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 2 staff files adn observed Victoria "Rose" and Patrick to have expired child abuse prevention and reporting training as of 6.16.23 and 9.22.23. Correction: Obtain current child abuse prevention and reporting training for staff and add to staff file. Correct immediately and send written verification to specialist with response. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

reviewed 5 children files and observed Ch5 to have no documentation of sunscreen authorization. Correction: Obtain current signed authorization of sunscreen documentation for child and add to childs file and send written authorization to specialist with response. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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 and observed Victoria" Rose" and Patrick to have expired safe sleep training as of 7.29.23 and 7.29.23. Correction: Obtain current department approved safe sleep training for staff and add to staff files. Correct immediately and send written verification to specialist with response. Correct by 04/05/2024

Corrected Corrected by Apr 5, 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 and observed Victoria" Rose" and Patrick to have expired immunization training as of 6.14.23 and 10.29.23. Correction: Obtain current immunization training for staff and add to staff files. Correct immediately and send written verification to specialist with response. Correct by 04/05/2024

Corrected Corrected by Apr 5, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 and observed Patrick to have no documentation of 15 hours of ongoing professional development training. Correction: Obtain current 15 hours f ongoing professional development and add to staff file and send written verification to specialist with response. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

reviewed 5 children files and observed Ch5 to have no documentation of parents recieving policies and procedures. Correction: Obtain signed document that parents received policies and procedures and that they agree to follow,accept and or give authorization for policies and procedures and send written response to specialist. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Marked corrected in the state record.

2.320.A.10 · 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 media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

reviewed 5 children files and observed Ch5 to have no documentation of media authorization. Correction: Obtain authorization of media and add to childs file and send written response to specialist. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: recordkeeping. 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 2 staff file and observed Victoria" Rose" and Patrick to have expired standard precautions training as of 9.9.23 and 9.11.23. Correction: Obtain current standard precautions training for all staff and add to staff file. Correct immediately and send written verification to specialist with response. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Category: ratio. Marked corrected in the state record.

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

in dinning area unlocked drawer with batteries labeled "keep out of reach of children" to be accessible to children. observed screws in unlocked drawer in dinning area. Observed in bathroom unlocked cabinet to have cleaning supply and hair products to be accessible to children and to be labeled " keep out of reach of children" Observed on top of sink a tooth paste accessible to children also labeled "keep out of reach of children". Observed in back living room area on a side table a Method cleaning spray to be accessible to children and labeled "keep out of reach of children" Correction: All hazardous material and tems must be inaccessible to children at all times. Correct immediately, correct at time of visit provider removed or locked items making them inaccessible to children. No response needed. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

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.

in living room front and outlet with no cover next to single couch chair. Observed in dinning area near east wall an outlet with no protective cover. Observed in back living space and outlet with no protective cover near sliding door. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ All electrical outlets are accessible to children. Correction: All electrical outlets must have protective covers or safety outlet must be installed correct immediately. Correct at time of visit provider placed protective covers on outlets. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

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

2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

outdoor yard where children play to have dog feces accessible to children at time of visit. Correction: All outdoor areas must be kept free of animal contamination. Correct immediately, corrected at time of visit provider pick feces up. No response needed. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Marked corrected in the state record.

2.338.E · The primary provider must obtain written permission from the parent or guardian for transportation of the child.

reviewed 5 children files and observed Ch5 to have no documentation of transportation authorization. Correction: Obtain current documenation of transportation authorization for child and add to childs file and send written response to specialist. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: transportation. Marked corrected in the state record.

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

little tik blue and red slide to be over 24 inches with no resilient material under or around use zones. Correction: all climbing equipment over 18 inches must have resilient surfacing of at least 6 inches in the use zone.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

Identified through provider that no smoke alam maintance documenation is maintained at the home. Correction: Smoke alarm testing documentation must be available for review at time of visit correct immediately and send written response to specialsit. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. Marked corrected in the state record.