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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 children's files and observed one child to be missing documentation of CDPHE Immunization status. Correction: Obtain immunizations for the child who is missing them. Correct immediately by 7/16/24 and submit written statement of compliance with overall response by 8/16/24. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: health medication. 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 9 children's files and observed one child to be missing documentation of health statement within 30 days of enrollment and one child to have an expired health statement. Correction: Obtain a current health statement for all child in care. Correct and submit written statement of compliance with overall response by 8/16/24. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Category: ratio. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Observed all 4 residents of the home to be missing documentation of a current medical statement. Correction: Obtain and provide documentation of a current health statement for all residents of the home. Correct and submit documentation by 8/16/24. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Observed the provider to be missing documentation of emergency drills. Correction: All drills must be held in accordance with rule and documented. Correct immediately by 7/16/24 and submit written statement of compliance with overall response by 8/16/24. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

Observed the home provider to be missing a fire extinguisher. Correction: Obtain a fire extinguisher. Correct immediately by 7/16/24 and submit written statement of compliance with overall response by 8/16/24. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

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

2.122.B · Prior to the original license being issued, all child care facilities, except for foster homes and specialized group facilities, that are providing care for three or fewer children who are determined to have a developmental disability by a community centered board or who have a serious emotional disturbance, must submit to the Department written approval from the local zoning department approving operation of the facility. The approval must include the address of the child care facility and the ages and number of children to be served. The facility must also submit written zoning department approval to the Department any time there is a change to the license, including moving the facility to another location, increasing the capacity, or adding different ages of children.

Observed the provider to be missing zoning approval for the new license. Correction: The facility must submit written zoning department approval to the Department any time there is a change to the license, including increasing the capacity. Correct immediately by 7/16/24, or prior to license being approved. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: ratio. Marked corrected in the state record.

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and proof of vaccination must be available for review by the licensing specialist.

Observed the provider to be missing documentation of rabies vaccination for their cat, Thistle. Correction: Obtain documentation of a current rabies vaccination for the cat. Correct immediately by 8/16/23 and submit written statement of compliance with overall response by 8/23/23. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: health medication. 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 7 children's files and observed 7 children's immunizations not to be on the Department approved CDPHE immunization form. Correction: All children's immunization's must be on the Department approved CDPHE immunization form. Correct immediately by 8/16/23 and submit written statement of compliance with overall response by 8/23/23. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

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