2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

An un-installed baby gate allowed access to the upstairs bedrooms and bathrooms that contained lotions, adult scissors, a bathroom razor and other hazards. An unlocked garage door allowed access to the garage that contained power tools, paint, and laundry detergent. Correction: The premises of the family child care home must be kept safe and free from hazards at all times. **Corrected on site** 5/19/2025 provider secured the baby gate on the stairs and locked the door leading to the garage making hazards inaccessible to the children. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

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

Primary provider was not able to provide documentation of the department approved training in recognizing the impact of bias on early childhood professionals. Correction: Complete the above mentioned course. Submit a copy of the training certificate to the Licensing Specialist with your written response. Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The most recent report of inspection, or a notice indicating where it could be obtained, was not posted. Correction: Ensure that a copy of the most recent report of insepction is easily accessible and can be provided upon request. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

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.

The primary provider was missing a current health statement Correction: Ensure that the provider has a current health statement. Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

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

2.311.A.2 · The primary provider must have a plan for an emergency, personal or family situation that requires the provider to leave the family child care home immediately.

through provider statement that the provider does not currently have an emergency substitute selected for the program. Correction: Ensure that the program selects, trains and orients an emergency substitute for the program in case of an emergency. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a 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.

Primary provider was not able to provide documentation of the department approved training in standard precautions. Correction: Complete the above mentioned course. **Corrected on site** 5/19/2025. Provider completed the training while the LS was on site. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: ratio. 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;

Primary provider was not able to provide documentation of the department approved training in early intervention and special education. Correction: Complete the above mentioned course. Submit a copy of the training certificate to the Licensing Specialist with your written response. Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed provider files and observed Elizabeth and John to be missing documentation of current (every 5 years) FBI clearance. Correction: This rule was previously cited on 6/7/24. Every 5 years requests for FBI criminal records checks must be

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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.

Primary provider was not able to provide documentation of the department approved training in in jury prevention for homes. Correction: Complete the above mentioned course. Submit a copy of the training certificate to the Licensing Specialist with your written response. Correct by 06/19/2025

Corrected Corrected by Jun 19, 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.

Primary provider was not able to provide documentation of the department approved training in working with an early childhood mental health consultant. Correction: Complete the above mentioned course. Submit a copy of the training certificate to the Licensing Specialist with your written response. Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

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

The provider does not request from parent(s)/guardian(s) a signed document stating that they have received the facility's policies and procedures. Correction: Ensure that the parent(s)/guardian(s) of each enrolled child sign a document acknowledging they have received, understand, and agree to the policies and procedures. Document compliance to this rule in the written response to the licensing specialist. Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

Marked corrected in the state record.

2.316.B · 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 following sub-sections of the parent handbook/policies and procedures were missing or incomplete: B.2, B.19,B.26, B.29, B.31 Correction: Ensure that the parent handbook/policies and procedures document contains all the information required in each subsection of rule 2.316.B. Send a copy of the updated handbook to the licensing specialist in the written response. Correct by 06/19/2025

Corrected Corrected by Jun 19, 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.

Current health statements were missing for 4 of the 6 children's files reviewed. Correction: Obtain current health statements for all children in care and add to each child's file. Correct by 06/19/2025

Corrected Corrected by Jun 19, 2025

Category: ratio. Marked corrected in the state record.

2.337.A.2 · The outdoor play space must be enclosed with at least a forty-two inch (42) fence with slats no more than four (4) inches apart, or a natural barrier. If a natural barrier is used, it must begin no higher than three and one-half inches (3-1/2) from the ground. If the family Child Care home does not have a fenced play space, the provider may apply for an outdoor hardship waiver.

A gap between the fence post and the gate on the back perimeter fence had a gap of 6 inches, posing an entrapment hazard. Correction: Ensure that the fenced play area does not have gaps more than 4 inches which pose an entrapment risk. Document compliance to licensing specialist with the written response. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: physical safety. 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.:

Primary provider was not able to provide a copy of the building and physical premesis training. Correction: Create the above mentioned training document. Submit a copy of the training document to the Licensing Specialist with your written response. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: recordkeeping. 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.

Reviewed the provider's file and observed Elizabeth to be missing documentation of current vaccinations. Correction: Obtain documentation o f current vaccination records and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Marked corrected in the state record.

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

Adult scissors, knives and open boxes of plastic bags in unlocked drawers in the kitchen posing a potential safety hazard, accessible to children. Correction: The premises of the family child care home must be kept safe and free from hazards at all times. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Category: health medication. 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 7 children's files and observed 2 files to be missing documentation of current written authorization for emergency medical care. Correction: Obtain documentation of current written authorization for emergency medical care and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

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

2.320.A.5 · 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: Names, addresses, and telephone numbers of the child’s health care provider, dentist, and hospital of choice, if applicable;

Reviewed the admission record form and observed it to be missing the addresses for child's health care provider, dentist and hospital of choice. Correction: Add the address for children's health care provider, dentist, and hospital of choice to the admission record form and make available to parents. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

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

2.320.A.4 · 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: Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ an emergency if the parent(s) or guardian(s) cannot be reached immediately;

Reviewed the admission record form and observed it to be missing the addresses of persons who can assume responsibility for the child in the event of an emergency. Correction: Add address for the emergency contact (person who can assume responsibility in the event of an emergency) to the admission record form and make available to parents. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.3 · 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: Names, addresses, and telephone numbers of persons aged sixteen (16) years and older who are authorized to pick up the child from the family child care home;

Reviewed the admission record form and observed it to be missing the phone numbers and addresses for persons authorized to pick up the child from the child care home. Correction: Add phone numbers and addresses of persons authorized to pick child up from child care home to the admission record form and make available to parents. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.2 · 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. Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, and cell numbers ; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the family child care home;

Reviewed the admission record form and observed it to be missing the parent employers address. Correction: Add parents employers address to the admission record form and make available to parent. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a 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.

Reviewed the providers file and observed Elizabeth to be missing documentation of current standard precautions training. Correction: Obtain documentation of current Department- approved standard precautions training and add to file. Correct immediately, Send documentation of compliance to specialist with response form. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Category: ratio. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed provider files and observed Elizabeth and John to be missing documentation of current (every 5 years) FBI clearance. Correction: Every 5 years requests for FBI criminal records checks must be renewed. Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

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