2.317.E.1 · Visitors Visits from all non-family members to the home must be on the sign in/out log, including the name, date, and arrival/departure times.

Provider's adult daughter visiting the home during the inspection and identified through provider's statement that her daughter visits daily. Reviewed visitor's log and observed no documentation of provider's daughter having signed in as a visitor. Correction: Visitors must be signed in/out n the visitor log including name, date, and arrival and departure time. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

Marked corrected in the state record.

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 no documentation of current Abuse Prevention training for Provider Paulette. Correction: Obtain and maintain current documentation of Abuse Prevention training. Submit documentation with written response to specialist. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. Marked corrected in the state record.

2.336.C.10 · Any cooking stoves with controls within reach of a child shall have a safety guard.

Kitchen stove with two knobs not covered by safety guard and accessible to children posing a potential hazard. Correction: Immediately make stove controls inaccessible to children. CORRECTED AT TIME OF INSPECTION - provider removed knobs making them unusable. No response required. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

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 provider's file and observed no documentation of current Infant Safe Sleep training for Provider Paulette. Correction: Obtain and maintain current documentation of Infant Safe Sleep training. Submit documentation with written response to specialist. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

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 provider's file and observed no documentation of current Immunization training for Provider Paulette. Correction: Obtain and maintain current documentation of Immunization training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 2025

Category: health medication. 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 no documentation of Playground Safety for Homes training for Provider Paulette. Correction: Obtain and maintain current documentation of Playground Safety for Homes training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 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 provider's file and observed no documentation of Early Intervention training for Provider Paulette. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain current documentation of Early Intervention training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 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;

Reviewed provider's file and observed no documentation of Recognizing the Impact of Bias training for Provider Paulette. Correction: Obtain and maintain current documentation of Recognizing the Impact of Bias training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 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.

Reviewed provider's file and observed no documentation of Injury Prevention for Homes training for Provider Paulette. Correction: Obtain and maintain current documentation of Injury Prevention for Homes training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 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.

Reviewed provider's file and observed no documentation of Working with an Early Childhood Mental Health FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Consultant for Provider Paulette. Correction: Obtain and maintain current documentation of Working with an Early Childhood Mental Health Consultant training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 2025

Category: health medication. 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.

Reviewed provider's file and observed no documentation of 15 hours of ongoing professional development training for Provider Paulette. Correction: Obtain and maintain current documentation of 15 hours of ongoing professional development training. Submit documentation with written response to specialist. Correct by 03/27/2025

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed provider's file and observed no documentation of current Standard Precautions training for Provider Paulette. Correction: Obtain and maintain current documentation of Standard Precautions training. Submit documentation with written response to specialist. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

Category: ratio. Marked corrected in the state record.

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.

Three broken plastic toys in the backyard with sharp edges and several exploded cans of soda with exposed sharp edges in an open cooler all accessible to children and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - provider put all hazardous items in the trash, making them inaccessible to children. No response required. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

2.329.H.2 · Soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other sleep/rest equipment that meets the CPSC standards incorporated by referenced in rule 2.329.A. Soft bedding means, but is not limited to; any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

Two children awake and under the age of 1 year in cribs preparing for nap time with boppy pillows, blankets, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and other soft, plush toys. Correction: Cribs must not have any additional soft bedding or soft plush toys. CORRECTED AT TIME OF INSPECTION - provider removed all toys, pillows, and blankets. Submit details response demonstrating how provider puts infants to sleep using safe sleep practices. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

2.329.E · Toddlers, preschoolers, and older children, as necessary, must have a suitable mat at least two inches thick, cot, bed, or sofa, with a clean washable sheet and blanket or other suitable covering that has been laundered between uses by different children.

Two preschool aged children sleeping on mats during nap time with no sheet. Correction: Children must have a clean, washable shee and blanket or other suitable covering for their nap mats. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

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

Reviewed 7 child files and observed 3 children to have no documentation of health statement. Correction: Obtain and maintain current documentation of health statements for all enrolled children. Correct by 03/27/2025

Corrected Corrected by Mar 27, 2025

Category: ratio. 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 7 child files and observed 1 child to have no documentation of immunization records and 2 children to have immunization records on non-state approved forms. Correction: Obtain and maintain current documentation of immunization records on state approved forms. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

Category: health medication. 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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 child files and observed no documentation of current signed policies for 6 children. Correction: Obtain and maintain current documentation of signed policies for all enrolled children. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Reviewed provider's file and observed no documentation of current health statement. Correction: Obtain and maintain current documentation of health statement. Correct by 03/27/2025

Corrected Corrected by Mar 27, 2025

Category: health medication. 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 7 child files and observed no documentation of current emergency medical authorization for 4 children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain current documentation of emergency medical authorization for all enrolled children. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

2.337.A.13 · The use of any trampoline by children in care is prohibited. If there is a trampoline on the property of the family child care home, it must be stored in a way that makes it inaccessible to children.

Two small trampolines in the backyard accessible to children and posing a potential hazard. Correction: Immediately make trampolines inaccessible to children and provide written statement verifying that children in care do not use trampolines. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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

2.338.H · Agreement must be made annually between the provider and parents or guardians on transportation arrangements for school age children (e.g. walking, riding a bicycle, bus, or traveling in a vehicle) to and from the family child care home. It is the provider's responsibility to ensure the child arrives to the destination at agreed upon time. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

No documentation of transportation agreement for children provider transports to/from school. Correction: Obtain and maintain current written transportation agreement for children transported to/from school. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Category: transportation. 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.”

Round up weed killer in the backyard, body soap in the bathroom on the bathrub edge both accessible to children, labeled 'keep out of reach of children', and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - body soap moved to a locked cabinet. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

Container of pills in a weekly pill organizer, allergy pills on the desk in the living room, and an unlocked cabinet with several medications and vitamins in the kitchen all unlocked. Correction: All medications, except emergency medications, must be locked and inaccessible to children. CORRECTED AT TIME OF INSPECTION - provider locked kitchen cabinet and moved all medications to locked cabinet. No response required. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Category: ratio. Marked corrected in the state record.

2.320.A.9.a · An admission record must be completed for each child prior to or at the time of the child’s FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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. Scheduled field trips and excursions away from the family child care home require advanced notice by written or electronic methods, which must include: locations, estimated times of attendance, and a phone number to contact the family child care home provider during the trip; and written permission from the parent(s) or guardian(s) for each scheduled trip or excursion.

Identified through provider's statement that no documentation of field trip permission forms for each individual field trip is made. Correction: Scheduled field trips require advanced written notice including location, estimated time of attendance, and a phone number to contact the provider during the trip, and written permission from the parent/guardian. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.338.C · Any child transported must be properly restrained in a child restraint system that meets the requirements of the Colorado child passenger safety laws in sections 42-4-236 and 42-4-237, C.R.S., that require:

Identified one child in care is under 20 pounds and 2 years old and the car seat assigned to the child states it is for children 20+ pounds. Correction: Obtain appropriate restrain system for all enrolled children prior to transporting children. Submit documentation with written response to specialist. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Category: transportation. Marked corrected in the state record.

2.337.C.1 · The family child care home must include outdoor play for all ages each day except when the severity of weather, including temperature extremes, makes it a health hazard, or when a child must remain indoors as indicated in writing by a health care provider or in a health care plan.

Identified through provider's statement that she does not regularly take children outside to play. Correction: The FCCH must include outdoor play for all ages each day except when the severity of weather makes it a hazard or otherwise indicated by a child's phsyician. Submit plan of action with written response to specialist. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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

2.328.E · The primary provider, applicant 2, equally qualified provider, qualified substitute, and staff members must pick-up children appropriately around their upper chest and under their arms, and based on the developmental needs of the child.

Provider lift a young child up by holding their hand only to take the child down several stairs and again when going back up the stairs. Correction: Provider must pick up children appropriately around their upper chest and under their arms, and based on the developmental needs of the child. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Marked corrected in the state record.

2.325.C · All parents must have access to menus and must be notified of meals being served.

Identified through provider's statement that she does not create a menu for parents/guardians. Correction: All parents musy have access to menus and be notified of meals being served. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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 7 child files and observed 5 children to have expired emergency medical authorization. Correction: Obtain and maintain current emergency medical authorization for all enrolled children. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 7 child files and observed 1 child to have an expired health statement. Correction: Obtain and maintain current documentation of health statement. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: ratio. 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 7 child files and observed 3 children to have immunization records on non-state approved forms. Correction: Obtain and maintain current documentation of immunization records on state approved forms. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: health medication. 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 facility's policies and observed incomplete policies including missing policies for items 2.316: B.3, B.7, B.9, B.10, B.11, B.12, B.13, B.13.a, B13.b, B.13.c, B.14, B.15, B.16, B.18.a, B.18.b, B.18.c, B.18.d, B.19, B.19.a, B.21, B.26, B.30, B.31, B.33, B.34, B.35. Correction: Update policies for all items listed found in section 2.316.B and submit documentation with written response to specialist. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Marked corrected in the state record.