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 2 staff files. Observed Monet B. and Philycia B. lacking documentation of a standard precautions training. Correction: Immediately, all staff must complete a Department-approved training in standard precautions and must renew annually. Submit documentation and a written statement of compliance by 9/27/2024. Correct by 08/27/2024

Corrected Corrected by Aug 27, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 staff files. Observed Monet B. and Philycia B. lacking documentation of a child abuse prevention training. Correction: All staff must complete a child abuse prevention training and must renew annually. Submit documentation and a written statement of compliance by 9/27/2024. Correct by 09/27/2024

Corrected Corrected by Sep 27, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed 2 staff files. Observed Monet B. and Philycia B. lacking documentation of a safe sleep training. Correction: Immediately, all staff must complete a safe sleep training. Submit documentation and a written statement of compliance by 9/27/2024. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

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

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.

Reviewed 2 staff files. Observed Monet B. and Philycia B. lacking documentation of an immunization training. Correction: All staff responsible for the collection of child immunization records must complete the Department-approved immunization training. Submit documentation and a written statement of compliance by 9/27/2024. Correct by 09/27/2024

Corrected Corrected by Sep 27, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed 2 staff files. Observed Monet B. and Philycia B. lacking documentation of 15 hours of training. Correction: All staff must complete 15 hours of professional development each year. Submit documentation and a written statement of compliance by 9/27/2024 Correct by 09/27/2024

Corrected Corrected by Sep 27, 2024

Category: recordkeeping. 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 6 child files. Observed 1 file lacking written authorization for emergency medical authorization. Correction: Immediately, a written authorization for emergency medical care must be signed by the parent/guardian and updated annually. Submit a written statement of compliance by 9/27/2024. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: health medication. 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 6 child files. Observed 1 file lacking an immunization form. Correction: Immediately, all children must have an immunization record or nonmedical exemption. Submit a written statement of compliance by 9/27/2024. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

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

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed providers drill log, identified Fire drills and tornado drills were not logged for March, April and May 2023. Correction: Emergency drills must be held monthly. Fire Drills must be held and logged every monthly, Tornado Drills must be conducted and logged for the months March - October. Submit a statement of compliance by 8/12/2023. Correct by 08/12/2023

Corrected Corrected by Aug 12, 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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 children files, identified one child with a start date of 1/4/2020 with an expired statement of health. Correction: Immediately, review all children file. The facility must obtain and maintain a current statement of health for each child. The statement must be signed and dated by the physician along with the date of the next appointment. Submit a statement of compliance by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 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 6 children's file, identified two (2) children missing current emergency authorization acknowledgment dates. One was dated 2/1/2022 the other was dated 7/7/2022. Correction: Immediately review all children files. The provide must obtain and maintain in each child's file a current date acknowledging emergency medial authorization from each family. Submit a statement of compliance with documentation by 8/12/2023. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.