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.

The providers enrollment paperwork did not provide a spot for the families to sign stating that they have recieved the programs policies. Correction: Providers must obtain a signed statement showing that families have received the programs policies. Correct and respond with written statement of compliance. Correct by 09/21/2025

Corrected Corrected by Sep 21, 2025

Marked corrected in the state record.

2.320.A.10 · 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: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ needs to be on file if media use is not addressed in the home policies and procedures statement; and

Reviewed 9 child files and found 2 children to be missing documentation of media permissions. Correction: Child enrollment files must include documentation of media permissions. Correct immediately and respond with written statement of compliance. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

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;

Reviewed 9 child files and found 4 children to have expired emergency medical treatment authorizations. Correction: All enrolled children must have a signed and dated emergency medical authorization on file, and the authorization must be updated annually. Correct immediately and respond with written statement of compliance. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

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 9 child files and found 2 children to be missing documentation of all required immunizations. Correction: Immunization forms must be up to date for all required immunizations. Correct immediately and respond with

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 9 child files and found 3 children to have expired health statements. Correction: All enrolled children must have current health statements on file within 30 days of enrollment, and within 30 days of expiration. Correct and respond with written statement of compliance. Correct by 09/21/2025

Corrected Corrected by Sep 21, 2025

Category: ratio. Marked corrected in the state record.