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 provider's files and observed an expired health statement for the provider. (ex. 12/18/24) Correction: Obtain and maintain documentation of current health statement. Correct by 08/29/2025

Corrected Corrected by Aug 29, 2025

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;

Reviewed 8 childrens files and observed 1 child to have an expired emergency medical authorization form. Correction: Obtain updated form and maintain in child's file. Correct immediately 7/29/25 or prior to next day in care. Submit compliance by 8/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

Category: health medication. 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.

Reviewed 8 chidren's records and observed 1 child to not have documentation of immunization records or status form and 1 child to have immunizations but not on the CDPHE approved form. Correction: Obtain immunization records on the first day of care and transfer to CDPHE approved form and maintain in child's file. Correct immediately 7/29/25 and submit compliance by 8/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

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.

Reviewed 8 children's files and observed 1 child with an expired health statement. Correction: Obtain and maintain documentation of current health statements. Correct by 08/29/2025

Corrected Corrected by Aug 29, 2025

Category: ratio. Marked corrected in the state record.

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

a hotwheel outside with broken handlebars. Correction: Ensure all materials are sturdy, safe and free of hazards. Correct immediately 7/29/25 and submit compliance by 8/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 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 11 children's files and observed 2 children to have expired emergency medical authorization forms and 1 child to not have one. Correction: Obtain and maintain documentation of current emergency medical authorizations for all children enrolled with expired or missing forms. Correct immediately 8/6/24 or prior to next day in care. Submit compliance by 9/6/24. Correct by 08/06/2024

Corrected Corrected by Aug 6, 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 11 children's files and observed 2 children with expired health statements. Correction: Obtain and maintain current health statements for children within 30 days of enrollment or expiration. Correct by 09/06/2024

Corrected Corrected by Sep 6, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 statementsmust be kept at the licensed child care home.

Reviewed 9 children's files and obseved 1 child with no current health statement and 3 children with expired statements. Correction: Obtain and maintain documentation of current health statements or scheduled appointments for children enrolled. Correct by 10/27/2023

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

7.707.83.K · Outdoor physical free play materials shall consist of at least four (4) age appropriate toys and equipment including, but not limited to, the following in good repair: push toys, riding toys, tossing toys, climbing equipment, balance boards, stationary swings, slides, balls, toss games, and sports equipment. These must beprovided daily except in extreme weather, such as rain, snow, or extreme temperatures when indoor physical play may be substituted.

a trike and a strider bike with no handlebar covers posing a safety hazard to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all equipment is maintained in a safe repair. Correct immediately 9/27/23 and submit compliance by 10/27/23 or prior to change of address being completed. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.707.923.O · The home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC. The fire extinguisher or identifying sign where the fire extinguisher is located must be highly visible and easily accessible.

the fire extinguisher to be expired and not in working condition. Correction: Obtain a working fire extinguisher. Correct immediately 9/27/23 and submit compliance by 10/27/23 or prior to change of address being completed. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.707.931.F · Tiered yards that have drop offs of more than twelve inches (12" ) must have a protective railing or other barrier with slats no wider the four inches (4" ) apart.

identified a drop off 1 foot 7 inches in the backyard. Correction: Ensure that the drop off area is inaccessible or has a protective railing or other barrier. Correct immediately 9/27/23 and submit compliance by 10/27/23 or prior to change of address being completed. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.