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.

Provider did not have documentation of current safe sleep training. Correction: Immediately complete a department approved training in safe sleep. Submit documentation and written

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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.

Provider did not have documentation of current standard precautions training. Correction: Immediately complete a department approved training in standard precautions. Submit documentation and written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: ratio. 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 impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ requirements;

Provider did not have documentation of recognizing the impact of bias on early childhood professionals training. Correction: Complete training on recognizing the impact of bias on early childhood professionals.. Submit documentation and written verification of compliance by 12/19/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Provider did not have documentation of current medication administration training. Correction: Immediately complete a department approved training in medication administration. Submit documentation and written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: ratio. 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.

Provider did not have documentation of current shaken baby/abusive head trauma training. Correction: Immediately complete a department approved training in shaken baby/abusive head trauma. Submit documentation and written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. 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.

Provider did not have documentation of current CDPHE immunization training. Correction: Complete CDPHE immunization course. Submit documentation and written verification of compliance by 12/19/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.312.K · Within thirty (30) 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 playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Provider did not have documentation of playground safety for homes training. Correction: Complete playground safety for homes training. Submit documentation and written verification of compliance by 12/19/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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.

Provider did not have documentation of emergency, fire or tornado drills conducted. Correction: Immediately conduct and document emergency, fire and tornado drills as required. Submit documentation and a written plan for future compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 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.

Provider did not have documentation of injury prevention for homes training. Correction: Complete injury prevention for homes training. Working with an Early Childhood Mental Health Consultant training. Submit documentation and written verification of compliance by 12/19/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 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.

Provider did not have documentation of Working with an Early Childhood Mental Health Consultant training. Correction: Complete "Working with an Early Childhood Mental Health Consultant "training. Submit documentation and written verification of compliance by 12/19/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Provider did not have documentation of at least three hours of training in social emotional development. Correction: Complete at least three hours of training in social emotional development. Submit documentation and written verification of compliance by 12/19/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. Marked corrected in the state record.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Provider did not have documentation of monthly smoke alarm testing. Correction: Immediately conduct and document testing of smoke alarms. Submit documentation and written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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 six child files, one file did not have a current written authorization for emergency medical care signed by parent(s) or guardian(s). Correction: Immediately review all child files, ensure all files include a current written authorization for emergency medical care signed by parent(s) or guardian(s). Submit documentation and written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed six child files, four files did not have a immunizations documented on a CDPHE certificate of immunization or an approved alternate form. Correction: Immediately review all child files, ensure all immunizations are documented on a CDPHE certificate of immunization or an approved alternate form. Submit written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

Reviewed six child files, four files did not have a statement of the child's current health status signed and dated by a health care provider. Correction: Review all child files, ensure all files include a statement of the child's current health status signed and dated by a health care provider.. Submit written verification of compliance by 11/26/2024. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Tina did not have documentation of at least three (3) hours of social emotional training. Correction: Ensure that at least three (3) of the fifteen (15) hours annual training is in social emotional development. Submit documentation and a written statement of compliance by 12/19/23. Correct by 12/19/2023

Corrected Corrected by Dec 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.34.A.2 · Any employee whose activities involve the care or supervision of children; or who has unsupervised access to children must complete: The State Department mandated automated system background check for child abuse and neglect as required at Section 7.701.32.

Hoang T did not have documentation of the Trails abuse and neglect background check. Correction: Immediately on 12/5/23, wnsure that that Trails abuse and neglect background check is completed for all employee's whose activities involve the care or supervision of children. All individuals requiring a background check must review Navigating the Background Check

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.707.34.B.2 · Employees and substitutes for the primary provider, for fourteen (14) days (112 hours) or more per calendar year must complete: A statement of a current health evaluation, signed by an approved health care professional, that was completed within the last twenty-four (24) months; Carrection: Immediately on 12/5/23, ensure that employees complete a current health evaluation, signed by an approved health care professional. Submit documentation and a written statement of compliance by 12/19/23. Correct by 12/05/2023 4. Observed: There was toothpaste, mouth wash, deodorant, lotion and soap labeled "keep out of reach of children" accessible to children in the main level bathroom. There was medication accessible to children in an unlocked bedroom on the main level. Violation of: 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.

Hoang T did not have documentation of health evaluation. Correction: Immediately on 12/5/23, ensure that all hazardous items and materials are stored in an area that is inaccessible to children. Submit a written statement of compliance by 12/19/23. Correct by 12/05/2023

Corrected Corrected by Dec 5, 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, Phone 303-866-5948 Name : Tina Dang License Number : 1684327 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 licansed child care home.

Reviewed eight (8) child files. Two (2) child files did not have documentation of a health statement and three (8) child files did not have documentation of a current health statement. Correction: Ensure that all children submit a health statement, signed and dated by a health care professional within thirty (80) days after admission and is updated every twelve (12) months. Submit a written statement of compliance by 12/19/23. Correct by 12/19/2023

Corrected Corrected by Dec 19, 2023

Category: ratio. Marked corrected in the state record.

7.707.71.A.1 · .¢ 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.

Reviewed eight (8) child files. One (1) child file did not have doucmentation of immunization status and five (5) children did not have documentation of immunization status updated and recorded on the CDPHE approved certificate of immunization. Correction: Immediately on 12/5/23, ansure that immunization status for all children is obtained prior to or on the first day of admission and is recorded and updated on the CDPHE certificate of immunization. Submit a written statement of compliance by 12/19/23. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care foreach child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must Phone 303-866-5948 Name : Tina Dang License Number : 1684327 be re-authorized annually.

Reviewed aight (8) child files. Six (6) child files did not have documentation of a current written authorization for emergency medical care. Correction: Immediately on 12/5/23. ensure that each child has written authority to arrange for emergency medical care on file priorto oron the first day of admission and is re-authorized annually. Submit a written statement of compliance by 12/19/23. Correct by 12/05/2023 Katie Anderson Child Care Licensing Specialist IREE-Community-Based Licensing 2821 S. Parker Rd #115 Aurora CO 80014 katie@Ireeinc.com (803) 403-2677 Licensed Classrooms Include: 1. Classroom: Tina Dang's Home Classroom Type: Home Capacity: 12 Youngest Age: 6 Weeks Oldest Age: 12 Years FOI ID: 1684327-12062023 Colorado Department of EarlyChildhood 710 S. Ash Street

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.