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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

push pins in the basement on bulletin board accessible to children causing a potential safety hazard. Observed children under 3 years in care at time of visit. Correction: Make all hazardous items and materials inaccessible to children correct immediately and send written response to specialist Correct by 08/15/2025

Corrected Corrected by Aug 15, 2025

Category: physical safety. 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 15 children files and observed ch10 to have expired health statement as of 2.2025. Correction: Obtain current medical health statement for child and add to child's file and send written response to specialist. Correct by 07/25/2025

Corrected Corrected by Jul 25, 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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

reviewed 15 children files and observed Ch7 and Ch11 to have expired emergency medical authorization. CH7 expired 2/24/25. CH11 expired 5/29/25. Correction: Obtain current emergency medical authorizations and add to children files. Correct immediately and send written response to specialist. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: health medication. 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 3 staff files ( included provider file) and observed Nikki to have no documentation of child abuse prevention and reporting training. Nikki DOH 12/2024. Correction: Obtain current department approved child prevention and reporting training and add to staff file. Correct immediatly and send written verification to specialist with response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. 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.

reviewed 3 staff files ( included provider file) and observed Mackenzi to have expired 1st aid CPR as of 2/3/2025. Correction: Obtain current 1st aid CPR for staff and add to staff file. Correct immediately and send written verification to specialist with response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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 15 children files and observed ch15 to have immunization documentation on non-approved form. Correction: Obtain current immunizations on Colorado Department of Public Health and Enviroment approved for and add

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.”

in Music/ Gross motor room wall with children's art work to be displayed with push pins causing a potential safety hazard and with in reach of children. Box of push pins is labeled "keep out of reach of children" Correction: All hazardous items and materials must be inaccessible to children. Correct immediately and send written response to specialist. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

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 programs file and observed no documentation of smoke alarm testing for program. Correction: Obtain current smoke alarm testing documentation for program and add to file and send written verification ot specialist with response. Correct by 07/02/2024

Corrected Corrected by Jul 2, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.922.A · Toys, toy parts and any material accessible to children under three (3) years of age must be large enough that they cannot be swallowed or inhaled, to prevent a choking hazard.

observed in playroom a grey hammer shark stuff animal to be labeld for children 3 and up. Observed in same room emotional support balls to be labeled for ages 3 and up. Identified through provider that there are children under 3 years old in care at time of visit. Correction: toy , toy parts and any materials accessible to children under 3 years of age must be large enough that they cannot be swalloed or inhaled to prevent a choking hazard. Corrected immediately, corrected at time of visit provider removed items making them inaccessible to children. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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