2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Identified provider moved to Colorado from S. Carolina in 2020. Observed no evidence of provider completing out of state background checks. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the provider has completed this out of state background check process. Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

Category: supervision. Marked corrected in the state record.

2.336.C.6 · Any level where child care occurs must have at least two (2) means of escape. A basement exit may include a window large enough for the primary provider, applicant 2, equally qualified provider, qualified substitute, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ staff members, volunteers, visitors, and children to individually exit.

Identified care is provided in a room above the provider's garage. Identified there is only one way to enter/egress the licensed space. Correction: Immediately ensure any level where child care occurs must have at least two means of escape. Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

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.

No evidence of documentation of immunization records in two out of the three children's files reviewed. Correction: Immediately obtain and maintain children's immunization records. Correct by 09/03/2024

Corrected Corrected by Sep 3, 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 health care provider. All health statements must be kept at the licensed family child care home. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

No evidence of a health statement for a child who was enrolled in January 2024. Observed no evidence of a current health statement, as next visit was indicated by the health care provider for another child enrolled. Correction: Obtain and maintain current health statements for children's files. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

Category: ratio. 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 children's admission records. Observed no evidence of a dated, written authorization for emergency medical care signed and updated annually by parents. Correction: Ensure to obtain, for each child in care, a dated written authorization for emergency medical care signed and updated annually by parents. Ensure to obtain this authorization prior to or at the time of child's admission and updated annually. Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

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.

No evidence of a current health evaluation for the provider and two children, who are less than 10 years of age, residing in the home. Correction: Obtain and maintain documentation. Submit documentation to Licensing Specialist along with the final, written response. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

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

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed provider's Medication Administration Training certificate dated 1/3/22. Identified provider completed this online training (Part I), however did not complete Part II of this training. No evidence of provider completing a department approved course of training for medication administration. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately obtain documentation of current completion of the Department approved course of training for medication administration. Submit training certificate to Licensing Specialist along with the final, written response. Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

Category: ratio. Marked corrected in the state record.