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 the providers file and found their medication administration training to be expired. Correction: All providers must complete Medication Administration prior to working with children, and renew the training every 3 years. Correct immediately and provide documentation of completion with written response. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

Category: ratio. Marked corrected in the state record.

2.316.B.14 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Transportation availability, vehicle restraint requirements, and seating capacities; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the providers policies and found them to be missing information on the type of vehicle and seating capacities. Correction: Transportation policies must include information on the vehicle used including seating capacities. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: transportation. 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 the providers file and found it to be missing documentation of completion of the Working with an Early Childhood Mental Health Consultant training. Correction: All providers must complete the Working with an Early Childhood Mental Health Consultant training. Correct and provide documentation of completion with written response. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.320.A · 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:

One child in attendance did not have an admission record. Correction: An admission record must be completed for each child in attendance. Correct immediately and respond with statement of compliance. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.316.B.10 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Substitute care, and the clarification of responsibility for obtaining back-up care;

Reviewed the providers policies and found it to be missing information on how or when the provider would obtain substitute or emergency backup care. Correction: The written policies must include information on how or if the provider would provide substitute care and

Open Not marked corrected in the state record

Open / not marked corrected.

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 8 child files and found 3 children to have expired health statements. Correction: All children must have a current health statement on file within 30 days of enrollment and within 30 days of expiration. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: ratio. Marked corrected in the state record.

2.316.B.16 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Meals, snacks, and parental notification of menus, and how children with food allergies or special diets are accommodated;

Reviewed the providers policies and found it to be missing information on where to view the menu and how allergies and special diets would be addressed. Correction: The meal/snack policy must include information regarding where the menu can be viewed and how allergies and special diets will be accommodated. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: nutrition. Marked corrected in the state record.

2.316.B.19.a · The written policies and procedures must be developed, implemented, and followed, by the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Identify and consult with an early childhood mental health consultant or other specialists as needed.

Reviewed the providers policies and found it to be missing information on how they would identify and consult with an early childhood mental health consultant or other specialist when needed. Correction: The policy regarding disciplinary decisions must include information on how the provider will identify and consult with an early childhood mental health consultant or other specialist when needed. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.316.B.21 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Safe sleep environments for infants in compliance with rule section 2.329(H);

Reviewed the providers policies and found it to be missing information on safe sleep environments meeting rule section 2.329. Correction: Safe sleep policies must be included that meet rule 2.329. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.316.B.27 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Specific circumstances and symptoms for not admitting ill children, and conditions for re-admittance;

Reviewed the providers policies and found them to be missing information on specific circumstances and symptoms for not admitting children. Correction: The illness policy must include information on specific circumstances and symptoms for not admitting children. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Marked corrected in the state record.

2.316.B.31 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: The procedures, including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted;

Reviewed the providers policies and found them to be missing information on the procedure that would be followed for a child being separated from the group. Correction: The emergency policies and procedures must include information of the procedure that would be followed for a child being separated from the group. Correct and respond with written statement of compliance. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: supervision. 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 4 child files and found 1 child to have an expired medical emergency authorization. Correction: Emergency medical authorization must be updated annually. Correct immediately and respond with statement of compliance. Correct by 07/03/2024

Corrected Corrected by Jul 3, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 child files and found 1 child to have a health statement that was not signed by a health care provider. Correction: All children must have a current health statement on file that is signed and dated by a health care provider. Correct and respond with statement of compliance. Correct by 08/03/2024

Corrected Corrected by Aug 3, 2024

Category: ratio. 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.

Reviewed 9 child files and found one child to have an out of date immunization form. Correction: Child immunizations records must be updated as required by immunization due dates. Correct immediately and respond with a statement of compliance by 8/10/23. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ required by the health care provider. All health statementsmust be kept at the licensed child care home.

Reviewed 9 child files and found 5 children to have expired health statements. Correction: Within 30 days of enrollment and 30 days of the health statement expiration, all enrolled children must have a current health statement on file. Correct and respond with a statement of compliance by 8/10/23. Correct by 08/10/2023

Corrected Corrected by Aug 10, 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 9 child files and found 5 children to have expired emergency medical authorization forms. Correction: Authorization for emergency medical care must be renewed annually. Correct immediately and respond with a statement of compliance by 8/10/23. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Marked corrected in the state record.

7.701.56.B · . At all times during the operating hours of a family child care home, child care center, school-age child care center, or children's resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The program did not have their most recent Report of Inspection posted, or a notice of where the report may be reviewed. Correction: Programs should have either their most recent report of inspection posted or a notice of where the report may be reviewed. Correct immediately and respond with a statement of compliance by 8/10/23. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Marked corrected in the state record.

7.701.56.C · . At all times during the operating hours of a family child care home, child care center, preschool, school age child care, children’s resident camp, and neighborhood youth organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Human Services, Division Of Early Care And Learning, including the telephone number and mailing address. All 24-hour care agencies and facilities providing out-of-home care and day treatment centers must post in prominent and conspicuous FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ location information regarding the procedures for filing a complaint with the Colorado Department of Human Services, division of child welfare, including the telephone number and mailing address. For foster care homes and child placement agencies, information for filing a complaint must be made available upon request.

The program did not have information on the procedure for filing a complaint with the Department posted. Correction: All programs must have information posted regarding the procedure for filing a complaint with the Department posted in a conspicuous location. Correct immediately and respond with a statement of compliance by 8/10/23. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Marked corrected in the state record.