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.

Kimberley P did not have documentation of a current health evaluation. Correction: Immediately, obtain a current, signed health evaluation from a health care provider. Submit documentation and a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

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.

The 4 toddler climbers and slides did not have a three (3) foot use zone and six (6) foot use zone extending from the base of the slide. Correction: Immediately, there must be a three (3) foot use zone surrounding toddler climbing equipment and six (6) foot

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Kimberley P did not have documentation of a current First Aid and CPR certification. Correction: Immediately, complete a Department approved First Aid and CPR training. Submit documentation and a written statement of compliance by 12/24/24 Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

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.

Kimberley P did not have documentation of the working with an early childhood mental health consultant training. Correction: Complete the Department-approved Working with an Early Childhood Mental Health Consultant training. Submit documentation and a written statement of compliance by 12/24/24. Correct by 12/24/2024

Corrected Corrected by Dec 24, 2024

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

There was antibacterial soap labeled "keep out of reach of children" accessible to children in the downstairs bathroom. There were diaper wipes labeled "keep out of reach of children" accessible to children in the living room and medications accessible to children in the unlocked upstairs master bedroom. Correction: Immediately, make all hazardous items inaccessible to children. The provider locked the master bedroom door making medications inaccessible. Submit a written statement of compliance by 12/24/25. Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

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

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

There were 4 toddler climbers and 2 slides over eighteen (18) inches high on pea gravel that measures between 1 inch to 3 inches deep. Correction: Immediately, there must be six (6) inches of resilient surfacing surrounding all climbing equipment over eighteen (18) inches or higher. Submit documentation and a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

Category: physical safety. 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.

Kimberley P and Mark P did not have documentation of a current FBI background check renewed within the last 5 years. Correction: Immediately, complete the fingerprint process for Kimberley P and Mark P every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Kimberley P and Mark P have reviewed the powerpoint within 24 hours. Submit documentation of FBI criminal record check with a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

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

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

There was a broken tricycle, cozy coop car in the backyard play area. The purple slide on the swing set had a small, quarter size hole at the base of the slide. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free of hazards. Submit a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

Category: physical safety. 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 child files. 2 child files did not have documentation of a current authorization for emergency medical care. Correction: Immediately, obtain an annual written authorization for emergency medical care for each child. Submit a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 child files. 2 child files did not have documentation of immunization records or medical/non-medical exemption. Correction: Immediately, obtain school required immunization status or medical/non-medical exemption prior to attendance or each child. Submit a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 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 health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 7 child files. 1 child file did not have documentation of a current health statement. Correction: Obtain a current medical statement for each child within 30 days of admission and within 30 days of expiration. Submit a written statement of compliance by 12/24/24. Correct by 12/24/2024

Corrected Corrected by Dec 24, 2024

Category: ratio. 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.

The provider did not have documentation of emergency drill logs. Correction: Immediately, complete monthly fire drills, monthly tornado drills March through October and emergency drills quarterly. Submit documentation of November and December drills and a written statement of compliance by 12/24/24. Correct by 11/25/2024

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.337.C.5 · Motorized riding toys are not permitted.

The provider and her husband Mark, stated that their grandchildren ages 8 years old and 10 years old visit the home frequently and were riding their motorized toy cars in the front driveway, sidewalk and in the street right in front of the driveway under the supervision of Mark. Correction: Immediately, ensure all motoroized riding toys are not permittied. Submit a written statement of compliance by 9/13/24. Correct by 09/06/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Sep 6, 2024

Category: supervision. 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 in the front living room, there were sharp kitchen scissors, knives and ziplock bags in an unlocked drawer in the kitchen. Correction: Immediately, keep all hazardous items inaccessible to children. The diaper wipes were removed from the front living room. Submit a written statement of compliance for the kitchen items by 9/13/24. Correct by 09/06/2024

Corrected Corrected by Sep 6, 2024

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

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

Identified provider lacking current Shaken Baby training. Correction: Obtain current Shaken Baby training. Immediately correct and submit documentation with a written statement of compliance. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Identified provider lacking current Standard Precautions training. Correction: Obtain current Standard Precautions training. Immediately correct and submit documentation with a written statement of compliance. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Identified provider lacking current First Aid and CPR. Correction: Obtain current First Aid and CPR. Immediately correct and submit documentation with a written statement of compliance. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Identified provider lacking current Immunization training. Correction: Obtain current Immunization training. Correct and submit documentation with a written statement of compliance. Correct by 02/02/2024

Corrected Corrected by Feb 2, 2024

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

7.707.51 · Children's Records

Identified one child to be lacking a completed file with required documents. Correction: Each child must have a completed file with all required documents. Immediately correct and submit a written statement of compliance. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Identified provider lacking current Safe Sleep training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current Safe Sleep training. Immediately correct and submit documentation with a written statement of compliance. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

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

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Identified one of the provider's dog to be lacking current vaccinations. Correction: Obtain current vaccinations. Immediately correct and submit documentation with a written statement of compliance. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

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