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 provider file. Observed provider to be missing documentation of department approved introduction to early intervention and preschool education programs. Correction: Provider must obtain documentation of department approved introduction to early intervention and preschool education programs. Submit documentation with correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: recordkeeping. 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;

Provider to be missing documentation of department approved playground safety for homes. Correction: Provider must obtain documentation of department approved training regarding playground safety training for homes. Submit documentation with correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.336.C.15.a · Fire extinguishers must be replaced at least every six (6) years.

Identified through provider statement, fire extinguisher was purchased over 6 years ago. Correction: Provider must replace fire extinguisher every 6 years. Submit written verification on correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Provider to not have documentation of vaccination records of 2 felines in the family childcare home. Correction: Provider must provide documentation of vaccination records of 2 felines living in the family childcare homes. Submit documentation with correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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.”

Lighter to be in unlocked china cabinet located in living room area accessible to children. Observed blue broken glass to be in china cabinet located in living room area accessible to children. Observed cinnamon fragrance oil labeled "keep out of reach of children" in china cabinet located in living room accessible to children. Correction: Provider must make all hazardous items and materials, including items labeled "keep out of reach of children" inaccessible to children. Submit written verification on correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: physical safety. 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's file. Observed provider to not have medication administration training signed by child care health consultant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provider must obtain signature from child care health consultant and put in provider's file. Submit documentation with correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: ratio. Marked corrected in the state record.

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

Green and purple play structure to be over 18 inches with 0 inches of resilient surfacing in the use zone. Observed pink slides on separate play structure to be over 18 inches with 0 inches of resilient surfacing in the use zone. Observed a separate yellow slide to be over 18 inches with 0 inches of resilient surfacing in the use zone. Correction: Provider must provide resilient surfacing of at least 6 inches for all climbing equipment, sliding equipment, and equipment with attached platforms 18 inches or higher. Submite written verification on correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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

2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

Outdoor play area to have red bike with exposed broken plastic on seat posing potential hazard to children. Correction: Provider must survey the outdoor play area to remove any hazardous materials or debris that could cause harm to children. Submit written verification on correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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

2.312.N · 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 for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Provider to be missing documentation of department approved training for recognizing the impact of bias on FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ early childhood professionals. Correction: Provider must obtain documentation of department approved training for recognizing the impact of bias on early childhood professionals. Submit documentation with correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: recordkeeping. 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.

Provider to be missing documentation of department approved training regarding injury prevention for homes. Correction: Provider must obtain documentation of department approved training regarding injury prevention for homes. Submit documentation with correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

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.

Provider to be missing documentation of department approved training regarding working with an early childhood mental health consultant. Correction: Provider must provide documentation of department approved training regarding working with an early childhood mental health consultant. Submit documentation with correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

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 5 children's files. Observed 4 to have expired health statements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provider must obtain current documentation of health statements or written verification of a scheduled appointment and put in child files. Submit written verification on correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: ratio. 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 5 child files. Observed 2 to be missing documentation of immunization status or non medical exemption. Correction: Provider must obtain documentation of immunization status or non medical exemption and put in child files. Submit written verification on correction response to specialist. Correct immediately. Correct by 12/19/2024

Corrected Corrected by Dec 19, 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.

Provider to have 7 hours of professional development training. Provider to not have verification of social FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ emotional development hours. Correction: Provider must obtain 15 clock hours of professional development training and at least three clock hours of social emotional development training. Submit written verification on correction response to specialist. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: recordkeeping. Marked corrected in the state record.

7.707.41.A · At the time of enrollment, the provider must give the parent(s) or guardian(s) a written statement of the home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures and by signing the policies and procedures document, the parent(s)/guardians(s) agree to follow, accept the conditions of, and given authorization and approval for the activities described in the policies and procedures.

The provider did not have verification of the FCCH's policies and procedures for licensing Specialist to review. Correction: At the time of enrollment, the provider must give the parents a written statement of the home's polices and procedures. The provider must obtain a signed document stating that the parents have received them. The provider must have available for the licensing specialist to review. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

7.707.75.H.13 · . Cribs must be used for sleeping, not extended play or confinement.

When the Licensing Specialist arrived the infant in care was observed to be in a play n pack with toys for children to play with. Correction: The provider must ensure that all sleep equipment is used only for sleeping not for extended play or confinement. Correct immediately. Provider removed all toys from the play n pack at the time of visit. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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.

The provider did not have available verification of any of the six (6) children immunization status. Correction: At the time of admission each child's file must have documenttaaion of immunization status. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

The provider did not have verification of completing the required fifteen clock hours of training. Correction: The provider must complete the required 15 clock hours of training each year. At least 3 hhours of the 15 hours must be social emotional. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.51.B · All forms contained in the admission record must be current and accessible to providers, substitutes and to representatives of the State Department.

The provider did not have available of any of the six (6) children files that were in care at the time of their Supervisory Inspection for the Licensing Specialist to review. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The provider must have all children records accessible for the repersentatives of the Sate Department to review. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: supervision. Marked corrected in the state record.

7.707.51.C · The complete file for each child in care must be retained by the home for at least three years after the child leaves the home. It must be available without restriction to the licensing agency and to the child protective services worker, police, child's parent(s) or guardian(s).

The provider was not able to locate any of the current children files or any previous children's files at the time of the Licensing Specialist visit. Correction: The complete file for each child in care must be retained by the home provider for at least 3 years. These files must be available without restriction. Correct immediately. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 statementsmust be kept at the licensed child care home.

Five out of the six children in care did not have verification of a health care statement sided and dated by the License Health Care Professional. Correction: Within thirty days of admission or within 30 days following the experiation date, the provider must obtain documentaion or a verification of a schedules appointment card for each child in care. Submit verification and a statement

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

7.707.71.A.5 · Statements of health status of children under two (2) years of age must be updated in accordance with the national pediatric recommended schedule for routine health supervision or as required in writing by health care provider.

One child under the age of two years old did not have verification of statement of health signed and dated by a licensed health care provider. Correction: The provider must obtain a statement of health status of children under two years of age and must be updated in accordance with the national pediatric recommendations. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: supervision. 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.

The provider did not have verification of any of the six (6) children's written authorization for emergecy medical care signed by the Parent or gurardian. Correction: The provider must obtain documentation at the time of admission of a written authorization for emeregency medical care signed and dated by the parents or guardian. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

7.707.73.O.4 · All infants unable to hold their own bottles must be held by the provider during bottle feedings and should be held so they can see the face of the provider if it is appropriate for the child.

At the time of the inspection, the provider was observed to have a preschool age child hold the infant and feed the infant their bottle. Correction: All infants unable to hold their own bottles must be held by the provider during bottle feeding. Correct

Open Not marked corrected in the state record

Open / not marked corrected.

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.

The provider did not have verification of completing the Safe sleep training. Correction: The provider must complete the department approved safe sleep training prior to working with infants. This training must be updated annually. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: physical safety. 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.

The Provider did not have verification of completing the FBI criminal record checks prior to the required every 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the staff members have reviewed the powerpoint within 24 hours. Correct immediately. Submit verification of compliance of clearance letter by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.75.H.16 · . Supervised tummy time be offered to infants one month of age or older up to twenty to thirty (20-30) minutes per day. If the infant falls asleep during tummy time, immediately place him/her on their back in approved sleeping equipment.

During the inspection the licensing specalist did not observe at any time tummy time for the infant in care. There was not enough space on the floor for tummy time to be available. Correction: The provider must provide at least 20-30 minutes per day of tummy time for the infant in care. Correct immediately. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: supervision. Marked corrected in the state record.

7.707.75.H.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, plush toys, and stuffed animals.

When the Licensing Specialist arrived at the home, the infant was observed to be in a play n pack awake with a blanket and two jackets hanging over the play n pack and other soft toys in sleep equipment as well. Correction: The provider must ensure that at no time materials that could pose a suffocation hazards are premitted in the infant's sleep enviroment. The provider removed all the jackets and blankets at the time of visit, Correct immediately. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, 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.

There was obseerved to be eye drops and nasel spray on a stand next to the chair in the living room and on the counter top in the kitchen. There was observed to be a large bleach bottle on the kitchen counter all accessible to children in care. Correction: The provider must ensure that all hazardous items are kept up and inaccessible to children. The provider move all the hazardous items correcting immediately at the time of visit. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.921.A · There must be open, indoor play space of at least thirty-five (35) square feet of floor space per FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ child, including space for moveable furniture and equipment exclusive of: 1. Hallways, 2. Bathrooms, 3. Stairways, 4. Closets, 5. Laundry rooms, 6. Furnace rooms, 7. Space occupied by permanent built-in cabinets and permanent storage shelves.

At the time of the inspection there was observed to be serveral boxes and bags not allowing a enough safe enviroment for the children in care. Correction: There must be open, indoor space of at least thirty-five square feet of floor space per child in care. Correct immediately. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.923.L · Flammable or combustible items must be stored in a locked area remote from the kitchen, at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

There was observed to be several boxes and hanging clothes to prevent access to the furance and hot water heater. Correction: The provider must ensure that all combustible items must be stored in an area that gives at least 3 feet from the furnance, hot water heater. Correct immediately. Submit a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.923.N · There must be a carbon monoxide detector installed in the area of the home as recommended by the manufacturer and in the area where children sleep.

The provider was observed not to have a carbon monoxide detector in the area of the home were the children were sleeping. Correction: The provider must have a carbon monoxide detector installed in the area of the homes were children sleep.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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.

The provider did not have verification of completing the required immunization training. Correction: The provider must complete the immunization training. This training must be updated annually. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

The provider did not have verification of completing the required First Aid and CPR training. Correction: The provider must complete theFirst Aid and CPR training. This training must be updated annually. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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,

The provider did have verification of completing the required Standard Precautions training. Correction: The provider must complete the Standard Precautions training. This training must be updated annually. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

The provider did have verification of completing the required Child abuse prevention training. Correction: The provider must complete the Child Abuse Prevention training. This training must be updated annually. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

The provider did have verification of completing the required Shaken Baby Abusive Head Trauma training. Correction: The provider must complete the Prevention of Shaken Baby Abusive Head truma training. This training must be updated annually. Correct immediately. Submit verification and a statement to continue to be in compliance by 2/15/24. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: recordkeeping. Marked corrected in the state record.