2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed Gina M's file and found their CPR/First Aid training to be expired. Correction: Staff must have current CPR/First aid training, and renew the training every 2 years. Correct immediately and provide documentation of completion with written response. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.316.B.36 · 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 policy on interacting with chickens, reptiles, or amphibians, including notification to parents or guardians on the risks associated with children under the age of five (5) having access to these animals. The policy must include notification of the national recommendations from the Centers for Disease Control, the American Academy of Pediatrics found in Caring for Our Children, and the Colorado Department of Public Health and Environment that chickens, reptiles, or amphibians be inaccessible to children under the age of five (5) and are not suitable for school or child care settings with children under the age of five (5). The policy must notify parents or guardians that chickens, reptiles, and amphibians are recommended to be inaccessible to children under the age of five due to a higher risk of infection and increased disease severity.

The providers policies did not include information on interacting with chickens, and there are chickens on the property. Correction: Policies must include information on interactions with chickens when chickens are on the property. Correct and respond with statement of compliance. Correct by 01/13/2025

Corrected Corrected by Jan 13, 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 8 child files and found 2 children to have expired health statements. Correction: All children must have current health statement on file within 30 days of enrollment and 30 days of expiration. Correct and respond with statement of compliance. Correct by 01/13/2025

Corrected Corrected by Jan 13, 2025

Category: ratio. Marked corrected in the state record.

2.321.B.2 · Any routine unexpired medication, prescription or non-prescription (over-the-counter), may be administered to a) child by a primary provider, applicant 2, or staff member with the Department-approved medication administration training. Medication can be administered only with a current written order of a health care provider with prescriptive authority, and written parental consent. Home remedies, homeopathics, vitamins, and supplements must not be administered to children while in care at the family child care home.

Reviewed emergency medications on site and found one medication and one written order to be expired. Correction: Medications kept on site must be unexpired and administered only with a current written order. Correct immediately and respond with statement of compliance. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: ratio. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed Gina M's file and found their mandatory reporter training to be expired. Correction: All staff must complete Mandatory Reporter training and renew the training annually. Correct and provide

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a 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.

Reviewed Gina M's file and found their Standard Precautions training to be expired. Correction: All staff must complete Standard Precautions training, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: ratio. Marked corrected in the state record.

2.311.A.14.a · All equally qualified providers, qualified substitutes, and all staff members must obtain a subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider.

Reviewed Gina M's file and found their health statement to be expired. Correction: Staff must have current health evaluations and update every two years. Correct and respond with statement of compliance. Correct by 01/13/2025

Corrected Corrected by Jan 13, 2025

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

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency.

Camden B did not have CBI and FBI background checks completed. Camden is over 18. 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 Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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