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 seven children's files and identified five files missing documentation of current statements of health status or written verification of a scheduled appointment with a health care provider. Correction: Obtain current statements of health status for all children. Correct and respond with a statement of compliance by 6/6/25. Correct by 06/06/2025

Corrected Corrected by Jun 6, 2025

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 reach of children.”

In an unlocked low-level drawer in the bathroom used by children, observed a loose plastic bag along with a roll of plastic bags. In the kitchen on the edge of the counter, observed a crock-pot that was hot to the touch. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Both items were accessible to children and posing a potential safety hazard. Correction: Ensure all hazardous items and materials are inaccessible to children. **Corrected at the time of visit. The provider made the items inaccessible to children.** No response required. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: physical safety. 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 seven children's files and identified Ch6's file missing documentation of current emergency medical authorization. Correction: Obtain documentation of current emergency medical authorization for Ch6 and ensure this is on file for all children. Correct immediately and respond with a statement of compliance by 6/6/25. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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.

Reviewed the provider's file and identified it to be missing documentation of a current health evaluation. Correction: Obtain documentation of a current health evaluation for the provider. Correct and respond with a statement of

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 6 child files and identified 3 files containing emergency medical authorizations that have not been updated within the last year. Correction: Obtain updated emergency medical authorizations for all children. Correct immediately and respond with a statement of compliance by 7/5/24. Correct by 06/05/2024

Corrected Corrected by Jun 5, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 child files and identified 3 files containing expired medical statements. Correction: Obtain current medical statements for all children. Correct and respond with a statement of compliance by 7/5/24. Correct by 07/05/2024

Corrected Corrected by Jul 5, 2024

Category: ratio. Marked corrected in the state record.