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 SM1 and SM2 PDIS transcript and observed it be missing documentation of completion of Department-approved CDPHE immunization training, Correction: Obtain documentation of completion of Department-approved CDPHE immunization training for all staff responsible for the collection, review, and maintenance of enrolled children's immunization records. Correct immediately.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 SM1 and SM2 PDIS transcripts and observed it to be missing documentation of completion of the minimum of fifteen (15) clock hours of ongoing professional development annually, including three (3) clock hours of social-emotional development content. Correction: 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. Correct and respond with plan for ongoing compliance. Correct by 06/04/2026

Corrected Corrected by Jun 4, 2026

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One (1) of three (3) child files reviewed did not contain an immunization record documented on a valid, state-approved certificate of immunization. Correction: Ensure that the child's immunization status is verified and documented on the required state-approved certificate of immunization or an approved alternate form. Send the valid Certificate of Immunization to the Licensing Specialist with the written response. Correct by 06/04/2026

Corrected Corrected by Jun 4, 2026

Category: health medication. 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;

One (1) child in care was observed without an admission record available for review. Correction: Ensure a complete admission record containing all mandatory enrollment information, signatures, and authorizations is established and maintained for every child in care. Correct immediately. Document compliance to the licensing specialist in the written response Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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.

One (1) of three (3) child files reviewed lacked a current, valid statement of the child's current health status Correction: Ensure that a current, valid statement of the child's health status, signed and dated by a health care provider, is on file and updated as required. Document compliance to the licensing specialist in the written response Correct by 06/04/2026

Corrected Corrected by Jun 4, 2026

Category: ratio. Marked corrected in the state record.

2.335.X · All adult exercise equipment must be inaccessible to children.

Adult exercise equipment was found in the garage area behind an unlocked door and was accessible to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children in care Correction: Ensure all adult exercise equipment is secured and stored in a manner that makes it inaccessible to children at all times. Document compliance to the licensing specialist in the written response. Correct by 06/04/2026

Corrected Corrected by Jun 4, 2026

Category: physical safety. 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 SM1 and SM2 PDIS transcripts and observed it to be missing current documentation of completion of Department-approved Standard Precautions training. Correction: Obtain documentation of completion of Department-approved Standard Precautions training and update annually. Correct immediately. Send a copy of the training certificate to the licensing specialist with the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

Category: ratio. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ reach of children.”

The following items posing a potential safety hazard were observed to be accessible to children: knives in a kitchen drawer in the kitchen island. In the basement bathroom drawers there was a knife and a pair of medical scissors. Cleaning materials, including Clorox bleach, Comet scrub, Shark mop detergent, and Lysol disinfectant spray, were observed in unlocked bathrooms on both the upstairs and downstairs levels. Lotion, deodorant, toothpaste, and hand sanitizer labeled "keep out of reach of children" are accessible to children in the basement bathrooms and bedrooms. Correction: Ensure all cleaning products and hazardous materials are stored in a secure location that is inaccessible to children at all times. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

Prescription medications were observed on a bottom shelf inside a closet behind an unlocked bi-fold door in the upstairs hallway, rendering them accessible to children in care. Correction: Ensure all medications are stored in a locked area or container that is inaccessible to children at all times. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

Category: ratio. Marked corrected in the state record.

2.336.C.10 · Any cooking stoves with controls within reach of a child shall have a safety guard.

Stove controls in the upstairs kitchen are accessible, within reach of children, and did not have a safety guard. Correction: Ensure a safety guard is installed on the stove to render the controls inaccessible to children. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

Marked corrected in the state record.

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Multiple items presenting choking hazards were accessible to children under three years of age, including a cosmetic container lid held by a child, art pompoms displayed on a wall, thumb tacks in the upstairs entry way hallway, and Legos stored on top of a mini refrigerator Correction: Ensure all items and materials accessible to children under three years of age are free of choking hazards and stored in a manner that prevents access by these children. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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

2.335.G · Fire hazards such as defective electrical or gas appliances and electric cords, dangerous or defective heating or cooking equipment, or exposed wiring, must be repaired by a qualified repair and/or service company or removed from the family child care home.

A broken electrical box with exposed wires is present in the backyard and remains accessible to children in care. Correction: Ensure any exposed wiring is repaired by a qualified repair and /or service company or removed from the family child care home. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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.

The outdoor play area contained multiple tripping hazards, specifically a peeling weed barrier in the playground and unanchored, curled-up astro turf in the backyard. Correction: Ensure that all outdoor play areas are inspected and maintained to be free of safety hazards, including the repair of the weed barrier and the securing of the astro-turf to prevent tripping. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The large orange slide in the outdoor play area has only 3 inches of resilient surfacing in its use zone. Correction: Ensure the use zone of the slide has a minimum depth of six (6) inches of approved resilient surfacing. Correct immediately. Document future compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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

2.336.C.11 · Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

A cardboard box was stored 12 inches from the furnace. Correction: Ensure all flammable and combustible materials are stored at least three feet away from the furnace and any other heating devices. Correct immediately. Document compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

Category: physical safety. 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.

A 21-inch tall reddish-brown slide extending from a beige cube structure in the outdoor play area was positioned less than 3 feet from a perimeter fence lacks a compliant use zone. Correction: Ensure the slide has a three-foot use zone surrounding the equipment and a six-foot use zone extending from the slide exit, along with the required six inches of resilient surfacing. Correct immediately. Document future compliance to the licensing specialist in the written response. Correct by 05/04/2026

Corrected Corrected by May 4, 2026

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