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 must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed 3 staff files and observed 1 staff member, Katherine B., to be missing Part 2 of the medication administration training. Correction: Obtain and maintain current and up to date medication administration, Part 1 and 2 for staff. Correct immediately 4/23/2025 and submit written documentation by 5/23/2025. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: ratio. Marked corrected in the state record.

2.329.H.7 · All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to: broken or loose slats, torn mattress, chipping paint, and loose screws. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

During the safety walk through, observed 1 pack and play to not have the mattress secured per manufactures recommendation. Correction: Ensure all sleep equipment is safe, sturdy and free of hazard. Correct immediately 4/23/2025. ***Correct at time of visit by securing mattress. No response required. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: physical safety. 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 3 staff files and observed 1 staff member, Katelyn C., to be missing early intervention and preschool special education training. Correction: Obtain and maintain early intervention and preschool special education training for all staff. Correct immediately 4/23/2025 and submit written documentation by 5/23/2025. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.O · Within ninety (90) calendar days of caring for children all qualified substitutes, and staff members must have at least one (1) hour of child development training. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This course is required once and will be counted towards ongoing training requirements if taken after the date of hire.

Reviewed 3 staff files and observed 1 staff member, Katelyn C., to be missing child development training. Correction: Obtain and maintain child development training for all staff. Correct immediately 4/23/2025 and submit written documentation by 5/23/2025. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. 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 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 15 children files and observed 3 children to be missing immunization records and 4 to have immunization records not on a state approved form. Correction: Obtain and maintain current and up to data immunization records on a state approved form for all children enrolled. Correct immediately 4/23/2025 and submit written documentation by 5/23/2025. Correct by 04/23/2025

Corrected Corrected by Apr 23, 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 15 children files and observed 2 children to be missing a health statement and 1 to have an expired health statement. Correction: Obtain and maintain current and up to data health statements for all children enrolled. Correct and submit written documentation by 5/23/2025. Correct by 05/23/2025

Corrected Corrected by May 23, 2025

Category: ratio. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 3 staff files and observed 2 staff members, Katherine B. (hd 3/2024) and Katelyn C. (hd 8/2024) to be missing a TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Katherine B. and Katelyn C. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff members Katherine B. and Katelyn C. with written response to the Specialist. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: supervision. 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.

During the safety walk through, observed small Lego pieces accessible to children under the age of 3, posing a potential choking hazard. Correction: Ensure all toys accessible to children under the age of 3 years, are not a choke hazard. Correct immediately 4/23/2025. ***Correct at time of visit by removing Legos. No response required. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: physical safety. 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.”

During the safety walk through, observed dryer sheets labeled "keep out of reach of children" accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 4/23/2025. ***Correct at time of visit by moving dryer sheets out of reach of children. No response required. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: physical safety. 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.

During the safety walk through, observed outlet accessible to children without a protective cover. Correction: Ensure all outlets that are accessible to children have protective covers. Correct immediately 4/23/2025. ***Correct at time of visit by placing protective covers on outlets. No response required. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

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

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.

Reviewed 3 staff files and observed 1 staff member, Katherine B., to have an expired Child Abuse prevention training (exp: 2/27/24). Correction: Obtain and maintain current and up to date Child Abuse prevention training for all staff. Correct immediately 4/23/2025 and submit written documentation by 5/23/2025. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 3 staff files and observed 1 staff member, Katherine B., to have an expired Safe Sleep training (exp: 2/27/24). Correction: Obtain and maintain current and up to date Safe Sleep training for all staff. Correct immediately 4/23/2025 and submit written documentation by 5/23/2025. Correct by 04/23/2025

Corrected Corrected by Apr 23, 2025

Category: physical safety. 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.

Sleeping room upstairs, main classroom (power strip), and playroom on main floor, observed to have outlets without protective covers. Correction: Ensure all electrical outlets and power strips, have protective covers on them when not in use. Correct immediately 5/15/24. ***Corrected at time of visit by placing protective covers on outlets and power strip. No response required. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

Under the swing, observed large area with no resilient material (wood chips), under climbing equipment observed less than 2 inches of resilient material (wood chips). FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all resilient material is maintained at 6 inches of depth. Correct immediately 5/15/24 and submit compliance by 6/25/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: physical safety. 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.”

Cat food, kitty litter, hand sanitizer, and sharp scissors were observed accessible to children. Correction: Ensure all "keep out of reach of children" items are inaccessible to children at all times. Correct immediately 5/15/24. ***Corrected at time of visit by putting cat food, kitty litter, hand sanitizer, and sharp scissors out of reach of children. No response required. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: nutrition. 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 11 children's files and observed 1 child to be missing a health statement, and 3 to have expired health statements. Correction: Obtain and maintain health statements for all children enrolled. Correct and submit compliance by 6/15/24. Correct by 06/15/2024

Corrected Corrected by Jun 15, 2024

Category: ratio. 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 11 children's files and observed 2 children to be missing immunization records, and 6 to have immunization records on a Not Approved Form. Correction: Obtain and maintain immunization records on correct forms for all children enrolled. Correct immediately 5/15/24 and submit compliance by 6/15/24. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.124.A.3.b · Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

Master bedroom, that is licensed as off limit, observed to have nap mats. Provider stated the basement, licensed as approved, is now off limits. Correction: Ensure rooms listed as off limits under conditions are not used until changes to a license requiring written notification to the Department receive Department approval. Correct immediately 5/16/2024 and submit compliance by 6/15/2024. Correct by 05/15/2024

Corrected Corrected by May 16, 2024

Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 2 staff files and observed 1 staff member, Katherine B. (hd 5/6/2024) to be missing a out of state based background check. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Katherine B. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check for staff member Katherine B. with written response to Specialist. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: supervision. Marked corrected in the state record.

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, 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.

2 containers of sunscreen marked keep out of reach of children on cubbies accessible to children. Correction: Ensure all keep out of reach of children items inaccessible to children. Correct immediately 9/19/23. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ required by the health care provider. All health statementsmust be kept at the licensed child care home.

Reviewed 13 children's files and observed no children in care to have current health statements within 30 days of enrollment or expiration. Correction: Obtain and maintain documentation of current health statements in children's files. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

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;

Reviewed provider's files and observed provider to have an expired first aid and CPR course. (Ex. 8/14/23) Correction: Obtain and maintain documentation of current first aid and CPR. Correct immediately 9/19/23 and submit compliance by 10/19/23. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. 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 13 children's files and observed 2 children to have immunization records but not on the CDPHE approved form and 11 to not have immunization records. Correction: Obtain and maintain documentation of current immunization records and transfer records to the CDPHE approved form. Correct immediately 9/19/23 and submit compliance by 10/19/23. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

less than 1 inch of resileint material under the swing. Correction: Ensure all equipment has at least 6 inches of resilient material. Correct immeidately 9/19/23 and submit compliance by 10/19/23. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.701.100.F.2 · . 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.

Identified through provider statements that they have performed drills but they have no documentation. Correction: Perform drills according to rule and maintain documentation. Correct immediately 9/19/23 and submit compliance by 10/19/23. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.