2.310.A · An experienced family child care provider license allows a provider to care for no more than nine (9) children of different age combinations depending upon which option the home is operating under; the capacity includes the provider’s own children under ten (10) years of age.

Identified during safety walk through, 12 children in attendance, 5 of the 12 children were under the age of 18months. Correction: Provide plan of action to ensure capacity and age requirements do not exceed chart options. Correct immediately 2/11/2025 and submit compliance by 3/11/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Marked corrected in the state record.

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ reach of children.”

Identified during safety walk through a bottle of clorox spray, kitty litter (basement cabinet) bathroom cleaner, and windex (dining room counter) accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 2/11/2025. ***Corrected at time of visit by removing items and making them inaccessible to children. No response required. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Category: physical safety. 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 Provider's file and observed an expired health statement (exp. 9/20/24) Correction: Obtain and maintain current and up to date health statement. Correct and submit written compliance 3/11/2025. Correct by 03/11/2025

Corrected Corrected by Mar 11, 2025

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 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 Provider's file and observed Standard Precaution training to be missing. Correction: Obtain and maintain current and up to date Standard Precaution training. Correct immediately 2/11/2025 and submit written compliance by 3/11/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

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 Provider's file and observed Immunization training to be expired (1/23/25). Correction: Obtain and maintain current and up to date Immunization training. Correct immediately 2/11/2025 and submit written compliance by 3/11/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

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

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Reviewed 3 pet vaccinations and observed 1 dog (Cash) to have an expired rabies vaccination (1/15/2025) Correction: Obtain and maintain current and up to date vaccination for all pets. Correct immediately 2/11/2025 and submit written compliance by 3/11/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

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 12 children files and observed 1 child to have an expired emergency medical authorization (exp 10/26/24). Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 2/11/2025 and submit written compliance by 3/11/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

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 12 children files and observed 3 children to have expired health statements. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 3/11/2025. Correct by 03/11/2025

Corrected Corrected by Mar 11, 2025

Category: ratio. Marked corrected in the state record.

2.318.D.1 · The following records must be kept and maintained in the files at the family child care home for three (3) years after the family child care home closes its license or stops providing care under its license; a child leaves the care of the family child care home or a staff member or volunteer terminates employment or volunteerism at the family child care home: A daily attendance sign in/sign out sheet for each child, including the time the child arrives at and departs from the family child care home;

Identified through Provider's statement that they only track CCCAP attendance. Correction: Ensure daily sign in/sign out sheets are done for each child verifying attendance. Correct immediately 2/11/2025 and submit written compliance by 3/11/2025. Correct by 02/11/2025

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 6 children's files and observed 1 file missing documentation of written authorization to obtain emergency medical care. Correction: Obtain documentation of written authorization to obtain emergency medical care. Correct immediately 3/7/2024 and respond by 4/6/2024. Correct by 03/07/2024

Corrected Corrected by Mar 7, 2024

Marked corrected in the state record.

7.707.71.C.1.a · . If a routine medication involves the administration of unit dose Epinephrine, the administration must be accompanies by a written individual health care plan by the prescribing health care provider that identifies the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ factors for determining the need for the administration of the medicaion, and is limited to emergency situations.

Observed a child to have a EPI pen and upon review of the child's file, observed that the written individual health care plan is expired. Correction: Obtain documentation of written individual health care plan. Correct immediately 3/7/2024 and respond by 4/6/2024. Correct by 03/07/2024

Corrected Corrected by Mar 7, 2024

Category: ratio. 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.

Observed provider's fingerprints are expired. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that provider has reviewed the powerpoint within 24 hours. Submit fingerprints through one of the state approved providers. Correct immediately 3/7/2024 and respond by 4/6/2024. Correct by 03/08/2024

Corrected Corrected by Mar 7, 2024

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