Kristin Otteson

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 10 children files and observed 2 children files to have expired health statements (child 1 expired 5/30/25 and child 2 expired 10/1/25). Correction: Obtain and maintain current and up to date health statements for all children. Submit compliance by 1/11/25. Correct by 01/11/2026

Corrected by Jan 11, 2026

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2.321.A.2.c · 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: Documentation of school-required immunization status or medical or nonmedical exemption, is required by the Colorado Board of Health.. Up-to-date, school-required FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: K_ri_sti_n _Ot_te_so_n___________________Lic_e_ns_e _Nu_m_b_er_ : 1_7_46_57_0______ ________________________________________________ immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 10 children files and observed 5 children files to not have immunization documentation on the state approved from and 2 children files to not have documentation of completed immunization. Correction: Obtain and maintain current and up to date immunizations documentation at all times. Correct immediately 12/11/25 and submit compliance by 1/11/26. Correct by 12/11/2025

Corrected by Dec 11, 2025

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2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed 3 staff files and observed provider to have expired abusive head trauma training (expired 5/1/24). Correction: Obtain and maintain current and up to date abusive head trauma training at all times. Correct immediately 1/8/2025 and submit compliance by 2/8/2025. Correct by 01/08/2025

Corrected by Jan 8, 2025

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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.

Observed outlets without protective covers in bedroom. Correction: All rooms with outlets accessible to children must be kept inaccessible to children at all times. Correct immediately 1/8/2025 and submit compliance by 2/8/2025. ***Corrected at time of inspection by installing outlet covers to outlets, no response required. Correct by 01/08/2025

Corrected by Jan 8, 2025

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2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: K_ri_sti_n _Ot_te_so_n___________________Lic_e_ns_e _Nu_m_b_er_ : 1_7_46_57_0______ ________________________________________________ accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed children files and observed 3 children to have expired health statements and 1 child to not have documentation of completed health statement. (expired- child 1 5/4/2024, child 2 10/10/2024, child 37/3/2024) Correction: Obtain and maintain current and up to date health statements for all children. Submit compliance by 2/8/2025. Correct by 02/08/2025

Corrected by Feb 8, 2025

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2.312.K · Within thirty (30) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved training regarding playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed 3 staff files and observed 3 staff to not documentation of completed playground safety in homes training. Correction: Obtain and maintain current and up to date playground safety in homes training for all staff. Correct immediately 1/8/2025 and submit compliance by 2/8/2025. Correct by 01/08/2025

Corrected by Jan 8, 2025

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2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed 3 staff files and observed 3 staff to not documentation of completed injury prevention in homes training. Correction: Obtain and maintain current and up to date injury prevention in homes training for all staff. Correct immediately 1/8/2025 and submit compliance by 2/8/2025. Correct by 01/08/2025

Corrected by Jan 8, 2025

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2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: K_ri_sti_n _Ot_te_so_n___________________Lic_e_ns_e _Nu_m_b_er_ : 1_7_46_57_0______ ________________________________________________

Observed provider to not have documentation of completed working with a mental health consultant. Correction: Obtain and maintain current and up to date working with a mental health consultant training. Correct immediately 1/8/2025 and submit compliance by 2/8/2025. Correct by 01/08/2025

Corrected by Jan 8, 2025

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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 5 staff files and observed 1 staff to have an expired standard precaution training. Correction: Obtain and maintain current and up to date standard precaution training for all staff. Correct immediately 2/14/2024 and submit compliance by 3/14/2024. Correct by 02/14/2024

Corrected by Feb 14, 2024

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7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: K_ri_sti_n _Ot_te_so_n___________________Lic_e_ns_e _Nu_m_b_er_ : 1_7_46_57_0______ ________________________________________________ than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

Reviewed 5 staff files and observed 1 staff to not have documentation of completed health statement. Correction: Obtain and maintain current and up to date health statements for all staff. Submit compliance by 3/14/2024. Correct by 02/14/2024

Corrected by Feb 14, 2024

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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 11 children files and observed 3 immunization not on state approved form. Correction: Obtain and maintain current and up to date immunization documentation for all children. Correct immediately 2/14/2024 and submit compliance by 3/14/2024. Correct by 02/14/2024

Corrected by Feb 14, 2024

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