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.

No drills had been completed for the past year. Correction: Drills must be completed and a record of the emergency drills must be maintained by the facility. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

On the playground outside, there was a swing attached to a tree that was not on resilient surfacing. Correction: All equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches. Correct immediately. Corrected at the time of the inspection the provider removed the swing. No response is needed for this violation. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

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

2.320.A · An admission record must be completed for each child prior to or at the time of the child’s admission Docusign Envelope ID: FA17901E-A65E-4F80-B4CD-3B8976AAA1C0 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include:

Reviewed four (4) child files, and there was one (1) child that was enrolled in the program that did not have a admission record. Correction: Obtain, maintain and update annually documentation of child admission record. Correct immediately. Document compliance to the Department on the response form. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Reviewed four (4) child files, one (1) health evaluation was expired, and three (3) were not available for review. Correction: Obtain, maintain and update documentation of child health evaluations. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 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;

There was no CPR First Aid training available at the time of inspection. Correction: Obtain, maintain and update documentation of CPR First Aid Training. Correct immediately. Document compliance to the Department on the response form. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

Category: recordkeeping. 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 Docusign Envelope ID: FA17901E-A65E-4F80-B4CD-3B8976AAA1C0 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ safety for homes. This course is required once and will be counted towards ongoing training requirements;

There was no documentation for Playground Safety Training for Homes. Correction: Obtain, maintain documentation of Playground Safety Training for Homes. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. 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;

There was no documentation for the Introduction to the Early Intervention and Preschool Special Education Programs Training. Correction: Obtain, maintain and documentation of Introduction to the Early Intervention and Preschool Special Education Programs Training. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 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;

There was no documentation for the Recognizing the Impact of Bias on Early Childhood Professionals Training. Correction: Obtain, maintain and documentation of Recognizing the Impact of Bias on Early Childhood Professionals Training. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.O · Within ninety (90) calendar days of caring for children all qualified substitutes, and staff members must have at least one (1) hour of child development training. This training must include the major domains (cognitive, Docusign Envelope ID: FA17901E-A65E-4F80-B4CD-3B8976AAA1C0 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ social, emotional, physical development and approaches to learning). This course is required once and will be counted towards ongoing training requirements if taken after the date of hire.

There was no documentation for one (1) hour of Child Development Training. Correction: Obtain, maintain documentation of one (1) hour of Child Development Training. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 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.

There was no documentation for an Injury Prevention for Homes Training. Correction: Obtain, maintain documentation of Injury Prevention for Homes Training. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 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.

There was no documentation for a Working with an Early Childhood Mental Health Consultant Training. Correction: Obtain, maintain documentation of Working with an Early Childhood Mental Health Consultant Training. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

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

2.127.A · At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility.

There was no license posted. Correction: A license must be posted in a prominent and conspicuous location easily observable by those entering the child care facility. Correct immediately and document compliance to the Department on the response form. Correct by Docusign Envelope ID: FA17901E-A65E-4F80-B4CD-3B8976AAA1C0

Open Not marked corrected in the state record

Open / not marked corrected.

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 four (4) child files, one (1) child did not have an emergency medical authorization, and three (3) did not have a current emergency medical authorization. Correction: Obtain, maintain documentation of emergency medical authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

Category: health medication. 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 four (4) child files, three (3) children did not have an immunization record available for review. Correction: Obtain, maintain documentation of child immunization record. Correct immediately. Document compliance to the Department on the response form. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

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 four (4) child files, none of the four (4) children had a current health evaluation available for review. Correction: Obtain, maintain documentation of a current health evaluation. Correct and document compliance to the Department on the response form. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: ratio. Marked corrected in the state record.

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

In the kitchen by the sink there was medication that was accessible to children. Correction: Medication must be locked and inaccessible to children. Correct immediately. Corrected at the time of inspection the provider moved the medication into a locked cabinet. Document a plan for continued compliance to the Department on the response form. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

Category: ratio. Marked corrected in the state record.

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

One cat did not have a rabies vaccination available for review. Correction: Animals in the FCCH must be vaccinated, and proof of vaccination must be available for review by the licensing specialist. Correct immediately and document compliance to the Department on the response form. Correct by Docusign Envelope ID: FA17901E-A65E-4F80-B4CD-3B8976AAA1C0

Open Not marked corrected in the state record

Open / not marked corrected.

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

There was a broken water table on the playground that had sharp edges that posed a pinching hazard. There was a deflated kid pool on the playground that posed a sanitation hazard with the collected dirt and other debris. Correction: Outdoor equipment must be free of hazards. Correct immediately. Corrected at the time of the inspection the provider removed the broken water table and the deflated kid pool from the playground. No response is needed for this violation. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

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.”

There was cosmetics with the label "keep out of reach of children" on the vanity in the bathroom that children use. Correction: All items with the label keep out of reach of children must be inaccessible to children. Correct immediately. Corrected at the time of the inspection the provider removed the cosmetics. No response is needed for this violation. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

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

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping Docusign Envelope ID: FA17901E-A65E-4F80-B4CD-3B8976AAA1C0 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazards.

In the living room and in the children's playroom there were electrical outlets that were accessible to children. Correction: All electrical outlets must have protective covers. Correct immediately and document compliance to the Department on the response form. Correct by 12/04/2024

Corrected Corrected by Dec 4, 2024

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

7.707.72.B.2.k · Toilets must be flushed between uses; and

During the time of inspection, there was urine sitting in the toilet after being used. Correction: After use, toilets must be flushed. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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.

Review two (2) staff member files, staff member CB and KB did not have a current Shaken Baby Training on file available for review. Correction: Obtain, maintain, and update documentation of Shaken Baby Training for CB and KB. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.72.B.2.f · Providers must clean and disinfect the diaper changing area after each diaper change

It was learned through conversation that the provider was using baby wipes to clean the diaper changing area after changing diapers. Correction: Providers must disinfect the diaper changing area after each diaper change. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.72.B.2.e · Children's hands must be washed with soap and water after diapering

After a child finished getting a diaper change, the child did not have their hands washed. Correction: All children must wash their hands thoroughly with soap and water after diapering. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.72.B.2.d · Use closest hand washing sink to the diaper changing area that is not used for food preparation.

It was learned through conversation that the provider was using the kitchen sink to wash their hands after diapering. Correction: Use the closest hand-washing sink that is not used for food preparation. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: ratio. Marked corrected in the state record.

7.707.72.B.2.c · Providers must use single use disposable gloves.

During the inspection, it was observed that a staff member was not using gloves while changing diapers. Correction: Providers must use a single-use disposable glove when diapering. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.72.A.3 · The hand washing area should promote self-help skills to include, but not be limited to, step DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ stools, soap, and towels accessible to children.

At the time of inspection, there were no towels in the bathroom for children to dry their hands. Correction: The hand washing area should have towels accessible to children. Correct immediately. Corrected at the time of the inspection the provider put a roll of paper towels in the bathroom. No response is needed for this violation. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.6.A.3 · The following emergency telephone numbers must be posted near the telephone:

There were no emergency telephone numbers posted near the telephone Correction: Obtain, maintain, and update documentation of emergency numbers. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.701.100.F.2 · . 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 inspection, there were no drills recorded, and available for review. Correction: Obtain, maintain, and update documentation of drill logs. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prior to the first day of admission.

Reviewed two (2) child files, one (1) child did not have a record of immunization on file. Correction: Obtain, maintain, and update documentation of children’s immunization cards. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

Reviewed two (2) child files, one (1) child had an expired emergency medical authorization. Correction: Obtain, maintain, and update documentation of children’s emergency medical authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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.

Reviewed two (2) child files, one (1) child had an expired medical evaluation. Correction: Obtain, maintain, and update documentation of children’s medical evaluations. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: ratio. Marked corrected in the state record.

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's admission and updated annually, unless otherwise specified in these rules. The admission record must include: DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There were nine (9) children present at the time of inspection, and only six (6) had admission records available for review. Correction: Obtain, maintain, and update documentation of children's admission records. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Reviewed four (4) animal files, there was no vaccination report for one (1) cat; one (1) dog’s rabies vaccination had expired in January 2023. Correction: Obtain, maintain, and update documentation of current rabies vaccinations for all animals required by state law and local ordinances. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.707.36.A · Personnel files for each employee, substitute, and volunteer must contain all required information within thirty (30) calendar days of the first day of employment, volunteering, or functioning as a substitute.

Review two (2) staff member files, staff member KB did not have a staff file available for review. Learned through conversation, that KB was working as the provider's second person. Correction: Obtain, maintain, and update documentation of staff member KB’s staff file. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.36.B.6.a · The personnel files for each employee, substitute, and volunteer shall include a signed statement: A signed statement: Clearly defining child abuse and neglect pursuant to state law and outlining the employee, substitute, or volunteer's personal responsibility to report all incidents of suspected child abuse or neglect according to DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ state law; and,

Review two (2) staff member files, staff member CB and KB did not have an abuse reporting form on file available for review. Correction: Obtain and maintain documentation of abuse reporting form for CB and KB. Correct and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.6.D · Visitors Visits from all non-family members to the home must be on the sign in/out log, including the name, date, and arrival/departure times.

At the time of inspection, there was no visitor sign-in sheet. It was learned through conversation, that the provider’s father-in-law occasionally came to the facility during operating hours. His visits were not logged on a visitor sign-in/out sheet. Correction: Ensure that there is a visitor sign in/ out sheet avaliable for use. Correct immediately. Corrected at the time of the inspection, the licensing specialist provided the provider with a visitor log. No response is needed for this violation. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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.

Review two (2) staff member files, staff member CB and KB did not have a current Safe Sleep Training on file available for review. Correction: Obtain, maintain, and update documentation of Safe Sleep Training for CB and KB. Correct and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age; DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Review two (2) staff member files, staff member CB and KB did not have a current CPR/ First Aid Certification on file available for review. Correction: Obtain, maintain, and update documentation of CPR/ First Aid Certificate for CB and KB. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

Reviewed two (2) staff member and one (1) resident file. Staff members CB and KB’s medical evaluations had expired. Correction: Obtain, maintain, and update bi-annual documentation of health evaluations for CB and KB. Correct and document compliance to the Department on the response form. Correct by 01/04/2023

Corrected Corrected by Jan 4, 2023

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

7.707.923.K · Any cooking stoves with controls within reach of a child shall have a safety guard.

There were no safety guards on the cooking stove controls that were located on the top, right of the stove. During the inspection, a child pulled up a chair to the stove and was able to reach the cooking stove controls. Correction: Stoves that have controls within reach of children must have safety guards installed. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.923.B · In rooms accessible to children, all electrical outlets and power strips must nave protective covers, or safety outlets must be installed; and all exposed light bulbs must have protective covers. Electrical cords must be in good condition and not posing a hazard, such as strangulation, falling or tripping.

In the children’s playroom, 3 electric outlets did not have covers installed. Correction: In rooms that are accessible to children, all electrical outlets must have protective covers. Correct immediately. Corrected at the time of the inspection the provider installed outlet covers in the electric outlets. No response is needed for DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, 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.

Numerous “keep out of reach of children” items were accessible to children throughout the house. See bottom narrative. Correction: Correct immediately. Corrected at the time of the inspection. The provider locked the door to the master bedroom making it inaccessible to children. The provider moved shampoo, body wash, Clorox toilet wand refill, and acne wash into a closet in the bathroom and locked the closet. The provider moved the makeup, lotion, and perfume further back on the vanity so that it was inaccessible to children. The provider moved the deicer into the cabinet in the mud room and locked it so that it was inaccessible. The provider moved the box of wine and the two bottles of wine to an area that is inaccessible to children. The bottle of whiskey was moved to a higher shelf in the freezer, making it inaccessible. The cans of alcohol in the pantry were moved to a higher shelf, making them inacessbile to children. The provider installed a child lock on the bottom of the kitchen sink. Document a plan for continued compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.701.32.D.1.a · . For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Staff member, KB observed alone with children and missing verification of submission and clearance letter for TRAILs. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member KB has reviewed the powerpoint within 24 hours. Submit DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.701.56.C · . At all times during the operating hours of a family child care home, child care center, preschool, school age child care, children’s resident camp, and neighborhood youth organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Human Services, Division Of Early Care And Learning, including the telephone number and mailing address. All 24-hour care agencies and facilities providing out-of-home care and day treatment centers must post in prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Human Services, division of child welfare, including the telephone number and mailing address. For foster care homes and child placement agencies, information for filing a complaint must be made available upon request.

The child care home did not have a posting regarding the procedures for filing a complaint. Correction: There must be a posting in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Human Services, Division of Early Care and Learning, including the telephone number and mailing address. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.701.56.B · . At all times during the operating hours of a family child care home, child care center, school-age child care center, or children's resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The child care home had no postings stating the most recent licensing inspection report or a notice that the report may be reviewed. Correction: The facility must post its most recent licensing inspection report or notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023 DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.701.56.A · . At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility or agency. For foster care homes, the certificate must be available for review/upon request of the public.

The childcare license was not posted in the home. The provider had the license in a corner of her kitchen in between several other papers. Correction: The child care home must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care home. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.22.C · . A three (3) under two (2) license is a type of license that allows a provider to care for six (6) children from birth to eighteen (18) years of age with no more than three (3) children under two (2) years of age, with no more than two (2) of the three (3) children under twelve (12) months; the capacity includes the provider's own children under twelve (12) years of age. This license type may be approved with the following conditions:

At the time of inspection, the child care provider's daughter was acting as a staff member and brought 3 additional children to the household. The provider was stated to have six (6) children that she was carrying and her daughter was there with three (3) additional children. In total, there were nine (9) children in the home. When the licensing specialist came back to the house during nap time, the provider's daughter was in the bathroom taking a bath; leaving the provider to care for nine (9) children. Correction: Correct immediately. Corrected at the time of inspection the provider’s daughter did leave the house with the three children she was carrying during the inspection. Document a plan for continued compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

The pea gravel resilient material measured four (4) inches in the use zone of the green slide on the outdoor DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ playground. Correction: Ensure that in the use zone of equipment has six (6) inches of resilient material. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.707.931.G · All outdoor areas where children may pass or play shall be kept free of animal contamination. All animal wastes must be promptly removed and placed in a lidded container or otherwise inaccessible to children.

In the outdoor play area, there was animal contamination in several places throughout play area. Correction: All animal waste must be promptly removed and made inaccessible to children. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

7.707.6.C · Sign In/Out Procedure The provider must maintain a daily sign in/out method containing the date, the child's name, the time that the child arrived at and left the home, and the parent, guardian, or authorized person's signature. A full signature is required by the parent or guardian every time the child arrives at or leaves the home. The provider may sign in or out children who arrive directly from school or an activity as needed on a daily basis. The provider must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

At the time of inspection, there were only six (6) children signed in and nine (9) children were present. Correction: Maintain and keep up to date a daily attendance sheet for each child. Correct immediately and document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.33.D.4 · . Requests for a criminal record check, other than those required per Section 7.701.33.D.4.a,b must be submitted to the CBI within five (5) working days of the day that the individual begins to work at the facility or DocuSign Envelope ID: 0BF5B7B6-5B9D-45FF-8EF6-83C3303F6C7E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ agency.

Staff member KB’s file was missing verification of submission and clearance letters for CBI. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member KB has reviewed the powerpoint within 24 hours. Submit documentation of CBI background check clearance letters for staff member KB with written response to Specialist. Correct immediately and document compliance to the Department on the response form. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

Category: background checks. Marked corrected in the state record.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed two (2) staff member and one (1) resident file. Staff members CB, KB, and resident JB did not have a current FBI background check. Correction: The provider must review Navigating the Background Check Investigation Unit's (BIU) web page PowerPoint. Submit verification the provider reviewed the PowerPoint within 24 hours. Notify the Licensing Specialist in writing once the resident has completed the fingerprinting process. Update the FBI background check every five (5) years. Correct immediately. Document compliance to the Department on the response form. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: background checks. Marked corrected in the state record.