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 child files, a health statement for one child was missing. Correction: Within thirty days after admission, and within thirty days following the expiration date, the parents or guardians of each child must submit a statement of the child's current health status or sritten verification of a scheduled appointment with a health care provider. The statement of the cild's current health status must be signed and dated by a health care provider who has seen the chld within the last twelve months or within the last six months for children under two and one-half years of age. Correct immediately. Obtain and provide copy of health care statement to the licensing specialist. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: ratio. 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.

In a review of the provider file, a current health evaluation was missing. Correction: Subsequent health evaluations for the primary provider, applicant 2 and children residing in the home who are less than 10 years of age must be obtained every tow years or as required in a written plan signed by a licensed physician or other health care provider. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: health medication. 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 it to be lacking a completed CDPHE immunization course. Correction: Primary provider responsible for the collection, review and maintenance of the child immunization records must complete the CDPHE immunization course. Provide written verification to the licensing specialist that his has been completed and place documentation in staff file. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: health medication. 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.

In a review of staff file, provider was missing documentation of a Department-approved training regarding "Injury Prevention for Homes." Correction: Within nintey calendar days of caring for children the primary provider must complete a Department-approved training regarding "Injury Prevention for Homes." Submit written verification to licensing specialist that training has been

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

In a review of staff file, provider was missing documentation of a Department-approved training regarding "Working with an Early Childhood Mental Health Consultant". Correction: Within nintey calendar days of caring for children the primary provider must complete a Department-approved training regarding "Working with an Early Childhood Mental Health Consultant." Submit written verification to licensing specialist that training has been completed. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

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

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.

The provider home to be missing a fire extinguisher in working condition. Fire extinguisher present in the home is expired. Correction: The family child care home must contain at least one fire extinguisher in working condition with the minimum weight of five pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. Correct immediately. Submit written verification to licensing specialist that a working fire extinguisher has been obtained and placed in the home in an accessible location. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 statementsmust be kept at the licensed child care home.

Reviewed one child's file, identified that child is missing current copy of health statement. Correction: Obtain a current health statement for the children missing one and add it to the child's file. Document compliance to the Licensing Specialist with the written response. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.8 · . Effective December 31, 2016, all providers and staff must complete a building and physical FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: R_it_a S_e_pu_lv_ed_a___________________Lic_e_ns_e _Nu_m_b_er_ : 8_3_04_2_______ ________________________________________________ premises training prior to working with children. The training must include:

Rita to be missing documentation of the building and physical premises training. Correction: All providers must complete a building and physical premises training that includes all items as listed in section 7.707.32A.8.a/b prior to working with children. Correct immediately. Obtain documentation of the training. Send a copy of the training to the Licensing Specialist with the written response. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

Providers, Rita, to be missing documentation of the Department approved prevention of shaken baby/abuse head trauma training. Correction: All providers and staff working with children less than three years must complete a Department approved prevention of shaken baby/abuse head trauma training prior to working with children less than three years of age and renew annually. Correct immediately. Send copies of the training certificates to the Licensing Specialist. Document compliance with written response. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Provider to be lacking 15 hours training. This violation was previously cited from 2022 supervisory visit. Correction: Complete fifteen clock hours training anually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

Category: supervision. Marked corrected in the state record.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age; FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: R_it_a S_e_pu_lv_ed_a___________________Lic_e_ns_e _Nu_m_b_er_ : 8_3_04_2_______ ________________________________________________

Provider to have expired First Aid and CPR training. Correction: Complete course and add to file. Document compliance with written response and send copy of training certificate. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.72.B.2.b · The child must be placed on a clean, sanitized, dry changing table or mat.

Changing table to have bird seeds. Correction: Changing table or mats must be clean, sanitized, and dry for child to be placed. **Corrected immediately. Document future compliance to the Licensing Specialist with the written response. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

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 one child's file, identified that child is missing current emergency authorization form. Correction: Obtain an authorization for emergency medical care form for all children enrolled and update annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 12/11/2023

Corrected Corrected by Dec 11, 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.

Identified through provider statement that a daily sign in log is not maintained. One child present and no children signed in on the daily sign in/out sheet. Correction: The provider must ensure that the sign in/out sheet is accurate. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.