2.329.B · Children who are awake must not be confined for more than fifteen (15) minutes at a time to cribs, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ high chairs (unless they are eating), swings, playpens, or other equipment that inhibit freedom of movement. Confinement must never be used as a form of discipline. Children must have an opportunity each day for freedom of gross motor movement.

Upon arrival two toddler children and one preschool child were strapped in toddler chairs, children were doing a writing activity and were in the chairs for approximately 30 minutes. Provider stated children were strapped for her to work on paperwork. Provider stated that CH1 fights with CH2 and that is why they are strapped in the toddler chair. Correction: Children who are awake must not be confined for more than (15) minutes at a time to cribs, high chairs (unless they are eating), swings, playpens, or other equipment that inhibit freedom of movement. Confinement must never be used as a form of discipline. Children must have an opportunity each day for freedom of gross motor movement. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 08/11/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Aug 11, 2025

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

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Veggie garden toy with small game parts was sitting on shelf accessible to children under three. Correction: Submit a plan to continue to be in compliance. Corrected immediately. Provider removed the toy to be inaccessible to children under three. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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

2.316.B.8 · The written policies and procedures must be developed, implemented, and followed, by the primary FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Services offered for children with special needs in compliance with the Americans with Disabilities Act;

The provider to be missing written policy and procedure for children with special needs. Correction: Provider must have a written policy and procedure for children with special needs with the American with Disabilities Act. Update policy and document compliance to the Licensing Specialist with the written response. Correct by 10/12/2024

Corrected Corrected by Oct 12, 2024

Marked corrected in the state record.

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Dog in home with expired vaccinations. Correction: Any animals in the family child care home must be vaccinated and have proof of vaccination. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

Marked corrected in the state record.

2.316.B.21 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Safe sleep environments for infants in compliance with rule section 2.329(H);

Provider to be missing written policy and procedure for safe sleep environments. Correction: Provider must have written policies and procedures regarding safe sleep environments. Update policy and

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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.

Five child files were reviewed. Two child files to be missing documentation of completed health statement signed by health care provider. Correction: Within thirty days after admission, the parents of each child must submit a health statement of the child's current health status signed by a heath care provider. Document compliance to the Licensing Specialist with the written response. Correct by 10/12/2024

Corrected Corrected by Oct 12, 2024

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.

Five child files were reviewed. One child file to be missing documentation of certificate of immunization. Correction: At the time of admission, the parents of each child must submit a certificate of immunization. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

Category: health medication. 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

Five child files were reviewed. Four child files to be missing documentation of media authorization. Correction: At the time of admission, the parents of each child must submit written documentation of media authorization. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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.

Five child files were reviewed. Four child files to be missing signed documentation that the policies and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ procedures have been received. Correction: At the time of admission, the parents of each child must submit written documentation of policies and procedures. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

Marked corrected in the state record.

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 that is used by the children, a tube of desitin was accessible to children. Correction: All hazardous items labeled "keep out of reach of children", must be inaccessible to children. Corrected immediately. Provider moved desitin to be inaccessble to children. No further action needed. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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

2.316.B.25 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Protection of children from exposure to second hand smoke;

Provider to be missing written policy and procedure for protection of children with exposure to second hand smoke. Correction: Provider must have written policies and procedures regarding protection of children with exposure to second hand smoke. Update policy and document compliance to the Licensing Specialist with the written response. Correct by 10/12/2024

Corrected Corrected by Oct 12, 2024

Marked corrected in the state record.

2.316.B.30 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: The procedures for emergencies and disaster preparedness such as but not limited to, tornadoes, fires, shelter in place, lockdown, active shooter on premises, reunification with families after emergency or disaster, and evacuating children with disabilities in compliance with the rule sections 2.126, 2.127, 2.128, 2.129, 2.130, and 2.131 of the “General Rules for Child Care Facilities”;

Provider to be missing written policy and procedure for emergencies and disaster preparedness. Correction: Provider must have written policies and procedures for emergencies and disaster preparedness. Update policy and document compliance to the Licensing Specialist with the written response. Correct by 10/12/2024

Corrected Corrected by Oct 12, 2024

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

2.329.E · Toddlers, preschoolers, and older children, as necessary, must have a suitable mat at least two inches thick, cot, bed, or sofa, with a clean washable sheet and blanket or other suitable covering that has been laundered FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ between uses by different children.

Toddler and preschool age children were napping in the Pack 'N Play. Correction: Older children, as necessary, must have a suitable mat at least two inches thick, cot, bed, or sofa, with a clean washable sheet and blanket. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

Marked corrected in the state record.

2.329.B · Children who are awake must not be confined for more than fifteen (15) minutes at a time to cribs, high chairs (unless they are eating), swings, playpens, or other equipment that inhibit freedom of movement. Confinement must never be used as a form of discipline. Children must have an opportunity each day for freedom of gross motor movement.

Toddler and preschool age children to be in Pack 'N Play for about 30-45 minutes during licensing visit. Correction: Children must not be confined for more than 15 minutes at a time to cribs, high chairs, swings, playpens or other equipment. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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

2.336.A.1.a · -g There must be open, uncluttered, and safe indoor play space of at least thirty-five (35) square feet of floor space per child, including space for moveable furniture and equipment exclusive of: a.Hallways; b.Bathrooms; c.Stairways; d.Closets; e.Laundry rooms; f. Furnace rooms; and g. Space occupied by permanent built-in cabinets and permanent storage shelves.

Space used for children in care measured approximately 200 sq ft/ 35 sq ft= total capacity of 5 children. Provider observed to be licensed as a Large Family Child Care Home of 12 children. Correction: There must be open, uncluttered safe indoor space for the correct licensed type. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Provider had knowledge of a reportable incident and failed to report the incident as required by statute and licensing regulations within the required time frames. Correction: Ensure all incidents at the facility are reported to th appropriate agencies within the required time frames. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 07/24/2024 Stage II Licensing Concern :

Corrected Corrected by Jul 24, 2024

Marked corrected in the state record.

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.

Provider had knowledge of a reportable incident and failed to report the incident as required by statute and licensing regulations within the required time frames. Correction: Ensure all incidents at the facility are reported to th appropriate agencies within the required time frames. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 07/24/2024 Stage II Licensing Concern : Business/Financial: Provider stated that random people pick up the child. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: ratio. Marked corrected in the state record.

2.316.B.2 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: Authorization of parents or other designees to pick up children, including the policy for how the provider will respond to individuals not authorized by parent(s)/guardian(s) to pick up a child and if a parent arrives under the influence of a controlled substance; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Provider to be missing signature on sign in/sign out signature to verify if authorized individual picked child up on 5/13/2024. Provider to be missing a policy regarding how the provider will respond to individuals not authorized to pick the child up. Correction: The written policies and procedures must be developed, implemented, and followed by the primary provider and must include authorization of parents or other designees to pick up children, including the policy for how the provider will respond to individuals not authorized by a parents to pick up child. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 07/24/2024 ________________________________________________ Stage II Licensing Concern : Harsh Treatment: Provider hit a child across the face leaving a scratch. - UNFOUNDED ________________________________________________

Corrected Corrected by Jul 24, 2024

Marked corrected in the state record.

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

One staff file reviewed. Ruby H. to be missing documentation of completed building and physical premises training. Correction: Prior to working with children, the primary provider must complete a building and physical premises training. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. 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 required by the health care provider. All health statementsmust be kept at the licensed child care home.

Six child files reviewed. One child file to be missing documentation of completed health statement. Correction: Within thirty days after admission, the parents of each child must submit a statement of the child's current health status. Document compliance to the Licensing Specialist with the written response. Correct by 11/19/2023

Corrected Corrected by Nov 19, 2023

Category: ratio. Marked corrected in the state record.

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ "keep out of reach of children.

In the bathroom that is used by the children, one bottle of Dial Hand Soap labeled by the manufacturer as "keep out of reach of children" to be accessible to children. Correction: All hazardous items, including items labeled "Keep out of reach of children", must be inaccessible to children. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.707.932.E · By December 31, 2010, all swing sets or permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards.

The green slide on the large climber on the playground to have a fall zone of two feet, which is not consistent with the nationally recognized standards. Correction: All permanent climbing equiptment must ensure a minimum fall zone consistent with the nationally recognized standards. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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