Terri Miller

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 9 children's files and observed 6 files having an expired emergency medical authorization. Correction: Obtain documentation of current emergency medical authorization and submit documentation of compliance to specialist with written response. Correct by 03/24/2026

Corrected by Mar 24, 2026

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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.

Identified through providers statement emergency drills held over the past 12 months has not been documented. Correction: A record of all emergency drills held over the past 12 months must be maintained by the facility or center. Submit documentation of compliance to specialist with written response. Correct by 03/24/2026

Corrected by Mar 24, 2026

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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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through providers statement that dates of monthly smoke alarm testing has not been maintained at the family child care home. Correction: Ensure dates of monthly smoke alarm testing held over the past 12 months is maintained at the family child care home. Submit documentation of compliance to specialist with written response. Correct by 03/24/2026

Corrected by Mar 24, 2026

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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 9 children's files and observed 2 files to be missing an immunization record. Correction: Obtain documentation of current immunization record and submit documentation of compliance to specialist with written response. Correct by 03/24/2026

Corrected by Mar 24, 2026

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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 children's files and observed 2 files to be missing a health statement. Correction: Obtain documentation of current health statement and submit documentation of compliance to specialist with written response. Correct by 04/24/2026

Corrected by Apr 24, 2026

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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.”

Diaper wipes labeled keep out of reach of children accessible to children on low counter in kitchen posing a potential safety hazard. Correction: Make all hazardous items inaccessible to children. Submit documentation of compliance to specialist with written response. Correct by 03/24/2026

Corrected by Mar 24, 2026

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