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, five child files were reviewed, and it was found that one file had an expired health statement and one was missing a health statement. Correction: Immediately review all child files and ensure that each file has an up-to-date health statement. Submit a written statement of compliance by 9/9/2024. Correct by 08/26/2024

Corrected Corrected by Aug 26, 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.

At the time of the visit, the provider's file was reviewed, and it was found that Christina T had an expired Child Immunization Records training certificate, which expired on 11/8/2023. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that there is a current Child Immunization Records training certificate on file and that it is renewed annually. Submit a copy of the certificate along with a written statement of compliance by 9/9/2024. Correct by 08/26/2024

Corrected Corrected by Aug 26, 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.

One (1) out four (4) child files did not have a health statement on file. Correction: Ensure that within thirty (30) days of enrollment parents provide a health statement for their child to the provider that is signed by a health care professional. Provide documentation and statement of compliance by 10/18/2023. Correct by 10/18/2023

Corrected Corrected by Oct 18, 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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Observed adult sharp scissors accessible on a low teacher desk, wipes in a box on the floor, hand sanitizer and tacks on a teacher desk by the bathroom, and a citronella candle labeled keep out of reach of children accessible to children. Correction: Immediately ensure that hazardous items and items labeled keep out of reach of children are inaccessible to children at all times. Corrected at the time of visit by the provider removing all the hazardous items. Nothing additional needed. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

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