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. At the time of inspection three (3) of the child files did not contain documentation of the child's current health status signed and dated by a health care provider who has seen the child in the last twelve (12) months or within the last six (6) months for children under two and one-half (2 1/2) years old or verification of a scheduled appointment with a health care provider. 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 healthcare provider. The statement of the child’s current health status must be signed and dated by a Docusign Envelope ID: 46CF38A8-CBB4-4845-8E89-3AD4F3489801

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 traning file. The provider did not have any documentation that they have completed the training "Introduction to the Early Intervention and Preschool Special Education Programs". Correction: 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. Correct and document compliance to the Department in your written response. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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 safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's traning file. The provider did not have any documentation that they have completed the training "Playground Safety for Homes". Correction: 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. Correct and document compliance to the Department in your written response. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's traning file. The provider did not have any documentation that they have completed the training "Recognizing the Impact of Bias on Early Childhood Professionals". Correction: 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. Correct and document compliance to the Department in your written response. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed the provider's traning file. The provider did not have any documentation that they have completed the training "Injury Prevention for Homes". Correction: 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. Correct and document compliance to the Department in your written response. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: recordkeeping. 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 Docusign Envelope ID: 46CF38A8-CBB4-4845-8E89-3AD4F3489801 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ infant to twenty-one (21) years of age;

Reviewed the provider's training file. The most recent CPR/First Aid certification completed by the provider expired on 11/7/2024. Correction: The Provider's CPR/First Aid Certification must be current and unexpired. Correct immediately and document compliance to the Department in your written response. Please provide a copy of a current CPR/First Aid certification for the provider including all ages of children with your written response. Correct by 05/28/2025

Corrected Corrected by May 28, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Reviewed the provider's traning file. The provider did not have any documentation that they have completed the training "Working with an Early Childhood Mental Health Consultant". Correction: 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. Correct and document compliance to the Department in your written response. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

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

Reviewed the providers training file. The most recent "Prevention of Shaken Baby/Abusive Head Trauma" training completed by the provider expired on 2/27/2025. Correction: If working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed. Correct immediately and document compliance to the Department in your Docusign Envelope ID: 46CF38A8-CBB4-4845-8E89-3AD4F3489801

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually.

Reviewed the provider's training file. The most recent CDPHE "Child Care Immunization Course" training completed by the provider expired on 2/27/2024. Correction: Please ensure the provider has completed a current CDPHE "Child Care Immunization Course" training. This training must be renewed annually. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, 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 Early Childhood, including the telephone number and mailing address.

The information and procedures for filing a complaint with the Colorado Department of Early Childhood was not posted at the time of inspection. Correction: Please ensure that the information and procedures for filing a complaint with CDEC are posted in a prominent and conspicuous location. Correct immediately and document compliance to the Department in your written response. Correct by 06/10/2024 DocuSign Envelope ID: BC950EA1-9A90-408E-AAE7-4CBAE4F30052

Corrected Corrected by Jun 10, 2024

Marked corrected in the state record.

2.337.A.4 · Shade must be available.

Shade was not available in the outdoor play area located in the backyard at the time of inspection. Correction: Please ensure shade is available for children when they utilize the outdoor play area. Correct immediately and document compliance to the Department in your written response. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Marked corrected in the state record.

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

Reviewed the provider's training file. The provider's "Standard Precautions" training expired on 2/3/2024. Correction: Please ensure the provider has completed a current "Standard Precautions" training. This training must be renewed annually. Correct immediately and document compliance to the Department in your written response. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Category: ratio. Marked corrected in the state record.

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

Reviewed the provider's training file. The most recent documentation of a department-approved "Abuse Prevention" training completed by the provider expired on 2/27/2024. Correction: Please ensure the provider has completed a current "Abuse Prevention" training. This training must be renewed annually. Correct immediately and document compliance to the Department in your written response. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed the provider's training file. The most recent "Safe Sleep" training completed by the provider expired on 2/27/2024. Correction: Please ensure the provider has completed a current "Safe Sleep" training. This training must be renewed annually. Correct immediately and document compliance to the Department in your written response Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

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