2.336.C.13 · All family child care homes must have smoke alarms installed in every bedroom licensed for care, in the immediate vicinity outside every bedroom, in every area used as a sleeping room, and at least one on each floor of the house.

The renovated garage space where child care is provided and children ocasionally sleep, did not have a smoke alarm installed. Correction: Install a smoke alarm in the renovated garage space. Document compliance to the licensing specialist with a written response. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Of the 15 child files that were reviewed, 2 child files had expired health statements. Correction: All children must have a current health statement on file. Obtain updated health statements for the children's files. Document compliance to the licensing specialist with a written response. Correct by 03/20/2025

Corrected Corrected by Mar 20, 2025

Category: ratio. Marked corrected in the state record.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

The provider did not have documentation that monthly smoke alarm testing is being conducted. Correction: The provider must test smoke alarms monthly and maintain documentation of testing. Document compliance to the licensing specialist with a written response. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Open S-hooks on the swings were observed to have more than a dime's width space, potentially catching on children's clothing and posing a strangulation hazard. Correction: Open S-hooks can catch on clothes and become a strangulation hazard. CORRECTED ON SITE. Swings were made inaccessible to the children in care until the S hooks can be replaced with carabiners, or the existing S hooks are closed. NO WRITTEN RESPONSE REQUIRED. Correct by 02/20/2025

Corrected Corrected by Feb 20, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

A bottle of hand sanitizer labeled "keep out of reach of children" was on the bathroom counter. A roll of plastic bags was found in an unlocked cabinet next to the freezer. Correction: The hand sanitizer and roll of plastic bags should be stored in a manner that is inaccessible to children. CORRECTED ON SITE. Provider moved the items to a shelf that was inaccessible the children. NO WRITTEN RESPONSE REQUIRED. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

Category: physical safety. 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.

Jesus A. to be missing documentation of a medical statement signed and dated by a physician or other health care provider. Correction: ensure that all members of the household obtain and keep a current health evaluation form. Obtain health evaluation form for the persons listed above and provide a copy to the licensing specialist with written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Esther A. to be missing the "Introduction to the early intervention and preschool programs" training. Correction: all staff must complete the Introduction to Early Intervention and Preschool Special Education Programs training course. Complete course and add training certificate to staff file. Send a copy of the training certificate for the staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

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.

Esther A. to be missing the "Working with an Early Childhood Mental Health Consultant" training. Correction: all staff must complete the Introduction to Early Intervention and Preschool Special Education Programs training course. Complete course and add training certificate to staff file. Send a copy of the training certificate for the staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: health medication. 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 and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include:

the following subsections of rule 2.320.A were missing on 2 of 20 child admission records that were reviewed: (7) Emergency Medical Care Authorization (9) Field Trip Authorization (10) Media Authorization Correction: ensure that all enrolled children have current and signed admission records including an Emergency Medical Care authorization, Field Trip Authorization, and Media Authorization. **CORRECTED AT TIME OF INSPECTION,

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

current written authorization for sunscreen application was missing on 2 child admission records that were reviewed. Correction: ensure that all enrolled children have current and signed admission records including an written authorization for application of sunscreen. **CORRECTED AT TIME OF INSPECTION. Provider contacted parent during inspection and recieved a photo documentation of the signed form. No response required for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

documentation of immunization or exception from immunization was missing in 2 of 20 child files reviewed. Correction: obtain documentation of immunization status for all children enrolled. **CORRECTED AT TIME OF INSPECTION. 9/30/2014. Provider received e-mail with the required documentation from both parents of the two children in question. No written response required for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

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

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

The following items to be accessible to children and labeled "keep out of reach of children": Fabuloso Cleaner on the stairs of the outdoor covered patio area. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. **CORRECTED AT THE TIME OF INSPECTION, staff locked the door that contained the Fabuloso cleaner and made it inaccessible to children on 9/30/2024. No written response is necessary for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

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

2.336.C.12 · Furnaces and hot water heaters must be maintained in accordance with the manufacturer specifications and inaccessible to children.

The following items stored within three feet of the hot water heater/furnace: a bag full of plastic bags to be both on top and touching the side of the water heater. Correction: Flammable or combustible items must be stored at least three feet from the furnace and the hot water heater. **CORRECTED AT THE TIME OF INSPECTION. Provider removed the bags from the furnace on 9/30/2024. No written response is necessary for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

Marked corrected in the state record.

2.337.B.3.a · Toddler climbing equipment, sliding equipment, or equipment with attached platforms must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The gray, red and blue slide/climbing structure measuring approximately 24 inches was placed 24 inches from the left side perimeter fence. Correction: ensure that toddler climbing equipment is placed at a minimum of 3 feet from the fence and has a 3 foot use zone surrounding the equipment. ** CORRECTED AT THE TIME OF INSPECTION. Provider moved the play structure so that the use zone was 3 feet on each size and the slide had a use zone of 6 feet. No written response is necessary for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

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

2.121.C.2 · The fingerprint process shall be completed at an approved vendor within five (5) calendar days of when any new resident, eighteen (18) years of age or older, begins residing in a family child care home or qualified exempt provider home. Adults must not be allowed unsupervised access to children in care until all background checks have been successfully completed.

There was a substitute, D, that did not have completed fingerprint background checks. The substitute was left alone with children without the provider present. The provider left their house to run an errand. Substitute, D, had unrestricted access to children. 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 05/11/2024

Corrected Corrected by May 11, 2024

Category: supervision. Marked corrected in the state record.

2.325.C · All parents must have access to menus and must be notified of meals being served.

It was learned through conversation, that the provider does not provide a menu on Saturday and Sunday. Even though the provider provides care on those days. Correction: All parents must have access to menus and must be notified of meals being served. Correct immediately and document compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

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.

There was a resident of the home, PA, that did not have a health evaluation form signed and dated by a Docusign Envelope ID: 9893FE8D-C0FE-436B-B969-F8E889B52F22 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ licensed physician. It was learned through conversation that PA has been living in the provider's house for several months. There was a substitute IB, that did not have a medical statement signed and dated by a licensed physician or other health care provider. It was learned through conversation that IB has been living in the provider's house for several months. Correction: All residents of the home must obtain a medical statement 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. Correct and document compliance to the Department on the response form. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

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

2.313.A · 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:

There were two (2) substitutes IB, D, that had unrestricted access to children. The substitutes were left alone with children without the provider present. The provider left their house to run an errand. Neither of the two (2) substitute had a personnel file available for review. Correction: Prior to working with children, personnel files for all staff members must be available for reveiw by the Department. Correct immediately and document compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Marked corrected in the state record.

2.318.D.1 · The following records must be kept and maintained in the files at the family child care home for Docusign Envelope ID: 9893FE8D-C0FE-436B-B969-F8E889B52F22 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ three (3) years after the family child care home closes its license or stops providing care under its license; a child leaves the care of the family child care home or a staff member or volunteer terminates employment or volunteerism at the family child care home: A daily attendance sign in/sign out sheet for each child, including the time the child arrives at and departs from the family child care home;

There were eight (8) children in attendance, two (2) were school aged. None of the eight (8) children were signed in. Correction: The provider must maintain a daily attendance sign in/sign out sheet for each child, including the time the child arrives at and departs from the family child care home. Correct immediately and document compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.324.A.2 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and children toddler-aged and older must wash their hands at the following times:

Staff members after eating and prior to nap time did not wash their hands. Correction: The provider, staff members, and children toddler-aged and older must wash their hands after eating. Correct immediately and document compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: 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.

There were two (2) substitutes IB, D, that had unrestricted access to children. The substitutes were left alone with children without the provider present. The provider left their house to run an errand. One of the two (2) substitute had a completed TRAILS background check at the time of the inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members and resident IB, D, PA, have reviewed the powerpoint Docusign Envelope ID: 9893FE8D-C0FE-436B-B969-F8E889B52F22

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.334.A · There must not be intentional screen time, which includes television, recorded media, computer, tablet, cell phones, video games, and other media devices for children under twenty-four (24) months of age. Children under twenty- four (24) months must be redirected from an area where screen time is displayed and provided with alternate activities.

There was a child that was under twenty-four (24) months that was engaged in intentional screen time, during meal time. Correction: There must not be intentional screen time, for children under twenty-four (24) months of age. Correct immediately. Corrected at the time of inspection TV was turned off. Document a plan for continued compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.334.C · All media that children are exposed to must be developmentally appropriate and must not contain explicit language or topics. Activities must not contain violence, profanity, nudity, or sexual content, and must have a rating appropriate for the age of children in care

In the napping room there was a television that was playing a show that had shooting a violence. It was learned through conversation, that there was a school aged child, that enjoyed watching those shows. The school aged child, did not like to watch the shows that the provider had on in the main play room. Correction: All media that children are exposed to must be developmentally appropriate and must not contain activities such as violence. Correct immediately and document compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Marked corrected in the state record.

2.334.B · Screen time is prohibited during snack or meal times.

There were seven (7) children that were watching TV while eating lunch. Docusign Envelope ID: 9893FE8D-C0FE-436B-B969-F8E889B52F22 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Screen time is prohibited during snack or meal times. Correct immediately. Corrected at the time of inspection TV was turned off during lunch. Document a plan for continued compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

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.”

In the bathroom that the children use, there was soap, shampoo, conditioner, and face wash accessible to children. In the room that is connected to the backyard and kitchen, the door was open and the room was accessible to children. In the room there was Raid, paint for the interior walls of the house, WD-40, drill accessories in an unlocked cabniet near the refrigerator, and Dos Equis in the refrigerator. There were trash bags under the the sink in an unlocked cabniet in the main playroom. There were grocery bags in an unlocked cabniet under the microwave in the main playroom. Correction: All items labeled by manufacturer as "keep out of reach of children" must be inaccessible to children. Correct immediately. Corrected at the time of inspection soap, shampoo, conditioner, and face wash was moved ontop of the mirror, the room that is connected to the backyard and kitchen was locked, trash bags and grocery bags were moved and made inacessible. Document a plan for continued compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 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 hazards.

In the outdoor play area, on the bottom right next to the door that leads into the main playroom there was an outlet that did not have a protective cover. In the kitchen on both sides of the oven there were outlets, that were accessible to children, and did not have protective covers on them. Correction: In rooms accessible to children, all electrical outlets must have protective covers. Correct immediately and document compliance to the Department on the response form. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Category: physical safety. 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.

There was an infant rocker seat that did not have the fabric insert in the backyard. The top part of the basket ball hoop had been removed and placed under the infant rocker seat. 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. Corrected at the time of the inspection the provider moved the top part of the basket ball hoop and put it back to the bottom part. The provider removed the infant rocker seat, and made it inaccessible to children. No response is needed for this violation. Correct by 05/11/2024

Corrected Corrected by May 11, 2024

Category: physical safety. 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 did not have a current medical evaluation in their file. Correction: Obtain, maintain and update documentation of current medical evaluation. Document compliance to the Department on the response form. Correct by 12/09/2023

Corrected Corrected by Dec 9, 2023

Category: ratio. Marked corrected in the state record.

7.707.72.A.1 · All providers must wash their hands thoroughly with soap under warm running water, when available, and dry with an individual use and/or single use disposable towel before preparing, serving, and eating food; before administering medication; after helping a child with toileting or diapering; after provider's own toileting; after wiping a child's nose; whenever possible on field trips, at a park, or at another location away from the home; after handling animals, their toys, or food and water bowls; after contact with bodily fluids or secretions; and, any other time the hands become soiled or contaminated.

During the inspection, the provider changed a child's diaper. The provider did not wash her hands, nor the child's hands after she was done diapering the child. DocuSign Envelope ID: 3AFF670D-6909-44CA-ACA1-9F4710B16C51 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All providers must wash their hands thoroughly with soap under warm running water, after helping a child with diapering. Correct immediately. Corrected at the time of inspection after being reminded by a licensing specialist Esther washed her hands. Document a plan for continued compliance to the Department on the response form. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

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

7.707.72.B.1.a · . The home must have a designated diaper change area for all children in need of diaper changing. The diaper change area must: Have a smooth, durable, nonabsorbent, and easily cleanable surface; and

During the inspection, the provider changed a child's diaper. The provider was using a large cloth to change children's diapers on. Correction: The diapering area must have a smooth, durable, nonabsorbent, and easily cleanable surface. Correct immediately. Corrected at the time of the inspection the provider took off the large cloth and replaced it with a diaper changing mat. No response is needed for this violation. Correct by 11/09/2023

Corrected Corrected by Nov 9, 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

During the inspection, the provider changed a child's diaper. The provider did not wash her hands, nor the child's hands after she was done diapering the child. Correction: Children's hands must be washed with soap and water after diapering. Correct immediately. Corrected at the time of inspection after being reminded by a licensing specialist Esther washed the child's hands. Document a plan for continued compliance to the Department on the response form. Correct by 11/09/2023 DocuSign Envelope ID: 3AFF670D-6909-44CA-ACA1-9F4710B16C51

Corrected Corrected by Nov 9, 2023

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

During the inspection, the provider changed a child's diaper. After the provider finished changing the child's diaper, she did not disinfect the area. When asked where she stored her disinfected the provider did not know where a bottle of disinfectant was located. Correction: Provider must clean and disinfect the diaper changing area after each diaper change. Correct immediately. Corrected at the time of inspection Esther was able to find a bottle and put it in an area that was near the diaper changing station, but inaccessible to children. Document a plan for continued compliance to the Department on the response form. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

Marked corrected in the state record.

7.707.72.B.2.h · During child care hours, clothing soiled by bodily fluids must be placed in a leak proof container. The container must be stored inaccessible to children and sent home on a daily basis.

There was a bag with soiled clothing accessible to children in a diaper bag on the floor by the diaper changing station. Correction: Clothing soiled by bodily fluids must be placed in an area that is inaccessible to children. Correct immediately. Corrected at the time of the inspection the provider moved the bag on top of a shelf so that it was inaccessible to children. No response is needed for this violation. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

Marked corrected in the state record.

7.707.75.H.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, plush toys, and stuffed animals.

The pack and play that is in the main play area had a fitted sheet on it that was stretched out, and was loosely fitted on the mattress potentially causing a suffocation hazard. Correction: Soft bedding that could pose a suffocation hazard is not permitted in cribs. Correct immediately. Corrected at DocuSign Envelope ID: 3AFF670D-6909-44CA-ACA1-9F4710B16C51

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.

In the kitchen near the sink, there was a bowl of dishes with two knives that were accessible to children. On the red table in the main playroom, there was a glass jar that was accessible to children. Correction: Keep all items that are labeled by manufacturer as keep out of reach of children inaccessible to children. Correct immediately. Corrected at the time of the inspection the provider moved the knives and glass jar to a place that was inaccessible to children. No response is needed for this violation. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

Category: physical safety. 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 three to four inches (3-4") in the use zone of the red slides, yellow swings, and blue swing on the outdoor playground. Correction: All pieces of permanently installed playground equipment must have at least six inches (6") of protective surfacing in the use zone. Correct immediately. Corrected at the time of the inspection the provider's husband added more pea gravel in the use zones of the red slides, yellow swings, and blue swing, and it measured at six to seven (6-7"). No response is needed for this violation. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

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