2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed all family household members and the provider's husband lacking a CBI and FBI clearance. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify the Licensing Specialist in writing once the resident has completed the fingerprinting process by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

Category: supervision. 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;

Reviewed staff member Eva's file was lacking a Department-approved training for recognizing the impact of bias on early childhood professionals. Correction: All staff must complete a Department-approved training for recognizing the impact of bias on early childhood professionals. Correct and respond with verification of compliance by 7/23/2025. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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.

Reviewed the facility's emergency drill logs and the log was lacking documentation of Tornado drills from March to May. Correction: Ensure the provider completes and records all emergency,lockdown, active shooter, fire and tornado drills. Correct immediately and respond with verifcation of complaince by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.311.A.14.a · All equally qualified providers, qualified substitutes, and all staff members must obtain a subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider.

Reviewed 2 staff files and 1 staff member Eva had an expired (1/4/25) health evaluation. Correction: All staff members must obtain a current health evaluation every 2 years signed and dates by a licensed physician or other health care provider. Correct and respond with verification of compliance by 7/23/2025. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: health medication. 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;

Reviewed the provider's file and 1 staff member Eve's file and both were lacking part 2 of the medication administration training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The provider and staff must complete part 2 of the medication administration training. Correct immediately and respond with verification of compliance by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

Category: ratio. 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;

Reviewed the provider's file and 1 staff member Eva's file and both were lacking a Department-approved training regarding playground safety for homes. Correction: The provider and staff must complete a Department-approved training regarding playground safety for homes. Correct and respond with verification of compliance by 7/23/2025. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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;

Reviewed the provider's file and 1 staff member Eva's file and both were lacking a Department-approved introduction to the early intervention and preschool special education programs. Correction: The provider and staff must complete a Department-approved introduction to the early intervention and preschool special education programs. Correct and respond with verification of compliance by 7/23/2025. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: recordkeeping. 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.”

In the restroom under the sink there was a bottle of Dial hand soap labeled "keep out of reach of children" and a roll of plastic trash bags accessible to children. Outside on the outdoor table there was a lighter accessible to children. Outside in the covered toileting area had a bottle of hand sanitizer and a container of Clorox wipes labeled 'keep out of reach of children" accessible to children. Correction: All hazardous items and materials including items listed above must be made inaccessible to children. ***Corrected at the time of the provider made all items inaccessible to children on 6/23/2025.*** Respond with a plan of ongoing compliance by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

Category: physical safety. 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.

Reviewed the provider's file and 1 staff member Eva's file and both were lacking a Department-approved training regarding “Injury Prevention for Homes. Correction: The provider and staff must complete Department- approved training regarding “Injury Prevention for Homes. Correct and respond with verification of compliance by 7/23/2025. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

Reviewed the provider's file and 1 staff member Eva's file and both were lacking a minimum of fifteen (15) clock hours of ongoing professional development each year. Correction: The provider and staff must 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. Correct and respond with verification of compliance by 7/23/2025 Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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 children's files and 1 child was lacking a written authorization for emergency medical care. Correction: Review and ensure all children have a a written authorization for emergency medical care signed and dated annually by parents or guardians. Correct immediately and respond with verification of compliance by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

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 children's files and 1 child had immunization on an unapproved form. Correction: Review and ensure that all children must have documentation of school required immunization status on the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

The provider has three dogs and one dog had expired vaccinations. Correction: The provider must obtain current vaccinations for all dogs in the home. Correct immediately and respond with verification of compliance by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

Marked corrected in the state record.

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

Identified through the provider's statement children do use the reading loft. The reading loft that measures over 18 inches high and was lacking 6 inches of resilient surfacing. Correction: All climbing equipment, sliding equipment, or equipment with attached platforms including the reading loft eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment. Correct immediately and respond waith a plan for ongoing compliance by 7/23/2025. Correct by 06/23/2025

Corrected Corrected by Jun 23, 2025

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed the provider's background checks and the provider was lacking a current FBI letter. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process by 8/23/2024 Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: background checks. 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.

Reviewed the emergency drill log and it was lacking a tornado for the months of March and May. Correction: Ensure that all emergency drills must be completed and documented. Correct immediately and respond with verification of compliance by 8/23/2024. Correct by 07/24/2024

Corrected Corrected by Jul 24, 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;

Reviewed the provider's file and the provider had an expired medical administration training. Correction: Ensure that the provider as well as all staff member must have a current medical administration training. Correct immediately and respond with verification of compliance by 8/23/2024. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: ratio. 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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 children's files and 1 child was lacking a written authorization for emergency medical care signed and dated by the parents. Correction: Review and ensure that all children must have a current written authorization for emergency medical care signed and dated by the parents. Correct immediately and respond with verification of compliance by 8/23/2024 Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

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

2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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..

Reviewed 7 children's files and 1 child under the age of 2 had an expired health statement. Correction: Review and ensure that all children under the age of 2 years old must have a current health statement. Correct and respond with verification of compliance by 8/23/2024. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

Category: health medication. 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 7 children's files and 1 child over the age of 2 had an expired health statement. Correction: Review and ensure that all children over the age of 2 years old must have a current health statement. Correct and respond with verification of compliance by 8/23/2024. Correct by 08/23/2024

Corrected Corrected by Aug 23, 2024

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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ years of age must not be a choke hazard or able to be inhaled.

In the classroom area there were dobber caps, stamp caps, and pom poms sitting on the are shelf that were accessible to children. All items listed above were posing a choking hazard to children under 3 years old. Correction: Ensure that all items including dobber caps, stamp caps, and pom poms must be made inaccessible to children. ***Corrected at the time of the visit the provider placed all ietms listed above on a high shelf making everything inaccessible to children. No need for a written statement of compliance.*** Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: physical safety. 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.”

In the bathroom under the sink in an unlocked cabinet there was a bottle of Aloe vera as well as several tubes of diaper cream labeled "keep out reach of children accessible to children. Correction: Ensure that all hazardous items including items labeled "keep out of reach of children" must be kept inaccessible to children. ***Corrected at the time of the visit the provider moved all items listed above on a high shelf making all items inaccessible to children. No need for written statement of compliance. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

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

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

There was an uncovered electrical outlet in the dining room. Correction: Ensure that all electrical outlets must have a protective cover. Correct immediately and respond with verification of compliance by 8/23/2024. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

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

2.337.D.4 · Gas grills with propane tanks must be inaccessible or have a safety on/off knob. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Outside on the patio there was a propane sitting next to the grill and it was accessible to children. Correction: Ensure that gas grills with propane tanks must be inaccessible to children. ***Corrected at the time of the visit the provider placed the propane take into the Garage making the propane tank inaccessible to children. No need for written statement of compliance.*** Correct by 07/24/2024

Corrected Corrected by Jul 24, 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.

Reviewed 2 files and both Babette T and Eva G had expired (12/19/2022) child abuse prevention training. Correction: Review and ensure that the provider and staff members must complete a child abuse prevention training. Correct immediately and respond with verification of compliance by 9/29/2023. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. 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.

Reviewed 12 children's files and 1 child over the age of 2 had and expired health statement. Correction: Review and ensure that all children over the age of 2 must have an updated health statement and is updated annually. Correct and respond with verification of compliance by 9/29/2023. Correct by 09/29/2023

Corrected Corrected by Sep 29, 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 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.

Reviewed 12 children's files and 3 children had expired written authorization to obatin medical care. Also 2 children were lacking a written authorization to obatin medical care. Correction: Review and ensure that all children must have a written authorization to obatin medical care and reauthorized annually. Correct immediately and respond with verification of compliance by 9/29/2023. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

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.

In the children's restroom under the sink in an unlocked cabinet there was a bottle of Aleo Vera and two bottles of deodorant. In the unlocked laundry room there were two large bottles of laundry detergent on the ground. All items were labeled keep out of reach of children and were accessible to children. Correction: Ensure that all items that are labeled keep out of reach of children must be inaccessible to children. ***Corrected at the time of the visit the provider moved all items up high making the items inaccessible to children. No need for written statement of compliance.*** Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

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

7.701.100.F.2 · . 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed the emergency drill logs and the 2023 drill log was missing and not available for review. Correction: Review and ensure all emergency drills are completed and all drills are recorded. Correct immediately and respond with verification of compliance by 9/29/2023. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.