2.121.C.1 · Any resident of the family child care home or qualified exempt provider home turning eighteen (18) years of age shall complete the fingerprint process at an approved vendor fourteen (14) calendar days prior to their 18th birthday.

The provider's child, Matilde, has recently turned 18 years old. Identified documentation of CBI and FBI clearance for Matilde to be missing. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Cristina has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of CBI and FBI clearance letters for Matilde, with written response to Specialist by 6/19/25. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be renewed annually.

Reviewed the provider's file and identified it to be missing documentation of a current Department-approved standard precautions training. Correction: Obtain documentation of current Department-approved standard precautions training for Provider Cristina. Correct immediately and respond with verification of compliance by 6/19/25. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: ratio. 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 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 the provider's file and identified it to be missing documentation of a current Department-approved child abuse prevention training. Correction: Obtain documentation of current Department-approved standard precautions training for Provider Cristina. Correct immediately and respond with verification of compliance by 6/19/25 Correct by 05/19/2025

Corrected Corrected by May 19, 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 the provider's file and identified it to be missing documentation of a current Department-approved safe sleep training. An infant was observed to be in care. Correction: Obtain documentation of current Department-approved safe sleep training for Provider Cristina. Correct immediately and respond with verification of compliance by 6/19/25 Correct by 05/19/2025

Corrected Corrected by May 19, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually.

Reviewed the provider's file and identified it to be missing documentation of a current CDPHE immunization course. Correction: Obtain documentation of current CDPHE immunization course for Provider Cristina. Correct and respond with verification of compliance by 6/19/25 Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

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

2.321.B.11 · Topical preparations such as diaper rash ointments, sunscreen, insect repellants, sprays, and other ointments may be administered to children with written parent and/or guardian authorization. These preparations may not be applied to open wounds or broken skin unless there is a written order from a prescribing health care provider.

Reviewed children's topical preparations and identified one tube of sunscreen to be expired. Correction: Ensure topical preparations are unexpired. Correct immediately and respond with a statement of compliance by 6/19/25. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: ratio. 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.

Reviewed the drill log and identified that drills are not being completed as often as required. Correction: Ensure that fire drills are completed monthly, tornado drills are completed monthly from March to October, and lockdown drills are held quarterly. Correct immediately and respond with a plan for ongoing compliance by 6/19/25. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

2.316.B · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information:

Reviewed the policies and procedures and identified the following policies to be missing or insufficient: B.2, 7, 8, 10, 11, 13, 17, 20, 22, 24, 26, 31, 32, 33, and 34. Correction: Develop all required policies. Correct and respond with verification of compliance by 8/2/24. Correct by 08/02/2024

Corrected Corrected by Aug 2, 2024

Marked corrected in the state record.

2.320.A.5 · 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: Names, addresses, and telephone numbers of the child’s health care provider, dentist, and hospital of choice, if applicable;

Reviewed the children's enrollment forms and identified a section to record the name, address, and phone number of the child's dentist and hospital of choice to be missing. Correction: Ensure the enrollment record includes a section to record the name, address, and phone number of the child's

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.320.A.2 · 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. Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, and cell numbers ; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the family child care home;

Reviewed the children's enrollment forms and identified a section to record the parent's/guardian's cell phone numbers and special instructions for reaching the parents/guardians to be missing. Correction: Ensure the enrollment record includes a section to record the parent's/guardian's cell phone numbers and special instructions for reaching the parents/guardians. Correct and respond with verification of compliance by 8/2/24. Correct by 08/02/2024

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.4 · 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: Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s) or guardian(s) cannot be reached immediately;

Reviewed the children's enrollment forms and identified a section to record the addresses of emergency contacts to be missing. Correction: Ensure the enrollment record includes a section to record the addresses of emergency contacts, Correct and respond with verification of compliance by 8/2/24. Correct by 08/02/2024

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.