2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

Reviewed provider's paperwork and observed Sally to be missing documentation of a building and physical premises training for the home. Correction: Obtain documentation of a building and physical premises training and add to files. Correct immediately, or prior to license recommendation. Send documentation of building and physical premises training to specialist with response form. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

A lawn mower stored behind the storage shed in the back yard, accessible to children. Observed a piece of rebar sticking 4-5 inches up out of the walking path frame where parents and children will enter the home , accessible to children. Correction: Outdoor play spaces must be free from hazards. Correct immediately, or prior to license recommendation. Submit a written statement of compliance to specialist with response form. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

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

2.337.A.8 · Window wells accessible to children must have covers that are in good condition and will protect children from falling into the window well. Window well covers must not prevent exiting from a basement window designated as the second exit.

A window well in the back yard accessible to children to be missing a cover. Correction: Window wells accessible to children must have covers to protect children from falling into the window well. Correct immediately, or prior to license recommendation. Submit a written statement of compliance to specialist with response form. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

Several electrical outlets accessible to children in the kitchen and the stair way leading to the main floor to be missing protective covers. Correction: All electrical outlets accessible to children must have protective covers. Correct immediately, or prior to license recommendation.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.335.I · Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on the stairs.

The stairs (more than 4 steps) leading to the downstairs room used for care, by the kitchen to be missing a gate. Observed the stairs from the deck off of the kitchen to the outdoor play area ( more than 4 steps) to be missing a gate. Correction: stairways of more than 4 steps. in indoor and outdoor licensed areas, accessible to children must have gates. Correct immediately, or prior to license recommendation. Submit a written statement of compliance to specialist with response form Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: supervision. 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 reach of children.”

A bottle of Dawn dish soap and a spray can of Glass cleaner labeled "keep out of reach of children" in the unlocked cabinet under the sink in the kitchen, accessible to children. Correction: Hazardous items and items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately, or prior to license recommendation. Submit a written statement of compliance to specialist with response form. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

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

2.320.A.4 · 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: Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s) or guardian(s) cannot be reached immediately;

Reviewed the admission form and observed it to be missing emergency contact address. Correction: Add the address for persons who can assume responsibility for the child in the event of an emergency to the admission form and make available to parents to fill out. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

Category: recordkeeping. 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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 9 children's files and observed 3 files to be missing documentation of current emergency medical care authorization. Correction: Obtain documentation of current signed and dated emergency medical care authorization and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

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

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Several small magnets on a white board by the entry of the home used to display items accessible to children, posing a potential choke hazard. Observed several small magnet on the refrigerator used to display items accessible to children, posing a potential choke hazard. Observed several thumb tacks used to display items on a bulletin board in that hallway where by the bathroom (diapers are changed in the area) posing a potential choke hazard. Observed a small box with small pieces of chalk and staples in an unlocked drawer in the kitchen accessible to children, posing a potential choke hazard. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under the age of 3 years must not be a choke hazard. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

Category: physical safety. 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 reach of children.”

A spray bottle/ can of OFF bug spray labeled "keep out of reach of children" on the front steps at the entry of the home, accessible to children. Observed a bottle of hand sanitizer labeled "keep out of reach of children" on a table on the front porch at the entry of the home, accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

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

2.335.X · All adult exercise equipment must be inaccessible to children.

An adult exercise bike in the living room, accessible to children. Correction: All adult exercise equipment must be inaccessible to children. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

Category: physical safety. 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.

The written authorization, provided by parent, to arrange for emergency medical care was not updated annually in one of the ten children's files reviewed. Correction: Immediately obtain and maintain documentation in child's file. Correct by 08/10/2023

Corrected Corrected by Aug 10, 2023

Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Provider's Standard Precautions training expired on 5/12/23. Observed no evidence of Provider renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion. Correct by 08/10/2023

Corrected Corrected by Aug 10, 2023

Category: ratio. Marked corrected in the state record.

7.707.71.A.5 · Statements of health status of children under two (2) years of age must be updated in accordance with the national pediatric recommended schedule for routine health supervision or as required in writing by health care provider.

No evidence of current health status signed and dated by a health care professional in two children's files. Correction: Obtain and maintain documentation in children's files. Correct by 09/09/2023

Corrected Corrected by Sep 9, 2023

Category: supervision. Marked corrected in the state record.

7.707.934.B · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children

A screw, with more than 2 threads exposed, accessible children on wooden gate leading to the outdoor play space. Also observed several loose nails and screws (with more than two threads exposed) accessible to children in the multi colored play house in fenced in play area. Also observed a bees nest in this play house. Correction: Immediately ensure all outdoor play areas are kept safe and free from hazards at all times. Correct by 08/10/2023

Corrected Corrected by Aug 10, 2023

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