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 13 children's files and observed 2 children to have expired health statements. Correction: Obtain a current health statement for the children whose have expired. Correct and submit written statement of compliance with overall response by 7/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 13 children's files and observed 8 children to have expired emergency authorization. Correction: Obtain a current emergency medical authorization for the children whose have expired. Correct immediately by 6/18/25 and submit written statement of compliance with overall response by 7/18/2025. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

Category: ratio. Marked corrected in the state record.

2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

Observed a plastic jeep climbing/riding toy and two plastic sensory table lids in the backyard to have holes caused by hail in several areas and have sharp edges, and be a potential safety hazard. Correction: All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children. Correct immediately by 6/18/25 and submit written statement of compliance with overall response by 7/18/2025. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.321.B.4 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Observed a medication not to have a original pharmacy label. Correction: Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label. Correct immediately by 6/18/25 and submit written statement of compliance with overall response by 7/18/2025. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Observed the provider and Applicant 2, Mike, to be missing documentation of a First Aid and CPR training. Correction: Obtain documentation of a Department approved First Aid and CPR training for the provider and applicant 2. Correct immediately by 7/9/2024 and submit written statement of compliance with overall response on 8/9/2024. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 13 children's files and observed 2 children's medical statements to be expired. Correction: Obtain a current medical statement for the children whose has expired. Correct and submit written statement of compliance with overall response on 8/9/2024. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

Category: ratio. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Observed a resident in the home over the age of 18 has not had a criminal background check request completed under the provider's license number. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: supervision. Marked corrected in the state record.