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 on file for staff member Isabella G. showing completion of the required Early Intervention training. Correction: Submit documentation confirming Isabella's completion of the aforementioned training to the licensing specialist with the Written Response. Correct by 08/23/2025

Corrected Corrected by Aug 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.F.1 · This training is developed and facilitated by the primary provider for applicant 2, equally qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ providers, qualified substitutes, and all staff members to identify specific environmental hazards at the family child care home. Applicant 2, equally qualified providers, qualified substitutes, and all staff members must be retrained if there are changes to the building and physical premises.

There was no documentation on file for staff member Isabella G. showing completion of the required Building and Physical Premesis Training. Correction: Submit documentation confirming Isabella's completion of the aforementioned training to the licensing specialist with the Written Response. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

A plastic bin containing small plastic toy animals, posing a choking or inhalation risk, was located next to the playground sink, accessible to children under 3 years of age. Correction: Remove any toys or materials that pose a choke hazard to children under 3 years of age. CORRECTED ON SITE 7/23/25. The provider removed the items and placed them in an area inaccessible to the children. No response is required for this violation Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: physical safety. 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.

The neon green slide measuring 24 inches had 3 inches of resilient surfacing. The train shaped climbing structure with a ladder measuring 27 inches tall had 3 inches of resilient surfacing. Correction: Ensure that any climbing equipment measuring 18 inches or higher has at least 6 inches of resilient surfacing in the use zone. CORRECTED ON SITE 7/23/2025. The provider moved more pea gravel into the use zone of the aforementioned climbing equipment and slide. No written response is required for this violation. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: physical safety. 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. Docusign Envelope ID: 119A55BC-EC71-4954-8A9E-4330217B645D FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One (1) dog had an expired rabies vaccination. Correction: Obtain, maintain and update documentation of rabies vaccination. Correct immediately. Document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Marked corrected in the state record.

2.329.H.9 · Toys, including mobiles and other types of play equipment that are designed to be attached to any part of sleeping equipment must be kept away from sleeping infants and out of sleep environments, including hanging toys. Blankets and other items must not be hung from or draped over the sides or any part of sleeping equipment.

A 10 month old infant placed in an unsafe sleep environment; Observed a blanket drapped over the side of the pack-and-play. Correction: All infants must immediately be placed in a safe sleep environment. Immediately place infant on their back; remove the large blanket from the crib; move infant to approved sleep equipment; ensure infants are not swaddled, remove the loose bedding, and ensure that the crib has an appropriate fitting flat sheet; remove the blanket and pillow from the crib. Correct by 08/01/2024 Docusign Envelope ID: 119A55BC-EC71-4954-8A9E-4330217B645D

Corrected Corrected by Aug 1, 2024

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

2.317.D.1 · 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.

There were eight (8) children in attendance, and three (3) were signed in. Correction: Obtain, maintain and update documentation of sign in sheet. Correct immediately. Document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.7 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Identified that the qualified substitute completed infant safe sleep training on 6/9/2023, and a child in their care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: physical safety. 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.

Identified that the qualified substitute was required to renew infant safe sleep training by 6/9/2024, failed to complete renewal of the training in required timeframes, and a child in their care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

The provider did not have a current medical statement. Docusign Envelope ID: 119A55BC-EC71-4954-8A9E-4330217B645D FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain, maintain and update documentation of medical statement. Correct and document compliance to the Department on the response form. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

Category: health medication. 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.

Qualified substitute, MV, did not have a current Standard Precautions Training. Correction: Obtain, maintain and update annually documentation of Standard Precautions Training. Correct immediately. Document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: ratio. 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 bottom right cabinet under the kitchen sink there were multiple cleaning supplies with the label "keep out of reach of children" accessible to children. Correction: All items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately and document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Two (2) children were missing signed policies and procedures documentation. Correction: Obtain, maintain and update documentation of signed policies and procedures documentation. Correct document compliance to the Department on the response form. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

Marked corrected in the state record.

2.329.H.2 · Soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other sleep/rest equipment that meets the CPSC standards incorporated by referenced in rule 2.329.A. 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, pacifiers with stuffed animals attached, and stuffed animals.

A 10 month old infant placed in an unsafe sleep environment; Docusign Envelope ID: 119A55BC-EC71-4954-8A9E-4330217B645D FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Observed a blanket wrapped around the infant, with a loose blanket in the pack and play, another blanket near the infant's face, and the infant was laying on a pillow. Correction: All infants must immediately be placed in a safe sleep environment. Immediately place infant on their back; remove the large blanket from the crib; move infant to approved sleep equipment; ensure infants are not swaddled, remove the loose bedding, and ensure that the crib has an appropriate fitting flat sheet; remove the blanket and pillow from the crib. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

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;

Two (2) children did not have a current emergency medical authorization. Correction: Obtain, maintain and update annually documentation of emergency medical authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis. Docusign Envelope ID: 119A55BC-EC71-4954-8A9E-4330217B645D FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Two (2) children were missing field trip authorization. Correction: Obtain, maintain documentation of field trip authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. 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.

Two (2) children were missing current health statements. Correction: Obtain, maintain and update documentation of health statements. Correct document compliance to the Department on the response form. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

Category: ratio. Marked corrected in the state record.

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.

Two (2) children were missing topical authorizations. Correction: Obtain, maintain document of topical authorizations. Correct immediately. Document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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.

The pea gravel resilient material measured three (3) to four (4) inches in the use zone below the red slide and green slide on the outdoor playground. There was a blue slide that was nineteen (19) inches in height that was on concrete. Correction: Maintain at least six (6) inches of resilient surfacing in the use zone of equipment eighteen (18) inches or higher. Correct immediately and document compliance to the Department on the response form. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

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 three (3) child files and one (1) child did not have a signed sunscreen authorization available for review. Correction: Before providing care, a signed sunscreen authorization must be obtained for each child. Correct and document compliance to the Department on the response form. Correct by 10/28/2023

Corrected Corrected by Oct 28, 2023

Category: ratio. Marked corrected in the state record.

7.707.51.A.10 · The admission record must include:Written authorization, obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle.

Reviewed three (3) child files and one (1) child did not have a signed field trip authorization available for review. DocuSign Envelope ID: 59B131CE-A4D3-46EE-B14B-0649766613FA FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Before providing care, a signed field trip authorization must be obtained for each child. Correct immediately and document compliance to the Department on the response form. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: transportation. Marked corrected in the state record.

7.707.94.E · The home must obtain written permission from the parent or guardian for transportation of the child.

Reviewed three (3) child files and one (1) child did not have a signed transportation authorization available for review. Correction: Before providing care, a signed transportation authorization must be obtained for each child. Correct immediately and document compliance to the Department on the response form. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: transportation. 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 three (3) child files and two (2) children did not have an updated emergency medical care authorization. Correction: A signed emergency authorization must be obtained for each child and updated annually. Correct immediately and document compliance to the Department on the response form. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Marked corrected in the state record.

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 DocuSign Envelope ID: 59B131CE-A4D3-46EE-B14B-0649766613FA FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as "keep out of reach of children.

The following hazardous items labeled "keep out of reach of children" accessible to children in the home: a bag of cough drops in kitchen drawer near the refrigerator, a bottle of bleach on the floor in the laundry room, a open bottle of beer on the top shelf of the refrigerator. Correction: Keep hazardous items and materials out of their reach at all times. Correct immediately. Corrected at the time of the inspection. During the inspection, bags of cough drops were stored on top of the refrigerator, the baby gate was moved to prevent access to bleach, and a bottle of beer was emptied and disposed of. No response is needed for this violation. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

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

7.707.51.A.6 · The admission record must include:Names, addresses,and telephone numbers of the child's health care provider,dentist,pedadontist,and hospital of choice, if applicable.

Reviewed three (3) child files and three (3) child did not have a record of child's dentist available for review. Correction: Include the child's dentist in their admission record. Correct immediately and document compliance to the Department on the response form. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

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