2.311.A.14.a · All equally qualified providers, qualified substitutes, and all staff members must obtain a subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider.

reviewed staff3 staff files and observed member Casey to have expired medical health statement as of 8/2024. Correction: Obtain current health statement and add to staff file and send written response to specialist. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

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

2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

reviewed 3 staff files and observed Casey to have no documentation of early interventions training. Correction: Obtain current early child intervention training for staff and add to staff file and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

reviewed 3 staff filesand observed Danielle to have no signed statement of child abuse and neglect. Danielle DOH 9/5/24. Correction: Obtain Staff signed child abuses statement and add to staff fil. Correct immediately and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Marked corrected in the state record.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

reviewed 3 staff files and observed Danielle to have no signed statement of perjury. Danielle DOH 9/5/24. Correction: Obtain current signed statement of perjury for staff correct immediately and add to staff file. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified 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 3 staff files and observed Vanessa ( 12/4/23) and Casey ( 11/6/23) to have expired Standard precautions training. Correction: Obtain current standard precautions training for staff and add to files. Correct immediately and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: ratio. Marked corrected in the state record.

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

reviewed 3 staff files and observed no documentation of Danielle completing building and physical premises training. Correction: Obtain current building and physical training for Danielle. Correct immediately and add to staff file and send written verification to specialist. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

reviewed 3 staff files and observed Vanessa (11/22/23)to have expired shaken baby head trauma training. Observed Danielle (DOH 9.5.24) to have no documentation of shaken baby head trauma training. Correction: Obtain current shaken baby head trauma training for all staff and add to staff files. Correct immediately and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

reviewed 3 staff files and observed Vanessa to have expired safe sleep training as of 9/3/24. Correction: Obtain current safe sleep training for staff and add to staff file. Correct immediately and send written

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 3 staff files and observed Vanessa, Casey to have expired immunization training as of ( 10/23/23 and 7/30/24). Correction: Obtain current immunization training for all staff and add to staff files. Correct immediately and send written verification response to specialist Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

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 3 staff files and observed Vanessa to have no documentation of home playground safety training. Correction: Obtain current home playground safety training and add to staff files and send written verification to specialist with response. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

reviewed 3 staff files and observed providers file to have expired medical health statement as of 12/22/23. Correction: Obtain current medical health statement for staff and add to staff file and send written response to specialist. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: health medication. 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 3 staff files and observed Vanessa, Casey and Danielle to have no documentation of Injury FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prevention for homes training. Correction: Obtain current injury prevention for homes training for all staff and add to staff files and send written verification to specialist with response. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development.

reviewed 3 staff files observed Vanessa to have no documentation of working with an early childhood mental health consultant. Correction: Obtain current working with and early childhood mental health consultant for all staff and add to staff files and send written verification to specialist with response. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

reviewed 3 staff files and observed both Casey and Vanessa to have about only 6 hours of professional development training. Correction: Obtain missing hours of professional development training and add to staff files and send written verification of trainings to specialist. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

reviewed 3 staff files and observed that TRAILS request had been mailed for Danielle (DOH 9/5/24) as of 9/15/24, but no clearance letters for CBI or FBI were available for review at time of visit. Identified through provider FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Vanessa that Danielle had been coming in to work directly with children but was under staff that had completed background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI, TRAILS, background check Clearance Letters for staff members with written response to Specialist. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

reviewed 3 staff files and observed that Casey needs to renew his TRAILS as of 3/15/2024. Correction: Every 5 years all child abuse and neglect inquiry background checks must be renewed correct immediately and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 children files and observed Ch6 to have no documentation of immunization record. Correction: Obtain current immunization record for child and add to child's file. Correct immediately and send written response to specialist. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

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 8 children files and observed Ch6 and CH7 to have no documenation of medical health statements. Correction: Obtain current medical health statements for children and add to children files and send written response to specialist. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

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 8 children files and observed Ch2 (7.10.24) Ch5 ( 6.17.24) Ch6 (5.17.24) ch7 (5.17.24) to have expired emergency medical authorizations. Correction: Obtain current emergency medical authorizations for all children an add to files. Correct immediately and send

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 provider file and observed no documenation of fire alarm testing. Correction: Obtain current fire alarm testing documentation and add to facility file and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

reviewed provider facility file and observed no documenation of any kind of drills. Staff stated that they do drills just have not documented. Correction: Emergency drills must be held at least quarterly and fire monthly and tornato from March to October and a record of all drills must be maintained at the facility. Correct immediately and send written verification to specialist with respones Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. 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 3 staff files and observed Casey to have expired safe sleep training as of 11/2021. Correction: Obtain current safe sleep training for staff and add to staff file. Correct immediately and send written verification to specialist with response. Correct by 10/25/2023

Corrected Corrected by Oct 25, 2023

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

7.707.36.B.2 · The personnel files for each employee, substitute, and volunteer shall include: Information received from the state automated systems check on child abuse

reviewed 3 staff file and observed Zaid to be misssing clerance letter for TRAILS. Observed documents were submitted in 11/2022. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members reviewed the powerpoint within 24 hours. Submit documentation of TRAILS, for staff members with written response to Specialist. Correct by 10/25/2023

Corrected Corrected by Oct 25, 2023

Marked corrected in the state record.

7.701.32.D.1.a.1 · . Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

reviewed 3 staff file and observed Zaid to be misssing clearance letter for TRAILS. Observed documents were submitted in 11/2022. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members reviewed the powerpoint within 24 hours. Submit documentation of TRAILS, for staff members with written response to Specialist. Correct by 10/25/2023

Corrected Corrected by Oct 25, 2023

Category: supervision. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

reviewed 3 staff files and observed Casey health evaluation to be expired 10/18/2022. Correction: Obtain current medical health statement for staff and add to staff file and send written response to specialist. Correct by 11/24/2023

Corrected Corrected by Nov 24, 2023

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