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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Provider to be missing department-approved working with an early childhood mental health consultant training. Correction: Within ninety (90) calendar days of caring for children all staff must complete a department-approved early childhood mental health consultant training which can count towards ongoing annual training hour requirement. Document compliance to licensing specialist with written response. Correct by 09/17/2025

Corrected Corrected by Sep 17, 2025

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Provider to be missing fifteen (15) hours of ongoing professional development with at least three (3) of the fifteen clock hours must be in social emotional development Correction: All staff members shall: complete a minimum fifteen (15) clock hours of ongoing professional development with three (3) of the fifteen clock hours must be in social emotional development. Document compliance to licensing specialist with written response. Correct by 09/17/2025

Corrected Corrected by Sep 17, 2025

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 twelve child files, two child files to have expired health statements and one child file be missing documentation of completed health statement signed by health care provider. Correction: All health statements must be kept at the licensed family child care home. Correction: Within thirty (30) days after admission, the parents of each child must submit a health statement of the child's current health status signed by a health care provider. Document compliance to licensing specialist with written response.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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;

Provider to be missing department-approved introduction to early intervention and preschool special education programs training. Correction: Within ninety (90) calendar days of caring for children all staff must complete a department-approved introduction to the early intervention and preschool special education program training which can count towards ongoing annual training hour requirement. Document compliance to licensing specialist with written response. Correct by 09/17/2025

Corrected Corrected by Sep 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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;

Provider to be missing department-approved recognizing the impact of bias on early childhood professionals training. Correction: Within ninety (90) days of caring for children, all staff must complete a department-approved recognizing the impact of bias on early childhood professionals training which can count towards annual ongoing training hour requirement. Document compliance to licensing specialist with written response. Correct by 09/17/2025

Corrected Corrected by Sep 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Provider to have expired department-approved child abuse prevention training. Correction: Prior to working with children, all staff members must complete a department-approved child abuse prevention training including common symptoms and signs of child abuse how to report, when to report and where to report within (30) calendar days of employment and must be renewed annually. Correct Immediately. Send copy of training and document compliance to licensing specialist with written response. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

Category: recordkeeping. 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 authorization and approval for the activities described in the policies and procedures.

Reviewed twelve child files, three child files to be missing signed parent authorization for policies and procedures. Correction: The provider must obtain a signed document stating parent(s)/guardian(s) have received the policies and procedures at time of enrollment and upon any amendments. Written copies must be available for review. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 08/18/2025

Corrected Corrected by Aug 18, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 twelve child files, three child files to be missing signed parent media authorization. Correction: The provider must obtain a signed document from parent(s)/guardian(s) for media authorization at time of enrollment and update annually. Written copies must be available for review and must specify the approved time limits. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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 twelve child files, three child files to be missing signed emergency medical authorization. Correction: The provider must obtain a signed document from parent(s)/guardian(s) for emergency medical authorization at time of enrollment and update annually. Record must be dated and signed. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

Category: health medication. 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 twelve child files, three child files to be missing signed field trip authorization. Correction: The provider must obtain a signed document from parent(s)/guardian(s) for field trip authorization at time of enrollment and update annually. Record must be dated and signed. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 twelve child files, three child files to be missing signed sunscreen authorization form. Correction: Provider must obtain written sunscreen authorization form for the application of sunscreen with at least thirty (30) SPF with UVA/UVB rating or alternative forms of sun protection. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

Marked corrected in the state record.