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;

Reviewed Provider’s file and observed it to be missing documentation of completion of Department -approved Recognizing the Impact of Bias training. Correction: Obtain documentation of completion of Department-approved Recognizing the Impact of Bias training for Provider. Correct and respond with verification of compliance by 3/26/25. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: recordkeeping. 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.

Reviewed Provider’s file and observed it to be missing a current health statement. Correction: Obtain current health statement for Provider. Correct and respond with statement of compliance by 3/26/25. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

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

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ contaminants.:

Reviewed Provider’s file and observed it to be missing documentation of completion of Pre-Service (Building and Physical Premises Safety) training. Correction: Obtain documentation of completion of Pre-Service (Building and Physical Premises Safety) training for Provider. Correct immediately and respond with verification of compliance by 3/26/25. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. 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 Provider’s file and observed it to be missing documentation of completion of Department-approved Playground Safety for Homes training. Correction: Obtain documentation of completion of Department-approved Playground Safety for Homes training for Provider. Correct and respond with verification of compliance by 3/26/25. Correct by 03/26/2025

Corrected Corrected by Mar 26, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved Injury Prevention for Homes training. Correction: Obtain documentation of completion of Department-approved Injury Prevention for Homes training for Provider. Correct and respond with verification of compliance by 3/26/25. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: recordkeeping. 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 and observed CH1’s file to be missing current authorization for emergency medical care, signed and dated by parent/guardian, expired as of 2/16/24. Correction: Obtain current authorization for emergency medical care, signed and dated by parent/guardian, for all children enrolled at the time of admission. Correct immediately and respond with verification of compliance by 3/26/25. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Category: health medication. 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.”

On diaper changing area in main living room observed Clorox wipes labeled "keep out of reach of children" and in unsecured drawer below sink in the kitchen a large pump of Sanitizer. These items were accessible to children posing a potential safety hazard. Correction: All hazardous items, conditions, and materials must be kept inaccessible from children at all times. Correct immediately and respond with plan for ongoing compliance by 4/2/24. **Corrected at time of visit, Provider moved hazardous items to a secure place, inaccessible to children. No response required** Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

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

2.329.H.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

Observed two cribs in the main living room sleeping area to be missing a properly fitted sheet. Correction: Mattresses for cribs and futons must have a properly fitted, clean sheet. Correct immediately and respond with a plan for ongoing compliance by 4/2/24. **Corrected at time of visit, Provider got out a fitted sheet for cribs. No response

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.329.H.8 · Approved sleeping mattresses meeting Consumer Product Safety Commission (CPSC) standards incorporated by referenced in rule section 2.329(A). must be firm and must fit snugly ensuring no more than two adult fingers are able to be inserted between the mattress and the side of the CPSC compliant sleeping equipment, incorporated by reference in rule section 2.329(A).

Observed two cribs in main living room sleeping area to have mattresses that did not fit snugly and had about 3-4 inch gap on either side of the mattress. Correction: Approved sleeping mattresses meeting CPSC standards must be firm and must fit snugly ensuring no more than two adult fingers are able to be inserted between the mattress. Correct immediately and respond with plan for ongoing compliance by 4/2/24 Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

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

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

Observed gate in the outside play area leading to side of the house to have several safety hazards including building scraps and several nails protruding from the wood perimeter fence to be unsecured and accessible to children. Correction: The outdoor play space must be maintained, safe, and free from hazards at all times. Correct immediately and respond with verification of compliance by 4/2/24. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

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