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 10 children files, identified Ch1 to be missing the current health evaluation Correction: Obtain the current health evaluation. Submit a written statement of compliance to the Specialist. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

Category: ratio. Marked corrected in the state record.

2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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..

Reviewed 10 staff files, identified Ch 7 to be missing an updated health evaluation. Correction: Obtain the current health evaluation. Submit a written statement of compliance to the Specialist. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

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 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 10 children files, identified ch 5 to have immunizations on an unapproved immunization form. Correction: Obtain the immunization status on the Department approved form. Submit a written statement of compliance to the Specialist. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: health medication. 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.

Reviewed 6 children files, identified 4 children missing current emergency medical authorization. Correction: Immediately on 10/16/2023, obtain current written authorization for emergency medical treatment. Submit a statement of compliance by 10/23/2023 Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed providers file, identified Carrie to be missing a current child abuse prevention training Correction: Immediately on 10/16/2023, obtain a current Department approved child abuse prevention training. Submit a statement of compliance by 10/23/2023. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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,

Reviewed providers file, identified Carrie to be missing a current standard precaution training. Correction: Immediately on 10/16/2023, obtain a current Department approved standard precaution training. Submit a statement of compliance by 10/23/2023. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed providers file, identified Carrie to be missing a current immunization training, Correction: Immediately on 10/16/2023, obtain a current Department approved immunization training. Submit a statement of compliance by 10/23/2023. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

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

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Reviewed providers file, identified Carrie to be missing a current safe sleep training. Correction: Immediately, on 10/16/2023, obtain a current Department approved safe sleep training. Submit a written statement of compliance by 10/23/2023. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Category: physical safety. 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.

Reviewed 6 children files, identified 2 missing immunization status. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately on 10/16/2023, obtain current immunization status for all children. Submit a statement of compliance by 10/23/2023. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

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