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.

The provider did not have documentation of the Working with an Early Childhood Mental Health Consultant training. Correction: Complete the Working with an Early Childhood Mental Health Consultant training. Submit documentation and a written statement of compliance by 6/3/26. Correct by 06/03/2026

Corrected Corrected by Jun 3, 2026

Category: health medication. 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 6 child files. 2 child files did not have documentation of a current written authorization for emergency medical care. Correction: Immediately, obtain documentation of written authorization for emergency medical care for each child annually. Submit a written statement of compliance by 6/3/26. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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.

Reviewed 6 child files. 1 child file did not have documentation of immunization status on file. Correction: Immediately, immunization status for each child must be obtained prior to or at the time of admission. Submit a written statement of compliance by 6/3/26. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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 6 child files. 2 child files did not have documentation of a health statement and 1 child had an expired health statement. Correction: Obtain documentation of a health statement signed by a health care provider for each child within 30 days of admission and within 30 days of expiration. Submit a written statement of compliance by 6/3/26. Correct by 06/03/2026

Corrected Corrected by Jun 3, 2026

Category: ratio. Marked corrected in the state record.

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.

The provider did not have documentation of a current health evaluation. Correction: Obtain documentation of a current health evaluation completed every two years or as required by health care provider. Submit a written statement of compliance by 6/3/26. Correct by 06/03/2026

Corrected Corrected by Jun 3, 2026

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