7.707.71.F · First Aid Supplies - Supplies must be maintained and stored in an area inaccessible to children. Supplies shall include band aids, tape, gauze, disposable gloves and compression bandages.

Two First Aid Kits in the children's bathroom, accessible to children. Correction: First aid Supplies must be maintained and stored in an area inaccessible to children. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Two staff files reviewed. Jessica F to be missing a signed statement clearly defining child abuse and neglect. Correction: A child care facility must require each staff member to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Marked corrected in the state record.

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

On the playground, the following structures to be missing nationally recognized protective surface underneath the equipment: The climbing ladder, the web, half-dome climbing structure, and the slide/swing set combination. Correction: All pieces of permanently installed playground equipment must be surrounded by and have at least six inches of a nationally recognized protective surface underneath the equipment. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

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

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's admission and updated annually, unless otherwise specified in these rules. The admission record must include:

Ten child files reviewed. Three children to be missing an admission record. Two child files to not have been updated annually. Correction: An admission record must be completed for ea h child prior to or at the time of the child's admission and updated annually. Correct immediately. Send copies of the missing admission records to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Ten child files reviewed. Three child files to be missing documentation of completed health statement, signed and dated by a doctor. Correction: Within 30 days of admission, the parent or guardian of each child must submit a statement of the child's current health status, signed and dated by a doctor. Send copies of health statements. Document compliance to the Licensing Specialist with the written response. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.A.6 · Health statements for children over two (2) years to seven (7) years of age must be updated annually.

Ten staff files reviewed. Two children between the ages of 2 and seven to have expired health statements. Correction: Health statements for children over two years to seven years of age must be updated annually. Send copies of updated certificates to the Licensing Specialist with the written response. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

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

7.707.71.A.1.c · 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.

Ten child files reviewed. Five child files to be missing documentation of vaccine status or exemption. Two child files to have expired verification of immunization exemptions. Correction: At the time of admission each child's file contains Documentation of immuization status or exemption. Correct imediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

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

2.120.C.2 · 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: All other FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Two staff files reviewed. Jessica F. to be missing documentation of completed Trails Abuse and Neglect Record Check. Correction: The Trails child abuse or neglect records request must be made on the state-prescribed form within ten calendar days of the first day of employment. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jessica F. has reviewed the powerpoint within 24 hours. Submit documentation of Trails for staff member Jessica F. to the Licensing Specialist with written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. 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.

The following items to be accessible to children and marked "keep out of reach" of children: In the children's bathroom, one package of Mama Bear Wipes and an open bottle of hydrogen peroxide. In the Kitchen area in an unlocked cabinet, one bottle each of Seventh Generation Disinfectant and All Purpose Cleaner, One can of Open Nature Bathroom Cleaner, one bottle of Meyers Clean Day Soap, and one bottle of Auto Glass Cleaner. The following items to be hazardous to children and accessible to children: In the Children's Bathroom, loose plastic bags. In the Kitchen area: three large cutting knives and a pair of adult scissors in an unlocked drawer and loose plastic bags. Correction: All hazardous items and materials must be inaccessible to children. Correct immediately. **CORRECTED AT TIME OF INSPECTION, Provider removed all items from the area and made them inaccessible to children, 3/5/24. Document a plan for future compliance and send to Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: ratio. Marked corrected in the state record.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Two staff files reviewed. Jessica F. to be missing documentation of a signed perjury statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Every application for employment wiht a child care provider or facility must include a specific statement regarding perjury. Correct immediately. Document compliance to the Licenisng Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Two staff files reviewed. Jessica F. to have expired documentation of completed training about child abuse and prevention. Correction: Each staff member must complete a department approved training about child abuse prevention and renew annually. Correct immediately. Send copies of training certificates to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Two staff files reviewed. Jessica F. to be missing current documentation of completed Standard Precautions training. Correction: The primary provider must complete a State Department Approved training in Standard Precautions Training. Correct immediately. Send training certificates to the Licensing Specialist. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 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,

Two Staff Files Reviewed. Kaylea W. and Jessica F. to be missing documentation of completed 15 hours of Annual Training including 3 hours of social emotional training. Correction: Licensees requesting continuation of a permanent license shall complete 15 clock hours of training each year, including at least three hours of social emotional development. Correct immediately. Send a plan of compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

Ten child files reviewed. Three child files to be missing documentation of authorization of emergency medical care, three child files to not have a dated authorization of emergency medical care, and one child file to have expired authorization of emergency medical care. Correction: The provider must obtain written authority to arrange for emergency medical care, signed and dated, and update annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

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

The facility to not have a record of emergency drills conducted in the last year. Correction: Emergency drills, lockdown and active shooter of premises drills must be held at least quarterly so that all occupants are familiar with the drill procedure. Fire drills must be held monthly, and tornado drills must be held monthly, March through October. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.931.B · The outdoor play space must be enclosed with at least a forty-two inch (42" ) fence or natural barrier. If a natural barrier is used, it must begin no higher than three and one-half inches (3-1/2" ) from the ground. If the home does not have a fenced play space, provisions must be made for outdoor play in an area approved by the State Department.

Children playing on an outdoor playground that is not enclosed wiht at least a forty two inch fence or natural barrier. Correction: The outdoor play space must be enclosed with at least a forty-two inch barrier. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

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