2.311.A.2 · The primary provider must have a plan for an emergency, personal or family situation that requires the provider to leave the family child care home immediately.

The provider did not have an identified emergency substitute. Correction: An emergency substitute is required for all providers. Correct immediately and respond with written statement of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

Marked corrected in the state record.

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

6 pieces of outdoor equipment including plastic bigwheel and a toy refigerator had visible cracks or broken parts/wheels. Correction: All outdoor equipment must be sturdy, safe and free of hazards. Correct immediately and respond with written statement of complinace. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

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

2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ twelve (12) months: Dates of monthly smoke alarm testing.

Smoke alarm testing is not being recorded. Correction: Smoke detectors/alarm must be tested monthly and dates recorded. Correct immediately and respond with written statement of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

Category: recordkeeping. 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.

Resilient surface below the swings was less than 6 inches in depth. Correction: Resilient surfaces must be at least 6 inches in depth. Correct immediately and respond with written statement of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

Category: physical safety. 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.

The provider's mandatory reporter training was expired. Correction: Providers must complete mandatory reporter training prior to working with children and renew the training annually. Correct immediately and provide documentation of completion with written response of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

The provider's safe sleep training was expired. Correction: Providers must complete safe sleep training prior to working with children and renew the training annually. Correct immediately and provide documentation of completion with written response of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

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

2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals 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. This training must be renewed annually.

The provider's child immunizations training was expired. Correction: Providers must complete child immunizations training and renew the training annually. Correct immediately and provide documentation of completion with written response of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

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

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 provider's standard precautions training was expired. Correction: Providers must complete standard precautions training prior to working with children and renew the training annually. Correct immediately and provide documentation of completion with written response of compliance. Correct by 11/05/2025

Corrected Corrected by Nov 5, 2025

Category: ratio. 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.”

3 container of cleaning wipes were observed within reach of children in the bathroom. The containers were labeled keep out of reach of children. Correction: Hazardous items such as cleaning materials must be kept out of reach of children. Corrected at the time of

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.337.B.3.b · Preschool and school-age climbing equipment, sliding equipment, or equipment with attached platforms must have a six (6) foot use zone surrounding the equipment.

The pink slide did not have a 6 foot use zone. Correction: Climbing equipment with slides must have a 6 foot use zone surrounding the equipment. Correct immediately and respond with statement of compliance. Correct by 12/09/2024

Corrected Corrected by Dec 9, 2024

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 outdoor play area had exposed landscape felt creating a tripping hazard in the play area. There was a fallen metal trellis in the play area creating a hazard. Correction: All outdoor play areas should be free of hazards. Correct immediately and respond with statement of compliance. Correct by 12/09/2024

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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;

The provider was missing documentation of completion of the Introduction to Early Intervention and Preschool Special Education Programs trainning. Correction: All Providers must complete the Introduction to Early Intervention and Special Education Programs training. Correct and provide documentation of completion with written response. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: recordkeeping. 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.

The areas under and surrounding the swings and the pink slide had less than 6 inches of resilient material in their use zone. Correction: All climbing equipment, slides swings must have at least 6 inches of resilient material in their use zones. Correct immediately and respond with statement of compliance. Correct by 12/09/2024

Corrected Corrected by Dec 9, 2024

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

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;

The provide was missing documentation of completion of the Playground Safety for Homes training. Correction: All providers must complete the Playground Safety for Homes training. Correct and provide documentation of completion with written response. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 child files and found 2 children to have expired health statements and one child to be missing a health statement. Correction: All enrolled children need to have a health statement on file within 30 days of enrollment and within 30 days of expiration. Correct and respond with statement of compliance. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: ratio. 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;

The Provider was missing documentation of completion of the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: All Providers must complete the Recognizing the Impact of Bias on Early Childhood Professionals training. Correct and provide documentation of completion with written response. Correct by 01/09/2025

Corrected Corrected by Jan 9, 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.

The Provider was missing documentation of completion of the Injury Prevention for Homes training. Correction: All Providers must complete the Injury Prevention for Homes training. Correct and provide documentation of completion with written response. Correct by 01/09/2025

Corrected Corrected by Jan 9, 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.

The Provider was missing documentation of completion of the Working with an Early Childhood Mental FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Health Consultant training. Correction: All Providers must complete the Working with an Early Childhood Mental Health Consultant training. Correct and provide documentation of completion with written response. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: health medication. 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 statement was expired. Correction: All providers must have updated health statements every two years, or as required by their health care professional. Correct and respond with statement of compliance. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

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

2.325.C · All parents must have access to menus and must be notified of meals being served.

The Provider did not have a mechanism to share meals/menus with families. Correction: All parents must have access to the menus/meals being served at the program. Correct immediately and respond with statement of compliance. Correct by 12/09/2024

Corrected Corrected by Dec 9, 2024

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 5 child files and found 3 children to have expired health statements. Correction: Within 30 days of enrollment, and 30 days of expiration, all children must have a current health statement on file. Correct and respond with statement of compliance. Correct by 02/10/2024

Corrected Corrected by Feb 10, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 child files and found one child to be missing emergency medical authorization, and one child to have an expired emergency medical authorization. Correction: All children must have written emergency medical authorization on file when they start, and it must be updated annually. Correct immediately and respond with written statement of compliance. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

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.

Reviewed the providers file and found their Shaken Baby training to be expired. Previously cited on 2/10/23. Correction: Providers must complete Shaken Baby training and renew annually. Correct immediately and provide documentation of completion with written response. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed the providers file and found their Mandatory Reporter training to be expired. Previously cited on 2/10/23. Correction: Providers must complete Mandatory reporter training and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/10/2024

Corrected Corrected by Jan 10, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in 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,

Reviewed the providers file and found their Standard Precautions training to be expired. Previously cited on 2/10/23. Correction: Providers must complete Standard Precautions training and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State Department approved course of training for medication administration.

Reviewed the providers file and found their Medication Administration training to be expired. Previously cited on 2/10/23. Correction: Providers must complete the Medication Administration training and renew the training every 3 years. Correct immediately and provide documentation of completion with written response. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: ratio. 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.

Reviewed the providers file and found their immunization training to be expired. Previously cited on 2/10/23. Correction: Providers must complete the immunization training and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: health medication. 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.

Reviewed the providers file and found their Safe Sleep training to be expired. Previously cited on 2/10/23. Correction: Providers must complete the Safe Sleep training and renew the training annually. Correct immediately and

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.