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 4 children's files and observed that 1 child was missing documentation of a current health statement. Correction: Within 30 days, health statements must be updated in accordance with the AAP Recommendations. Submit a written statement of compliance to the Licensing Specialist. Correct by 04/17/2025

Corrected Corrected by Apr 17, 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 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 children's files and observed that 1 child was missing documentation of an immunization status. Correction: Immediately, at the time of admission parents/guardians must submit documentation of an immunization status. Submit a written statement of compliance to the Licensing Specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 4 children's files and observed that 2 children were missing documentation of a sunscreen authorization. Correction: Immediately, the primary provider must obtain written authorization for the application of sunscreen. Submit a written statement of compliance to the Licensing Specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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 4 children's files and observed that 1 child was missing documentation of a emergency medical authorization. Correction: Immediately, a written authorization for emergency medical care must be obtained and updated annually. Submit a written statement of compliance to the Licensing Specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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 6 children's files and observed that 1 child was missing an emergency health care authorization. Correction: Immediately, an admission record must include a dated, written authorization for emergency medical care signed and updated annually. Submit a written statement of compliance to the Licensing Specialist. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

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