2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed provider file and observed no documentation of completed 1st Aid/CPR training. Correction: Obtain current documentation of 1st Aid/CPR training. Submit a written response of compliance to the specialist, along with completion of training. Correct by 07/10/2025

Corrected Corrected by Jul 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed provider file and observed no current documentation of Medication Administration training. Correction: Obtain current documentation of medication administration training. Submit a written response of compliance to the speciailist, along with completion of training. Correct by 07/10/2025

Corrected Corrected by Jul 10, 2025

Category: ratio. 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 child files and observed 1 child missing current documentation of a health statement. Correction: Obtain a current health statement for child. Submit a written response of compliance to the specialist. Correct by 08/10/2025

Corrected Corrected by Aug 10, 2025

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

2.138.F · If appropriate to the location of the facility, forest fire, and/or flood drills must be held often enough that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. A record of drills held over the past twelve (12) months must be maintained by the facility.

Reviewed documentation of drill logs and observed no documentation of drills record. Correction: A record of drills held over the past 12 months must be maintained by the facility. Submit written response of compliance to the specialist. Correct by 07/10/2025

Corrected Corrected by Jul 10, 2025

Category: recordkeeping. 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 background checks for the provider and the residents of the home. Observed David M was missing updated documentation of FBI and CBI clearance letters. Correction: Obtain updated documentation of FBI and CBI clearance letters for the resident of home. Submit a written plan of compliance to specialist. Correct by 08/19/2024

Corrected Corrected by Aug 19, 2024

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

2.321.C.5.a · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, and must be signed by the health care provider and the parent(s) or guardian(s). The plan must include if applicable, but not limited to, the following: Medication and dosing schedule; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed medications and observed one child to be missing an EPI Pen that was included in the childs individual health care plan. Correction: Obtain the required EPI Pen as required in the childs individual health care plan. Submit a written response of compliance to specialist. Correct by 08/19/2024

Corrected Corrected by Aug 19, 2024

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 9 child files and observed 3 child files missing current documentation of a health statement as required by physician. Correction: Obtain current documentation of health statements as required by the physician for each child. Submit a written response of compliance to the specialist. Correct by 09/19/2024

Corrected Corrected by Sep 19, 2024

Category: ratio. Marked corrected in the state record.

2.312.D.1 · Prior to working with children all staff members caring for children not required by rule to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module. This module must be renewed every two (2) years.

Identified through provider statement that their First Aid and CPR is expired, and observed no module training on PDIS for provider. Correction: Obtain current documentation of First Aid and CPR for the provider. Correct by 08/19/2024

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. Marked corrected in the state record.