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. Correction: Perform and maintain documentation of smoke 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.

2.320.A · 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:

Reviewed 7 children's files and observed provider to not have documentation of a file for her Grandchild. Correction: Obtain and maintain documentation of enrollment records and paperwork for all children attending care. 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 training requirements;

Reviewed provider's files and observed provider to not have documentation of 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.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 to not have documentation of impact of bias 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 Early Childhood Mental Health consutlant 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.1-36. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

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 1 child to have an expired health statement. Correction: Obtain and maintain documentation of current health statements for all children enrolled 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.

2.329.H.7 · All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to: broken or loose slats, torn mattress, chipping paint, and loose screws.

on pack n play in the basement to have a quarter sized hole in the netting. Correction: Ensure all sleep equipment is safe, sturdy and free from hazards. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: physical safety. 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 provider's files and observed provider to have an expired health statement. Correction: Obtain and submit documentation of current health statements. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: health medication. 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 immunization course. (ex 10/22) Correction: Obtain and submit documentation of current training. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually.

Reviewed provider's files and observed an expired standard precautions training. (ex 10/23) Correction: Obtain and submit documentation of current training. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: ratio. 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;

Reviewed provider's files and observed an expired medication administration course. (ex 11/23) Correction: Obtain and submit documentation of current training. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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 providers files and observed an expired child abuse prevention course. (ex. 10/23) Correction: Obtain and submit documentation of current training. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed provider's files and observed an expired safe sleep training. (ex 10/23) Correction: Obtain and submit documentation of current training. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: physical safety. 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 providers files and observed no documentation of emergency drills. Correction: Perform drills according to above rule and maintain documentation of all drills. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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.

Reviewed provider's files and observed no documentation of 15 hours of training. Correction: Obtain and submit documentation of 15 hours of training. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A · 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:

Reviewed children's records and observed no admission record for one child. Correction: Obtain and maintain documention of admission record for all children enrolled prior to attending. Correct

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 5 children's records and observed 4 children to need updated emergency medical authorization forms and 1 child to not have one./ Correction: Obtain and maintain documentation of current emergency medical authorization forms for children enrolled. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 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 5 children's records and observed 2 children to have immunizations but not on the CDPHE approved form and one child to not have documentation of immunizations. Correction: Obtain and maintain documentation of immunizations on the CDPHE approved form. Correct immediately 7/9/24 and submit compliance by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 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 5 children's records and observed 3 children with expired health statements. Correction: Obtain and maintain documentation of current health statements. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: ratio. 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 an expired first aid and CPR course. (ex. 6/25/21) Correction: Obtain and maintain current first aid and cpr course. Correct immediately 8/21/23 and submit compliance by 9/21/23. Correct by 08/21/2023

Corrected Corrected by Aug 21, 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 6 children's files and observed 1 child to have an immunization record but not on the CDPHE approved form. Correction: Transfer immunization records to the CDPHE approved form and maintain in child's file. Correct immediately 8/21/23 and submit compliance by 9/21/23. Correct by 08/21/2023

Corrected Corrected by Aug 21, 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 6 children's files and observed 2 children with expired health statement. Correction: Obtain and maintain current health statements or documentation of a scheduled appointment. Correct by 09/21/2023

Corrected Corrected by Sep 21, 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 6 children's files and observed 3 children to have expired emergency medical authorization forms. Correction: Obtain current emergency medical authorization for children with expired forms. Correct immediately 8/21/23 or prior to next day in care. Submit compliance by 9/21/23. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

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.

3 air sanitizer sprays in the main level bathroom accessible to children. Correction: Ensure all keep out of reach of children items are inaccessible to children at all times. Correct immediately 8/21/23 and submit compliance by 9/21/23. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

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