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 PDIS transcript and observed it be missing documentation of the completion of Department-approved training about child abuse prevention including common symptoms and signs. Correction: Obtain documentation of completion of Department-approved training about child abuse prevention and common signs and symptoms, for all staff within 30 days of date of hire and annually thereafter. Correct immediately. Send a copy of the training certificate to the licensing specialist with the written response. Correct by 04/21/2026

Corrected Corrected by Apr 21, 2026

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 PDIS transcript and observed it be missing current documentation of the completion of Department-approved Standard Precautions. Correction: Obtain documentation of completion of Department-approved Standard Precautions training and update annually. Correct immediately. Send a copy of the training certificate to the licensing specialist with the written response. Correct by 04/21/2026

Corrected Corrected by Apr 21, 2026

Category: ratio. 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 two child files and observed CH2 file to be missing a current health statement. Correction: Obtain health statement for all children enrolled within 30 days of date of admission. Correct and respond with a statement of compliance. Correct by 05/21/2026

Corrected Corrected by May 21, 2026

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 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 two child files and observed CH1 file to be missing a immunization record. Observed CH2 file to be missing a immunization record on an approved form. Correction: Obtain documentation of immunization or exemption status on the approved form for all children enrolled at the time of admission. Correct immediately and respond with verification of compliance. Correct by 04/21/2026

Corrected Corrected by Apr 21, 2026

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