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 provider's log and observed fire and tornado drills to not be documented for May 2025. Correction: Perform and maintain documentation of all emergency drills according to rule above. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training requirements;

Reviewed provider's files and observed provider to not have documentation of intro to early intervention training. Correction: Obtain and submit documentation of training. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

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 provider's files and observed provider to not have documentation of injury prevention for homes training. Correction: Obtain and submit documentation of training. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed provider's files and observed provider to not have documentation of working with an early childhood mental health consultant training. Correction: Obtain and submit documentation of training. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

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

2.316.B · 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:

Reviewed provider's policies and observed provider has not updated policies according to rule. Correction: Update and send updated policies to specialist. Include all policies listed in 2.316.B.1-336. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Marked corrected in the state record.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

Reviewed provider's files and observed no documentation of monthly smoke alarm testing. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Perform and maintain documentation of smoka alarm testing. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 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 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 7 children's files and observed 1 child to have documentation of immunizations but not on the CDPHE approved form. Correction: Transfer and maintain documentation of immunizations on the CDPHE approved form. Correct by 07/09/2025

Corrected Corrected by Jul 9, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 not have documentation of a current health Statement. Correction: Obtain and maintain documentation of current health statements within 30 days of enrollment or expiration. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: ratio. 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 7 children's files and observed 1 child to not have documentation of emergency medical authorization. Correction: Obtain and maintain documentation of current emergency medical authorization. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: health medication. 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 8 children's files and observed 3 children to have expired emergency medical authorization forms. Correction: Obtain and maintain current emergency medical authorization forms. Correct immediately 7/10/24 and submit compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.321.A.2.c.2 · Submit the Colorado Department of Public Health and Environment Certificate of Nonmedical Exemption (May 2023) received upon the completion of Colorado Department of Public Health and Environment Online Immunization Education Module (Aug. 2021). The Certificate of Nonmedical Exemption and Education Module are herein incorporated by reference, no later editions or amendments are incorporated. The Certificate and Education Module are available at no cost from the Colorado Department of Public Health and Environment at FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ https://cdphe.colorado.gov/vaccine-exemptions. The Certificate is available for public copying and inspection at the Colorado Department of Early Childhood, 720 S. Ash St., Denver, CO 80246, during normal business hours.

Reviewed 8 children's files and observed 1 child to have documentation of current immunizations but not on the CDPHE approved form. Correction: Transfer and maintain documentation of immunizations on the CDPHE approved form in children's files. Correct immediately 7/10/24 and submit compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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 8 children's files and observed 2 children to have expired health statements. Correction: Obtain and maintain current health statements in children's files. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

Category: ratio. Marked corrected in the state record.

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

observed 3 containers of vitamins on the kitchen table in the upper level of the home. Correction: Ensure all vitamins/medications are locked and inaccessible to children at all times. Correct immediately 7/10/24 and submit compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed provider's files and observed an expired standard precautions training. Correction: Obtain and maintain documentation of current standard precautions training. Correct immediately 8/16/23 and submit compliance by 9/16/23. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 5 children's files and observed 1 child to not have documentation of current immunization status or exemption on record. Correction: Obtain current immunization status or exemption and maintain in child's file. Correct immediately 8/16/23 and submit compliance by 9/16/23. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: health medication. 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 required by the health care provider. All health statementsmust be kept at the licensed child care home.

Reviewed 5 children's files and observed 1 child to have an expired health statement. Correction: Obtain current health statement and maintain in child's file. Correct by 09/16/2023

Corrected Corrected by Sep 16, 2023

Category: ratio. Marked corrected in the state record.