2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 1 child's file and the file was lacking a signed statement from the parents that the parents have received the policies and procedures. Correction: At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures. Correct and respond with verification of compliance by 5/30/2025. Correct by 05/30/2025

Corrected Corrected by May 30, 2025

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 the provider's file and the provider had an expired Safe Sleep training. Correction: Prior to working with infants, the primary provider must complete a Department-approved safe sleep training. This training must be renewed annually. Correct immediately and respond with verification of compliance by 5/30/2025. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: physical safety. 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.

In the backyard there was debris including a broken plastic bottle posing a possible safety hazard. Correction: 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. Correct immediately and respond with verification of compliance by 5/30/2025. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: physical safety. 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 provider could not locate the emergency drill log at the time of the visit. Correction: 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. Correct immediately and respond with verification of compliance by 5/30/2025 Correct by 04/30/2025

Corrected Corrected by Apr 30, 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 the providers file and the provider had an expired Standard Precautions Training. Correction: Prior to working with children, the primary provider must complete a Department-approved training in standard precautions This training must be renewed annually. Correct immediately and respond with verification of compliance by 5/30/2025. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed the provider's file and the provider had an expired a Child Abuse Prevention training. Correction: Prior to working with children the primary provider must complete a Department approved training about child abuse prevention. This training must be renewed annually. Correct immediately and respond with verification of compliance by 5/30/2025. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: recordkeeping. Marked corrected in the state record.

2.320.B · All forms contained in the admission record must be current and accessible to providers, qualified substitutes, staff members, and representatives of the Department.

Identified through the provider's statement the provider could not locate a child's file, and the file was unavailable for review at the time of the visit. Correction: All forms contained in the admission record must be current and accessible to providers, qualified substitutes, staff members, and representatives of the Department. Correct immediately and respond with verification of compliance by 5/30/2025. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: recordkeeping. 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 the provider's file and the provider had an expired Immunization training. Correction: 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. Correct and respond with verification of compliance by 5/30/2025. Correct by 05/30/2025

Corrected Corrected by May 30, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 the provider was lacking a Department-approved training regarding playground safety for homes. Correction: Within thirty (30) calendar days of caring for children the primary provider must complete a Department-approved training regarding playground safety for homes. Correct and respond with verification of compliance by 5/30/2025. Correct by 05/30/2025

Corrected Corrected by May 30, 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 the provider's file and the provider was lacking a Department-approved training “Working with an Early Childhood Mental Health Consultant.” Correction: Within ninety (90) calendar days of caring for children the primary provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” Correct and respond with verification of compliance by 5/30/2025 Correct by 04/30/2025

Corrected Corrected by Apr 30, 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 the provider's file and the provider was lacking a minimum of fifteen (15) clock hours of ongoing professional development. Correction: The primary provider 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. Correct and respond with verification of compliance by 5/30/2025. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

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 1 child's file and the child over the age of 2 years old was lacking a health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: 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. Correct and respond with verification of compliance by 5/30/2025. Correct by 05/30/2025

Corrected Corrected by May 30, 2025

Category: health medication. 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 the provider's file and the provider was lacking a current health statement. Correction: Review and ensure that the proivder must obatin a currnt health statement every two years. Correct and

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.”

There was a large kitchen knife in an unlocked drawer locted in the the that was accessible to children lock was broken. Correction: Ensure that all hazardous items including the large kitchen knife must be made inaccessible to children. ***Corrected at the time of the visit the provider removed the knife and placed it up high on a shelf making it inaccessible to children.*** Correct immediately with verification of compliance by 6/16/2023. Correct by 05/17/2024

Corrected Corrected by May 17, 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.

Outside on the back porch there was a propane take that did not have a safety knob. Correction: Ensure that gas grill with propane tank must be inaccessible to children or have safety knob. ***Corrected at the time of the visit the provider places the propane tank away in a locked are of the home making it inaccessible to children. No need for a written statement of compliance.*** Correct by 05/17/2024

Corrected Corrected by May 17, 2024

Marked corrected in the state record.

7.707.22.B · In a regular (FCCH) home, care may be provided for six (6) children from birth to eighteen (18) years of age with no more than two (2) children under two (2) years of age.

It was confirmed through the provider's statement and through attendance verification on 10/2/2023 there were 8 children ages from 1 to 4 years old in care from 11:48 am to 3pm. Correction: Ensure that the provider must only care for 6 children ages birth through 18. ***Corrected 2 childern left at 3 pm.*** Respond with verification of compliance and an action plan by 12/4/2023. Correct by 11/20/2023

Corrected Corrected by Nov 20, 2023

Marked corrected in the state record.

7.707.22.B1 · . In a regular (FCCH) home: Care also may be provided for no more than two (2) additional FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children of school age attending full-day school. School-age children include children six (6) years of age and older who are enrolled in the first grade or above. A child enrolled in a kindergarten program is not considered a school-age child until the child begins attending kindergarten a year before they enter first grade.

Today 11/20/2023 there were 9 children present and 3 of the 9 children were school age children. The provider was over by 1 school age child. Correction: Ensure that the provider must only care 2 school age children that are 6 years of age or older. ***Corrected at the time of the visit the provider sent one of the school age children.***Respond with verification of compliance and an action plan by 12/4/2023. Correct by 11/20/2023

Corrected Corrected by Nov 20, 2023

Marked corrected in the state record.

7.707.6.C · Sign In/Out Procedure The provider must maintain a daily sign in/out method containing the date, the child's name, the time that the child arrived at and left the home, and the parent, guardian, or authorized person's signature. A full signature is required by the parent or guardian every time the child arrives at or leaves the home. The provider may sign in or out children who arrive directly from school or an activity as needed on a daily basis. The provider must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

Confirmed through provider's statement there were only 4 children signed in and 9 children were present. Licensing Specialist also confirmed that there were only 5 children with sign in and out sheets on 10/2/2023. Correction: Review and ensure that the provider must maintain a daily sign in/out method contaIning the date, child's name, and the time that the child arrived at and left the home, and the parent signature. Correct immediately and respond with verification of compliance by 12/4/2023. Correct by 11/20/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Nov 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.36.B · The personnel files for each employee, substitute, and volunteer shall be available for review by any representative of the State Department and must include:

On 11/20/2023 children were left alone with an unqualified substitute and provider was lacking a staff file for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ unqualified substitute Loretta W. Darnell W. and Andrea L. Correction: Ensure that all substitutes must have a file and shall be available for review. Correct immediately and Respond with verification of compliance and an action plan by 12/4/2023. Correct by 11/20/2023

Corrected Corrected by Nov 20, 2023

Marked corrected in the state record.

7.707.6.D · 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.

On 11/20/2023 the provider was lacking a vistor log and there were 3 vistors in the home who were not signed in at the time of the visit. Correction: Ensure that all visits from non-family members to the home must be on the sign in/ and out log that includes the name, date, and arrival/departure times. Correct immediately and respond with verification of compliance by 12/4/2023. Correct by 11/20/2023

Corrected Corrected by Nov 20, 2023

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.

Reviewed children's files and 1 child had immunization records on an unapproved form. Correction: Review and ensure that all children must have immunzation records and the records must be on approved form from Colorado Department of Public Health and Environment. Correct and respond with verification of compliance by 12/4/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

Category: health medication. 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.

A child went upstairs into an unlicensed room and had access to many hazardous items. Correction: Ensure that all hazadours itmes must be made inaccessible to children. *** Corrected child came back down to the livingroom.***Respond immediately with verification of compliance by 12/4/2023. Correct by 11/20/2023

Corrected Corrected by Nov 20, 2023

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