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 10 child files and observed 2 children to have expired emergency medical authorization forms. Correction: Obtain emergency authorization forms for children, correct immediately 5/17/24 or prior to childrens next day in attendance. Document compliance to specialist by 6/17/24. Correct by 05/17/2024

Corrected Corrected by May 17, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 10 child files and observed one child to be missing immunizations. Correction: Obtain immunizations for child, correct immediately 5/17/24. Document compliance to specialist by 6/17/24. Correct by 05/17/2024

Corrected Corrected by May 17, 2024

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

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 10 child files and observed one child to have an expired health statement. Correction: Obtain current health statement for child, correct by 6/17/24. Document compliance to specialist by 6/17/24. Correct by 06/17/2024

Corrected Corrected by Jun 17, 2024

Category: health medication. 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.”

An unlocked drawer with knives and scissors in it, accessible to children. Correction: All hazardous items must be inaccessible to children, correct immediately 5/17/24. Document compliance to specialist by 6/17/24. Correct by 05/17/2024

Corrected Corrected by May 17, 2024

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