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.

The Primary Provider's Standard Precautions training certificate was expired. Correction: All staff members must complete a Department-approved Standard Precautions training course annually. Complete the course and send the certificate to the Licensing Specialist with the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

Category: ratio. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified 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.

The Primary Provider's Recognition and Reporting of Child Abuse and Neglect training certificate was expired. Correction: All staff members must complete a Department-approved training about child abuse prevention every year. Complete the course and send the certificate to the Licensing Specialist with the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

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;

Five of seven children's files reviewed were missing a current, annually updated emergency medical authorization. Correction: Obtain current, signed emergency medical authorizations for all children. Document compliance to the licensing specialist in the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

Category: health medication. 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.

The Primary Provider's Immunization training certificate was expired. Correction: The primary provider must complete the CDPHE immunization course annually. Complete the course and send the certificate to the Licensing Specialist with the written response. Correct by 02/15/2026

Corrected Corrected by Feb 15, 2026

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 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.

Emergency drills have not been conducted or recorded since October 2025. Correction: Resume drills immediately and keep an accurate record of drills. Document compliance to the Licensing

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

One child file was missing a parent signature acknowledging receipt of the policies and procedures. Correction: Obtain signature from the parent who has not signed, verifying receipt of the policies and procedures. Document compliance to the licensing specialist in the written response. Correct by 02/15/2026

Corrected Corrected by Feb 15, 2026

Marked corrected in the state record.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

A record of monthly smoke alarm testing was not available for review. Correction: Test smoke alarms monthly and keep documentation of smoke alarm testing. Document compliance to the licensing specialist in the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

Category: recordkeeping. 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.

Three of seven children's files reviewed did not contain documentation of immunization status on the approved form. Correction: Obtain current immunization records on the Department-approved form for all enrolled children. Document compliance to the licensing specialist with the written response. Correct by 02/15/2026

Corrected Corrected by Feb 15, 2026

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.

Five of seven children's files reviewed were missing a current statement of health. Correction: Obtain current statements of health status for all enrolled children. Document compliance to the licensing specialist in the written response. Correct by 02/15/2026

Corrected Corrected by Feb 15, 2026

Category: ratio. 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.”

Bathroom drawer safety locks were loose, allowing access to hazardous items including razors. Correction: Ensure all hazardous items are inaccessible to children. Document compliance to the licensing specialist with the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

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

2.336.C.10 · Any cooking stoves with controls within reach of a child shall have a safety guard.

The stove controls were within reach of children and lacked a safety guard. Correction: Install a safety guard on the stove control or make them otherwise inaccesible to the children. Document compliance to the licensing specialist in the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

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's health evaluation was expired. Correction: Health evaluations must be updated every two years. Obtain a current health evaluation signed by a health care provider. Document compliance to the licensing specialist with the written response. Correct by 02/15/2026

Corrected Corrected by Feb 15, 2026

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

2.321.B.8 · All medications in the family child care home, except those medications specified in the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

Bathroom drawer safety locks were loose, allowing access to over-the-counter medications. Correction: Ensure all medications, except those specified as emergency medications, are locked and inaccessible to children. Document compliance to the licensing specialist with the written response. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

Category: ratio. 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.

The following animals in the home had expired vaccinations: Bella & Kaira Correction: Ensure all animals in the family child care home are vaccinated and that a record of their vaccination is available for review. In your written response, document your compliance with the rule in question and send it to your licensing specialist. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

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 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.

It was determined through the provider's statement and the absence of a drill record that monthly emergency drills are not being conducted. Correction: Conduct monthly and quarterly emergency drills to ensure that all occupants of the facility are familiar with the procedure and can evacuate safely in the event of an emergency. Record the date and time of each drill, the number of participants, and the evacuation time. In your written response, document your compliance with the rule in question and send it to your licensing specialist. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. 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.

the primary provider did not have 3 hours annual professional development in the category of social FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ emotional development Correction: All providers must complete at least three hours of training annually that is focused on the social and emotional development of children. Obtain documentation that the primary provider has completed the training and send it to the Licensing Specialist with your written response. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Marked corrected in the state record.

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

The was no record or documentation of smoke alarm testing. Correction: Smoke alarms must be tested at least once a month. Document the testing of each smoke alarm. In your written response, document your compliance with the rule in question and send it to your licensing specialist. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ to the first day of admission.

4 of 7 children files reviewed were missing documentation of their immunization status or exemption. Correction: Maintain documentation of each child's current immunization status or exemption. Obtain the required documentation for the four children's files missing it. In your written response, document your compliance with the rule in question and send it to your licensing specialist. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

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.

3 of 7 children files reviewed were missing a current health/medical statement. Correction: Maintain a current health/medical statement for each enrolled child. Obtain the required documentation for the three children's files missing it. In your written response, document your compliance with the rule in question and send it to your licensing specialist. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: ratio. Marked corrected in the state record.

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

The fence separating the dog run from the children's play area had sharp metal points on the edge. These points were poking through the deteriorated pool noodle that was placed over them to mitigate the hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure the sharp metal points on the top of the fence are covered or smoothed down and do not pose a safety risk to the children. In your written response, document your compliance with the rule in question and send it to your licensing specialist. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

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

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

several nails on the exterior fence pointing inward in the child's outdoor play area. Correction: Ensure that all outdoor play spaces are free from safety hazards. Document written compliance. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Category: physical safety. 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.

Shanya to be missing a CBI and FBI criminal background check. Correction: Ensure that all invidividuals living in the Family Child Care Home have completed their CBI and FBI criminal background check. Document written compliance. Provider must review Navigating the Background Check Investigation

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

the outdoor play area to have animal contamination. Correction: Ensure that all outdoor areas where children may pass or play to be free of animal contamination. Document written compliance. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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 policies and procedures for the provider to be missing the following required items: damage to provider or child's belongings, procedure in the event of a lost child, documented emergency plan for evacuating children with disabilities during an emergency. Correction: Ensure that all the required policies and procedures are included in the Parent Handbook. Send an updated copy of the Parent Handboook to licensing specialist. Document written compliance. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

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;

observed the child enrollment form to be missing a section for the address of persons authorized to pick up the child. Correction: Ensure that all admission records include names, addresses and telephone numbers of persons authorized to

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.