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.

Reviewed 6 child files and observed 3 to have an expired health statement. Correction: The parents of each child must submit a statement of the child's current health status, signed and dated by a health care provider. Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

Category: ratio. 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 have an expired standard precautions training. Correction: The primary provider must complete the department-approved training in standard precautions. This training must be renewed annually. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: ratio. Marked corrected in the state record.

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 have an expired medication administration training. Correction: The primary provider must complete a department approved course in training for medication administration. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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.

Reviewed provider's file and observed it to have an expired child abuse prevention training. Correction: The primary provider must complete department-approved training about child abuse prevention. Correct by 09/24/2025

Corrected Corrected by Sep 24, 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 provider's file and observed it to have an expired safe sleep training and children under 12 months were in care at the time of inspection. Correction: The primary provider and all staff must complete a department-approved safe sleep training prior to working with infants. This training must be renewed annually. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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 provider's file and observed it to have an expired immunization course. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The primary provider and all individuals responsible for the collection and maintenance of the child immunization records must complete the CDPHE immunization course. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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

2.321.A.2.b · 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: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s) and/or guardian(s), defining the interventions needed to care for a child who has an identified health condition or developmental concerns, including, but not limited to: seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and or medical equipment must be available to the primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members prior to the child’s first day of care. The primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Observed the facility to have an emergency medication for a child in care and provider is lacking delegation for medication. Reviewed child's current health care plan for emergency medication and observed it to be lacking parental authorization. Correction: The primary provider and any staff working with a child with a health care plan, must be informed, trained, and delegated by the department approved child care health consultant. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: supervision. Marked corrected in the state record.

2.120.C.1.c · The Trails child abuse or neglect records request must be made on the state-prescribed form, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For each adult eighteen (18) years of age or older, who begin residing in the home after care begins, requests must be submitted within five (5) calendar days of when he or she begins residing in the home, and these adults must not be allowed unsupervised access to children in care until all background checks have been successfully completed.

Identified the provider to have another resident living in the home for over a month and has not submitted requests for TRAILS background checks. Correction: For each adult 18 years or older who begins residing in the home after care begins, requests must be submitted within 5 calendar days of when they begin residing in the home. ***All individuals requring a background check must review the "Navigating the BIU's Webpage" powerpoint within 24 hours. Submit verification that individual reviewed powerpoint to specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: supervision. Marked corrected in the state record.