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 7 children files and observed 1 child to have an expired health statement (expired 4/12/2024). Correction: Obtain and maintain current and up to date health statements for all children. Submit compliance by 10/30/2024. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: ratio. Marked corrected in the state record.

2.337.C.4 · Children must wear protective equipment when riding a scooter, bicycle, balance bike, skateboard, or rollerblades.

Observed children riding balance bikes without helments. Correction: All children must wear protective equipment while riding balance bikes. Correct immediately 9/30/2024 and submit compliance by 10/30/2024. *** Corrected at time of visit by having all children wear helmets when riding balance bikes, no response required. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

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

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Reviewed 1 staff file and observed provider to have expired safe sleep training. Correction: Obtain and maintain current and up to date safe sleep training. Correct immediately 10/5/2023 and submit compliance by 11/5/2023. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

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

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 4 children files and observed 3 children to have immunization documentation not on state approved form. Correction: Obtain and maintain immunization documentation on state approved form for all children. Correct immediately 10/5/2023 and submit compliance by 11/5/2023. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: health medication. 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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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) 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 4 children files and observed 1 child to have expired health statement. Correction: Obtain and maintain current and up to date health statement documentation for all children. Submit compliance by 11/5/2023. Correct by 11/05/2023

Corrected Corrected by Nov 5, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed 1 staff file and observed provider to have expired standard precaution training. Correction: Obtain and maintain current and up to date standard precaution training. Correct immediately 10/5/2023 and submit compliance by 11/5/2023. Correct by 10/05/2023

Corrected Corrected by Oct 5, 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 1 staff file and observed provider to have expired Immunization course training. Correction: Obtain and maintain current and up to date Immunization course training. Correct immediately 10/5/2023 and submit compliance by 11/5/2023. Correct by 10/05/2023

Corrected Corrected by Oct 5, 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 1 staff file and observed provider to have expired shaken baby training. Correction: Obtain and maintain current and up to date shaken baby training. Correct immediately 10/5/2023 and submit compliance by 11/5/2023. Correct by 10/05/2023

Corrected Corrected by Oct 5, 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 requirements.

Reviewed 1 staff file and observed provider to have expired child abuse prevention training. Correction: Obtain and maintain current and up to date child abuse prevention training. Correct immediately 10/5/2023 and submit compliance by 11/5/2023. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.