Elisana Lostaunau

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed file. Providers file did not contain a current Department-approved training for medication administration. Correction: Immediately ensure you complete the department approved training for medication administration. Submit certificates and a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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 four (4) children's files. one (1) file was missing a current written authorization for emergency medical care. Correction: Immediately review all children's files and ensure all files contain a current written authorization for emergency medical care. Provide a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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 four (4) children's files. one (1) file was missing a immunization status or medical no exemption on the Colorado Department of Public Health and Environment certificate of immunization or an approved alternate certificate of immunization. Correction: Immediately review all files and ensure all children have immunization status or medical no exemption on the Colorado Department of Public Health and Environment certificate of immunization or an approved alternate certificate of immunization. Provide a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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 file. At the time of inspection the provider was missing the department-approved training for Recognizing the Impact of Bias on Early Childhood Professionals. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure provider completes the department-approved training for Recognizing the Impact of Bias on Early Childhood Professional. Provide documentation and a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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 file. At the time of inspection the provider was missing the department-approved training regarding Injury Prevention for Homes. Correction: Immediately ensure provider completes the department-approved training regarding Injury Prevention for Homes. Provide documentation and a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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.

Reviewed file. At the time of inspection the provider was missing the department-approved training Working with an Early Childhood Mental Health Consultant. Correction: Immediately ensure provider completes the department-approved training Working with an Early Childhood Mental Health Consultant. Provide documentation and a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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.

Reviewed file. Providers file did not contain a current Colorado Department of Public Health and Environment Immunization course. Correction: Immediately ensure you complete the Colorado Department of Public Health and Environment Immunization course. Submit certificates and a written statement of compliance by 4/16/2025. Correct by 04/09/2025

Corrected by Apr 9, 2025

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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;

Reviewed 1 staff file. Providers file did not contain a current Department-approved First Aid and CPR training. Correction: Immediately ensure you complete the Department-approved First Aid and CPR training. Submit certificates and a written statement of compliance by 4/17/2024. Correct by 04/10/2024

Corrected by Apr 10, 2024

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2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed file. Providers file did not contain a current Department-approved training for medication administration. Correction: Immediately ensure you complete the department approved training for medication administration. Submit certificates and a written statement of compliance by 4/17/2024. Correct by 04/10/2024

Corrected by Apr 10, 2024

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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 Six (6) children's files. Four (4) files were missing a current written authorization for emergency medical care. Correction: Immediately review all children's files and ensure all files contain a current written authorization for emergency medical care. Provide a written statement of compliance by 4/17/2024. Correct by 04/10/2024

Corrected by Apr 10, 2024

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2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed six (6) children's files. Three (3) files were missing a current health statement updated in accordance with the American Academy of Pediatrics Recommendations. Correction: Immediately review all children's files and ensure all files contain a current health statement updated in accordance with the American Academy of Pediatrics Recommendations. Provide a written statement of compliance by 4/17/2024. Correct by 04/10/2024

Corrected by Apr 10, 2024

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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.”

During safety walk through licensing specialist observed Earth Mama, Hand Sanitizer, and Desitin, in an FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ unlocked drawer in the kitchenette labeled "keep out of reach of children". On counter there was a pair of adult scissor and a knife. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children at all times. Corrected at the time of visit by removing the items and putting them in a locked cabinet out of reach. Provide a written statement of future compliance by 4/17/2024. Correct by 04/10/2024

Corrected by Apr 10, 2024

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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 six (6) children's files. Three (3) files were missing a Colorado Department of Public Health and Environment certificate of immunization or an "approved alternate" certificate of immunization. Correction: Immediately review all children's files and ensure they have a Colorado Department of Public Health and Environment certificate of immunization or an "approved alternate" certificate of immunization. Submit a written statement of compliance by 4/17/2024. Correct by 04/10/2024

Corrected by Apr 10, 2024

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