2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At time of inspection Marisa G. to be missing trails background check clearance letter. Correction: The Trails child abuse and neglect records request must be made on the state-prescribed form, accompanied by the required fee within the required time frames. Staff must submit their TRAILS background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint on the CDEC website. Submit verification that the staff members named above have reviewed the PowerPoint within 24 hours. Send copies of clearance letters to the Licensing Specialist. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: supervision. Marked corrected in the state record.

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.

At time of inspection Juanita H. and Marisa G. to be missing immunization training. Correction: Within thirty (30) calendar days of caring for children primary provider and all individuals responsible for collection, review and maintenance of child immunization records must complete CDPHE immunization course and renew annually. Document compliance to licensing specialist with written response. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

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

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;

At time of inspection Marisa G. to be missing department approved Introduction to early intervention training. Correction: Within ninety (90) calendar days of caring for children primary provider, applicant 2, and all staff must complete department approved Introduction to early intervention training. Document compliance to licensing specialist with written response. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At time of inspection Marisa G. to be missing department approved Injury Prevention for homes" training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within ninety (90) calendar days of caring for children primary provider, applicant 2, and all staff must complete department approved Injury Prevention for homes" training. Document compliance to licensing specialist with written response. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At time of inspection Marisa G. to be missing department approved "Working with an Early Childhood Mental Health Consultant" training. Correction: Within ninety (90) calendar days of caring for children primary provider, applicant 2, and all staff must complete department approved "Working with an Early Childhood Mental Health Consultant" training. Document compliance to licensing specialist with written response. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

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

2.320.A.1 · 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: The child’s full name, date of birth, current address, and date of enrollment;

At time of inspection reviewed thirteen children files. Two child files to be missing enrollment date. Correction: At time of admission records must be completed for each child prior to admission and updated annually. This includes full name, date of birth, current address and date of admission. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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.

At time of inspection reviewed thirteen children files. Seven child files to be missing medical statement FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation. Correction: Within thirty (30) days after admission, and within thirty (30) days following expiration date, parent(s)/guardian(s) of each child must submit a statement of a child's health status which must be dated and signed by provider. Document compliance to licensing specialist with written response. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

Category: ratio. Marked corrected in the state record.

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 St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

At time of inspection reviewed thirteen children files. Five child files to be missing immunization documentation. Correction: At time of admission, parent(s)/guardian(s) must provide school-required immunization status or medical exemption documentation from Colorado Department of Public Health and Environment. Correct Immediately. Document

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

At time of inspection Marisa G. to be missing medical statement. Correction: A new family member or new resident of the home must obtain subsequent health evaluations for the primary provider, applicant 2, and any children residing in the home must obtain a health evaluation form signed and dated by licensed physician. Document compliance to licensing specialist with written response. Correct by 01/18/2025

Corrected Corrected by Jan 18, 2025

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

7.707.71.A.6 · Health statements for children over two (2) years to seven (7) years of age must be updated annually.

Fourteen Child files reviewed. Five child files for children between the ages of 2 and 7 to not be updated annually. Correction: Health Statements for children over two years to seven years of age must be updated annually. Obtain updated health statements and add to file. Document compliance to the Licensing Specialist with the written response. Correct by 02/21/2024

Corrected Corrected by Feb 21, 2024

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

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Two staff files reviewed. Marisa G. to be missing documentation of completed FBI and CBI background check completion letters. Correction: Criminal background check requests must be successfully completed prior to an individual caring for children. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Marisa G. has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letter for staff member Marisa G. with written response to Specialist. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: supervision. Marked corrected in the state record.

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ admission and updated annually, unless otherwise specified in these rules. The admission record must include:

14 child files reviewed. Seven child files to not have been updated annually. Two child files to be missing admission record. Correction: An admission record must be completed for each child prior to or at the time of the child's admission and updated annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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,

Two staff files reviewed. Juanita H. to have expired documentation of completed Standard Precautions Training Course. Correction: The licensee and primary provider must complete a state department approved training in Standard Precautions and renew annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Two staff files reviewed. Juanita H. to have expired documentation of completed immunization course. Correction: Each provider responsible for the collection, review and maintenance of the child immunization records must complete the CDPHE immunization course and renew annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Two staff files reviewed. Juanita H. to be missing 6 hours of continuing education inluding three hours of social emotional development. Correction: Licensees shall complete 15 hours of training each year. At least three of those must be in social emotional development. Send a plan of compliance for completing hours to the Licensing Specialist with the written response. Correct by 02/21/2024

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.D · The Trails child abuse and neglect records request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the state-prescribed form, accompanied by the required fee.

Two staff files reviewed. Marisa G. to be missing documentation of TRAILS Clearance letter. Correction: The Trails abuse and neglect records request must be made within 10 calendar days of the first day of employment. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Marisa G. has reviewed the powerpoint within 24 hours. Submit documentation of Trails for staff member Marisa G. with written response to Specialist. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: background checks. Marked corrected in the state record.

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ required by the health care provider. All health statementsmust be kept at the licensed child care home.

Fourteen child files reviewed. Three child files to be missing documentation of a health statement signed and dated by a health care provider. Correction: Within 30 days after admission, the parents or guardian of each child must submit a statement of the child's current health status or written verification of an appointment. Obtain health statements for children and add to file. Document compliance to the Licensing Specialist with the written response. Correct by 02/21/2024

Corrected Corrected by Feb 21, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.A.5 · Statements of health status of children under two (2) years of age must be updated in accordance with the national pediatric recommended schedule for routine health supervision or as required in writing by health care provider.

Fourteen child files reviewed. One child file for a child under 2 years of age to not have a health statement updated in accordance with the national pediatric recommended schedule. Correction: Statements of health status of children under two must be updated in accordance with the national pediatric recommended schedule for routine health supervision. Obtain updated health statement and add to file. Document compliance to the Licensing Specialist with the written response. Correct by 02/21/2024

Corrected Corrected by Feb 21, 2024

Category: supervision. Marked corrected in the state record.

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

Fourteen child files reviewed. Eight child files to have expired documentation of emergency medical authorizations. Two child files to be missing documentation of completed Emergency medical authorization. Correction: The provider must obtain written authority to arrange for emergency medical care for each child. This must be reauthorized annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less 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.

Juanita H. to have expired documentation of health status, signed by a doctor. Correction: All providers must submit to the state department a health evaluation, signed and dated by a licensed physician. Document compliance to the Licensing Specialist with the written response. Correct by 02/21/2024

Corrected Corrected by Feb 21, 2024

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