2.329.H.5 · Swaddling of infants must only be allowed with a health care plan completed and signed by the child’s physician.

A 4 month old infant placed in an unsafe sleep environment. Observed said infant was swaddled while sleeping in a pack n play in the main play room on the main floor of the home. Observed no evidence of a health care plan completed and signed by the child's physician stating child is allowed to be swaddled while sleeping. Correction: All infants must immediately be placed in a safe sleep environment. Immediately ensure infants are not swaddled unless a health care plan completed and signed by the child's physician permitting swaddling is on file. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

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

2.311.A.7 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Both the primary provider and Applicant 2 were caring for children today. Identified the primary provider and Applicant 2 completed infant safe sleep training on 8/7/24, and a child in care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct by 07/21/2025

Corrected Corrected by Jul 21, 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.

No evidence of a current medical statement, signed and dated by a health care provider in one of the seven children's files reviewed. Correction: Obtain and maintain documentation of current health statement in child's file. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

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.

Identified through discussion with the primary provider, provider went to the doctor in January 2025. Observed no evidence of a current health statement signed and dated by a health care provider. Correction: Obtain and maintain documentation of current medical statement for primary provider. Submit documentation to Licensing Specialist along with final, written response. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

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

2.336.C.14 · There must be a carbon monoxide detector in working condition installed in the area of the family child care home as recommended by the manufacturer and in the hallway outside the licensed bedrooms or area where children sleep.

Primary provider placed two children in the room, across from the bathroom on the main level of the home, for rest time. Observed no evidence of a carbon monoxide detector on the main level of the home, where children sleep. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure a carbon monoxide detector is installed where children sleep. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

Category: physical safety. 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;

No evidence of primary provider completing a Department approved Introduction to the Early Intervention and Preschool Special Education programs training. Correction: Obtain and maintain documentation of training completion. Correct by 08/20/2025

Corrected Corrected by Aug 20, 2025

Category: recordkeeping. Marked corrected in the state record.

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

During walk through, observed multiple Canadian Thistle plants below the wooden deck, adjacent to the steps leading down to outdoor play space. These Thistle plants are accessible to children, and could be a potential hazard that could cause an injury to a child. Correction: Immediately ensure the premises of the family child care home is kept safe and free from hazards at all times. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

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

2.337.B.3.a · Toddler climbing equipment, sliding equipment, or equipment with attached platforms must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

Two pieces of portable climbing equipment, which contained a total of three slides with platforms measuring approximately 24 inches in height. Observed several items (a few kids riding toys, small pieces of wooden stumps and an outdoor purple caterpillar kids tunnel ) within the use zones of this climbing equipment. Also, the placement of this portable climbing equipment does not allow for the required 6 foot use zone for slides. The use zone of blue slide FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ measured approximately 3 feet, whereas the use zone between the green slide and orange slide measured approximately 52 inches. Correction: Immediately ensure there are proper use zones surrounding all climbing equipment at all times. Also, ensure there are no potential hazards within the use zones of these pieces of portable climbing equipment. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

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

2.311.A.11 · The primary provider must plan for the selection, orientation, training and/or staff development of all equally qualified providers, qualified substitutes, staff members, and volunteers.

Identified through discussion with the primary provider, Applicant 2 provides unsupervised care to children when primary provider seldom leaves the licensed program for appointments during child care hours. Identified Applicant 2 is not an equally qualified experienced family child care provider. Correction: Immediately ensure Applicant 2 is an "equally qualified provider". Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

Category: supervision. Marked corrected in the state record.