Marla Adams

2.321.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, and must be signed by the health care provider and the parent(s) or guardian(s). The plan must include if applicable, but not limited to, the following:

CH6 to have an expired (10/25/2023) health care plan. Correction: Obtain current health care plan for CH6. Correct by 12/10/2025

Corrected by Dec 10, 2025

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.

Provider to be missing documentation of required Working with an Early Childhood Mental Health Consultant training. Correction: Obtain documentation of current Working with an Early Childhood Mental Health Consultanttraining. Submit documentation of compliance to specialist. Correct by 01/10/2026

Corrected by Jan 10, 2026

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 6 child files, observed CH1, CH4 and CH6 to have missing and/or expired health statements. Correction: Obtain current health statements for CH1, CH4 and CH6, retain in child file. Submit written statement of compliance to licensing specialist. Correct by 01/10/2026

Corrected by Jan 10, 2026

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals 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. This training must be renewed annually.

Provider to have an expired (9/12/25) required immunization training. Correction: Obtain documentation of current immunization training. Submit documentation of compliance to specialist. Correct by 01/10/2026

Corrected by Jan 10, 2026

2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Provider to be missing documentation of required Intro to early intervention and preschool special education programs training. Correction: Obtain documentation of current Intro to early intervention and preschool special education programs training. Submit documentation of compliance to specialist. Correct by 01/10/2026

Corrected by Jan 10, 2026

2.312.N · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Provider to be missing documentation of required Recognizing the impact of bias training. Correction: Obtain documentation of current Recognizing the impact of bias training. Submit documentation of compliance to specialist. Correct by 01/10/2026

Corrected by Jan 10, 2026

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 7 child files, observed 4 children to have expired health statements. Correction: Obtain current updated medical statements for all children with expired health statements. Submit documentation of compliance to licensing specialist. Correct by 02/10/2025

Corrected by Feb 10, 2025

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

Reviewed 7 child files, observed two children to have expired emergency medical authorization forms. (expired 2023) Correction: Obtain current updated authorization for emergency medical care, signed and dated by parent(s)/guardian(s). Correct by 01/10/2025

Corrected by Jan 10, 2025

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 provider file, observed Child Abuse Reporting training to be expired (exp: 2/2023) Correction: Obtain updated required child abuse reporting training, submit documentation of compliance to licensing specialist. Correct by 01/10/2025

Corrected by Jan 10, 2025

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 five children's records and observed one child to have an expired health statement. Correction: Obtain current health statements for all children. Correct by 2.18.2024 and submit a written statement of compliance to the Specialist. Correct by 02/18/2024

Corrected by Feb 18, 2024