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 providers file and observed provider to have an expired standard precaution training (expired 11/12/2023). Correction: Obtain and maintain current and up to date standard precaution training at all times. Correct immediately 8/16/24 and submit compliance by 9/16/24. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Category: ratio. 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 providers file and observed provider to have an expired Medical administration training (expired 3/27/2024). Correction: Obtain and maintain current and up to date medical adminstration training at all times. Correct immediately 8/16/24 and submit compliance by 9/16/24. Correct by 08/16/2024

Corrected Corrected by Aug 16, 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.

Reviewed 3 children files and observed 1 child to not have immunzation record documentation. Correction: Obtain and maintain current and up to date immunization documentation for all children. Correct immediately 8/16/24 and submit compliance by 9/16/24. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Category: health medication. 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 3 children files and observed 1 child to not have health statement record documentation. Correction: Obtain and maintain current and up to date health statement documentation for all children. Submit compliance by 9/16/24. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: ratio. Marked corrected in the state record.

2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

Observed less than 6 inches of resilient material in the landing zone of the slide (measured 2 to 3 inches). Correction: All use and landing zones must have at least 6 inches of resilient material at all times. Correct immediately 8/16/24 and submit compliance by 9/16/24. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed provider and 2 adults living in the home and observed 1 adult to not have their background checks since 6/15/2003). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that home member Bart Petersen has reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI, TRAILS. Provided documentation that Bart Petersen with written response to the Specialist. Correct immediately 8/16/2024 and submit compliance by 9/16/2024. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Observed provider's pets Milo and Chazz have expired rabies vaccinations. Correction: Obtain documentation of rabies vaccination. Correct by 10/27/2023

Corrected Corrected by Oct 27, 2023

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