2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 the provider's file and observed that Ivana S was missing documentation of a current Standard Precautions training. Correction: Immediately, the provider must complete the Standard Precautions training prior to working with children and must be renewed annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

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.

Reviewed 4 household members background checks and observed that the following FBI background checks were expired: Ivana S, Zdanek S, Landon S, and Victoria S. Correction: Immediately, all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that household members Ivana S, Zdanek S, Landon S, and Victoria S have reviewed the powerpoint within 24 hours. Submit documentation of FBI for household members Ivana S, Zdanek S, Landon S, and Victoria S with written response to the Specialist. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

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

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed the provider's file and observed that the abuse prevention training for Ivana S was expired. Correction: Immediately, the primary provider must complete the abuse prevention training pior to working with children and must be renewed annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

Category: recordkeeping. 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 the provider's file and observed that Ivana S was missing documentation of a current immunization training. Correction: Within 30 days, the primary provider must complete the immunization training and must be renewed annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 02/13/2025

Corrected Corrected by Feb 13, 2025

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

2.312.K · Within thirty (30) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed the provider's file and observed that Ivana S was missing documentation of a complete playground FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ safety training. Correction: Within 30 days, the provider must complete the playground safety for home training. The course is required once. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 02/13/2025

Corrected Corrected by Feb 13, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed the provider's file and observed that Ivana S was missing documentation of an Injury Prevention for Homes training. Correction: Within 30 days, the provider must complete the Injury Prevention for Homes training. The course is required once. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 02/13/2025

Corrected Corrected by Feb 13, 2025

Category: recordkeeping. Marked corrected in the state record.

2.320.A · 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:

Reviewed 6 children's files and observed that 6 children were missing documentation of an admission record. Correction: Immediately, an admission record must be completed for each child prior to the time of admission and updated annually or when changes occur. Submit a written statement of compliance to the Licensing Specialist. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

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;

Reviewed 6 children's files and observed 2 children were missing documentation of a current signed FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization for emergency medical care. Correction: Immediately, the admission record must include a dated, written authorization for emergency medical care sign and updated annually. Submit a written statement of compliance to the Licensing Specialist. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

Category: health medication. 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 6 children's files and observed that 5 children were missing documentation of a current health statement. Correction: Within 30 days, health statements must be updated in accordance with AAP recommendations. Submit a written statement of compliance to the Licensing Specialist. Correct by 02/13/2025

Corrected Corrected by Feb 13, 2025

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

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified that the provider failed to report an incident as required by statute and licensing regulations within the required time frame. Correction: Immediately, the facility must report incidents as required by statute and licensing regulations within the required time frames. Submit a written statement of compliance to the Licensing Specialist. Correct by 01/14/2025 ________________________________________________ Stage II Licensing Concern : A person living in the home of the child care has not had the required background checks submitted. - UNFOUNDED Stage II Licensing Concern : The provider leaves children alone in the home without supervision for long periods of time. - UNFOUNDED Stage II Licensing Concern : An 18 month old is strapped in a high chair for long periods of time. - UNFOUNDED Stage II Licensing Concern : The provider's husband substitutes for the provider without the required qualifications. - UNFOUNDED ________________________________________________

Corrected Corrected by Jan 14, 2025

Category: ratio. Marked corrected in the state record.

7.707.41.B.23 · The written policies and procedures must be developed, implemented and followed, which include all updates, changes, and must include at a minimum the following information: Use of and how often sunscreen is applied, including authorization for use of sunscreen, and how infants are protected from sun exposure without the use of sunscreen

Two children's files lacking signed authorization for sunscreen. Correction: Obtain signed authorization for sunscreen application. Submit a statement of compliance by 3/8/2024. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Marked corrected in the state record.