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;

At the time of the visit, reviewed 6 children's files and found that 2 children's files were missing a signed current emergency medical authorization form. Correction: Immediately review all children's files and ensure all children have a current emergency medical authorization form. Submit a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

At the time of the visit, reviewed 6 children's files and found that 1 file was missing a current health FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statement. Correction: Immediately review all children's files and ensure all files contain a current health statement. Submit a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 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.

At the time of the visit, reviewed 6 children's files and found that 1 file was missing the required CDPHE immunization record. Correction: Immediately review all children's files and ensure all files contain a current CDPHE immunization record. Submit a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

Category: health medication. 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.

One (1) out of three (3) child files had an immunization record but was not on an approved CDPHE immunization form. Correction: Immediately ensure that proof of immunization is documented on an approved CDPHE immunization form. Provide statement of compliance by 8/11/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

One (1) out of three (3) child files did not have a health statement within thirty (30) days of enrollment. Correction: Ensure that parents provide a signed and dated health statement for their child within thirty days of enrollment. Provide documentation and statement of compliance by 8/11/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 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.

One (1) out of three (3) child files had an expired authorization for emergency medical care. Correction: Immediately ensure that written authorization for emergency medical care is updated annually. Provide documentation and statement of compliance by 8/11/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.707.72.B.2.f · Providers must clean and disinfect the diaper changing area after each diaper change

The diaper changing station had several crumbs and debris on it. Correction: Immediately ensure that diaper changing areas are cleaned and disinfected after each diaper change. Corrected at the time of visit by the provider cleaning and disinfecting the diaper changing mat. Nothing additional needed. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.707.922.D · Furnishings and equipment in the area approved for child care must be in good repair.

A mini couch in the library area had tears on the seat of the couch. Correction: Immediately ensure that furnishings are in good repair. Corrected at the time of visit by fitting a fitted sheet that covered the tears. The fitted sheet can be removed and easily cleaned. Nothing additional needed. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: physical safety. 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.

Sunscreen, cleaning disinfectant, wipes, and diaper cream were stored on low shelves accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure any items labeled "keep out of reach of children" are inaccessible to children. Corrected at the time of visit by removing the items and placing them on a high shelf inaccessible to children. Nothing additional needed. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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

7.707.923.B · In rooms accessible to children, all electrical outlets and power strips must nave protective covers, or safety outlets must be installed; and all exposed light bulbs must have protective covers. Electrical cords must be in good condition and not posing a hazard, such as strangulation, falling or tripping.

Two (2) outlets in the basement were not covered. Correction: Immediately ensure that outlets in rooms accessible to children have protective covers. Corrected at the time of visit by putting protective covers in the outlets. Nothing additional needed. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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