2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed provider's file and observed it to be lacking documentation of a current department-approved training for the prevention of shaken baby. Correction: Immediately (4/23/2025) ensure that anyone responsible for the care of children under 3 years of age complete and maintain a current department approved training for the prevention of shaken/baby abusive head trauma. Provide a written statement of compliance within the overall response. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 file and observed Terry L lacking documentation of a current completed department approved training for child abuse prevention. Correction: Immediately (4/23/2025) ensure that all staff or regular volunteers complete and maintain a current department approved training for child abuse prevention. Provide a written statement of compliance within the overall response. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. 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 file and observed Terry L lacking documentation of a current completed department approved safe sleep training. Correction: Immediately (4/23/2025) ensure all staff or regular volunteers complete and maintain a current Department approved training for safe sleep training. Provide a written statement of compliance within the overall response. Correct by 04/23/2025

Corrected Corrected by Apr 23, 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 Terry to be lacking documentation of a current completed CDPHE immunization course. Correction: Immediately (4/23/2025) ensure the primary provider and all individuals responsible for the children's immunization records obtains and maintains documentation of a current completed CDPHE immunization training. Provide a written statement of compliance within the overall response. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: health medication. 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 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.

Provider lacking documentation of tornado and fire drills for 2025. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (4/23/2025) ensure that all required drills are completed within the required timeframes and documentation of each drill is maintained. Provide a written statement of compliance within the overall response. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. 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.

Reviewed 6 children files and observed 2 files to be lacking a current health health statement signed and dated by a health care provider. Correction: Provide a written statement of compliance ensuring all children files have a current health statement signed and dated by a health care provider per the above guidelines. Correct by 05/23/2025

Corrected Corrected by May 23, 2025

Category: ratio. 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 Terry L. to be lacking documentation of a current Department approved training for standard precautions. Correction: Immediately (5/30/2024) ensure that the provider obtains and maintains documentation of a current Standard Precautions training certificate. Provide a written statement of compliance within the overall response. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: ratio. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 Terry to be lacking documentation of a current completed Department-approved safe sleep training. Correction: Immediately (5/30/2024) ensure all staff or regular volunteers complete and maintain a current Department approved training for safe sleep training. Provide a written statement of compliance within the overall response. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

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

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.

Reviewed provider's file and observed Terry and Allen L. to be lacking documentation of a renewed FBI clearance letter obtained prior to 5 years from the date reflected on the current clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of Clearance Letters for staff listed above with written response to Specialist. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: background checks. Marked corrected in the state record.