2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Melissa and Alecia to be missing the Introduction to Early Intervention and Preschool Special Education training. Correction: Obtain the Introduction to Early Intervention and Preschool Special Education training, correct by 3/2/25. Correct by 03/02/2025

Corrected Corrected by Mar 2, 2025

Category: recordkeeping. Marked corrected in the state record.

2.320.A.10 · 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: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

Reviewed 11 child files and observed 7 children to be missing a media use permission form. Correction: Obtain media use permission form for children, correct immediately 1/30/25. Correct by 01/30/2025

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. 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 requirements;

Melisa and Alecia to be missing the deparment approved Recognizing the Impact of Bias training. Correction: Obtain the deparment approved Recognizing the Impact of Bias training, correct by 3/2/25. Correct by 03/02/2025

Corrected Corrected by Mar 2, 2025

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.

Melisa and Alecia to be missing the department approved Injury Prevention for Homes training. Correction: Obtain the department approved Injury Prevention for Homes training, correct by 3/2/25. Correct by 03/02/2025

Corrected Corrected by Mar 2, 2025

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.

Melisa and Alecia to be missing the department approved training Working with an Early Childhood Mental Health Consultant training. Correction: Obtain the department approved training Working with an Early Childhood Mental Health Consultant training,

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 11 child files and observed 2 children to be missing documentation parent/guardian has received policies and procedures. Correction: Obtain documentation parent/guardian has received policies and procedures, correct immediately 1/30/25. Correct by 01/30/2025

Corrected Corrected by Jan 30, 2025

Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Alecia to be missing a child abuse and neglect check (TRAILS). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff member with written response to the Specialist. Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

Category: supervision. 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 11 child files and observed 6 children to be missing an emergency medical authorization form. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current emergency medical authorization forms, correct immediately 1/30/25 or prior to children's next day in attendance. Correct by 01/30/2025

Corrected Corrected by Jan 30, 2025

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

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

Reviewed 11 child files and observed 6 children to be missing field trip permission forms. Correction: Obtain field trip permission forms for children, correct immediately 1/30/25. Correct by 01/30/2025

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. 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.

Reviewed 11 child files and observed 1 child to be missing a current health statements. Correction: Obtain current health statement for child, correct by 3/2/25. Correct by 03/02/2025

Corrected Corrected by Mar 2, 2025

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

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Play food, manipulatives, and small legos to be accessible to children and pose a choking hazard. Correction: Materials must not be a choking hazard, correct immediately 1/30/25. *Corrected at time of inspection, provider removed the items making them inaccessible to children. No response is required. Correct by 01/30/2025

Corrected Corrected by Jan 30, 2025

Category: nutrition. 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, 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.”

A bottle of cleaner in a cabinet below the bathroom sink, cleaners below the kitchen sink in the playroom kitchen. All items labeled "keep out of the reach of children". Correction: Materials labeled "keep out of the reach of children" must be inaccessible to children, correct immediately 1/30/25. *Corrected at time of inspection, provider moved items to a locked area. No response is required. Correct by 01/30/2025

Corrected Corrected by Jan 30, 2025

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

2.316.B · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information:

Reviewed policies and observed a few policies that were missing. Provided provider with a list of missing policies. Correction: Obtain policies and procedures, correct by 3/2/25.. Correct by 03/02/2025

Corrected Corrected by Mar 2, 2025

Marked corrected in the state record.

7.707.22.E.1 · A large child care home: Child care may be provided to children from birth to eighteen (18) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ years of age. The provider needs an assistant when the ninth child arrives at the facility.

Upon arrival, 9 children in the home and 1 caregiver; 2nd caregiver had just left from suddenly becoming ill. Correction: Child care may be provided to children from birth to 18 children years of age. Provider needs an assistant when the 9th child arrives at the facility. Correct immediately, 1/30/2024.***Corrected at time of visit by parent picking up 9th child. No response needed. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Marked corrected in the state record.