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.

Identified Terri to have an expired Immunization Training (expired 3/13/24) Correction: Obtain current training and maintain in providers file. Submit a written statement of compliance with documentation to the Specialist. Correct by 02/10/2025

Corrected Corrected by Feb 10, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 6 children files, Identified Ch1, Ch4 and Ch5 to have an expired health evaluations Correction: Obtain current health evaluations for all children, keep current health evaluations in children's files. Submit a written statement of compliance to the Specialist. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

Category: ratio. Marked corrected in the state record.

2.138.A · 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.

For the month of January, fire drill was not conducted or logged. Correction: Immediately Fire Drills must be conducted montly. Submit a written statement of compliance to the Specialist Correct by 02/06/2024

Corrected Corrected by Feb 6, 2024

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, 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 children files, identified one child missing a current health appraisal. Correction: Obtain a current health evaluation for child. Submit a written statement of compliance to the Specialist. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: ratio. Marked corrected in the state record.