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 five (5) child files, one child had a health statement that had not been updated within the last twelve (12) months. Correction: Review child files and ensure that each child has a health statement on file within thirty (30) calendar days after admission and health statements are updated as required for age. Submit a written statement of compliance by 12/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 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 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, Child Abuse Prevention training had not been renewed. Correction: Immediately complete an approved training in Child Abuse Prevention. Submit documentation and verification of compliance by 11/21/2024. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. 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 may count towards ongoing training requirements.

Suhair did not have documentation of a current Prevention of Shaken/Baby Abusive head Trauma training. Correction: Immediately on 12/7/23, complete the Prevention of Shaken/Baby Abusive Head Trauma training and ensure the training is renewed annually. Submit documentation and a written statement of compliance by 12/21/23. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member responsible for the collection, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Suhair did not have documentation of a current Childcare and Preschool Immunization training. Correction: Immediately on 12/7/23, complete the Childcare and Preschool Immunization training and ensure the training is renewed annually. Submit documentation and a written statement of compliance by 12/21/23. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, 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.

There was sunscreen, hand sanitizer and sanitizing wipes accessible to children on the main level. The upper level of the home was accessible to children and there were medications and cleaning products accessible to children in the upstairs bedroom and bathroom. Correction: Immediately on 12/7/23, ensure that all hazardous items and items labeled "keep out of reach of children are inaccessible to children at all times. Submit documentation and written statement of compliance by 12/21/23. Correct by 12/07/2023

Corrected Corrected by Dec 7, 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.

Reviewed four (4) child files. One (1) child file did not have documentation of a current health statement. Correction: Ensure that health statements for children are updated annually. Submit a written statement of compliance by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.