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 Alexa to be missing documentation of current standard precautions training. Correction: Obtain documentation of current Department approved standard precautions training and add to file Submit a written statement of compliance to specialist with response form. Correct by 08/22/2024

Corrected Corrected by Aug 22, 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 provider's file and observed Alexa to be missing documentation of current immunizations training. Correction: Obtain documentation of current Colorado Department of Public Health and Environment (CDPHE) immunizations training and add to file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 reach of children.”

A box of foil and a box of plastic wrap with sharp serrated edges in an unlocked drawer in the kitchen, accessible to children. Observed several boxes of varied size plastic storage bags in the unlocked pantry, accessible to children. Correction: All hazardous items including sharp items, and plastic bags must be inaccessible to children. Correct immediately. Corrected at the ti me of inspection. Provider moved foil, plastic wrap, and plastic bags to high shelves inaccessible to children 7/23/2024. No response required for this violation. Correct by 07/23/2024

Corrected Corrected by Jul 23, 2024

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

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 8 children's files and observed 1 file to be missing documentation of current health statement (child over 2 years to seven years of age). Correction: Obtain documentation of current health statement and add to file. Submit a written statement of compliance to specialist with response form. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

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

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,

Identified through discussion with the provider, provider's ongoing training hours are tracked per calendar year. Observed provider completed six training hours during 2022 calendar year. Observed no evidence of provider completing any social emotional training in 2022. Correction: Ensure to complete a minimum of 15 clock hours of training, with at least three hours focusing on social emotional development, per year. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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

No evidence of a current health statement signed and dated by a health care provider in two out of the five children's files reviewed. Correction: Obtain and maintain documentation in children's files. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: ratio. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

No evidence of current immunization status or exemption in two of the five children's files reviewed. Correction: Immediately obtain and maintain documentation in children's files. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

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