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 children files and observed 1 child to have an expired authorization for emergency medical care. Correction: Obtain and maintain current and up to date authorization for emergency medical authorization for all children enrolled. Correct immediately 9/4/2024 and submit compliance by 10/04/2024. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

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

2.321.A.2.a · 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: Health information, including any known allergies, medication being taken and possible side effects, special dietary requirements, and chronic health conditions;

Reviewed 6 children files and observed 1 child to have an expired health statement. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed Providers file and observed it to be missing shaken baby/abusive head trauma training. Correction: Obtain and maintain shaken baby/abusive head trauma training. Correct immediatley 9/4/2024 and submit compliance by 10/4/2024. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

Outlets in main room observed to be missing safety covers. Correction: Ensure all outlets and power strips have safety covers on them at all times. Correct immediately 9/4/2024. ***Corrected at time of visit. No response required. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 children files and observed 1 child to have immunization records on an unapproved form. Correction: Obtain and maintain current and up to date immunization records on state approved forms for all children enrolled. Correct immediately 9/4/2024 and submit compliance by 10/04/2024. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

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

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 7 children's files and observed 1 file missing documentation of immunizations. Correction: Obtain documentation of immunizations. Correct immediately 10/6/2023 and respond by 11/5/2023. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

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

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 children's files and observed 1 file with expired documentation of written authorization to obtain emergency medical care. Correction: Obtain documentation of written authorization to obtain emergency medical care. Correct immediately 10/6/2023 and respond by 11/5/2023. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

Marked corrected in the state record.

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State Department approved course of training for medication administration.

Observed provider's medication administration training is expired. Correction: Obtain documentation of medication administration training. Correct immediately 10/6/2023 and respond by 11/5/2023. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Observed provider's standard precautions training is expired. Correction: Obtain documentation of standard precautions training. Correct immediately 10/6/2023 and respond by 11/5/2023. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

Category: ratio. Marked corrected in the state record.