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.

At the time of the visit, reviewed the providers file and found that her health evaluation was expired. Correction: Review file to ensure it contains a current health evaluation. Submit a written statement of compliance by April 7, 2025. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

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

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ office supplies, matches, plastic bags, cleaning and laundry materials, 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.”

At the time of the visit, observed an unlock drawer in the kitchen with a pizza cutter and can opener that was accessible to children. Correction: Immediately ensure that all hazardous materials are stored in areas inaccessible to children. Corrected at the time of the visit, the provider locked the drawer making the items inaccessible to children. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

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

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

At the time of the visit, reviewed 6 child files and found that 1 file has an expired health statement. Correction: Immediately review all child files to ensure they contain a current health statement. Submit a written statement of compliance by April 7, 2025. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

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

2.337.A.2 · The outdoor play space must be enclosed with at least a forty-two inch (42) fence with slats no more than four (4) inches apart, or a natural barrier. If a natural barrier is used, it must begin no higher than three and one-half inches (3-1/2) from the ground. If the family Child Care home does not have a fenced play space, the provider FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ may apply for an outdoor hardship waiver.

Identified through staff statement, that CH1 had crawled under the fence. During the walk-through, observed there was a gap under the fence that was wide enough for a child to crawl beneath. Correction: Immediately ensure all gaps have been fixed so that children can not crawl under them. Submit pictures and a written statement of compliance by 2/18/2025. Correct by 02/11/2025 Stage II Licensing Concern : Children are not being supervised. - FOUNDED

Corrected Corrected by Feb 11, 2025

Marked corrected in the state record.

2.327.A · The primary provider, applicant 2, equally qualified providers, and/or qualified substitutes must supervise all children by sight and or sound and know the location and the activity of all children, both indoors and outdoors, at all times while they are in care.

Identified through staff statement, that CH1 was not supervised for up to 2 minutes. CH1 was found outside the fence area. Correction: Immediately ensure all children are in sight and/or sound at all times. Submit a written statement of compliance by 2/18/2025. Correct by 02/11/2025 Stage II Licensing Concern : Facility did not report a reportable incident within the required timeframe. - FOUNDED

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Identified through staff statement, that they did not report the incident to the proper authorities. Correction: Immediately ensure that any allegations are immediately reported to the proper authorities. Submit a written statement of compliance by 2/18/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through provider's statement, that they did not report the incident to the Department of Early Childhood representative. Correction: Immediately ensure that any allegations are reported to the Department of Early Childhood within 24 hours. Submit a written statement of compliance by 2/18/2025. Correct by 02/11/2025 ________________________________________________ Stage II Licensing Concern : Children are left with an unqualified adult. - UNFOUNDED ________________________________________________

Corrected Corrected by Feb 11, 2025

Category: ratio. 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.

At the time of the visit, observed Stephanie K, Zachery G, and Walter B had FBI background checks that expired on 10/4/2023. Correction: Stephanie K, Zachery G, and Walter B must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours, 3/8/2025. Notify the Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: background checks. Marked corrected in the state record.

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.

At the time of the visit, reviewed the provider's file and observed the Standard Precautions training had expired on 12/21/2024. Correction: Immediately complete the Standard Precautions training. Submit a copy of the training certificate and a written statement of compliance by 2/18/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Category: ratio. Marked corrected in the state record.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

At the time of the visit, reviewed the provider's file and observed the First Aid/ CPR training had expired on 1/19/2025. Correction: Immediately complete the First Aid/ CPR training. Submit a copy of the training certificate and a written statement of compliance by 2/18/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the visit, reviewed the provider's file and observed the Department-approved safe sleep training had expired on 1/25/2025. Correction: Immediately complete the Department-approved safe sleep training training. Submit a copy of the training certificate and a written statement of compliance by 2/18/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

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

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency.

At the time of the visit, observed Dominic was missing background check results since turning 18 years near the end of 2024. Correction: Dominic must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours, 3/8/2025. Notify the Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: background checks. 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.

At the time of the visit, reviewed the provider's file and observed the child abuse prevention training had expired on 1/25/2025, Correction: Immediately complete the child abuse prevention training. Submit a copy of the training certificate and a written statement of compliance by 2/18/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ office supplies, matches, plastic bags, cleaning and laundry materials, 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.”

At the time of the visit, observed cleaning supplies under the kitchen sink; Simply Green, aerosol spray, and Lysol on the buffet table in the dining room; unlocked kitchen drawers with knives and a handheld can opener, and a drill that was accessible with children. Correction: Immediately ensure all hazardous items and materials are inaccessible to children. Corrected at time of visit, the provider locked all kitchen and cabinet drawers, and removed all cleaning items and the drill making them inaccessible to children. Written response is not needed. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Category: physical safety. 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 5 child files and found 2 child files have expired emergency medical authorizations. Correction: Immediately review all children files to ensure that all files have a current medical emergency authorization present. Submit a written statement of compliance by 10/3/2024. Correct by 09/19/2024

Corrected Corrected by Sep 19, 2024

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

7.707.22.B1 · . In a regular (FCCH) home: Care also may be provided for no more than two (2) additional children of school age attending full-day school. School-age children include children six (6) years of age and older who are enrolled in the first grade or above. A child enrolled in a kindergarten program is not considered a school-age child until the child begins attending kindergarten a year before they enter first grade.

Three children under two years of age were present at the time of the visit. Provider is licensed for two under two. Correction: Immediately (11/28/2023) do not provide simultaneous care for more than two children under the age of two years. Submit verification of correction to Licensing with written response no later than 12/12/2023. Correct by 11/28/2023

Corrected Corrected by Nov 28, 2023

Marked corrected in the state record.

7.707.931.B · The outdoor play space must be enclosed with at least a forty-two inch (42" ) fence or natural barrier. If a natural barrier is used, it must begin no higher than three and one-half inches (3-1/2" ) from the ground. If the home does not have a fenced play space, provisions must be made for outdoor play in an area approved by the State Department.

The outdoor play area in use is not fully fenced. Correction: Immediately (11/28/2023) fully fence outdoor play area and submit verification to Licensing with written

Open Not marked corrected in the state record

Open / not marked corrected.

7.707.931.M · The use of a trampoline by children in care is prohibited. If there is a trampoline on the property of the home, it must be stored in a way that makes it totally inaccessible to children.

A trampoline waiver for a special event was observed in one child's file. Trampoline use by children in care is prohibited. Correction: Immediately (11/28/2023) ensure that the trampoline remains inaccessible to children in care. Submit verification of correction to Licensing with written response no later than 12/12/2023. Correct by 11/28/2023

Corrected Corrected by Nov 28, 2023

Marked corrected in the state record.