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 six children files and observed 2 files lacking current documentation of immunizations recorded on CDPHE or "approved alternate" certificate of immunization. Correction: Immediately, review all child files. All files must have immunization documented as specified on the Colorado Department of Public Health and Environment (CDPHE) certificate of immunization or on an "approved alternate" certificate. Submit written statement of compliance by 3/27/2024. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: health medication. 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 six children files and observed 2 files lacking current documentation of the written authorization for emergency medical care signed and dated annually. Correction: Immediately, review all child files, all files must have written authorization for the emergency medical care signed and dated by a parent or guardian. Submit written statement of compliance by 3/27/2024. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: health medication. 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 six child files and observed six files missing current documentation of written authorization for field trips. Correction: Immediately, review all child files, all files must have written authorizations for field trips and excursions must be obtained and updated annually. Submit written statement of compliance by 3/27/2024. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.337.A.5 · Decks that are more than twelve (12) inches high must have or be modified to have a protective railing or other barrier with slats no wider than four (4) inches apart.

At time of visit, observed backyard deck and ledge to be more than 12 inches high and lacking protective railing or barrier, posing a safety hazard for children. Correction: Immediately, decks that are more than 12 inches high must have or be modified to have a protective railing or other barrier with slats no wider than four inches apart. Submit pictures and a written statement of compliance by 3/27/2024. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

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

2.335.H · All stairways must be free from hazards, and open-sided portions that are located more than thirty (30) inches above the floor or grade below must be equipped with banisters or handrails within reach of children. The slats on all railings must be no wider than four (4) inches apart or modified to prevent entrapment.

At time of visit, observed stairs leading to backyard to have open-sided portions that are located more than 30 inches above the ground lacking banister or handrail, posing a safety hazard to children. Correction: Immediately, all stairways must be free of hazards, and open-sided portions that are located more than 3 inches above th floor or grade below must be equipped with banisters or handrails within reach of children. Submit pictures and a written statement of compliance by 3/27/2024. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

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