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 must be renewed annually.

Reviewed providers files and observed provider to have an expired standard precautions training. (ex. 9/9/23) Correction: Obtain and maintain documentation of current training. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

Category: ratio. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Reviewed providers files and observed no current medical statement. Correction: Obtain and maintain documentation of current medical statement. Correct by 07/14/2024

Corrected Corrected by Jul 14, 2024

Category: health medication. 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 providers files and observed provider to have an expired child abuse training. (ex. 9/15/23) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain documentation of current training. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

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 providers files and observed provider to have an expired safe sleep training. (ex. 9/9/23) Correction: Obtain and maintain documentation of current training. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

Category: physical safety. 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 providers files and observed provider to have an expired immunizations training. (ex. 9/23/23) Correction: Obtain and maintain documentation of current training. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 have an expired emergency medical authorization form. Correction: Obtain and maintain documentation of emergency medical authorization. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 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 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 2 children to have immunization records but not on the CDPHE approved form. Correction: Transfer immunizations to the CDPHE approved form and maintain in child's file. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

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

2.321.B.8.c · All personal medications, vitamins, and supplements of the primary provider, applicant 2, staff members, or any residents of the home must be locked and inaccessible to children.

vitamins on the kitchen counter accessible to children. Correction: Ensure all vitamins and medications are locked and inaccessible to children at all times. Correct immediately 6/14/24. ***Corrected at time of visit by placing in a locked cabinet. No response is required. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

Category: health medication. 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.

reviewed providers files and observed provider to only have 2 hours of ongoing training. Correction: Obtain and submit documentation of 13 hours of ongoing training including 3 hours of social emotional development. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. 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.

provider to not have documentation of any drills for the previous year. Correction: Perform and maintain documentation of drills according to rule above. Correct immediately 6/14/24 and submit compliance by 7/14/24. Correct by 06/14/2024

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. 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 certification. (ex. 1/23/23) Correction: Obtain and submit documentation of current first aid and CPR certification. Correct immediately 7/24/23 and submit compliance by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 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 8 children's files and observed 5 children to have immunization records but not on the CDPHE approved form. Correction: Transfer immunizations to the CDPHE approved form and maintain in child's file. Correct immediately 7/24/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 8 children's files and observed 2 children to have an expired health statement. Correction: Obtain current health statements and maintain in child's file. Correct by 08/24/2023

Corrected Corrected by Aug 24, 2023

Category: ratio. Marked corrected in the state record.

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

Reviewed 8 children's files and observed 6 children to have expired emergency medical authorization forms. Correction: Obtain and maintain current emergency medical authorization for all children in care with missing or expired forms. Correct immediately 7/24/23 or prior to next day in care and submit compliance by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.

7.707.71.C.5 · Medication must be stored in a locked cabinet, cupboard, or locked box so that it is inaccessible to children. If refrigeration is required, it must be stored in a leak- proof container in a designated area of the refrigerator separated from food.

Observed a child's medication on the kitchen counter accessible to children. Correction: Ensure all medications are locked and inaccessible to children at all times. Correct immediately 7/24/23. ***Corrected at time of visit by making inaccessible. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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.

the cabinet under the kitchen sink to be unlocked and containing cleaners all labled keep out of reach of children. Also observed 3 bottles of tequila on the dining room table in a room accessible to children. Correction: Ensure all keep out of reach of children items are inaccessible to children at all times. Correct immediately 7/24/23 and submit compliance by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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

7.707.931.M · The use of a trampoline by children in care is prohibited. If there is a trampoline on the property of the home, it must be stored in a way that makes it totally inaccessible to children.

the trampoline in the backyard with no net or fence making it accessible to children. Correction: Ensure that the trampoline is stored in a way that makes it inaccessible to children. Correct immediately 7/24/23 and submit compliance by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.