2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Observed gems on an art project hanging in the outdoor play area, earrings in an unlocked drawer in the basement bathroom, and small bug learning materials in the basement, all accessible to children under the age of 3. Correction: Toys, toy parts, and any materials accessible to children under the age of 3 must not be a choke hazard or able to be inhaled. ***Corrected at the time of inspection. Provider made earrings and bug materials inaccessible. Please respond to gem violation only. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

Category: physical safety. 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 2 child files and observed them both to be lacking emergency medical authorization. Correction: A dated, written authorization for emergency medical care signed and updated annually by the parents must be completed for each child. Correct by 04/22/2025

Corrected Corrected by Apr 22, 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 health care provider. All health statements must be kept at the licensed family child care home. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 child files and observed one to have an expired medical statement. Correction: Within 30 days after admission and within 30 days following the expiration date, the parents of each child must submit a statement of the child's current health status signed and dated by a health care professional. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Category: ratio. Marked corrected in the state record.

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.

Reviewed provider's file and observed it to be lacking documentation of the dates of montly smoke alarm testing. Correction: Dates of monthly smoke alarm testing must be kept and maintained for review. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. 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.

Reviewed provider's drill log and observed it to be lacking a record of 4 lockdown drills for the past 12 months. Correction: Lockdown and active shooter drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure. A record of all emergency drills must be maintained for 12 months. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Observed provider's husband Shane to be lacking out of state clearance letter and has lived out of state within the past 5 years. Correction: Background checks must be submitted and successfully completed for any residents of the home. ***All individuals requiring a background check must review Navigating the BIU's webpage powerpoint within 24 hours. Send verification within 24 hours to specialist that powerpoint was reviewed. Send documentation of out of state clearance to specialist with written response. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

Category: supervision. 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.”

Observed an antibiotic ointment in an unlocked drawer in the basement bathroom accessible to children. Ointment was labeled "keep out of reach of children" and accessible to children. Correction: All hazardous items and materials must be inaccessible to children. ***Correced at the time of inspection. Provider made items inaccessible. No response required. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

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