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.

There were two broken slats on the fence in the backyard, creating a hazard. Correction: Outdoor play areas must be free of hazards. Correct immediately and respond with statement of compliance. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

Category: physical safety. 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 providers health evaluation was expired. Correction: Health evaluations must be obtained every two years. Correct and respond with statement of compliance.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 providers standard precautions training was expired. Correction: Standard precautions training must be completed prior to working with children, and then renewed every two years. Correct immediately and respond with documentation of completion with written response. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

Category: ratio. Marked corrected in the state record.

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed files for 4 children 2 years to 7 years of age, and found one child to have an expired health statement. Correction: Health statements for children over the age of two must be updated in accordance with the American Academy of Pediatrics. Correct and respond with statement of compliance. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

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

2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed files for 3 children under the age of 2. All 3 had expired health statements. Correction: Health statements for children less than two years of age must be updated as required by the health care provider or in accordance with the American Academy of Pediatrics. Correct and respond with statement of compliance. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

Category: health medication. 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.

Reviewed 7 child files and found one child to be missing current immunization documentation. Correction: All immunization documentation must be current. Correct immediately and respond with statement of compliance. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

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

7.707.934.C · 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. Gas grills with propane tanks must have a safety on/off knob on it.

A pair of garden clippers was in a pot on the table on the deck that were accessible to children. Correction: Out door play spaces must be free of hazards, including tools. *Corrected at the time of the inspection, garden tools were moved out of reach.** No response is required. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: physical safety. 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 6 child files and found one child to have an expired medical statement. Correction: Enrolled children must have a current medical statement on file within 30 days of enrollment and within 30 days

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.