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 6 children and found 5 children without documentation of current emergency medical authorization. Correction: Obtain and Maintain documentation for all children enrolled. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 children and found 3 children without immunizations on the approved CDPHE form. Correction: Obtain and Maintain documentation for all children enrolled. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

Corrected Corrected by Mar 7, 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 6 children and found 2 children without health statements and 1 child with an expired health statement. Correction: Obtain and Maintain documentation for all children enrolled. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: ratio. 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.”

Identified knives in a lower cabinet in the kitchen accessible to children. Correction: Ensure that all sharp items are inaccessible to children at all times. Correct Immediately 3/7/25 ** Corrected at time of visit by fixing the child lock on the cabinet and making the knives inaccessible. No response required. Correct by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

Reviewed drill log and provider did not have record of smoke alarm testing. Correction: Moving forward, maintain documentation of monthly smoke alarm testing. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.336.C.15.a · Fire extinguishers must be replaced at least every six (6) years.

Fire extinguisher is date stamped 2017. Extinguisher expired in 2023. Correction: Replace fire extinguishers every 6 years. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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

2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

Back yard had at least 10 piles of dog waste present where children play. Correction: Ensure that dog waste is promptly removed from areas that children play. Correct immediately 3/7/25 and submit compliance by 4/7/25 Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Marked corrected in the state record.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The provider and 1 child with expired health evaluation Correction: Obtain and Maintain documentation for all household members. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

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

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

In reviewing the drill log, No tornado drills documented on the log. Correction: Tornado drills must be held monthly from March till October. A record of all drills held over the past 12 months must be maintained. Correct immediately, 2/22/24. Document compliance to Specialist by 3/22/24. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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.

In reviewing 8 children's files; observed 1 expired health statement. Correction: Within 30 days of expiration, parent's must submit a statement of child's current health signed and dated by health care provider. Document compliance to Specialist by 3/22/24. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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.

In reviewing 8 children's files, 1 immunization not on approved form. Correction: Immunizations must be updated and recorded on Colorado certifucate of immunization or approved form. Correct immediately, 2/22/24. Document compliance to Specialist by 3/22/24. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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