2.335.E · All weapons on the premises of the licensed family child care home must be unloaded, locked, and inaccessible to children. This includes, but is not limited to, firearms, air rifles, bb guns, paintball guns, bows, hunting knives, swords, hunting sling shots, and martial arts weapons.

Firearms in the upstairs bedroom closet to not be locked. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All weapons must be unloaded, locked and inaccessible to children, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

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

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;

Provider to be missing a complete medication administration training. *Previously cited 1.10.24 Correction: Obtain a completed department approved medication administration training, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

2.121.C.1 · Any resident of the family child care home or qualified exempt provider home turning eighteen (18) years of age shall complete the fingerprint process at an approved vendor fourteen (14) calendar days prior to their 18th birthday.

Identified child to turn 18 and to be missing completed fingerprints. Correction: Any resident of the home who is 18 years must have completed the fingerprint process, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 9 child files and observed all children to be missing documentation parents/guardians have received policies and procedures for the program. Correction: Obtain documentation parents/guardians have received policies and procedures for the program, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 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.

No monthly smoke alarm testing has been documented. Correction: Smoke alarm testing must be completed monthly, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 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 9 child files and observed one child to have an expired emergency medical authorization form. Correction: Obtain current emergency medical authorization form, correct immediately 1/10/25 or prior to child's next day in attendance. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

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

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Provider to be missing health statement for provider. Correction: Obtain current health statement, correct by 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

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

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.

No emergency drills documented for the past year. *Previously cited 1.10.24, 2.9.23 Correction: Drills must be completed according to rule, correct immediately 1/10/25. Submit documentation to specialist by 2/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 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.

Provider to be missing a department approved safe sleep training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain a department approved safe sleep training, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 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;

Provider to be missing department approved playground safety for homes training. Correction: Obtain department approved playground safety for homes training, correct by 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Provider to be missing 15 clock hours of ongoing training. *Previously cited 1.10.24 Correction: Obtain 15 hours of ongoing training, correct by 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

Wooden tent climber with a slide over 18 inches in the basement with no resilient material. Correction: All climbing equipment over 18 inches must have 6 inches of resilient material, correct immediately 1/10/25. *Corrected at the time of inspection, provider removed the climber making it inaccessible to children. No response is required. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

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

2.336.C.15.a · Fire extinguishers must be replaced at least every six (6) years.

Fire extinguisher to be expired (2013). Correction: Fire extinguishers must be replaced every 6 years, correct immediately 1/10/25. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

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

2.316.B.36 · 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: The policy on interacting with chickens, reptiles, or amphibians, including notification to parents or guardians on the risks associated with children under the age of five (5) having access to these animals. The policy must include notification of the national recommendations from the Centers for Disease Control, the American Academy of Pediatrics found in Caring for Our Children, and the Colorado Department of Public Health and Environment that chickens, reptiles, or amphibians be inaccessible to children under the age of five (5) and are not suitable for school or child care settings with children under the age of five (5). The policy must notify parents or guardians that chickens, reptiles, and amphibians are recommended to be inaccessible to children under the age of five due to a higher risk of infection and increased disease severity.

Provider has not updated policies to include the policy about reptiles. Correction: Update policies to include policy about reptiles, correct by 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed provider's files and observed provider and spouse to need updated FBI clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Starr and David, have reviewed the powerpoint within 24 hours. Submit documentation of FBI Letter for staff members Starr and David with written response to Specialist. Correct by 02/10/2024

Corrected Corrected by Feb 10, 2024

Category: background checks. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed providers files and observed no documentation of current child immunization records training. Correction: Obtain and submit documentation of training. Correct immediately 1/10/24 and submit compliance by 2/10/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed providers files and observed no documentation of current child abuse training. Correction: Obtain and submit documentation of training. Correct immediately 1/10/24 and submit compliance by 2/10/24 Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. 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 providers files and observed no documentation of current standard precaution training. Correction: Obtain and submit documentation of training. Correct immediately 1/10/24 and submit compliance by 2/10/24 Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State Department approved course of training for medication administration.

Reviewed providers files and observed no documentation of current medication administration training. Correction: Obtain and submit documentation of training. Correct immediately 1/10/24 and submit compliance by 2/10/24 Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: ratio. Marked corrected in the state record.

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 emergency drills and observed no drills were held for the calendar year 2023 Correction: Ensure emergency drills are conducted per rule above and documented. Correct immediately 1/10/24 and submit compliance by 2/10/24 Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Reviewed provider's file and observed no documentation of 15 hours of annual training. Correction: Obtain and maintain documentation of training. Correct immediately 1/10/24 and submit compliance by 2/10/24. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

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 7 children's files and observed 3 children without documentation of immunization records. Correction: Obtain and maintain documentation of immunization records for all children. Correct immediately 1/10/24 and submit compliance by 2/10/24 Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

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 7 children's files and observed 2 children with expired health statements. Correction: Obtain and maintain documentation of current health statements for all children. Submit compliance by 2/10/24 Correct by 02/10/2024

Corrected Corrected by Feb 10, 2024

Category: ratio. 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.

Cabinets in kitchen were unlocked with cleaning products accessible to children and wipes and hand sanitizer were on the counters in the kitchen and basement. Correction: Ensure all keep out of reach items are inaccessible to children at all times. Correct immediately 1/10/24 and submit compliance by 2/10/24. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

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

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's admission and updated annually, unless otherwise specified in these rules. The admission record must include:

Reviewed 7 children's files and observed 1 child to be missing a file. Correction: Obtain and maintain documentation of a file for each child enrolled containing items 7.701.51A 1-9. Correct immediately by 1/10/24 and submit compliance by 2/10/24 Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.