Grace Luchavez

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 five (5) child files. Two (2) of the child files did not contain a statement of the child's current health status signed and dated by a health care provider at the time of inspection. The two (2) children were enrolled for more than 30 (thirty) days. Correction: 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 Docusign Envelope ID: A3EDEFDA-C44A-475F-B84F-E77F5D39CE27

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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 five (5) child files. One (1) child file did not contain documentation or certificate of immunization status or an immunization exemption at the time of inspection. Correction: 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). Please ensure you obtain documentation of immunization status or immunization exemption prior to children addenting your child care. Correct immediately and document compliance to the Department in your written response. Correct by 11/18/2025

Corrected by Nov 18, 2025

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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.

A yellow, white, and blue slide that measures twenty-five inches (25") from the ground to the slide platform was located in the outdoor play area on a grass surface without any resilient material. Correction: 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. Remove access to slide or ensure slide is on six (6) inches of resilient material. Correct immediately and document compliance to the Department in your written response. Correct by 11/18/2025

Corrected by Nov 18, 2025

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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.

A drill log documenting emergency drills at the child care home was not available at the time of inspection. Correction: "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." Correct immediately and document an ongoing plan of compliance to the department in your written response. Correct by 11/18/2025

Corrected by Nov 18, 2025

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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. Docusign Envelope ID: D68A0836-65E3-4ED3-B6ED-BD41756B5BB1 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The resilient material wood chips measured less than one (1) inch in depth in the use zones around a piece of play equipment with a blue slide that measures twenty-four (24) inches in height on one side and a green slide that measures twenty (20) inches in height on the other side. This piece of play equipment was located in the outdoor play area. A red slide that measured twenty (20) inches to the platform was located on the grass in the outdoor play area and was not on any resilient material. Correction: 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. Correct immediately and document compliance to the Department in your written response. Correct by 12/16/2024

Corrected by Dec 16, 2024

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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.”

A plastic container of disinfecting wipes that contained the statement "keep out of reach of children" was accessible and located on top of a cabinet next to the sink in the bathroom used by children in care. A bottle of spray sunscreen was located in an unlocked cabinet next to the sink in the bathroom used by children in care. The sunscreen was accessible to children. Correction: 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.” Correct immediately. Corrected at the time of the inspection by the provider removing the plastic disinfecting wipes container and the sunscreen from the bathroom and making them inaccessible to children. No response is needed for this violation. Correct by 12/16/2024

Corrected by Dec 16, 2024

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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; Docusign Envelope ID: D68A0836-65E3-4ED3-B6ED-BD41756B5BB1 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the provider's staff file. No documentation that the provider has completed the training" Playground Safety for Homes" was available at the time of inspection. Correction: The primary provider must complete a department-approved training regarding "Playground Safety for Homes". The course is required to be taken once. Correct and document compliance to the Department in your written response. Please provide documentation that the provider has completed "Playground Safety for Homes" training with your written response. Correct by 01/15/2025

Corrected by Jan 15, 2025

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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 the provider's staff file. No documentation that the provider has completed the training"Introduction to Early Intervention and Preschool Special Education Programs " was available at the time of inspection. Correction: 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. Correct and document compliance to the Department in your written response. Please provide documentation that the provider has completed the training "Introduction to Early Intervention and Preschool Special Education Programs" with your response. Correct by 01/15/2025

Corrected by Jan 15, 2025

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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 the provider's staff file. No documentation that the provider has completed the training"Working with an Early Childhood Mental Health Consultant " was available at the time of inspection. Correction: 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 Docusign Envelope ID: D68A0836-65E3-4ED3-B6ED-BD41756B5BB1

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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 the provider's staff file. No documentation that the provider has completed the training"Injury Prevention for Homes " was available at the time of inspection. Correction: 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. Correct and document compliance to the Department in your written response. Please provide documentation that the provider has completed the training "Injury Prevention for Homes" with your response. Correct by 01/15/2025

Corrected by Jan 15, 2025

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2.316.B.26 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Notification of parent(s) or guardian(s) for handling DocuSign Envelope ID: 981760D1-C64F-4D70-9512-C6E5736F52D6 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children’s illnesses, accidents, injuries, or other emergencies;

Learned through the interview that the provider had not given any parents/guardians an "ouch" report for minor injuries or bumps and bruises. The provider's policies and procedures state "If your child is injured and requires medical attention, you will be notified immediately. Small bumps and bruises are an everyday event for most children at some point in their lives. If you would like to be notified each time please let me know and you will be notified. Otherwise, you will be notified at the end of the day via an Ouch Report. The provider is not following their own policies for reporting injuries. Correction: The written policies and procedures must be followed by the provider and all staff members including notification of parents or guardians for injuries. Correct and document compliance to the Department in your written response. Correct by 07/09/2024 Stage II Licensing Concern : The provider did not appropriately report a critical incident. - FOUNDED

Corrected by Jul 9, 2024

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2.124.A.1.b · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within 24 hours of the incident.

Learned through the interview that the provider knew that a child enrolled and attending the child care sought medical attention from a health care professional for a possible injury. The provider did not file an injury report with the Colorado Department of Early Childhood. Correction: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system (Provider Hub) within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within twenty-four (24) hours of the incident. Correct immediately and document a plan of compliance to the Department in your written response. Correct by 06/25/2024 ________________________________________________ Stage II Licensing Concern : The provider kicked child1. - UNFOUNDED DocuSign Envelope ID: 981760D1-C64F-4D70-9512-C6E5736F52D6

Corrected by Jun 25, 2024

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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.”

The laundry area with the washer and dryer was accessible to children at the time of inspection due to the provider changing the layout of the child care space. Two (2) gallon size containers of laundry detergent were accessible to the children in care. Correction: All hazardous items and materials must be inaccessible to children including laundry materials. Correct immediately and document compliance to the Department in your written response. Correct by 06/25/2024

Corrected by Jun 25, 2024

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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.

Reviewed the daily child sign-in/out sheet. Two (2) children who were in care at the time of inspection were not signed in by the parent or the provider. DocuSign Envelope ID: B3D9634E-27CD-41B2-94B8-7BE2313758FE FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: 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. Correct immediately. Corrected at the time of the inspection by the provider updating the child sign-in log to show the current amount of children signed in. No response is needed for this violation. Correct by 01/18/2024

Corrected by Jan 18, 2024

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7.707.71.C.1.c · . Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization.

Reviewed four (4) child files. Two (2) of the child files did not contain written authorization from the parent for the use of topical preparations and sunscreen. Correction: Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization. Correct and document compliance to the Department in your response. Correct by 02/17/2024

Corrected by Feb 17, 2024

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