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 three children's files. Observed all three children's files contained evidence Immunization Summary. Observed no evidence of children's immunization records documented on approved Colorado Department of Public Health and Environment's (CDHPE) approved Certificate of Immunization. Correction: Obtain and maintain documentation of children's immunization records documented on an approved CDPHE certificate of immunization. Correct by 05/01/2025

Corrected Corrected by May 1, 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.

The health care provider indicated required next visit date on children's health status forms. Observed no evidence of current health status forms in two out of the three children's files reviewed per subsequent medical care noted by health care provider. Correction: Obtain and maintain documentation of children's current health statements signed and dated by health care provider. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Category: ratio. Marked corrected in the state record.

2.136.A · All child care providers must have a written plan that accounts for children with disabilities as defined in 42 U.S.C. Section 12102 and those with access and functional needs as defined in the State Emergency Operations Plan (2019) (SEOP). The State Emergency Operations Plan (SEOP) is hereby incorporated by reference. No later editions or amendments are incorporated. The State Emergency Operations Plan (SEOP) is available for public inspection and copying at the Colorado Department of Early Childhood at 710 S. Ash St., Bldg. C, Denver, CO 80246 during regular business hours. The State Emergency Operations Plan (SEOP) is also available for no cost from the Colorado Division of Homeland Security & Emergency Management at https://www.colorado.gov/pacific/dhsem/state-eop. The plan must include a specific requirement indicating how all children with special needs will be included in the emergency plan.

No evidence of provider's written emergency plan accounting for children with disabilities and those with access and functional needs. Correction: Update written emergency plan to account for children with disabilities and those with access and functional needs. Submit policy to Licensing Specialist in writing along with final, written response. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: ratio. Marked corrected in the state record.

2.316.B.31 · 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: The procedures, including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted;

Reviewed Provider's Policies and Procedures ("Parent Handbook"). Observed no evidence of a procedure including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted. Correction: Update Parent Handbook to include a procedure on how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted. Submit updated Parent Handbook to Licensing Specialist in writing along with final, written response. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Category: supervision. Marked corrected in the state record.