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 in care at the time of visit. Correction: Obtain current Department-approved safe sleep training for Valeria. Correct immediately and respond with verification of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 five files missing documentation of current emergency medical authorization. Correction: Obtain documentation of current emergency medical authorizations for all children. Correct immediately and respond with a statement of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: health medication. 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 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 course for Valeria. Correct and respond with verification of compliance by 4/7/25. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

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

2.312.K · Within thirty (30) 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 training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's file and identified it to be missing documentation of a Department-approved training regarding playground safety for homes. Correction: Obtain documentation of a Department-approved training regarding playground safety for homes for Valeria. Correct and respond with verification of compliance by 4/7/25. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training requirements;

Reviewed the provider's file and identified it to be missing documentation of a Department-approved introduction to early intervention training. Correction: Obtain documentation of a Department-approved introduction to early intervention training for Valeria. Correct and respond with verification of compliance by 4/7/25. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · 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 training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's file and identified it to be missing documentation of a Department-approved training for recognizing the impact of bias. Correction: Obtain documentation of a Department-approved training for recognizing the impact of bias for Valeria. Correct and respond with verification of compliance by 4/7/25. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.P · 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 training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed the provider's file and identified it to be missing documentation of a Department-approved training regarding injury prevention for homes. Correction: Obtain documentation of a Department-approved training regarding injury prevention for homes for Valeria. Correct and respond with verification of compliance by 4/7/25. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Reviewed the provider's file and identified it to be missing documentation of a Department-approved training regarding working with an early childhood mental health consultant. Correction: Obtain documentation of a Department-approved training regarding working with an early childhood mental health consultant for Valeria. Correct and respond with verification of compliance by 4/7/25. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: health medication. 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 seven children's files and identified Ch2's file missing documentation of emergency contact information. Correction: Obtain emergency contact information for Ch2 and ensure this is on file for all children. Correct immediately and respond with a statement of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. 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 training about child abuse prevention. Correction: Obtain current documentation of training about child abuse prevention for Valeria. Correct immediately and respond with verification of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed seven children's files and identified four children's files missing documentation of a signed document that the parents/guardians have received and agree to the policies and procedures of the program. Correction: Obtain documentation of a signed document that the parents/guardians agree to the policies and procedures of the program for all children. Correct immediately and respond with a statement of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed seven children's files and identified Ch5's file missing documentation of authorization of the use of sunscreen or alternative sun protection. Correction: Obtain authorization of the use of sunscreen or alternative sun protection for Ch5. Correct immediately and respond with a statement of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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 ________________________________________________

In the backyard, observed climbing equipment 24 inches tall that did not have resilient surfacing within the entire use zone of the equipment. A three foot use zone, and a six foot use zone extending from the base of the slide, is required for toddler climbing equipment. Correction: Ensure all climbing equipment eighteen inches or higher has resilient surfacing of at least six inches in the use zone. Correct and respond with a plan for ongoing compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

2.335.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

On the deck in the backyard, observed a pile of four soiled diapers. Correction: Ensure garbage is stored in a manner that is inaccessible to children and does not constitute a health hazard. Correct immediately and respond with a plan for ongoing compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

In the backyard behind the shed, observed several long wooden planks with exposed nails. Correction: Ensure the outdoor play space is free from hazards. Correct immediately and respond with a statement of compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

2.326.O · Infants who are eating solid foods must be provided with suitable solid foods that encourage freedom in self-feeding and must be fed in safe chairs such as highchairs.

During lunch time, observed an infant eating standing up at a children's-sized table. Correction: Ensure infants who are eating solid foods are fed in safe chairs. Correct immediately and respond with a plan for ongoing compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: nutrition. Marked corrected in the state record.

2.329.H.16.a · Clothing sacks or other clothing designed for sleep must be worn in lieu of blankets if needed for additional warmth. Sleep sacks or clothing that swaddles the infant, restricts movement of the child’s arms or legs, that are FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ too big for the infant, weighted, or not used in the manner the manufacturer intends are prohibited.

An infant wore a squirrel sleep sack for nap that had enclosed arms and appeared to restrict arm movement. Correction: Ensure sleep sacks that restrict movement of the child's arms or legs are not used. Correct immediately and respond with a plan for ongoing compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

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

Identified that the provider was required to renew infant safe sleep training by 6/10/24 (the date of enrollment of the first infant since the training had expired), failed to complete renewal of the training in required timeframes, and a child in their care was found in an unsafe sleep environment. Correction: Ensure that all safe sleep practices are followed for all infants at all times. Correct immediately and respond with a plan for ongoing compliance by 4/7/25. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

2.320.A · 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:

Reviewed 9 child files and identified 1 child's file lacking required authorizations including emergency medical authorization (A.7), field trip authorization (A.9), and media authorization (A.10). Correction: Obtain all required authorizations and ensure this is kept on file for all children. Correct immediately and respond with a statement of compliance by 5/5/24. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 9 child files and identified 1 child's file lacking a sunscreen authorization. Correction: Obtain sunscreen authorization and ensure this is on file for all children. Correct immediately and respond with a statement of compliance by 5/5/24. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

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.

Reviewed 9 child files and identified 6 files lacking current health statements. Correction: Obtain current health statements for all children. Correct and respond with a statement of compliance by 5/5/24. Correct by 05/05/2024

Corrected Corrected by May 5, 2024

Category: ratio. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Provider Valeria and husband Stefano lacking background checks tied to the license completed in the last 5 years. 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 Provider Valeria has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation that criminal background checks have been requested for Valeria and Stefano with written response to Specialist by 5/5/24. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Category: background checks. Marked corrected in the state record.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

Missing complaint posting in a prominent and conspicuous location. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure the procedures for filing a complaint with CDEC is posted in a prominent and conspicuous location. Correct immediately and respond with a statement of compliance by 5/5/24. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Marked corrected in the state record.

2.329.E · Toddlers, preschoolers, and older children, as necessary, must have a suitable mat at least two inches thick, cot, bed, or sofa, with a clean washable sheet and blanket or other suitable covering that has been laundered between uses by different children.

Nap mats being used by children without a sheet. Correction: Obtain sheets for nap mats. Correct immediately and respond with a statement of compliance by 5/5/24. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Marked corrected in the state record.