Donna Butts

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.

Program to be lacking documentation of the following emergency drills: February 2025-February 2026 fire drills, March 2025-October 2025 tornado Drills, and quarterly 2025 lock down drills. Correction: Program must document all emergency drills and maintain record of completed drills held over the past twelve months. Correct immediately. Submit written verification to specialist. Correct by 02/17/2026

Corrected by Feb 17, 2026

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Reviewed primary provider's file and found program to be lacking documentation of a completed Department-approved 'Working with an Early Childhood Mental Health Consultant' training. Correction: The primary provider must complete the Department-approved 'Working with an Early Childhood Mental Health Consultant' training within 90 calendar days of caring for children. Submit written verification to specialist. Correct by 03/19/2026

Corrected by Mar 19, 2026

2.320.A · 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:

Reviewed 4 child files and found program to be lacking documentation of an annually updated admission record for 4 children. Correction: Program must update admission record annually for each child. Correct immediately. Submit written verification to specialist. Correct by 02/17/2026

Corrected by Feb 17, 2026

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 4 child files and found program to be lacking documentation of an updated written authorization for emergency medical care for 4 children. Correction: Emergency medical care authorizations must be updated annually or when any changes occur. Correct immediately. Submit written verification to specialist. Correct by 02/17/2026

Corrected by Feb 17, 2026

2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 child files and found program to be lacking documentation of an updated statement of child's health status for 4 children. Correction: The statement of child's current health status must be updated within 30 days following the expiration date. Submit written verification to specialist. Correct by 03/19/2026

Corrected by Mar 19, 2026

2.335.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

In the bathroom utilized by children, program to have a trashcan with no lid allowing garbage to be accessible to children. Correction: All garbage must be stored in a manner that is inaccessible to children. Correct immediately. Submit written verification to specialist. Correct by 02/17/2026

Corrected by Feb 17, 2026

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 sesame street room, the following item labeled 'keep out of reach of children' accessible to children: Soho Fresh brand hand sanitizer. Correction: All items labeled 'keep out of reach of children' must be inaccessible to children. Correct immediately. Submit written verification to specialist. Correct by 02/17/2026

Corrected by Feb 17, 2026

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

Program to be lacking a fire extinguisher with minimum weight of 5 pounds. Previously cited 3/20/2025. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The family child care home must contain at least one fire extinguisher in working condition with a minimum weight of five pounds. Correct immediately. Submit documentation and written verification to specialist. Correct by 02/17/2026

Corrected by Feb 17, 2026

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed provider's file and observed department approved child abuse prevention to be expired. Correction: Obtain and update file with department-approved training documentation. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

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 and observed provider's file for department approved training for injury prevention for homes and found to be expired. Correction: Obtain and update file with department-approved training documentation. Correct within 30 days. Submit verification of documentation and written compliance to specialist. Correct by 04/19/2025

Corrected by Apr 19, 2025

2.335.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

Observed in unlocked bathroom and accessible to children a garbage can without a lid. Correction: Provider will submit a plan of action for all garbage and waste to be inaccessible to children. Correct immediately. Submit written response to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed providers file and observed the department-approved safe sleep training to be expired. Correction: Obtain and update file with department-approved training documentation. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually.

Reviewed and observed provider's file for department approved immunization training and found to be expired. Correction: Obtain and update file with department-approved training documentation. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

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 and observed provider's file for deparmtent-approved training for playground safety for homes and found to be expired. Correction: Obtain and update file with department-approved training documentation. Correct within 30 days. Submit verification of documentation and written compliance to specialist. Correct by 04/19/2025

Corrected by Apr 19, 2025

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 and observed provider's file for department-approved training for early intervention and preschool FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ education programs and found to be expired. Correction: Obtain and update file with department-approved training documentation. Correct within 30 days. Submit verification of documentation and written compliance to specialist. Correct by 04/19/2025

Corrected by Apr 19, 2025

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 and observed provider's file for department approved training for recognizing the impact of bias on early childhood professionals and found to be expired. Correction: Obtain and update file with department-approved training documentation. Correct within 30 days. Submit verification of documentation and written compliance to specialist. Correct by 04/19/2025

Corrected by Apr 19, 2025

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a 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.

Reviewd provider's file and observed department-approved training in standard precautions to be expired. Correction: Obtain and update file with department-approved training documentation. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

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

Observed in overflow playroom a playpen with a loose fitting sheet used for a child under the age of 12 months. Specialist did not observe a child sleeping in the playpen at the time. Correction: Provider will submit a plan of action of compliance for properly fitted sheets. Correct immediately. Submit written response to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

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.”

The following "keep out of reach" items accessible to children in the following areas: Overflow room- Purell sanitzer, body sprays, perfumes, spray oils, and Johnson and Johnson Lavendar sleep soap; Bathroom unlocked cabinet - Comet, magic eraser and Epsom Salt. Correction: All hazards items must be inaccessible to children. Correct immediately. Submit response to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

Provider to have only one fire extinguisher and to be under the 5 pound requirement. Correction: Provider must have at least one 5 pound fire extinguisher. Correct immediately. Submit written response to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

Garage to be unlocked and the following the items accessible to children; planting chemicals and charcoal. Patio area to have the following item accessible to children creating a potential safety hazard: duraflame logs. Correction: All hazardous items must be inaccessible to children. Correct immediately. Submit written response to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

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.

Outdoor patio to have a lawn mower accesible to children. Correction: All lawn mowers must be inaccessible to children at all times. Correct immediately. Submit written response to specialist. Correct by 03/20/2025

Corrected by Mar 20, 2025

2.321.A.3 · 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.

In a review of 4 child files, two files were missing current updated health statements. Correction: All children must have current updated health status signed and dated by a health care provider who has seen the child within the last twelve months or within the last six months for children under 2.5 years of age. Obtain missing records and provide written response to licensing specialist when updated health statements have been received for both children. Correct by 06/13/2024

Corrected by Jun 13, 2024

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.

In a review of provider file, it was discovered that provider is missing updated FBI criminal record checks within the past five years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that provider has reviewed the powerpoint within 24 hours. Submit documentation of (FBI) for provider with written response to Specialist. Correct by 05/14/2024

Corrected by May 14, 2024