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;

The children's admission records were missing the child's health care provider and dentist and their address and telephone number. Correction: Names, addresses, and telephone numbers of the child’s health care provider, dentist, and hospital of choice must be on the admission record. Correct immediately by 7/11/25 or prior to license being approved and submit written statement of compliance with overall response by 8/11/25. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

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

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed the following residents of the home to be missing health statements: Lyan, Lynzy, Gus, Gustavo, and Carlotta. Correction: Obtain and provide documentation of a current health statement for all residents of the home missing one. Correct by 8/11/25 or prior to license being approved and submit written statement of compliance with overall response by 8/11/25. Correct by 08/11/2025

Corrected Corrected by Aug 11, 2025

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

2.336.C.7 · For windows used as a second exit where the window sill height is over thirty (30) inches, there must be permanent access to the window. Permanent access can include a ladder bolted to the wall or furniture permanently attached to the wall or steps.

Observed the second exit widow in the basement to have a window sill height of 37" and the provider to be missing permanent access. Correction: For windows used as second exit, with a sill over 30" there must be permanent access to the window. Correct immediately by 7/11/25 or prior to license being approved and submit written statement of compliance with overall response by 8/11/25. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Observed several toys (plastic bugs, penguins, bears and a small foam ball) that fit in a choke tube accessible to children under 3 years of age. Correction: Toys, materials, etc accessible to children under 3 years of age, must not be a choke hazard. Correct immediately by 7/11/25 or prior to license being approved. Corrected at the time of visit by the provider putting the items out of the reach of children. No written response is required. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

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

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Observed Applicant 2 Kimberly, to be missing documentation of a Department approved Medication Admin training. Correction: Obtain documentation of a Department approved Med. Admin training for Kimberly. Correct immediatly by 7/11/25, or prior to license being approved and submit written statement of compliance with overall response by 8/11/25. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

Category: ratio. Marked corrected in the state record.

2.309.A.3.a · The primary provider at a large child care home must meet one (1) of the following criteria: A minimum of twenty-one (21) months of documented satisfactory experience in the group care of children under the age of six (6) years or as a licensed family child care home in Colorado. Equal experience operating as an approved military child care home is accepted.

Observed Kimberly, Applicant 2, to be missing documentation of Large Family Child Care home provider qualifications. Correction: Obtain and provide documentation of Large Family Child Care home provider qualifications for Kimberly. Correct immediately by 7/11/25, or prior to license being approved and submit written statement of compliance with overall response by 8/11/25. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

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 provider's drill log and observed them to have not conducted fire drills in Jan, Feb, March 2024, no torando drills in March 2024. Correction: All drills must be held in accordance with rule. Correct immediately by 11/14/24 and submit written statement of compliance with overall response by 12/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

2.306.A · A regular family child care home (FCCH) license allows a provider to care for up to six (6) children from birth to eighteen (18) years of age with no more than two (2) children under eighteen (18) months of age. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Upon arrival to the family child care home, provider was caring for 6 children, and another child, not a school-age child, arrived a few minutes later for care. Correction: A regular family child care home allows a provider to care for up to children from birth to 18 years of age, with no more than 2 children under 18 months of age. Correct immediately by 11/14/24 and submit written statement of compliance with overall response by 12/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

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.

Observed the provider Nayelly's health statement to be expired (10/16/24) and her assistant, Kimberly to be missing documentation of a health statement for themselves. Correction: Obtain a curtrent health statement for the provider Nayelly and her assistant Kimberly. Correct and submit written statement of compliance with overall response by 12/14/24. Correct by 12/14/2024

Corrected Corrected by Dec 14, 2024

Category: health medication. 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 training requirements;

Reviewed the provider and her assistant's trainings and observed her assistant, Kimberly, to be missing documentation of a Department approved Introduction to the early intervention and preschool special education programs training. Correction: Obtain documentation of a Department approved Introduction to the early intervention and preschool special education programs training for Kimberly and maintain in her file. Correct and submit written statement of compliance with overall response by 12/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

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 trainings and observed her to be missing documentation of a Department approved recognizing the impact of bias on early childhood professionals training. Correction: Obtain documentation of a Department approved recognizing the impact of bias on early childhood professionals training for the provider and maintain in her file. Correct and submit written statement of compliance with overall response by 12/14/24. Correct by 12/14/2024

Corrected Corrected by Dec 14, 2024

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 trainings and observed her to be missing documentation of a Department approved Injury prevention for homes training. Correction: Obtain documentation of a Department approved Injury prevention for homes training for the provider and maintain in her file. Correct and submit written statement of compliance with overall response by 12/14/24. Correct by 12/14/2024

Corrected Corrected by Dec 14, 2024

Category: recordkeeping. 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 9 children's files and observed 3 children to have expired emergency medical authorization. Correction: Obtain current emergency medical authorization for all children in care. Correct immediately by 11/14/24 and

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 children's files and observed 2 children to have expired medical statements. Correction: Obtain current medical statements for all children in care. Correct and submit written statement of compliance with overall response by 12/14/24. Correct by 12/14/2024

Corrected Corrected by Dec 14, 2024

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.”

Observed a bottle of Nair on a shelf accessible to children and a child in a pack-n-play holding toothpaste labeled "keep out of reach of children". Correction: All hazardous items and materials must be inaccessible to children including, all items labeled by manufacturer as “keep out of reach of children.” Correct immediately by 11/14/24. Corrected at the time of visit by the provider removing the items from the reach of children. No written response is required. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

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

2.316.B.14 · 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: Transportation availability, vehicle restraint requirements, and seating capacities;

Observed the provider to be missing a written policy and procedure for transporting children. Correction: Obtain and provide written policy and procedure for transporting children. Correct immediately by 9/17/24 and submit written statement of compliance with policy by 9/24/24. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

Category: transportation. Marked corrected in the state record.

2.338.E · The primary provider must obtain written permission from the parent or guardian for transportation of the child.

Observed the provider to be missing written permission from parent/guardian to transport children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain written permission from parent/guardian to transport children. Correct immediately by 9/17/24 and submit written statement of compliance by 9/24/24. Correct by 09/17/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Sep 17, 2024

Category: transportation. Marked corrected in the state record.

2.311.A.4 · The parent(s) or guardian(s) must be notified each time a substitute is used to provide supervision of children in the absence of the primary provider, applicant 2, or equally qualified provider.

Identified parents/guardians are not being notified each time a substitute is used to provide supervision of the children. Correction: Parents or guardians must be notified each time a substitute is used to provide supervision of the children. Correct immediately by 9/17/24 and submit written statement of compliance with overall response by 9/24/24. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

Category: supervision. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

Observed two residents of the home to be missing documentation of a health evaluation. Correction: Obtain and provide documentation of a health evaluation for the two residents of the home that were missing one. Correct by 1/11/24 or prior to license being approved. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

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

7.707.32.A.1 · Prior to issuance of the license: A State Department approved fifteen (15) clock hour pre-licensing course of training that includes nine (9) core knowledge standards. The content of one of the standards must specifically address appropriate guidance with children and that corporal discipline is never allowed. The clock hours of pre-licensing training do not include certification in First Aid, CPR, and medication administration training

Observed Applicant 2, Kimberly Lorea Pino, to be missing documentation of a Pre-Licensing training course. Correction: Obtain and provide documentation of a Pre-Licensing training course for Applicant 2 Correct immediately by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Observed Applicant 2, Kimberly Lorea Pino, to be missing documentation of a First Aid and CPR training course. Correction: Obtain and provide documentation of a CPR and First Aid training course for Applicant 2 Correct immediately by 12/11/23, or prior license being approved. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. 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 Applicant 2, Kimberly Lorea Pino, to be missing documentation of a Medication Admin training course. Correction: Obtain and provide documentation of a Medication Administration training course for Applicant 2 Correct immediately by 12/11/23, or prior license being approved. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Category: ratio. Marked corrected in the state record.

7.707.931.E · Decks that are more than twelve (12) inches high must have or be modified to have a protective railing or other barrier with slats no wider than four (4) inches apart. Additionally, for decks installed at ground level with more than a twelve inch (12" ) gap between flooring and ground, the gap must be inaccessible to children.

Observed a platform at the top of the steps leading from the deck to the grass to be 23 inches high and to not have a protective barrier. Correction: Decks more than 12 inches high must have a protective railing or other barrier. Correct immediately by 12/11/23, or prior license being approved. Correct by 12/11/2023

Corrected Corrected by Dec 11, 2023

Marked corrected in the state record.