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 11 children files and found 3 with expired emergency medical authorizations. Correction: Obtain and maintain documentation for all children enrolled in the program. Correct immediately and submit compliance by 5/22/25. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

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

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 11 children files and found 1 without documentation of a signed sunscreen authorization form . Correction: Obtain and maintain documentation for all children enrolled in the program. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization and approval for the activities described in the policies and procedures.

Reviewed 11 children files and found 1 without documentation of a signed parent handbook/ policies and procedures . Correction: Obtain and maintain documentation for all children enrolled in the program. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Marked corrected in the state record.

2.320.A.10 · 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: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

Reviewed 11 children files and found 1 without documentation of a signed Media policy . Correction: Obtain and maintain documentation for all children enrolled in the program. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

Reviewed 11 children files and found 1 without documentation of a signed Field Trip policy . Correction: Obtain and maintain documentation for all children enrolled in the program. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Category: recordkeeping. 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.

During the visit the smoke alarm testing log could not be located for review. Correction: Provide documentation of the smoke alarm testing log to the licensing specialists. Correct immediately and submit documentation by 5/22/25. 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.

During the visit the emergency drill log could not be located for review. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provide documentation of the smoke alarm testing log to the licensing specialists. Correct immediately and submit documentation by 5/22/25. Correct by 04/22/2025

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. 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.

Reviewed 11 children files and found 4 without current documentation of a health statement . Correction: Obtain and maintain documentation for all children enrolled in the program. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Category: ratio. Marked corrected in the state record.