2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

The center to have a child with an allergy plan with written orders for an epi pen and Cetirizine and medications are not on site. Correction: Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. Correct by 3/17/26. Document compliance to Specialist by 4/17/26. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

Category: supervision. Marked corrected in the state record.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Licensing Specialist reviewed 14 child files and observed 2 children to have expired health statements. Correction: Obtain a copies of a current health statement completed by a health care provider. Correct by 4/17/26. Document compliance to Specialist by 4/17/26. Correct by 04/17/2026

Corrected Corrected by Apr 17, 2026

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

2.213.G · All employees and regular volunteers must be trained using a Department-approved training about Child Abuse Prevention prior to working with children, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Licensing Specialist reviewed 19 staff files and observed staff member #11 to have an expired Child Abuse Prevention training. Correction: Obtain a current Child Abuse Prevention training. Correct by 3/17/26. Document compliance to Specialist by 4/17/26. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

The center to have one expired written order for an inhaler. Correction: Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider. Correct by 3/17/26. Document compliance to Specialist by 4/17/26. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

One expired inhaler on site at the time of inspection. Correction: If a medication is out of date or left over, the parent/guardian is responsible for picking up the medication. If the parent/guardian do not respond, the center must dispose of the medications as required by the Colorado Department of

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Licensing Specialist reviewed 14 child files and observed one child to have an expired emergency medical authorization. Correction: Obtain a current emergency medical authorization. Correct by 3/17/26. Document compliance to Specialist by 4/17/26. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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