2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

There was no record of a monthly smoke alarm testing. Correction: Obtain, maintain and update annually documentation of monthly smoke alarm testing. Correct immediately. Document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.13.a · All equally qualified providers, qualified substitutes, and staff members must obtain a medical statement signed and dated by a licensed physician or other health care provider within thirty (30) days of employment.

Reviewed two (2) staff files, one (1) staff member, AI, did not have a medical statement on file available for review. Correction: Obtain, maintain documentation of medical statement for AI. Correct and document compliance to the Department on the response form. Correct by 06/20/2024

Corrected Corrected by Jun 20, 2024

Category: health medication. 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. DocuSign Envelope ID: 39954A1E-4F50-4FAE-BE33-FF783E2AFEEB FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed nine (9) child files one child (1) did not have a signed policies and procedures document on file and available for review. Correction: An admission record must include a signed policies and procedures document from a parent or guardian. Correct and document compliance to the Department on the response form. Correct by 06/20/2024

Corrected Corrected by Jun 20, 2024

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 two (2) staff files, AI, did not have a fifteen (15) hours of annual training nor three (3) hours of social emotional training on file available for review. AI, did have eleven (11) hours of annual training, and one (1) hour of social emotional training. Correction: Obtain, maintain and update annually documentation of fifteen (15) hours of annual training and three (3) hours of social emotional training. Correct and document compliance to the Department on the response form. Correct by 06/20/2024

Corrected Corrected by Jun 20, 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 nine (9) child files one child (1) did not have a current health statement on file available for review. Correction: Obtain, maintain and update annually documentation of child health evaluation. Correct and document compliance to the Department on the response form. Correct by 06/20/2024

Corrected Corrected by Jun 20, 2024

Category: ratio. 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.

Reviewed one (1) resident file, resident MB did not have a medical statement on file and available for review. DocuSign Envelope ID: 39954A1E-4F50-4FAE-BE33-FF783E2AFEEB FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain, maintain documentation of medical statement for MB. Correct immediately. Document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: health medication. 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 two (2) staff files, AI, did not have a Medication Administration Training on file available for review. Correction: Obtain, maintain and update documentation of Medication Administration Training. Correct immediately. Document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: ratio. 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. DocuSign Envelope ID: 39954A1E-4F50-4FAE-BE33-FF783E2AFEEB FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed two (2) staff files, TB and AI did not have a current Immunization Training on file available for reviw. Correction: Obtain, maintain and update annually documentation of Immunization Training. Correct document compliance to the Department on the response form. Correct by 06/20/2024

Corrected Corrected by Jun 20, 2024

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

2.312.O · Within ninety (90) calendar days of caring for children all qualified substitutes, and staff members must have at least one (1) hour of child development training. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This course is required once and will be counted towards ongoing training requirements if taken after the date of hire.

Reviewed two (2) staff files, TB, did not have a Child Development Training on file available for review. Correction: Obtain, maintain documentation of Child Development Training. Correct and document compliance to the Department on the response form. Correct by 06/20/2024

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. 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.

Reviewed nine (9) child files one child (1) did not have a field trip authorization on file available for review. Correction: An admission record must include a written authorization for field trips and excursions. Correct immediately and document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency. DocuSign Envelope ID: 39954A1E-4F50-4FAE-BE33-FF783E2AFEEB FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed one (1) resident file, MB, did not have a CBI nor FBI background check. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: background checks. Marked corrected in the state record.

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

The provider did not have a current fire drill log. The last fire drill was completed on 3/14/2024. Correction: Fire drills must be held monthly and be consistent with local fire department procedures. Correct immediately and document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: recordkeeping. 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 DocuSign Envelope ID: 39954A1E-4F50-4FAE-BE33-FF783E2AFEEB FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 only four (4) were signed in. Correction: The provider must maintain a daily sign in/out method. Correct immediately. Corrected at the time of inspection the provider signed in the four (4) children who were not signed in. Document a plan for continued compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.325.C · All parents must have access to menus and must be notified of meals being served.

There was no menu available for the parents to access. Correction: All parents must have access to menus and must be notified of meals being served. Correct immediately and document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Marked corrected in the state record.

2.335.X · All adult exercise equipment must be inaccessible to children.

In a closet that was open and accessible to children, in the children's play room. There was a rowing machine propped up against the wall. Correction: All adult exercise equipment must be inaccessible to children. Correct immediately. Corrected at the time of the inspection the rowing machine was moved to a hall closet and made inaccessible. No response is needed for this violation. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

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

2.337.A.13 · The use of any trampoline by children in care is prohibited. If there is a trampoline on the property of the family child care home, it must be stored in a way that makes it inaccessible to children.

Near the interior front door of the child care there was a trampoline propped up against the wall and accessible to children. It was learned through conversation, that the provider normally leaves the trampoline on the deck that is directly ouside of the child care. The deck is also used as a transition spot for children to go downstairs to the outdoor play area. Correction: If there is a trampoline on the property of the family child care home, it must be stored in a way that makes it inaccessible to children. Correct immediately. Corrected at the time of the inspection the trampoline was moved downstairs DocuSign Envelope ID: 39954A1E-4F50-4FAE-BE33-FF783E2AFEEB

Open Not marked corrected in the state record

Open / not marked corrected.

2.313.A · Prior to working with children, unless otherwise specified in rules, personnel files for equally qualified providers, qualified substitutes, and all staff members must be available for review by the Department and must include:

Reviewed two (2) staff files, AI, did not any documentation to prove her qualifications as an ECCP, available for review at the time of inspection. Correction: Obtain, maintain and update documentation of qualifications as an ECCP. Correct immediately. Document compliance to the Department on the response form. Correct by 05/21/2024

Corrected Corrected by May 21, 2024

Marked corrected in the state record.