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.

There were rubber bands that pose a choking hazard accessible to children under 3 years of age. Correction: Corrected at the time of inspection. The rubber bands were removed from the play area and placed in an area inaccessible to children. A written response is not required. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

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

2.336.C.14 · There must be a carbon monoxide detector in working condition installed in the area of the family child care home as recommended by the manufacturer and in the hallway outside the licensed bedrooms or area where children sleep.

The carbon monoxide in the room used by children was unplugged and sitting on the counter. Correction: Corrected at the time of inspcection. The substitute provider placed the carbnn monoxide detector into an outlet in the room used by children. A written response is not required. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

Category: physical safety. 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.”

The door to between the room used for care and the main living space of the home was open. There was bleach and other cleaning supplies accessible to children under the sink in the kitchen and other hazardous items FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ accessible throughout the home. Correction: Corrected at the time of inspection. The door with a child safety lock installed was closed, making the main living space of the home inaccessible to children. A written response is not required. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

Category: physical safety. 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.

Reviewed 3 child files. 1 child file did not have documentation of a signed health statement form the health care provider. Correction: Obtain documentation of a health statement signed by the health care provider for each child. Submit a written statement of compliance by 3/8/26. Correct by 03/08/2026

Corrected Corrected by Mar 8, 2026

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 3 child files. 1 child file did not have documentation of a signed authorization for emergency medical care. Correction: Immediately, obtain documentation of a signed authorization for emergency medical care for each child. Submit a written statement of compliance by 3/8/26. Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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 three child files. One child did not have documentation of immunization status. Correction: Immediately, immunization status must be obtained prior to or on the day of admission. Obtain documentation of immunications status of all children and submit a written statement of compliance by 2/11/26. Correct by 01/12/2026

Corrected Corrected by Jan 12, 2026

Category: health medication. 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.

There were small golf tees and small monster shaped counters accessible to children under three years old FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ in the classroom. This is a violation of stipulation J - Choking hazards must be inaccessible to children under three (3) years of age. Correction: Immediately, toys, toy parts, furnishings and equipment accessible to children under three must not be a choke hazard or able to be inhaled. Corrected at the time of inspection. A written response is not required. Correct by 01/12/2026

Corrected Corrected by Jan 12, 2026

Category: physical safety. 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 Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed 3 child files. One child did not have documentation of a current health statement. Correction: Obtain documentation of child health statements per AAP recommended schedule. Submit a written statement of compliance by 2/11/26. Correct by 02/11/2026

Corrected Corrected by Feb 11, 2026

Category: health medication. 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.

There was an art project with small googley eyes accessible to children under 3 years old on a desk in the classroom Correction: The art project was removed from the desk and will be sent home with families, A written response is not required. Correct by 11/19/2025

Corrected Corrected by Nov 19, 2025

Category: physical safety. 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.”

There were diaper wipes labeled "keep out of reach of children" accessible to children on the desk in the classroom. Correction: Corrected at the time of inspection. The provider placed the diaper wipes on a shelf inaccessible to children. Correct by 09/26/2025

Corrected Corrected by Sep 26, 2025

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

2.337.D.2 · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children.

The mesh netting on the back side of the LIttle Tykes playhouse was torn, posing a safey hazard. Correction: Immediately, make the outdoor play area safe and free of hazards. Submit documentation and a written statement of compliance by 10/3/25. Correct by 09/26/2025

Corrected Corrected by Sep 26, 2025

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

2.309.A.4 · When more than eight (8) children are present, a second staff member that is qualified as an applicant 2, equally qualified provider, qualified substitute, staff member, or staff aide is required.

SM2 was working alone with 9 children. No other staff were present at the home. Correction: Immediately, there must be a second staff member present when more than 8 children are present. Submit a written plan and statement of compliance by 9/4/25. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

Marked corrected in the state record.

2.325.C.2 · All substitutions must be documented

The provider was on vacation from 6/9/25 through 6/13/25 with Casandra R. working as the substitute and did not have documentation of substitutions. Correction: Immediately, document all substitutions. Submit a written plan and statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Marked corrected in the state record.

2.311.A.19 · Prior to working with children, all equally qualified providers, qualified substitutes, and all staff members must read and be trained on the policies and procedures for the administration of medications and sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 3 staff files. Lilia C did not have documentation of training for the policies and procedures for administering medication. Correction: Immediately,, obtain a signed statement indicating that Lilia C has s read and been training on the centers

Open Not marked corrected in the state record

Category: ratio. 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.

Reviewed 3 staff files. Casandra R and Lilia C did not have documentation of the injury prevention for homes training. Correction: Obtain documentation of the injury prevention for homes training for Casandra R and Lilia C. Submit documentation and a written statment of compliance by 6/20/25. Correct by 06/20/2025

Corrected Corrected by Jun 20, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.F · The Department may deny, revoke, suspend, change to probationary or fine a child care facility if the applicant(s), an affiliate of the applicant, or any person living with or employed by the applicant has been found to violate any of the provisions set forth in section 26.5-5-317(2), C.R.S.

Identified that the name on the FBI clearance letter for Casandra R did not match the CBC ID number. 26.5-5-317(2)(g) C.R.S. Furnish or make any misleading or any false statement or report to the department. Correction: Furnishing a false or misleading report to the department may result in adverse action. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Category: background checks. 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.

Reviewed 3 staff files. Lilia C did not have documentation of a Department approved child abuse training. Correction: Immediately, obtain a Department approved child abuse prevention training for Lilia C. Submit documentation and a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Category: recordkeeping. 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 requirements;

Reviewed 3 staff files. Joey D did not have documentation of the Recognizing the impact of bias on early FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ childhood professionals training. Correction: Complete the Department approved Recognizing the Impact of Bias on Early Childhood Professionals training. Submit documentation and a written statement of compliance by 6/20/25. Correct by 06/20/2025

Corrected Corrected by Jun 20, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.C.1 · Any resident of the family child care home or qualified exempt provider home turning eighteen (18) years of age shall complete the fingerprint process at an approved vendor fourteen (14) calendar days prior to their 18th birthday.

The providers son, Jack D has not completed the fingerprint process. Correction: Immediately, complete the fingerprint process for Jack D. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Joey D and Jack D have reviewed the powerpoint within 24 hours. Submit documentation of the fingerprint process for Jack D by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 3 staff files. Lilia C did not have documentation of a child abuse and neglect statement. Correction: Immediately, obtain documentation of a child abuse and neglect statement for LIlia C. Submit documentation and a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

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.

Reviewed 3 staff files. Lilia Conrad started on 5/13/25, was caring for children and has not completed the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ criminal background check request and was caring for children while the provider was out of town.. Casandra R was caring for children while the provider was out of town and does not have correct documentation of the criminal background check requests or clearance letters. Correction: Immediately, obtain criminal background check requests for Lilia C and Casandra R. Criminal records. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Joey D, Casandra R and Lilia C have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for Casandra R and Lilia C. with a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Category: supervision. Marked corrected in the state record.

2.327.A · The primary provider, applicant 2, equally qualified providers, and/or qualified substitutes must supervise all children by sight and or sound and know the location and the activity of all children, both indoors and outdoors, at all times while they are in care.

Casandra R and Lilia C were supervising children while the provider is out of town and neither are a qualified substitute. Casandra R stated that the provider has been out of town on 6/9/25, 6/10/25, 6/11/25, 6/12/25 and 6/13/25. Correction: Immediately, children must be supervised by the primary provider, applicant 2 or an equally qualified substitute. Submit a written plan and statement of compliance by 6/13/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed 3 staff files. Joey D and Casandra did not have documentation of 15 hours of professional development training. Correction: Obtain documentation of 15 hours of professional development training for the provider and all staff annually. Submit a written plan and statement of compliance by 6/20/25. Correct by 06/20/2025

Corrected Corrected by Jun 20, 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 to the first day of admission.

Reviewed 14 child files. 3 child files did not have documentation of the immunization status on the CDPHE approved certificate of immunization. Correction: Review child files and ensure immunization status is documented on a CDPHE approved certificate of immunization. Submit a written statement of compliance by 6/20/25. Correct by 06/20/2025

Corrected Corrected by Jun 20, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 14 child files. 6 child files did not have documentation of a health statement from a health care provider and 1 child file did not have documentation of a current health statement. Correction: Review child files. Obtain a signed health statement for each child within 30 days of admission and within 30 days of expiration. Submit a written statement of compliance by 6/20/25. Correct by 06/20/2025

Corrected Corrected by Jun 20, 2025

Category: ratio. 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 14 child files. 2 children did not have documentation of a signed authorization for emergency medical care and 2 children did not have documentation of a current authorization for emergency medical authorization. Correction: Immediately, obtain a signed authorization for emergency medical care for all children at the time of admission and update annually. Submit documentation and a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

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

2.337.B.3.a · Toddler climbing equipment, sliding equipment, or equipment with attached platforms must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

There were two pieces of climbing equipement on the playground that did not have a 3 foot use zone surrounding the equipment. The ends of the toddler slides were facing eachother and only 3 feet apart. Correction: Immediately, ensure all toddler climbing equipment and sliding equipment must have a 3 foot use zone surrounding the equipment. Toddler slides require a 6 foot use zone extending out from the base of the slide. Submit documentation and a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

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

2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ least six (6) inches.

The pea gravel surrounding toddler climbing equipment was hard and did not measure 6 inches deep. Correction: Immediately, the loose fill resilient surface must be raked regularly to retain resiliency and a depth of at least 6 inches in the use zone of c;limbing equipment. Submit documentation and a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 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.

There were paper clips and other office supplies that pose a choking hazard accessible in the classroom to children under 3 years old. Correction: Immediately, make all toys, toy parts, furnishings, equipment and any materials that pose a choking hazard inaccessible to children under 3 years old. Submit a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Category: physical safety. 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.”

There were sharp teacher scissors, office supplies, hand sanitizer and sunscreen accessible to children in the classroom. There was sharp knives, dishwasher pods and other cleaning supplies and medication accessible to children in the kitchen and throughout the rest of the unsecured home. Correction: Immediately, all hazardous items must be inaccessible to children at all times. Submit a written statement of compliance by 6/20/25. Correct by 06/13/2025

Corrected Corrected by Jun 13, 2025

Category: health medication. 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.

Reviewed 3 staff files. Ashely D and Cassandra R did not have documentation of a child abuse prevention training. Correction: All staff must complete a Department approved child abuse prevention training within 30 days of employment and the training must be renewed annually. Submit documentation and a written statement of compliance by 8/10/24. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 3 staff files. Ashely D did not have documentation of a Trails clearance letter. Correction: Immediately, complete the Trails abuse and neglect request for Ashely D. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Ashley D has reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letter and a written statement of compliance by 8/10/24. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: supervision. Marked corrected in the state record.

2.312.D.1 · Prior to working with children all staff members caring for children not required by rule to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module. This module must be renewed every two (2) years.

Reviewed 3 child files. Ashely D did not have documentation of a current CPR & First Aid Certification or the introduction to first aid and CPR module. Correction: All staff members not required by rule to be certified in First Aid and CPR must complete the introduction to first aid and CPR module within 30 days of employment. Submit documentation and a written statement of compliance by 8/10/24. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 3 staff files. Ashley D did not have documentation of the emergency disaster preparedness training. Correction: Immediately, all staff must complete a Department approved training in emergency and disaster preparedness prior to working with children. Submit documentation and a written statement of compliance by 8/10/24. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

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.

Reviewed 15 child files. 2 child files did not have immunization status documented on a CDPHE approved certification of immunization. Correction: Immediately, review child files and ensure that immunization status are documented on the CDPHE approved certificate of immunization. Submit a written statement of compliance by 8/10/24. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 15 child files. 6 child files did not have documentation of a current health statement. Correction: Review child files and ensure that each child has a current health statement updated annually or per AAP guidelines. Submit a written statement of compliance by 8/10/24. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

Category: ratio. 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 12 children's files and observed 1 child to be missing an immunization record and 2 children to have an immunization record on a non-approved form. Correction: Immediately obtain immunization records for all children enrolled and maintain on a CDPHE approved form. Submit a statement of compliance with written response to specialist. Correct by 07/26/2023

Corrected Corrected by Jul 26, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 12 children's files and observed 3 children to have an expired health statement. Correction: Obtain and maintain health statements for all children enrolled. Submit a statement of compliance with written response to specialist. Correct by 08/26/2023

Corrected Corrected by Aug 26, 2023

Category: ratio. Marked corrected in the state record.