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 1 staff file. Observed SM1's file lacking current documentation of a Department-approved standard FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ precautions training. Correction: Obtain a Department-approved standard precautions training prior to working with children and renew annually. Correct immediately and respond with verification of compliance by 3/16/2026. Correct by 03/09/2026

Corrected Corrected by Mar 9, 2026

Category: ratio. Marked corrected in the state record.

2.335.X · All adult exercise equipment must be inaccessible to children.

Observed the office door to be open and exercise weights were next to do the door, accessible to children and posing a potential safety hazard. Correction: Keep all adult exercise equipment inaccessible to children at all times. **Corrected at time of visit, provider closed the door with a safety lock on 3/9/26.** No response is required. Correct by 03/09/2026

Corrected Corrected by Mar 9, 2026

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

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

Observed the office door to be open and an electrical power strip lacking protective covers were accessible to children and posing a potential safety hazard. Correction: All electrical outlets and powers strips must have protective covers at all times. **Corrected at time of visit, provider closed the door with a safety lock on 3/9/26.** No response is required. Correct by 03/09/2026

Corrected Corrected by Mar 9, 2026

Category: physical safety. 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 the provider's file and observed the file to be lacking current documentation of a Department-approved child abuse prevention training. Correction: Obtain a Department-approved child abuse prevention training. Correct immediately and respond with documentation of training by 9/5/2025. Correct by 08/05/2025

Corrected Corrected by Aug 5, 2025

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 the provider's file and observed the file to be lacking current documentation of a Department-approved safe sleep training. Correction: Obtain a Department-approved safe sleep training. Correct immediately and respond with documentation of

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 the provider's file and observed the file to be lacking current documentation of a CDPHE immunization course. Correction: Obtain a CDPHE immunization training. Correct immediately and respond with documentation of training by 9/5/2025. Correct by 09/05/2025

Corrected Corrected by Sep 5, 2025

Category: health medication. 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 7 child files. Observed CH2's file to be lacking current written authorization from a parent/guardian for emergency medical care. Correction: Obtain written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). Correct immediately and respond with verification of compliance by 9/5/2025. Correct by 08/05/2025

Corrected Corrected by Aug 5, 2025

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

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

Reviewed 7 child files. Observed CH2's file to be lacking current written authorization from a parent/guardian for field trips and excursions. Correction: Obtain written authorization for field trips and excursions signed and updated annually by the parent(s) or

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 CH3, CH4, and CH5 to be older than 2 years of age and younger than 7 years of age and their files to be lacking current health statements. Correction: Obtain a current health statement for all children. Correct and respond with verification of compliance by 9/5/2025. Correct by 09/05/2025

Corrected Corrected by Sep 5, 2025

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

2.312.K · Within thirty (30) 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 regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed Provider's file and observed it to be missing current documentation of Department approved training regarding playground safety for homes. Correction: Obtain current documentation of Department approved training regarding playground safety for homes. Correct

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 Provider's file and observed it to be missing current documentation of Department approved training for medication administration. Correction: Obtain current documentation of Department approved training for medication administration. Correct immediately and respond with verification by 10/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: ratio. Marked corrected in the state record.

2.312.P · 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 regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed Provider's file and observed it to be missing current documentation of Department approved training regarding Injury Prevention for Homes. Correction: Obtain current documentation of Department approved training regarding Injury Prevention for Homes. Correct and respond with verification of compliance by 10/18/24. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. 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 Provider's file and observed it to be missing current documentation of Department approved training Working with an Early Childhood Mental Health Consultant. Correction: Obtain current documentation of Department approved training Working with an Early Childhood Mental Health Consultant. Correct and respond with verification of compliance by 10/18/24. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

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

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 Provider's file and observed it to be missing current documentation of Department approved training in standard precautions. Correction: Obtain current documentation of Department approved training in standard precautions. Correct immediately

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Reviewed provider's file and observed it to be missing documentation of a current health evaluation. Correction: Obtain documentation of a current health evaluation. Correct and respond with a statement of compliance by 10/18/24. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

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

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed Provider's file and observed it to be missing current documentation of FBI clearance letter. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Correct immediately and respond with verification of compliance with FBI and CBI clearance letters by 10/24/23 Correct by 10/17/2023

Corrected Corrected by Oct 17, 2023

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

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State Department approved course of training for medication administration.

Reviewed Provider's file and observed it to be missing current documentation of completion of Department-approved Medication Administration training. Correction: Obtain documentation of completion of Department-approved Medication Administration training for all child care providers who work alone with children at any time. Correct immediately and respond with verification of compliance by 10/24/23. Correct by 10/17/2023

Corrected Corrected by Oct 17, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed Provider's file and observed it to be missing current documentation of completion of CDPHE Immunization course Correction: Obtain documentation of completion of completion of CDPHE Immunization course, and annually thereafter. Correct immediately and respond with verification of compliance by 10/24/23. Correct by 10/17/2023

Corrected Corrected by Oct 17, 2023

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

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed Provider's file and observed it to be missing current documentation of completion of Department-approved Prevention of Shaken Baby/Abusive Head Trauma training. Correction: Obtain current documentation of completion of Department-approved Prevention of Shaken Baby/Abusive Head Trauma training, and annually thereafter. Correct immediately and respond with verification of compliance by 10/24/23. Correct by 10/17/2023

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ requirements.

Reviewed Provider's file and observed it to be missing current documentation of completion of Department-approved training about child abuse prevention. Correction: Obtain current documentation of completion of Department-approved training about child abuse prevention, and annually thereafter. Correct immediately and respond with verification of compliance by 10/24/23. Correct by 10/17/2023

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.