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.

At the time of the visit, the provider’s file was reviewed, and it was found that the Injury Prevention training certificate was missing. Correction: Review the file to ensure it contains a current Injury Prevention training certificate. Submit a copy of the certificate along with a written statement of compliance by July 9, 2025. Correct by 06/09/2025

Corrected Corrected by Jun 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit, the provider’s file was reviewed, and it was found that the Working with a Mental Health Consultant training certificate was missing. Correction: Review the file to ensure it contains a copy of the Working with a Mental Health Consultant training certificate. Submit a copy of the certificate along with a written statement of compliance by July 9, 2025. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, 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.”

At the time of the visit, Aquaphor and a container of Clorox wipes, both labeled "Keep out of reach of children," were observed in a cabinet above the toilet in the bathroom, accessible to children. Correction: Immediately ensure that all items labeled "Keep out of reach of children" are stored in areas inaccessible to children. Corrected at the time of the visit: The provider moved the items behind a locked door, making them inaccessible to children. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: physical safety. 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 child files and found that 2 had expired health statements. Correction: Review all child files to ensure they contain current health statements. Submit a written statement of compliance by July 9, 2025. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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 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, six child files were reviewed, and it was found that four of them had expired written authorization for emergency medical care. Correction: Review all child files and ensure that each file has a current written authorization for emergency medical care. This authorization must be signed and dated annually. Submit a written statement of compliance by 8/23/2024. Correct by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

At the time of the visit, the drill log was not available for review. Correction: Ensure that fire drills are completed monthly, tornado drills are conducted monthly from March to October, and emergency lockdown drills are done quarterly. Submit a copy of the drill log and a written statement of compliance by 8/23/2024. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. 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.

While reviewing staff files Martha S. did not have documentation of a current Colorado Department of Public Heath and Enviornment (CDPHE) immunization course training. Correction: Immediately ensure that all staff members responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Heath and Environment (CDPHE) immunization course. This training must be renewed annually and may count towards ongoing training requirements. A written letter of compliance is due 11/6/2023 Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: health medication. 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,

While reviewing staff files Martha S. did not have documentation of current completion of fifteen (15) annual clock hours of training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all staff members 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. A written letter of compliance is required by 11/6/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.B.2.h.2 · Ongoing training and courses shall demonstrate a direct connection to one or more of the following competency areas: Teaching Practices: Training hours completed can only be counted during the year taken and cannot be carried over.

While reviewing staff files Martha S. did not have documentation of current completed Teaching Practices training. Correction: Immediately ensure that all staff members complete ongoing training and courses shall demostrate a direct connection to one or more of the following competency areas: Teaching Practice: Training hours completed can only be counted during the year taken and cannot be carried over. A written letter of compliance is due 11/06/2023 Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

While reviewing staff files Marha S. did not have docmentation of current Safe Sleep Traing for Family Child Care Staff. Correction: Immediately ensure that all staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis. A written letter of compliance is due 11/06/2023 Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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

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.

While reviewing staff files Martha S. did not have docmenation of a current child abuse prevention training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all staff members 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. A written letter of compliance is due 11/6/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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,

While reviewing staff files Martha S. did not have documentation of a current State Department approved Standard Percautions training. Correction: Immediately ensure that all staff members complete a State Department approved training in Standard Percautions that meets current Occupational Safety and Health Administration (OSHA) requirements. A written letter of compliance is due 11/06/2023 Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: ratio. Marked corrected in the state record.

7.707.31.A.9 · All providers and all persons residing in the home must submit to the State Department at time of Original application on the form required by the State Department, a health evaluation signed and dated by a licensed physician or other health professional. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

While reviewing staff files Martha S. did not have documentation of a current health evaluation. Correction: Immediately ensure that all providers and all persons residing in the home submit a health evaluation signed and dated by a licensed physical or other health professional. A written letter of compliance is due 11/06/2023 Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

While reviewing staff files Martha S. did not have documentation of a current Prevention of Shaken Baby/Abusive Head Trauma training. Correction: Immediately ensure that all staff members complete a department-approved Prevention of Shaken three Baby/Abusive Head Trauma training prior to working with children less than (3) years of age. This training must be renewed annually and may count towards ongoing training requirements. A written letter of compliance is due 11/06/2023. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.