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 provider's dog to have an expired rabies vaccination. Correction: Ensure that all animals in the family childcare home have up to date vaccinations. Obtain record of current vaccination and send a copy to the licensing specialist in written response. Correct by 10/28/2024

Corrected Corrected by Oct 28, 2024

Marked corrected in the state record.

2.317.A.3 · The following emergency telephone numbers must be posted in a prominent and conspicuous location easily observable to those caring for children:

Emergency telephone numbers not to be posted in a prominent location. Correction: Post emergency telephone numbers mentioned above near the telephone or in a conspicuous location. **CORRECTED AT TIME OF INSPECTION** Provider found the telephone numbers behind a stack of papers on the fridge and moved the paper to the front of the stack and posted it prominently on the fridge. No response required for this violation. Correct by 10/28/2024

Corrected Corrected by Oct 28, 2024

Marked corrected in the state record.

2.320.A · 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 following authorizations to be missing from 3 children's admission records: Emergency Medical Authorization, FIeld Trip Authorization, and Media Use Authorization Correction: Obtain an authorization for Emergency Medical Care, Field Trips, and Media Use for all children enrolled and update annually. Correct immediately. Send copies of the missing authorization forms to the Licensing Specialist. Document future compliance with the written response. Correct by 10/28/2024

Corrected Corrected by Oct 28, 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.

1 of 7 children files reviewed to be missing documentation of a health statement. Correction: Obtain documentation of current health statement and add to child's file. Send copy of missing health statement to the Licensing Specialist. Document compliance with the written response. Correct by 11/28/2024

Corrected Corrected by Nov 28, 2024

Category: ratio. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ include but is not limited to: hats, long sleeves, umbrellas, and tents.

the following authorizations to be missing from 3 children's admission records: Application of Sunscreen Correction: Obtain an authorization for the Application of Sunscreen and update annually. Correct immediately. Document future compliance with the written response. Correct by 10/28/2024

Corrected Corrected by Oct 28, 2024

Category: recordkeeping. 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.”

a steak knife in an unlocked kitchen drawer accessible to children. Correction: Ensure all hazardous materials are inaccessible to children. **CORRECTED AT TIME OF INSPECTION** Provider moved the kitchen knife to the sink where it was made inaccessible to children. No response requred for this violation. Correct by 10/28/2024

Corrected Corrected by Oct 28, 2024

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

2.335.K · Drinking water obtained from a source other than a regulated public water system must be tested annually for total coliform, e. Coli bacteria, and nitrate, at a minimum. The results must be in compliance with rule section 11.45 of the “Colorado Primary Drinking Water Regulations” located in 5 CCR 1002-11. Results must be maintained and available for review. The Colorado Primary Drinking Water Regulations (January 14, 2023), are herein incorporated by reference. No later editions or amendments are incorporated. These rules are available at no cost from the Colorado Department of Public Health And Environment, 4300 Cherry Creek Drive South Denver, CO 80246; or at www.sos.state.co.us. These rules are also available for inspection and copying at the Department, 710 S. Ash Street, Bldg. C, Denver, Colorado 80246, during regular business hours.

the well water used for drinking purposes has expired testing results. Correction: Drinking water obtained from a well (source other than a regulated public water system) must be tested annually. Obtain record of current well water testing and send a copy to the licensing specialist in written response. Correct

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.312.A · Every required training in this rule section 2.312 must be documented and available for review by the Department.

Rene C. did not have a complete staff file available for review. Correction: Staff files must be available to the Licensing Specialist at all times. Correct Immediately. Ensure that staff files are available for review. Document compliance to the Licensing Specialist with the written response. Correct by 10/28/2024

Corrected Corrected by Oct 28, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State Department approved course of training for medication administration.

Reviewed the providers file and observed Rene to be missing documentation of current Medication Administration training Correction: Obtain documentation of current Department approved Medication Administration training and add to file today (11/30/3023). **Send documentation of compliance to specialist with response form by 12/29/2023. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: ratio. Marked corrected in the state record.

7.707.41.B · The written policies and procedures must be developed, implemented and followed, which FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ includes all updates, changes, and must include at a minimum the following information:

: Reviewed the providers Policy and Procedure statement and observed it to be incomplete. The policy/ statement is missing: 7.707.41.B1( complete admission/ registration), 7.707.41.B.2( complete policy in if parents arrived under the influence), 7.707.41.B.18( transition from breast feeding to bottle), 7.707.41.B.22 (daily outdoor play), 7.707.41.B.27 (storage of medications), 7.707.41.B.39 (missing evacuating children with disabilities), 7.707.41.B.30 (missing hot line phone number), 7.707.41.B.31 (complaint procedures), 7.707.41.B.32 (where to obtain licensing rules and regulations). Correction: Add all missing policies (listed above) to the statement of policies and procedures and make available to parents by 11/30/2023. **Send a copy of the added policies and procedures listed above to specialist with response form by 12/29/2023 Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: ratio. Marked corrected in the state record.

7.707.51.A.6 · The admission record must include:Names, addresses,and telephone numbers of the child's health care provider,dentist,pedadontist,and hospital of choice, if applicable.

Reviewed admission form and observed it to be missing hospital of choice name, address, and phone number. Correction: Add hospital of choice name, address, and phone number to admission form and make available to parents to fill out by 11/30/2023 **Submit a written statement of compliance to specialist with response form by 12/29/2023. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

7.707.51.A.5 · The admission record must include:Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s) or guardian(s) cannot be reached immediately.

Reviewed admission form and observed it to be missing emergency contact persons address. Correction: Add emergency contact persons address to the admission form and make available to parent to fill out by 11/30/2023. **Submit a written statement of compliance to specialist with response form by 12/29/2023. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.3 · The admission record must include:Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, cell and pager numbers, if the parent chooses to provide those numbers; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 child care home.

Reviewed admission form and observed it to be missing parent/ guardian employer address. Correction: : Add parent/ guardian employers address to the admission form and make available to parents/ guardians by 11/30/2023. **Submit a written statement of compliance to specialist with response form by 12/29/2023. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 9 children’s files and observed 2 files to have immunization records on unapproved forms. Correction: Transfer immunization records to a Colorado Department of Public Health and Environment (CDPHE) approved form and add to files by 12/29/2023. **Submit a written statement of compliance to specialist with response form b y 12/29/2023. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

Category: health medication. 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.

Reviewed 9 children’s files and observed 1 file to be missing documentation of a health statement. Correction: Obtain documentation of health statement and add to file by 12/29/2023. **Submit: a written statement of compliance to specialist with response form by 12/29/2023. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

Category: ratio. Marked corrected in the state record.