2.312.K · Within thirty (30) 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 playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Patricia S did not have documentation of the playground safety for homes training. Correction: Complete the Department-approved playground safety for homes training. Submit documentation and a written statement of compliance by 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Patricia S did not have documentation of the Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: Complete the Department-approved Introduction to the Early Intervention and Preschool Special Education Programs training. Submit documentation and a written statement of compliance by 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 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;

Patricia S did not have documentation of the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professional training. Submit documentation and a written statement of compliance by 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Patricia S did not have documentation of the Injury Prevention for Homes training. Correction: Complete the Department-approved Injury Prevention for Homes training. Submit documentation and a written statement of compliance by 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

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.

Patricia S 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 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

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

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.

Reviewed 4 child files. Two children did not have documentation of a current policies and procedures statement. Correction: Obtain documentation that parents have received the policies and procedures after any amendments. Submit a written statement of compliance by 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

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 cleaning supplies accessible to children in a cupboard in the den and upstairs hallway closet. There are vitamins on the counter in the kitchen that are accessible to children. There were scissors accessible to children in the upstairs hallway. Correction: Immediately, make all hazardous items inaccessible to children. Submit a written statement of compliance by 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 child files. 2 child files had expired health statements and 1 child file did not have a health statement. Correction: 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 4/26/25. Correct by 04/26/2025

Corrected Corrected by Apr 26, 2025

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 fire drills for January, February and March, tornado drill completed for March. Correction: Immediately, complete a fire drill and tornado drill and ensure that fire drills are completed monthly, tornado drills completed monthly March to October and emergency drills are completed quarterly. Submit documentation of drills and a written statement of compliance by 5/15/24. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Patricia S did not have documentation of a health statement that has been signed by a health care provider. Correction: Obtain a signed health statement from a health care provider and ensure it is updated every two years. Submit a written statement of compliance by 5/15/24. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.335.I · Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on the stairs.

The accessible stairs leading to the upper floor has 10 steps and did not have a gate to prevent access for children under 2 years old. Correction: Corrected at the time of inspection. The provider placed a baby gate on the stairs leading to the upper floor. A written response is not required. Correct by 04/16/2024

Corrected Corrected by Apr 16, 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 lighters, hot hands packets, disinfectant spray, vitamins and cosmetics accessible to children on the kitchen level of the home, there was diaper creams, diaper wipes, air freshener and paper clips accessible to children in the family room and air freshener accessible to children in the basement where children nap. Correction: Immediately, make all hazardous items inaccessible to children at all times. Submit a written plan and

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

There were outlets and a power strip that did not have protective coverings in the basement. Correction: Immediately, ensure all electrical outlets and power strips have protective covers. Submit documentation and a written statement of compliance by 5/15/24. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

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