2.121.C.1 · Any resident of the family child care home or qualified exempt provider home turning eighteen (18) years of age shall complete the fingerprint process at an approved vendor fourteen (14) calendar days prior to their 18th birthday.

Resident Grace P. (DOB: 5/11/07) missing documentation of fingerprints. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify the Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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.”

Clorox toilet bowl cleaner and WD-40 in a cabinet with a broken child safety lock located in the downstairs bathroom, accessible to children, posing a potential safety hazard. Correction: Hazardous items must be inaccessible to children. Corrected at the time of inspection, provider removed the

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

2 exposed outlets in the bedroom where children nap. Correction: All outlets in rooms accessible to children must have protective covers. Correct by 06/18/2025

Corrected Corrected by Jun 18, 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 8 children's files, observed one child to be missing current health statement. Correction: Obtain required heath statement signed and dated by a physician for all children, retain in child file. Submit written documentation of compliance to specialist. Correct by 07/18/2025

Corrected Corrected by Jul 18, 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;

Reviewed 8 child files, observed 2 children to be missing signed and dated emergency medical authorization form. Correction: Obtain signed and dated emergency medical authorization form for all child, retain in child file. Submit written documentation of compliance to specialist. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 8 child files, observed 2 children to be missing written authorization for topical preperations form. Correction: Obtain required written authorization for topical preperations form retain in child file. Submit written documentation of compliance to specialist. Correct by 07/18/2025

Corrected Corrected by Jul 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 six children's records and observed one child's file to be missing documentation of the required immunization record. Correction: Obtain current immunization records for all children's files. Correct immediately by 7.8.2024, and submit a written statement of compliance to the Specialist by 8.8.2024. Correct by 07/08/2024

Corrected Corrected by Jul 8, 2024

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 six children's records and observed one child's file to be missing documentation of the required health statement record. Correction: Obtain current health statement records for all children's files. Correct immediately by 8.8.2024, and submit a written statement of compliance to the Specialist. Correct by 07/08/2024

Corrected Corrected by Jul 8, 2024

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 the Provider's training record and observed the required Colorado Department of Public Health and Environment immunization course training to be expired. Observed the last training to be taken on 1.16.2020. Correction: Obtain the required shaken/baby abusive head trauma training as required. Correct immediately by 8.9.2023,

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

A box of chalk outside was placed on a picnic table, observed the box to have small pieces of chalk, posing a potential choking hazard, accessible to children under the age of three. Correction: 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. Corrected at the time of the inspection, the Provider removed the chalk from within reach of children. No response required. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

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

7.707.922.D · Furnishings and equipment in the area approved for child care must be in good repair.

Several plastic riding cars outside have broken plastic pieces accessible to children posing a potential safety hazard. Correction: Equipment must be in good repair. Correct immediately by 8.9.2023, and submit a written statement of compliance to the Specialist by 9.9.2023. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

Category: physical safety. 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.

Reviewed the Provider's training record and observed the required shaken/baby abusive head trauma FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training to be expired. Observed the last training to be taken on 10.30.2021. Correction: Obtain the required shaken/baby abusive head trauma training as required. Correct immediately by 8.9.2023, and submit a written statement of compliance and documentation of the training to the Specialist by 9.9.2023. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

Category: recordkeeping. 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 the Provider's training record and observed the required child abuse prevention training to be expired. Observed the last training to be taken on 10.30.2021. Correction: Obtain the required child abuse prevention training as required. Correct immediately by 8.9.2023, and submit a written statement of compliance and documentation of the training to the Specialist by 9.9.2023. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

Category: recordkeeping. 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.

Reviewed six children's records and observed two children to have expired health statements. Correction: Obtain current health statements for all children. Submit a written statement of compliance to the Specialist by 9.9.2023. Correct by 09/09/2023

Corrected Corrected by Sep 9, 2023

Category: ratio. 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 six children's records and observed one child to have an expired emergency medical authorization posing a potential safety hazard. Correction: Obtain current emergency medical authorizations for all children. Correct immediately by 8.9.203 and submit a written statement of compliance to the Specialist by 9.9.2023. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

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

Sunscreen placed on a low table outside labeled "keep out of reach of children" accessible to children and posing a potential safety hazard. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the inspection. The Provider removed the sunscreen from within reach of the children. No response required. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

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