificate to licensing specialist. Correct by 01/18/2026

Corrected Corrected by Jan 18, 2026

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.

Reviewed provider’s file and observed it to be missing documentation of completion of Department-approved “Working with an Early Childhood Mental Health Consultant" training. Correction: Obtain documentation of completion of Department-approved “Working with an Early Childhood Mental Health Consultant" training for Provider and all applicable staff. Correct and respond with a copy of training certificate to licensing specialist. Correct by 01/18/2026

Corrected Corrected by Jan 18, 2026

Category: health medication. 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’s file and observed it to be missing documentation of completion of Department-approved training about child abuse prevention, including common signs and symptoms. Correction: Obtain documentation of completion of Department-approved child abuse prevention training, including common signs and symptoms for the provider and all applicable staff. Correct immediately and respond with a copy of training certificate to licensing specialist. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 and observed file to be missing updated standard precautions training. Correction: Prior to working with children, all staff members must complete the standard precautions training. Correct immediately and respond with a copy of training certificate to licensing specialist. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: ratio. Marked corrected in the state record.

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

Reviewed provider's file and observed it to be missing documentation of completion of building and physical premises training. Correction: Prior to working with children, all staff members must complete the building and physical premises training. Correct immediately and respond with a copy of training certificate to licensing specialist. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: recordkeeping. 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 health care provider. All health statements must be kept at the licensed family child care home.

Reviewed six child files and observed CH1 and CH3’s file to be missing current Health Statement. Correction: Obtain documentation of updated Health Statement and submit to licensing specialist. Correct by 01/18/2026

Corrected Corrected by Jan 18, 2026

Category: ratio. Marked corrected in the state record.