2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 4 staff files and observed Selena M. and Jennifer L. to be missing a signed child abuse statement. Correction: A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Marked corrected in the state record.

2.312.K · Within thirty (30) 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 playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed 4 staff files and observed Jennifer L. and Courtney L. to be missing the playground safety for homes training. Correction: Complete the playground safety for homes training. Correct by 3/24/25. Document compliance to Specialist

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 4 staff files and observed Jennifer L. and Selena M. to be missing a perjury statement. Correction: Obtain a signed perjury statement. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 4 staff files and observed Jennifer L. and Selena M. to be missing the emergency and disaster preparedness training. Correction: Complete the emergency and disaster preparedness training. Correct by 2/24/25. Document compliance to specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.309.A · A large family child care home license allows a provider to care for up to twelve (12) children from birth to eighteen (18) years of age; the capacity includes the provider’s own children under ten (10) years of age. Care may be provided to no more than two (2) children under eighteen(18) months of age. This license may be approved with the following conditions: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Provider to have 13 children in care, including the providers own children under age 10, at the time of inspection. Correction: A large family child care home license allows a provider to care for up to twelve (12) children from birth to eighteen (18) years of age; the capacity includes the provider’s own children under ten (10) years of age. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Marked corrected in the state record.

2.311.A.13.a · All equally qualified providers, qualified substitutes, and staff members must obtain a medical statement signed and dated by a licensed physician or other health care provider within thirty (30) days of employment.

Reviewed 4 staff files and observed staff member Selena M. to be missing a medical statement. Correction: Obtain a medical statement signed and dated by a licensed physician or other health care provider. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

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

2.311.A.19 · Prior to working with children, all equally qualified providers, qualified substitutes, and all staff members must read and be trained on the policies and procedures for the administration of medications and sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 4 staff files and observed Selena M. to be missing a signed statement that they have been trained on the policies and procedures for the administration of medications. Correction: Prior to working with children, all equally qualified providers, qualified substitutes, and all staff members must read and be trained on the policies and procedures for the administration of medications and sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: ratio. Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be renewed annually.

Reviewed 4 staff files and observed Jennifer L. to be missing a Standard Precautions training. Correction: Complete a standard precautions training. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: ratio. Marked corrected in the state record.

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

Reviewed 4 staff files and observed Jennifer L. and Selena M. to be missing a building and physical premises training. Correction: Complete building and physical premises training. Correct by 2/24/25. Document compliance to Specialist be 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed 4 staff files and observed Courtney L. and Kirsten S. to have an expired child abuse prevention training. Correction: Obtain a current child abuse prevention training. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed 4 staff files and observed Selena M. to be missing the safe sleep training and Courtney L. to have an expired safe sleep training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain a current safe sleep training. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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:

Reviewed 4 staff files and observed Selena M. to be missing an out of state background check. Provider reported that Selena M. has lived out of state in the past 5 years and not record of an out of state background check was provided. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Selena M. has reviewed the powerpoint within 24 hours. Submit documentationof Out of State background check, for staff member Selena M. with written response to the Specialist. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: supervision. Marked corrected in the state record.

2.312.L · Within thirty (30) calendar days of caring for children, the primary provider must ensure that equally qualified providers, qualified substitutes, and all staff members must read and be trained on “Rules Regulating Family Child Care Homes,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 staff files and observed Jennifer L. and Selena M. to be missing evidence that they have read and be trained on “Rules Regulating Family Child Care Homes,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable. Correction: Within thirty (30) calendar days of caring for children, the primary provider must ensure that equally qualified providers, qualified substitutes, and all staff members must read and be trained on “Rules Regulating Family Child Care Homes,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Marked corrected in the state record.

2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Reviewed 4 staff files and observed Courntey L. and Jennifer L. to be missing introduction to early intervention and preschool special education programs training. Correction: Complete the Department-approved introduction to the early intervention and preschool special education programs training. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · 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 for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed 4 staff files and observed Courtney L. to be missing the recognizing the impact of bias on early childhood professionals training. Correction: Complete the recognizing the impact of bias on early childhood professionals training. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 4 staff files and observed Courtney L. and Jennifer L. to be missing the injury prevention for homes training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Complete the injury prevention for homes training. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 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.

Reviewed 4 staff files and observed provider Courtney L. to be missing the Working with an Early Childhood Mental Health Consultant training. Correction: Complete the Working with an Early Childhood Mental Health Consultant training. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

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

2.313.A.1 · Prior to working with children, unless otherwise specified in rules, personnel files for equally qualified providers, qualified substitutes, and all staff members must be available for review by the Department and must include: The name, address, telephone number, and birth date of the individual, and emergency contact information, including names, addresses, and telephone numbers;

Reviewed 4 staff files and observed Jennifer L. and Selena M. to be missing documentation of the name, address, telephone number, and birth date of the individual, and emergency contact information, including names, addresses, and telephone numbers. Correction: All staff must have on file a statement that includes the name, address, telephone number, and birth date of the individual, and emergency contact information, including names, addresses, and telephone numbers. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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.

Reviewed 20 child files and observed 2 children missing immunization statements. Correction: Obtain documentation of immunization status. Correct by 2/24/25. Document compliance to Specialist by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 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.

Reviewed 20 child files and observed 4 children to have an expired health statement and observed 4 children to be missing a health statement. Correction: Obtain health statements for those missing health statements and collect updated health statements for those who have expired health statements. Correct by 3/24/25. Document compliance to Specialist by 3/24/25. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Category: ratio. Marked corrected in the state record.

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Two packs of small childrens earrings consisting of 58 small earrings in a lower, unlocked drawer, accessible to children, in the restroom used by children. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled. Correct by 2/24/25. Provider moved the sets of earrings to an upper cupboard in the laundry room inaccessible to children. Corrected at the time of inspection. No response necessary. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Category: physical safety. 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.”

Observed 6 tubes of toothpaste accessible to children in a lower, unlocked drawer in the restroom used by children. Correction: All items labeled keep out of reach of children must be inaccessible. Correct by 2/24/25. Provider moved the toothpaste to an upper cupboard in the laundry room, inaccessible to children. Corrected at the time of inspection. No response necessary. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed providers staff file and observed Courtney L. to have an expired medication administration training. Correction: Obtain a current medication administration training. Correct by 4/10/24. Document compliance to Specialist by 4/17/24. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: ratio. Marked corrected in the state record.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and can be applied towards ongoing annual training hours in the year that it is completed.

Provider to have an expired shaken baby/abusive head trauma training. Correction: Obtain a current shaken baby/abusive head trauma training. Correct by 4/10/24. Document compliance to Specialist by 4/17/24. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. Marked corrected in the state record.