Reyna Aguilar

2.324.A.4.b.1 · Infants hands must be washed: After Having their diaper changed;

Observed the provider did not wash an infants hands after changing their diaper. Correction: Infants hands must be washed after having the diaper changed. Correct immediately by 9/15/25 and submit written statement of compliance with overall response by 10/15/25. Correct by 09/15/2025

Corrected by Sep 15, 2025

2.317.E.1 · Visitors Visits from all non-family members to the home must be on the sign in/out log, including the name, date, and arrival/departure times.

Observed the home provider to be missing a visitor sign in sheet. Correction: Visitors must sign in and out. Correct immediately by 9/15/25. Corrected at the time of visit by the provider finding the visitor log. No written response required. Correct by 09/15/2025

Corrected by Sep 15, 2025

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.”

Hand sanitizer by the sign in sheet and Lysol wipes labeled "keep out of reach of children" by the TV in the living room accessible to children. Observed a child playing with a spray bottle of sanitizer while the provider was changing a diaper. Previously cited 10/09/2024 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All hazardous items and materials must be inaccessible to children at all times. Correct immediately by 9/15/25 and submit written statement of compliance with overall response by 10/15/25. Correct by 09/15/2025

Corrected by Sep 15, 2025

2.336.C.3 · Window blind cords and coverings must be secured out of children's reach or otherwise made safe to prevent strangulation.

Observed two window blind cords accessible to children, which pose a strangulation hazard. Previously cited 10/09/2024 Correction: Window blind cords must be secured out of the reach of children's reach. Correct immediately by 9/15/25. Corrected at the time of visit by the provider putting the window blind cords up and out of the reach of children. No written response required. Correct by 09/15/2025

Corrected by Sep 15, 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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 children's files and observed 2 children to be missing documentation of immunization status and 2 children to have immunizations not on the Department approved form. Correction: Obtain immunization status for the children missing them and all immunizations must be on the Department approved form. Correct immediately by 9/15/25, or on next day child is in care, and submit written statement of compliance with overall response by Correct by 09/15/2025

Corrected by Sep 15, 2025

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 7 children's files and observed 1 child to have expired health statements. Correction: Obtain current health statements for the child whose have expired. Correct and submit written statement of compliance with overall response by 10/15/25. Correct by 10/15/2025

Corrected by Oct 15, 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 7 children's files and observed 4 children to have expired and 3 children to be missing emergency medical authorization. Previously cited 10/09/2024 Correction: Obtain current emergerncy medical authorization for the child whose has expired. Correct immediately by 9/15/25, or on next day child is in care, and submit written statement of compliance with overall response by Correct by 09/15/2025

Corrected by Sep 15, 2025

2.317.D.1 · Sign In/Out Procedure The provider must maintain a daily sign in/out method containing the date, the child's name, the time that the child arrived at and left the home, and the parent, guardian, or authorized person's signature. A full signature is required by the parent or guardian every time the child arrives at or leaves the home. The provider may sign in or out children who arrive directly from school or an activity as needed on a daily basis. The provider must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

Observed the provider to not have sign in and out sheets for the children for September. Correction: Children must be signed in and out daily. Correct immediately by 9/15/25, and submit written statement of compliance with overall response by 10/15/25. Correct by 09/15/2025

Corrected by Sep 15, 2025

2.321.B.8.c · All personal medications, vitamins, and supplements of the primary provider, applicant 2, staff members, or any residents of the home must be locked and inaccessible to children.

Observed a bottle of Ibufrofen on a table in the playroom accessible to children. Correction: All personal medications, vitamins, and supplements must be locked and inaccessible to children. Correct immediately by 9/15/25. Corrected at the time of visit by the provider putting it in an area inaccessible to children. No written response required. Correct by 09/15/2025

Corrected by Sep 15, 2025

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.

Observed 2 outlets in the family room and 1 outlet in the playground to be uncovered. Correction: In room accessible to children, all electrical outlets must be covered. Correct immediately by 9/15/25. Corrected at the time of visit by the provider covering the outlets. No written response required. Correct by 09/15/2025

Corrected by Sep 15, 2025

2.324.A.2 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and children toddler-aged and older must wash their hands at the following times:

The provider did not wash their own hands after changing a diaper. Correction: Provider must wash their hands after changing a diaper 2.324.A.2.c.2. Correct immediately by 9/15/25 and submit written statement of compliance with overall response by 10/15/25. Correct by 09/15/2025

Corrected by Sep 15, 2025

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.

Observed the provider to have not documented fire drills in October, November, December 2024 and no tornado drills in October 2024 and only 2 emergency drills (lockdown/active shooter) in March and June 2024. The provider was missing documentation of a drill log for 2025. Correction: All drills must be held in accordance with rule and documented. Correct immediately by 9/15/25, and submit written statement of compliance with overall response by 10/15/25. Correct by 09/15/2025

Corrected by Sep 15, 2025

2.325.R · All children must be sitting when eating.

Observed two children running around while they were eating. Correction: All children must be sitting when eating. Correct immediately by 9/15/25 and submit written statement of compliance with overall response by 10/15/25. Correct by 09/15/2025

Corrected by Sep 15, 2025

2.329.H.13 · Cribs must be used for sleeping, not extended play or confinement.

Observed a child confined in a crib playing for 25 minutes. Correction: Cribs must not be used for sleeping, not extended play or confinement. Correct immediately by 10/9/2024 and submit written statement of compliance with overall response by 11/9/2024. Correct by 10/09/2024

Corrected by Oct 9, 2024

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;

Observed the provider 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. Correct and submit written statement of compliance with overall response by 11/9/2024. Correct by 11/09/2024

Corrected by Nov 9, 2024

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 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. Correct and submit written statement of compliance with overall response by 11/9/2024. Correct by 11/09/2024

Corrected by Nov 9, 2024

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 to be missing documentation of a Department approved training working with an early childhood mental health consultant. Correction: Obtain documentation of a Department approved training working with an early childhood health consultant. Correct and submit written statement of compliance with overall response by 11/9/2024. Correct by 11/09/2024

Corrected by Nov 9, 2024

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 4 children's files and observed 1 child to have an expired emergency medical authorization. Correction: Obtain current emergerncy medical authorization for the child whose has expired. Correct immediately by 10/9/2024, or on next day child is in care, and submit written statement of compliance with overall response by 11/9/2024.

Corrected by Oct 9, 2024

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 Dawn dishwashing soap, labeled "keep out of reach of children" on the kitchen counter accessible to children. Correction: All hazardous items and materials must be inaccessible to children at all times. Correct immediately by 10/9/2024. Corrected at the time of visit by the provider putting it in a locked cabinet. No written response required. Correct by 10/09/2024

Corrected by Oct 9, 2024

2.336.C.3 · Window blind cords and coverings must be secured out of children's reach or otherwise made safe to prevent strangulation.

Observed two window blind cords accessible to children, which pose a strangulation hazard. Correction: Window blind cords must be secured out of the reach of children's reach. Correct immediately by 10/9/2024. Corrected at the time of visit by the provider putting the window blind cords up and out of the reach of children. No written response required. Correct by 10/09/2024

Corrected by Oct 9, 2024

2.335.I · Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the stairs.

Observed a set of more than 4 steps (without a gate) leading to the upper level of the home, accessible to a child under 2 years of age. Correction: Stairways of more than four (4) steps in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. Correct immediately by 10/9/2024 and submit written statement of compliance with overall response by 11/9/2024. Correct by 10/09/2024

Corrected by Oct 9, 2024

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 a child under the age of 3, with a plastic costume jewelry ring in their mouth, which is a choking hazard. Correction: Toys, toy parts, furnishings, equipment and any material accessible to children under 3 years of age must not be a choke hazard. Correct immediately by 10/9/24 and submit written statement of compliance with overall response by 11/9/24. Correct by 10/09/2024

Corrected by Oct 9, 2024