Colleen Rushton

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 16 children's files and observed 8 children to have expired emergency medical authorizations. Correction: Obtain current emergency medical authorization for the children whose have expired. Correct immediately by 12/8/25, or on next day child is in care, and submit written statement of compliance with overall response by 12/15/25. Correct by 12/08/2025

Corrected by Dec 8, 2025

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a 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.

Observed the provider's and her Assistant to have expired Standard Precautions trainings. Correction: Obtain documentation of a current, Department approved Standard Precautions training for the provider and

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.

Observed the provider's Assistant to have expired Shaken Baby Abusive Head Trauma training. Correction: Obtain documentation of a current, Department approved Shaken Baby training for the provider's assistant. Correct immediately by 12/8/25 and submit written statement of compliance with overall response by 12/15/25. Correct by 12/08/2025

Corrected by Dec 8, 2025

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.

Observed the provider and her Assistant to have expired Mandated Reporter trainings. Correction: Obtain documentation of a current, Department approved Mandated Reporter training for the provider and her assistant. Correct immediately by 12/8/25 and submit written statement of compliance with overall response by 12/15/25. Correct by 12/08/2025

Corrected by Dec 8, 2025

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed the provider and her Assistant to have expired Infant Safe Sleep training. Correction: Obtain documentation of a current, Department approved Infant Safe Sleep training for the provider and her assistant. Correct immediately by 12/8/25 and submit written statement of compliance with overall response by 12/15/25. Correct by 12/08/2025

Corrected by Dec 8, 2025

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.

Observed the provider's CDPHE Immunization training to be expired. Correction: Obtain documentation of a current, Department approved CDPHE Immunization training for the provider. Correct immediately by 12/8/25 and submit written statement of compliance with overall response by 12/15/25. Correct by 12/08/2025

Corrected by Dec 8, 2025

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

The provider was using a Bumbo infant seat for an infant that has been recalled, due to not having a safety restraint belt to prevent falls. Correction: All indoor and outdoor equipment, materials and furnishings must be safe and free from hazards. Correct immediately by 12/8/25. Corrected at the time of visit by the provider throwing the Bumbo in the trash. No written response is required. Correct by 12/08/2025

Corrected by Dec 8, 2025

2.321.A.2.b · 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: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s) and/or guardian(s), defining the interventions needed to care for a child who has an identified health condition or developmental concerns, including, but not limited to: seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ supplies, and or medical equipment must be available to the primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members prior to the child’s first day of care. The primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

A child didn't have a second epi-pen as written on the child's emergency care plan. Correction: Any applicable medication must be available for staff prior to the child's first day of care. Correct immediately by 12/8/25 and submit written statement of compliance with overall response by 12/15/25. Correct by 12/08/2025

Corrected by Dec 8, 2025

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 16 children's files and observed one to have an expired emergency medical authorization and two children to be missing emergency authorization. Correction: Obtain current emergency medical authorization for the children whose are missing or expired. Correct immediately by 1/17/25 and submit written statement ofmcompliance with overall response by 2/17/25 Correct by 01/17/2025

Corrected by Jan 17, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 16 children's files and observed one child to have immunizations not on the Department approved form. Correction: Obtain immunizations on the Department approved form. Correct immediately by 1/17/25 and submit written statement of compliance with overall response by 2/17/25. Correct by 01/17/2025

Corrected by Jan 17, 2025

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 and Applicant 2, Shawn, to have expired health statements. Correction: Obtain documentation of a health statement for the provider and Shawn. Correct and submit written statement of compliance with overall response by 2/17/25. Correct by 02/17/2025

Corrected by Feb 17, 2025

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;

Observed the provider and Applicant 2, Shawn, to be missing documentation of a Department approved Introduction to early intervention and preschool special education training. Correction: Obtain documentation of a Department approved Introduction to early intervention and preschool special education training for the provider and applicant two. Correct and submit written statement of compliance with overall response by 2/17/25. Correct by 02/17/2025

Corrected by Feb 17, 2025

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.

Observed the provider's Assistant, Hannah W, 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 staff member listed above. Correct and submit written statement of compliance with overall response by 2/17/25. Correct by 02/17/2025

Corrected by Feb 17, 2025

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 Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Observed the provider's Assistant, Hannah W, to be missing documentation of a Department approved Working with an Early Childhood Mental Health Consultant training. Correction: Obtain documentation of a Department approved Working with an Early Childhood Mental Health Consultant training for the staff member listed above. Correct and submit written statement of compliance with overall response by 2/17/25. Correct by 02/17/2025

Corrected by Feb 17, 2025

7.707.34.B.2 · Employees and substitutes for the primary provider, for fourteen (14) days (112 hours) or more per calendar year must complete: A statement of a current health evaluation, signed by an approved health care professional, that was completed within the last twenty-four (24) months;

Reviewed employee, Amber Jackson's file, and observed her to be missing documentation of a health statement for herself. Correction: Obtain a health statement for the employee listed above. Correct and submit statement of compliance with overall response by 2/29/24. Correct by 02/29/2024

Corrected by Feb 29, 2024

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed employee, Amber Jackson's file, and observed her to be missing documentation of a Department approved Emergency and Disaster Prep training. Correction: Obtain documentation of a Department approved training in Emergency and Disaster Prep for the employee

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 13 children's files and observed 1 child to have an expired health statement and one child to be missing documentation of a health statement. Correction: Obtain a current health statement for all children in care. Correct and submit written statement of compliance with overall response by 2/29/24. Correct by 02/29/2024

Corrected by Feb 29, 2024

7.707.932.D · Portable climbing equipment over two feet (2') in height, whether indoor or outdoor, must be on a protective surfacing. No equipment can be placed on cement or grass.

Observed a green and purple climbing structure and and a red and blue blow up climbing structure, both over 2 feet in height and both located on grass in the backyard. Correction: Portable climbing equipment over two feet (2’) in height, whether indoor or outdoor, must be on a protective surfacing. No equipment can be placed on cement or grass. Correct immediately by 1/30/24 and and submit statement of compliance with overall response by 2/29/24. Correct by 01/30/2024

Corrected by Jan 30, 2024

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ office supplies, matches, plastic bags, cleaning and laundry materials, medicines, 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 pair of sharp, adult scissors and Scrubbing Bubbles in an unlocked bathroom cabinet in an upstairs bathroom children use. Correction: All hazardous items and materials must be inaccessible to children at all times. Correct immediately by 1/30/24. Corrected at the time of visit by the provider putting the items in a locked cabinet. No written response is required. Correct by 01/30/2024

Corrected by Jan 30, 2024