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Home › CO › Grand Junction › Sylvia Porter
Grand Junction CO 81505 · License #34317 · Home-based · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
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2.311.A.14.a · All equally qualified providers, qualified substitutes, and all staff members must obtain a subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider.
Reviewed the provider's file. The most recent health evaluation available for review at the time of inspection was conducted on 4/15/2023 and expired on 4/15/2025. Correction: All equally qualified providers, qualified substitutes, and all staff members must obtain a subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. Correct and document compliance to the Department in your written response. Please provide a copy of a current health evaluation signed by a health care provider with your response. Correct by 04/10/2026
Corrected Corrected by Apr 10, 2026
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 Docusign Envelope ID: CF765569-351B-4F77-B04A-D91499A94903 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 file. The most recent "Standard Precautions" training completed by the provider available for review at the time of inspection expired on 5/6/2025. Correction: 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. Correct immediately and document compliance to the Department in your written response. Please provide a copy of a current "Standard Precautions" training certificate completed by the provider with your written response. Correct by 03/11/2026
Disposition: Founded
Generated from this facility's specific inspection record
Data synced from Colorado Department of Early Childhood (CDEC) on Jul 9, 2026 · Source records · Report an error
Corrected Corrected by Mar 11, 2026
Category: ratio. 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 infant to twenty-one (21) years of age;
Reviewed the provider's file. The most recent CPR/First Aid certification completed by the provider that was available for review at the time of inspection expired on 6/27/2025. Correction: 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 infant to twenty-one (21) years of age. The primary provider must maintain a current CPR/First Aid Certification. 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 with your written response. Correct by 03/11/2026
Corrected Corrected by Mar 11, 2026
Category: recordkeeping. 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 Docusign Envelope ID: CF765569-351B-4F77-B04A-D91499A94903 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.
Reviewed the provider's file. The most recent "Child Abuse Prevention" training completed by the provider expired 5/6/2025. Correction: 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. Correct immediately and document compliance to the Department in your written response. Please provide a copy of a current "Child Abuse Prevention" training for the provider with your response. Correct by 03/11/2026
Corrected Corrected by Mar 11, 2026
Category: recordkeeping. Marked corrected in the state record.
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 file. A current "Colorado Department of Public Health and Environment Child Immunization" training was not available for review at the time of inspection. Correction: 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. Correct and document compliance to the Department in your written response. Please provide a copy of a current "CDPHE Child Immunization" training with your written response. Correct by 04/10/2026
Corrected Corrected by Apr 10, 2026
Category: health medication. 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. Docusign Envelope ID: CF765569-351B-4F77-B04A-D91499A94903 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________
A red plastic slide that was attached to a plastic "tree house" outdoor play house was measured to be twenty (20) inches from the ground to the platform. The slide was located on a concrete and gravel area with no resilient material in the use zone. 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. Corrected at the time of inspection by the provider removing the slide from the area and making it inaccessible. Document a plan for continued compliance to the Department in your written. Correct by 03/11/2026
Corrected Corrected by Mar 11, 2026
Category: physical safety. Marked corrected in the state record.
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 documentation. The most recent " CDPHE Immunization Course" training compelted by the provider that was available for review at the time of inspection expired 8/20/2024. Correction: CDPHE Immunization Course training must be completed by the provider annually. Correct and document compliance to the Department in your written response. Please provide documentation of a current CDPHE Immunization training for the provider with your response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 2025
Category: health medication. 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 Docusign Envelope ID: 0B7DAAFD-45CE-4D6F-A8CB-1B4E46C001A2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Health Consultant.” This course is required once and will be counted toward ongoing professional development.
Reviewed the Provider's training documentation. At the time of inspeciton documentation that the provider has completed the training "Working with an Early Childhood Mental Health Consultant" was not available for review. 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. Please provide documentation that the provider has completed "Working with an Early Childhood Mental Health Consultant" Training with your response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 2025
Category: health medication. 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 training documentation. At the time of inspeciton documentation that the provider has completed the training "Playground Safety for Homes" was not available for review. 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. Please provide documentation that the provider has completed "Playground Safety for Homes" Training with your response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 2025
Category: recordkeeping. 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 intervention and preschool special education programs. This course is required once and will be counted towards ongoing Docusign Envelope ID: 0B7DAAFD-45CE-4D6F-A8CB-1B4E46C001A2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training requirements;
Reviewed the Provider's training documentation. At the time of inspeciton documentation that the provider has completed the training "Introduction to Early Intervention and Preschool Special Education Programs" was not available for review. 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 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 "Introduction to the Early Intervention and Preschool Special Education Programs" Training with your response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 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 training documentation. At the time of inspeciton documentation that the provider has completed the training "Recognizing the Impact of Bias on Early Childhood Professionals" was not available for review. 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. Please provide documentation that the provider has completed "Recognizing the Impact of Bias on Early Childhood Professionals" Training with your response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 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 Docusign Envelope ID: 0B7DAAFD-45CE-4D6F-A8CB-1B4E46C001A2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 training documentation. At the time of inspeciton documentation that the provider has completed the training "Injury Prevention for Homes" was not available for review. 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. Please provide documentation that the provider has completed "Injury Prevention for Homes" Training with your response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 2025
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 documentation. The most recent "Safe Sleep" training compelted by the provider that was available for review at the time of inspection expired 8/20/2024. Correction: Safe Sleep training must be renewed annually by the provider. Correct immediately and document compliance to the Department in your written response. Please provide documentaton that the provider has completed a current Safe Sleep training with your response. Correct by 03/17/2025
Corrected Corrected by Mar 17, 2025
Category: physical safety. Marked corrected in the state record.
2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;
Reviewed the provider's training documentation. The certificate for the completion of Medication Administration training completed 5/22/2023 has not been signed by a nurse/CCHC showing that part II which is the in-person portion of the training has been completed. Correction: Please ensure that you have completed part II of the Medication Administration training. Part II is an in-person Docusign Envelope ID: 0B7DAAFD-45CE-4D6F-A8CB-1B4E46C001A2
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
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 six (6) child files. At the time of inspection five (5) of the child files did not contain documentation of the child's current health status signed and dated 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 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. Correct and document an ongoing plan of compliance to the Department in your written response. Correct by 04/18/2025
Corrected Corrected by Apr 18, 2025
Category: ratio. 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 Docusign Envelope ID: 0B7DAAFD-45CE-4D6F-A8CB-1B4E46C001A2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 six (6) child files. At the time of inspection four (4) of the child files did not contain documentation of immunization status for the children. 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), no later editions or amendments are incorporated. Colorado law requires that proof of immunization be provided prior to the first day of admission. Correct Immediately and document an ongoing plan of compliance to the Department in your written response. Correct by 03/17/2025
Corrected Corrected by Mar 17, 2025
Category: health medication. Marked corrected in the state record.
2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.
A walkthrough of the outdoor area was completed. Several areas within the outside play area contained animal waste from a dog. Correction: All outdoor areas where children may pass or play must be kept free of animal contamination. Please ensure that all animal waste is promptly removed and inaccessible to children for children to utilize the outdoor play area. Correct Immediately and document compliance to the Department in your written response. Correct by 03/17/2025
Corrected Corrected by Mar 17, 2025
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.
Completed a walkthrough of the outdoor play area. A plastic Fisher Price playhouse with a pink slide that Docusign Envelope ID: 0B7DAAFD-45CE-4D6F-A8CB-1B4E46C001A2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ was twenty-three (23) inches in height was located on the right side of the outdoor play area on a hard sand area. There was no resilient material in the use zone of the slide. 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 03/17/2025
Corrected Corrected by Mar 17, 2025
Category: physical safety. Marked corrected in the state record.
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's FBI criminal background check. At the time of inspection, the provider's FBI criminal background check has not been renewed. The FBI background clearance is more than five (5) years old and is expired. 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. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members DocuSign Envelope ID: 509CBE28-91E4-435D-BED4-8903E4AE2DD1
Open Not marked corrected in the state record
Category: background checks. Open / not marked corrected.
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 small pink plastic toy part and a small black plastic toy part that were chokeables were located in a yellow tub inside the child's play stove in the indoor child care space and accessible to children under three (3) years old. Correction: 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. Correct immediately. Corrected at the time of the inspection by the provider removing the chokeable items and making them inaccessible. No response is needed for this violation. Correct by 04/04/2024
Corrected Corrected by Apr 4, 2024
Category: physical safety. 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 staff file. At the time of inspection documentation of a current department-approved training about child abuse prevention was not available for review. Correction: 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. Correct immediately and document compliance to the department in your written response. Please provide a copy of a current child abuse prevention training certificate with your response. Correct by 04/04/2024
Corrected Corrected by Apr 4, 2024
Category: recordkeeping. 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 staff file. At the time of inspecton documentation that the provider has completed a DocuSign Envelope ID: 509CBE28-91E4-435D-BED4-8903E4AE2DD1 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ current department-approved training in standard precautions was not available for review. Correction: 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. Correct immediately and document compliance to the Department on the response form. Please provide a copy of a current standard precautions training certificate with your response. Correct by 04/04/2024
Corrected Corrected by Apr 4, 2024
Category: ratio. 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 provider's staff file. At the time of inspection documentation that the provider has completed a current department-approved prevention of shaken baby/abusive head trauma was not available at the time of inspection. Correction: 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. Correct immediately and document compliance to the Department in your written response. Please provide a copy of a current shaken baby/abusive head trauma training with your response. Correct by 04/04/2024
Corrected Corrected by Apr 4, 2024
Category: recordkeeping. Marked corrected in the state record.
2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.
Reviewed the provider's staff file. The provider's staff file contains evidence of seven (7) hours of annual DocuSign Envelope ID: 509CBE28-91E4-435D-BED4-8903E4AE2DD1 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ ongoing professional development. Three of the hours were training in social-emotional development. Correction: The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: 1. Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development. Correct and document a plan of compliance in your written response to the department. Correct by 05/04/2024
Corrected Corrected by May 4, 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.
Reviewed six (6) child files. Four (4) child files did not contain documentation of a statement of the child's current health status signed and dated 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 appointment with a healthcare 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. Correct and document compliance to the Department in your written response. Correct by 05/04/2024
Corrected Corrected by May 4, 2024
Category: ratio. 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;
Reviewed six (6) child files. Four (4) of the child's files contained expired emergency medical authorization signed by a parent. Correction: 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. Correct immediately and document compliance to the Department in your written response. Correct by 04/04/2024
Corrected Corrected by Apr 4, 2024
Category: health medication. 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 scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as "keep out of reach of children.
Adult scissors, a stapler, a bottle of Odor Ban spray that states "keep out of reach of small children", pure monoi oil lotion, and a box of Armon Hammer carpet cleaning/deodorizing powder were all accessible to children in the area around the provider's desk. 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, medicines, perfumes, curling irons, adult sharp scissors and knives, DocuSign Envelope ID: 4A42EA6D-1B2D-46ED-B813-73FFC8995793
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.
Reviewed nine (9) child files. No documentation of immunization status was available for two (2) of the child files. Violation of 7.707.71.A.1.C. was previously cited during supervisory inspections on 5/25/2022 and 4/19/2023. Correction: At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the home: Documentation of immunization status or exemption, including the month and year each DocuSign Envelope ID: 4A42EA6D-1B2D-46ED-B813-73FFC8995793
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
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 nine (9) child files. Three (3) of the child files did not contain a statement of the child's current health status or verification of a scheduled appointment. Three (3) of the child files contained a statement of the child's current health status that was not signed and dated by a healthcare provider. Correction: 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 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 child care home. Correct and document compliance to the department in your response. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: ratio. Marked corrected in the state record.
7.707.922.A · Toys, toy parts and any material accessible to children under three (3) years of age must be large enough that they cannot be swallowed or inhaled, to prevent a choking hazard.
Two (2) open tubs of small Lego blocks and accessories and small geometric puzzle pieces that pose a choking hazard were located on the top of small book shelves and accessible to children under three years of age who were in care. DocuSign Envelope ID: 4A42EA6D-1B2D-46ED-B813-73FFC8995793 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Toys, toy parts, and any material accessible to children under three (3) years of age must be large enough that they cannot be swallowed or inhaled, to prevent a choking hazard. Correct immediately and document compliance to the Department in your response. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: physical safety. Marked corrected in the state record.
7.707.922.D · Furnishings and equipment in the area approved for child care must be in good repair.
A door to a room used for childcare was detached at the bottom hinge, not in good repair, and accessible by children in care. The door was located in the entry to the room to the left where the pack-n-plays were located. The violation of 7.707.922.D was cited concerning the same door during the supervisory inspections on 5/25/2022 and 4/19/2023. Correction: Furnishings and equipment in the area approved for child care must be in good repair. Corrected at the time of inspection by the provider removing the partially detached door. No response is required. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: supervision. Marked corrected in the state record.
7.707.73.N · Dishes, cookware, high chair trays and utensils must be washed, sanitized, and stored in a safe and sanitary manner. When used, disposable dishes and utensils must be disposed of after use. Food preparation and service areas including, but not limited to, sinks, faucets, counters, and tables must be sanitary.
Cups and utensils were located in a cabinet above the sink in the bathroom utilized for childcare. A small water dispenser was also located on the bathroom sink. Violation of 7.707.73.N was also cited for having dishware and utensils in the child care bathroom during the supervisory inspection on 4/19/2023. Correction: Dishes, cookware, high chair trays and utensils must be washed, sanitized, and stored in a safe and sanitary manner. When used, disposable dishes and utensils must be disposed of after use. Food preparation and service areas including, but not limited to, sinks, faucets, counters, and tables must be sanitary. Correct immediately and document compliance to the Department in your response. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: supervision. Marked corrected in the state record.
7.707.932.E · By December 31, 2010, all swing sets or permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards.
A piece of toddler-age climbing equipment with a small green slide and ladder anchored by being partially buried in the dirt on the left and right sides. The ladder to the toddler climber is located within two (2) feet of the chain link fence at the back of the outdoor play area. Violation of 7.707.932.E was previously cited during the supervisory inspection on 4/19/2023 for the same piece of playground equipment. Correction: By December 31, 2010, all permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards. Correct immediately and document compliance to the Department in your response. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: supervision. Marked corrected in the state record.
7.707.934.B · 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
A green water hose was on the ground through the middle of the outdoor play area posing a tripping hazard. A large faded red plastic airplane toy that was not in good repair was propped up on furniture posing a hazard accessible by children in the outdoor play area. A detached white screen door, for a house, with metal hinges protruding, was propped up between furniture and held upright with a bungee chord in the outdoor play area accessible to children. 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 and document compliance to the Department in your response. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: physical safety. Marked corrected in the state record.
7.707.91.M · All play equipment must be designed to guard against entrapment and strangulation. Swing sets and other outdoor play equipment must be correctly assembled, well maintained, and securely stabilized or anchored. All DocuSign Envelope ID: 4A42EA6D-1B2D-46ED-B813-73FFC8995793 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ swings for children three (3) years of age and older must have seats made of flexible material.
A brown portable playhouse with a red slide that was not attached correctly at the top was located in the outdoor play area accessible to children. The slide was not correctly assembled to the playhouse posing a hazard to children. Correction: All play equipment must be designed to guard against entrapment and strangulation. Swing sets and other outdoor play equipment must be correctly assembled, well maintained, and securely stabilized or anchored. All swings for children three (3) years of age and older must have seats made of flexible material. Please ensure the playhouse and slide are assembled correctly or remove the access to the playhouse and slide. Correct immediately and document compliance to the Department in your response. Correct by 09/07/2023
Corrected Corrected by Sep 7, 2023
Category: physical safety. Marked corrected in the state record.