Valerie Martinez

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

In the outdoor play area there was observed to be a metal cover over an old water well, not in use, that had sharp rusted metal edges that was accessible to children posing a safety hazard. Correction: All outdoor play area must be free from safety hazards. Correct immediately. Submit a written statement of compliance by 4/25/26. Correct by 03/18/2026

Corrected by Mar 18, 2026

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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 accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 5 child files. Observed one 3 years of age to have an expired health statement. Correction: Provider must obtain current health status and put in child's file. Submit written verification on correction response to specialist. Correct by 05/21/2025

Corrected by May 21, 2025

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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.”

Storage area to be unlocked containing exposed paint buckets labeled "keep out of reach of children" and Febreze spray labeled "keep out of reach of children" accessible to children. Correction: Provider must ensure all items labeled "keep out of reach of children" are inaccessible to children. Submit written verification on correction response to specialist. Correct immediately. ***CORRECTED AT TIME OF VISIT***

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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.

Electrical outlet on East wall in play area to not have protective cover or installed safety outlet. Correction: Provider must ensure electrical outlets in rooms accessible to children are to have protective covers or installed safety outlets. Submit written verification on correction response to specialist. Correct immediately. ***CORRECTED AT TIME OF VISIT*** Provider placed protective cover on electrical outlet. No response required. Correct by 04/21/2025

Corrected by Apr 21, 2025

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2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

Fence located on south-end of outdoor play area to be detached and collapsing causing potential safety hazard. Correction: Provider must ensure the outdoor play area is frequently surveyed and kept safe from hazards. Submit written verification on correction response to specialist. Correct immediately. Correct by 04/21/2025

Corrected by Apr 21, 2025

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2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through the Stage II investigation, the provider did not notify the Licensing Specialist within twenty-four (24) hours of a critical incident that took place at the center. Correction: Within twenty-four hours of a critical incident at the facility, the facility must report in writing to the Licensing Specialist. Correct immediately. Submit a written statement to continue to be in compliance by 12/9/24. Correct by

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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.

The provider did not have verification of an updated training for Standard precaution. Correction: The provider must complete the department approved training in standard precautions. This training must be renewed annually. Correct immediately. Submit a written statement of compliance by 12/9/24. Correct by 11/25/2024

Corrected by Nov 25, 2024

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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.

The provider did not have verification of an updated safe sleep training. Correction: The provider must complete the department approved training in safe sleep. This training must be renewed annually. Correct immediately. Submit a written statement of compliance by 12/9/24. Correct by 11/25/2024

Corrected by Nov 25, 2024

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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.

The provider did not have verification of an updated immunization course through the Colorado Department of Public Health and Environment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The provider must complete the department approved immunization course of training through the Colorado Department of Public Health and Environment. This training must be renewed annually. Correct immediately. Submit a written statement of compliance by 12/9/24. Correct by 11/25/2024

Corrected by Nov 25, 2024

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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;

The provider did not have verification of completing a department approved training on playground safety for homes. Correction: The provider must complete the department approved training on playground safety for homes. This course is required once and will be counted towards ongoing training requirements. Submit a written statement of compliance by 12/9/24. Correct by 12/09/2024

Corrected by Dec 9, 2024

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2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

The provider did not have verification of completing a department approved training on early intervention and preschool special education programs. Correction: The provider must complete the department approved training on early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements. Submit a written statement of compliance by 12/9/24. Correct by 12/09/2024

Corrected by Dec 9, 2024

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2.312.N · 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 for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

The provider did not have verification of completing a department approved training on recognizing the impact of bias on early childhood professionals. Correction: The provider must complete the department approved training on recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements. Submit a written statement of compliance by 12/9/24. Correct by 12/09/2024

Corrected by Dec 9, 2024

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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.

The provider did not have verification of completing a department approved training on injury Prevention for Homes. Correction: The provider must complete the department approved training on injury Prevention for Homes. This course is required once and will be counted towards ongoing training requirements. Submit a written statement of compliance by 12/9/24. Correct by 12/09/2024

Corrected by Dec 9, 2024

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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 ________________________________________________

The provider did not have verification of completing a department approved training Working with an Early Childhood Mental Health Consultant. Correction: The provider must complete the department approved training Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing training requirements. Submit a written statement of compliance by 12/9/24. Correct by 12/09/2024

Corrected by Dec 9, 2024

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2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

The provider did not have a signed child abuse statement clearly defining the providers responsibility to report all incident of child abuse and neglect. Correction: The provider and all staff must read and sign a statement clearly defining the providers responsibility to report all incident of child abuse and neglect according to state law. Provider signed the document on the day of the investigation. Correct immediately. Submit a written statement of compliance by 12/9/24. Correct by 11/25/2024

Corrected by Nov 25, 2024

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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.

The provider did not have verification of completing the child abuse prevention training. Correction: The provider must complete a department approved training about child abuse prevention annually. Correct immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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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.

Two out of 4 children's files reviewed did not have verification of a current health statements. Correction: Within 30 days of expiration date, the parent must provide a statement of children's current health status signed and dated by a health care provider. Submit documentation and written statement of compliance by 6/21/24. Correct by 06/21/2024

Corrected by Jun 21, 2024

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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 the bathroom there was hand soap and body lotion on the sink, and in play area there were baby wipes that were all labeled "Keep out of reach of children", In the kitchen drawer there were screw drivers and sharp knives that were all accessible to children. Correction: All items and materials that are labeled Keep out of reach of children must me inaccessible to children. Correct immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the playroom, there was a clothes dryer without a safety latch that was accessible to children causing a possible safety hazard. Correction: All Indoor equipment and furnishing must be safe and free of hazards. Correct immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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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;

One out of 4 children's files reviewed did not have a current authorization for emergency medical care. Correction: The provider must obtain a written authorization for emergency medical care signed and updated annually by the parent or guardian. Correct immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

In the backyard play area, there was weathered wood material and a missing slat on the wooden deck that was accessible to children causing a possible safety hazard. Correction: All outdoor play space must be free from safety hazards. Correct immediately. Submit written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

An office/storage room that was accessible to children had several boxes stacked causing possible safety hazard. Correction: The premises must be kept safe and free from hazards at all times . Correct immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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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.

In the room where children rest, there were multiple electrical cords that were hanging on the wall, posing a possible safety hazard. Correction: All Electrical cords must be inaccessible to children. Correct Immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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2.324.B.2.a · The family child care home must have a designated diaper change area for all children in need of diaper changing. The diaper change area must: Have a smooth, durable, nonabsorbent, and easily cleanable surface

The diaper changing mat was ripped making the mat absorbent and not an easily cleanable surface. Correction: The diaper changing area must have a smooth, durable, nonabsorbent, and easily cleanable surface. Correct immediately. Submit documentation and written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

In the backyard play area, part of the fence in the corner of the yard was falling down with a pipe sticking out, two rusted barrels and a metal frame surrounding the water well had sharp edges that were all accessible to children causing possible safety hazards. Correction: All outdoor play area must be frequently surveyed, kept safe and free of hazards that could cause possible harm to children. Correct immediately. Submit a written statement of compliance by 6/21/24. Correct by 05/22/2024

Corrected by May 22, 2024

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