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.

Reviewed provider's files and observed an expiredshaken baby/abusive head trauma training. (ex. 6/1/24) Correction: Obtain and maintain current training. Correct immediately 3/25/25 and submit compliance by 4/25/25. Correct by 03/25/2025

Corrected Corrected by Mar 25, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · 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 for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed provider's files and observed provider has not taken impact of bias training. Correction: Obtain and maintain current training. Correct by 04/25/2025

Corrected Corrected by Apr 25, 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 provider's files and observed an expired safe sleep training. (ex. 5/17/24) Correction: Obtain and maintain current training. Correct immediately 3/25/25 and submit compliance by 4/25/25. Correct by 03/25/2025

Corrected Corrected by Mar 25, 2025

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

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;

Reviewed provider's files and observed provider has not taken playground safety for homes. Correction: Obtain and maintain current training. Correct by 04/25/2025

Corrected Corrected by Apr 25, 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 training requirements;

Reviewed provider's files and observed provider has not taken intro to early intervention and preschool special education programs. Correction: Obtain and maintain current training. Correct by 04/25/2025

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be renewed annually.

Reviewed provider's files and observed an expired standard precautions training. (ex. 5/19/24) Correction: Obtain and maintain current training. Correct immediately 3/25/25 and submit compliance by 4/25/25. Correct by 03/25/2025

Corrected Corrected by Mar 25, 2025

Category: ratio. 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 has not taken injury prevention for homes. Correction: Obtain and maintain current training. - Correct by 04/25/2025

Corrected Corrected by Apr 25, 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 has not taken working with an early childhood mental health consultant. Correction: Obtain and maintain current training. Correct by 04/25/2025

Corrected Corrected by Apr 25, 2025

Category: health medication. 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 drill log and observed no documentation of smoke alarm testing. Correction: Perform smoke alarm testing and record on a monthly basis. Correct immediately 3/25/25 and submit compliance by 4/25/25. Correct by 03/25/2025

Corrected Corrected by Mar 25, 2025

Category: recordkeeping. 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 4 children to have expired emergency medical authorization forms and 3 to not have signed and dated forms. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain documentation of current emergency medical authorization forms for all children enrolled. Correct immediately 3/25/25 or prior to next day in care and submit compliance by 4/25/25. Correct by 03/25/2025

Corrected Corrected by Mar 25, 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 7 children's files and observed 2 children with expired health statements. Correction: Obtain and maintain documentation of current health statements. Correct by 04/25/2025

Corrected Corrected by Apr 25, 2025

Category: ratio. 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 provider's files and observed an expired child abuse prevention training. (ex 6/13/23) Correction: Obtain and maintain documentation of current training. Correct immediately 4/29/24 and submit compliance by 5/29/24. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed provider's files and observed an expired CDPHE immunization course. (Ex. 6/13/23) Correction: Obtain and maintain documentation of current training. Correct immediately 4/29/24 and submit compliance by 5/29/24. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

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 1 expired emergency medical authorization form. Correction: Obtain and maintain documentation of current emergency medical authorization forms in child's file. Correct immediately 4/29/24 or prior to child's next day in care and submit compliance by 5/29/24. Correct by 04/29/2024

Corrected Corrected by Apr 29, 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 evaluations. Correction: Obtain and maintain documentation of current health statement. Correct by 05/29/2024

Corrected Corrected by May 29, 2024

Category: ratio. Marked corrected in the state record.