Kristina Green

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 13 children's files and observed 1 child to have an expired emergency medical authorization. Correction: Obtain current emergency medical authorization. Correct immediately by 5/28/26 and submit written statement of compliance with overall response by 6/4/26. Correct by 05/28/2026

Corrected by May 28, 2026

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 resilient material (sand) under the climbing dome was between 2-3 inches in depth. 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. Correct immediately by 5/28/26 and submit written statement of compliance with overall response by 6/4/26. Correct by 05/28/2026

Corrected by May 28, 2026

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.

The provider did not have monthly smoke alarm testing documented for Jan, Feb, March or April 2026. Correction: Dates of monthly smoke alarm testing must be documented and maintained. Correct immediately by 5/28/26 and submit written statement of compliance with overall response by 6/4/26. Correct by 05/28/2026

Corrected by May 28, 2026

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;

Observed the provider and her assistant be be missing documentation of the Department approved Introduction to Early Intervention training Correction: Obtain documentation of a Department approved Introduction to Early Intervention training. Correct and submit written statement of compliance with overall response by 7/20/2025 Correct by 07/20/2025

Corrected by Jul 20, 2025

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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed the provider and her assistant to be be missing documentation of the Department approved Recognizing the Impact of Bias training. Correction: Obtain documentation of a Department approved Recognizing the Impact of Bias training. Correct and submit written statement of compliance with overall response by 7/20/2025, Correct by 07/20/2025

Corrected by Jul 20, 2025

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

Observed the provider and her assistant to be be missing documentation of the Department approved Injury Prevention training. Correction: Obtain documentation of a current Department approved Injury Prevention training. Correct and submit written statement of compliance with overall response by 7/20/2025, Correct by 07/20/2025

Corrected by Jul 20, 2025

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

Observed the provider and her assistant to be be missing documentation of the Department approved Working with an Early Childhood Mental Health Consultant training Correction: Obtain documentation of a Department approved Working with an Early Childhood Mental Health Consultant training. Correct and submit written statement of compliance with overall response by 7/20/2025 Correct by 06/20/2025

Corrected by Jun 20, 2025

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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed the provider and her assistant be be missing documentation of the Department approved Playground Safety for Homes training Correction: Obtain documentation of a Department approved Playground Safety for Homes training. Correct and submit written statement of compliance with overall response by 7/20/2025 Correct by 07/20/2025

Corrected by Jul 20, 2025

2.336.C.11 · Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

Several 5 gallon buckets of paint stored next to the furnace. Correction: Flammable or combustible items must be stores at least 3 feet from the furnace and hot water heater. Correct immediately by 6/20/25. Corrected at the time of visit by the provider moving the paint away from the furnace and hot water heater. No written response is required. Correct by 06/20/2025

Corrected by Jun 20, 2025

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 resilient material (sand) under the swings and at the bottom of the slides was between 3-4 inches in depth. 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. Correct immediately by 6/20/25 and submit written statement of compliance with overall response by 7/20/2025 Correct by 06/20/2025

Corrected by Jun 20, 2025

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.

Observed fingerprints are expired for both provider and assistant. Correction: Provider and assistant 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 provider and assitant has completed the fingerprinting process by submitting a receipt. Correct immediately 7/10/2024 and respond by 8/9/2024. Correct by 07/10/2024

Corrected by Jul 10, 2024

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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed provider and assistant missing documentation of current medication administration training. Correction: Obtain documentation of current medication administration training. Correct immediately 7/10/2024 and respond by 8/9/2024. Correct by 07/10/2024

Corrected by Jul 10, 2024

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Observed provider has an expired health statement. Correction: Obtain documentation of current health statement. Correct by 08/09/2024

Corrected by Aug 9, 2024

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.

Observed assistant missing documentation of current child abuse prevention training. Correction: Obtain documentation of current child abuse prevention training. Correct immediately 7/10/2024 and respond by 8/9/2024. Correct by 07/10/2024

Corrected by Jul 10, 2024

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.

Observed assistant missing documentation of current immunization training. Correction: Obtain documentation of current immunization training. Correct immediately 7/10/2024 and respond by 8/9/2024. Correct by 07/10/2024

Corrected by Jul 10, 2024

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 11 child files and observed 4 files with expired health statements. Correction: Obtain documentation of current health statement. Correct by 08/09/2024

Corrected by Aug 9, 2024

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 11 child files and observed 2 files with expired written authorization to arrange for emergency medical care. Correction: Obtain documentation of emergency medical care. Correct immediately 7/10/2024 and respond by 8/9/2024. Correct by 07/10/2024

Corrected by Jul 10, 2024

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Observed provider missing 5 hours of annual training and provider's assistant missing 7 hours of annual training. Correction: Obtain documentation of annual training. Correct by 09/09/2023

Corrected by Sep 9, 2023

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 16 children's files and observed 3 files with expired health statements. Correction: Obtain documentation of current health statement. Correct by 09/09/2023

Corrected by Sep 9, 2023

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 16 children's files and observed 9 files with expired written authority to arrange for emergency medical care. Correction: Obtain documentation of written authority to arrange for emergency medical care. Correct immediately 8/10/2023 and respond by 9/9/2023. Correct by 08/10/2023

Corrected by Aug 10, 2023