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 children and found 2 children without health statements and 1 child with an expired health statement. Correction: Obtain and Maintain documentation for all children enrolled. Correct by 04/07/2025

2.321.A.3 · Corrected Apr 7, 2025

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.

Reviewed drill log and provider did not have record of smoke alarm testing. Correction: Moving forward, maintain documentation of monthly smoke alarm testing. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

2.318.C.3 · Corrected Mar 7, 2025

Fire extinguishers must be replaced at least every six (6) years.

Fire extinguisher is date stamped 2017. Extinguisher expired in 2023. Correction: Replace fire extinguishers every 6 years. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

2.336.C.15.a · Corrected Mar 7, 2025

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.

In reviewing 8 children's files, 1 immunization not on approved form. Correction: Immunizations must be updated and recorded on Colorado certifucate of immunization or approved form. Correct immediately, 2/22/24. Document compliance to Specialist by 3/22/24. Correct by 02/22/2024

7.707.71.A.1.c · Corrected Feb 22, 2024

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.

In reviewing the drill log, No tornado drills documented on the log. Correction: Tornado drills must be held monthly from March till October. A record of all drills held over the past 12 months must be maintained. Correct immediately, 2/22/24. Document compliance to Specialist by 3/22/24. Correct by 02/22/2024

2.138.A · Corrected Feb 22, 2024

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