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.

At the time of inspection provider did not have a current health evaluation completed in the past 2 years. Correction: Immediately provider must have a current health evaluation obtained every 2 years. Submit a written statement of compliance by 2/23/2026. Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

Category: health medication. 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;

Staff member employed over 90 days had not completed the department approved training regarding playground safety for homes. Correction: Immediately all staff must complete the department approved training regarding playground safety for homes within 90 days of employment. This training is required once. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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;

Staff member employed over 90 days had not completed the department approved training Introduction to the early intervention and preschool special education programs. Correction: Immediately all staff must complete the department approved training Introduction to the early intervention and preschool special education programs within 90 days of employment. This training is required once. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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;

Staff member employed over 90 days had not completed the department approved training Recognizing the impact of Bias Correction: Immediately all staff must complete the department approved training Recognizing the impact of Bias within 90 days of employment. This training is required once. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

Category: recordkeeping. Marked corrected in the state record.

2.312.O · Within ninety (90) calendar days of caring for children all qualified substitutes, and staff members must have at least one (1) hour of child development training. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This course is required once and will be counted towards ongoing training requirements if taken after the date of hire. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Staff member employed over 90 days had not completed a minimum of 1 hour child development training. Correction: Immediately all staff must complet a minimum of 1 hour child development training within 90 days of employment. This training is required once. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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.

Staff member employed over 90 days had not completed the department approved training regarding Injury Prevention for Homes. Correction: Immediately all staff must completeregarding Injury Prevention for Homes within 90 days of employment. This training is required once. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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;

At the time of inspection 2 children did not have a current authorization for emergency medical care updated within the past 12 months. Correction: Immediately all children must have a current authorization for emergency medical care updated within the past 12 months. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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

2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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..

Reviewed 9 children's files. 1 child under the age of 2 did not have a current statement of health updated in accordance with the American Academy of pediatrics recommended schedule. Correction: Immediately all children must have a current statement of health updated in accordance with the American Academy of pediatrics recommended schedule. Submit a written statement of compliance by 2/23/2026 Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

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