Patricia Garner

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 thirteen (13) child files. Three (3) child files did not contain documentation of the statement of the child's current health status signed and dated by a health care provider at the time of the inspection. 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 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 Docusign Envelope ID: 5C1649D0-911E-4995-8A96-30C2006770AB

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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 seventeen (17) 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 by 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 Docusign Envelope ID: 32A75003-1475-4DBF-899F-7C9E0DD5861C

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2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. 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 the provider and staff files. At the time of inspection the criminal FBI background checks for the Provider P.G. and the staff member P.G. have not been renewed. The two (2) criminal background checks were five (5) years old on 11/6/2024. Correction: Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. 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. Correct Immediately and document compliance to the Department in your written response. The provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify the Licensing Specialist in writing once the resident/staff has completed the renewal of the fingerprinting process. Correct by 06/12/2025

Corrected by Jun 12, 2025

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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 one (1) staff file. The most recent " Child Abuse Prevention" training completed by staff member P.G. that was available at the time of inspection expired on 5/31/2024. Correction: "Child Abuse Prevention" training must be completed prior to working with children and must be renewed annually. Please ensure staff member P.G. completes a current "Child Abuse Prevention" training. Correct immediately and document compliance to the Department in your written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

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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 one (1) staff file. The most recent "Safe Sleep" training that was completed by staff member P.G. that was available at the time of inspection expired on 6/1/2024. Correction: All staff members must complete a Department-Approved "Safe Sleep" training prior to working with infants. This training must be renewed annually. Please ensure staff member P.G. completes a current "Safe Sleep" training. Correct immediately and document compliance to the department in your written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

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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 one (1) staff file. The most recent "CDPHE Child Immunization Course" training completed by staff member P.G. at the time of inspection expired on 6/1/2024. Correction: The primary provider, equally qualified provider, and all individuals responsible for the collection, review and maintenance of the child immunization records must complete the "CDPHE Child Immunization" training on an annual basis. Correct by 06/17/2024

Corrected by Jun 17, 2024

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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 DocuSign Envelope ID: 76242209-2E19-4C9D-844F-505C9C6CF878 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 fourteen (14) child files. Two (2) child files did not contain documentation of the child's immunization status or a medical or nonmedical exemption at the time of inspection. Correction: 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 the CDPHE regulations. Colorado law requires that proof of immunization be provided prior to the first day of admission. Correct immediately and document compliance to the department in your written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

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7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed two (2) staff files. the most recent "Standard Precautions" training available for review for the provider P.G. expired as of 11/4/2021. Correction: A state 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 and may be counted towards ongoing training requirements. Correct immediately and document compliance to the Department in your response. Please provide a copy of a current "Standard Precautions" training for staff member P.G. with your response. Correct by 07/10/2023

Corrected by Jul 10, 2023

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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.

Reviewed two (2) staff files. The most recent documentation of "Safe Sleep" training for the provider P.G. expired as of 2/12/2021. Correction: All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis. Correct immediately and document compliance to the Department in your response. Please provide a copy of a current "Safe Sleep" training for the provider P.G. with your response. Correct by 07/10/2023

Corrected by Jul 10, 2023

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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.

Reviewed two (2) staff files. The most recent documentation of the required training "Prevention of Shaken Baby/Abusive Head Trauma" available for review at the time of inspection for staff members P.G. and P.G. expired on 2/12/2021 and 1/22/2022. Correction: 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. Correct immediately and document compliance to the Department in your response. Please provide copies of current "Shaken Baby/Abusive Head Trauma" training documentation for staff members P.G. and P.G. with your response. Correct by 07/10/2023

Corrected by Jul 10, 2023

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7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete DocuSign Envelope ID: E68F450B-B448-43A6-B20F-FD74A97B5355 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed two (2) staff files. The most recent documentation of "Child Abuse Prevention" training available for provider P.G. at the time of inspection expired as of 2/12/2021. Correction: Effective 12/31/2016 each provider, staff member or regular volunteer must complete a department approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements. Correct immediately and document compliance to the Department in your response. Please provide a copy of a current "Chid Abuse Prevention' training for provider P.G. with your response. Correct by 07/10/2023

Corrected by Jul 10, 2023

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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 protective surfacing was measured at a depth of four (4) inches in the use zone below the exit from both of the two (2) slides that are part of the play structure in the outdoor play area. Correction: 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. Correct immediately and document compliance to the Department in your response. Correct by 07/10/2023

Corrected by Jul 10, 2023

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