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;

At the time of inspection provider Tara H and Ginger M had not completed the department approved recognizing the impact of bias training course Correction: Immediately provider all all staff within 90 days must complete the department approved recognizing the impact of bias training course. This training is required one time. Submit training certificate and a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

At the time of inspection Tara H and Ginger M did not have a current department approved training for medication administration. Correction: Immediately ensure that primary provider and equally qualified provider complete the department approved training for medication administration. This course must be completed every 3 years. Submit training certificate and a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. 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.

At the time of inspection provider Tara H and Ginger M had not completed the department approved injury prevention for homes training course. Correction: Immediately provider all all staff within 90 days must complete the department approved injury prevention for homes training course. This training is required one time. Submit training certificate and a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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.

At the time of inspection provider Tara H and Ginger M had not completed the department approved working with an early childhood mental health consultant training course. Correction: Immediately provider all all staff within 90 days must complete the department approved working with an early childhood mental health consultant training course. This training is required one time. Submit training certificate and a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: health medication. 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.

At the time of inspection there was not documentation that tornado drills and emergency lockdown drills had FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ been completed in the past 12 months. Correction: Immediately all drills must be completed as follows. Fire drills completed monthly, Tornado drills completed monthly March through October and Emergency drills completed quarterly. A record must be kept at the facility of all drills held over the past 12 months. Submit a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 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 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 Tara H and Ginger M did not have health statements completed within the past 2 years. Correction: Immediately health statements must be obtained every 2 years. Submit a written statement of compliance by 11/7/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

At the time of inspection provider Tara H and Ginger M had not completed the department approved introduction to the early intervention and preschool special education training course Correction: Immediately provider all all staff within 90 days must complete the department approved introduction to the early intervention and preschool special education training course. This training is required one time. Submit training certificate and a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. 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;

At the time of inspection Ginger M had not completed the required Department approved training regarding playground safety for homes. Correction: Immediately ensure that all providers within 30 days of caring for children complete the Department approved training regarding playground safety for homes. Submit training certificate and a written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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 7 children's files. 3 children did not have current authorization for emergency medical care. Correction: Immediately review all files. All children must have current authorization for emergency medical care signed and dated by the parents or guardians and updated annually. Submit written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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

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 7 children's files. 4 children over the age of 2 did not have updated signed and dated health FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statement updated in accordance with the american academy of Pediatrics recommendations or as required in writing by a health care professional. Correction: Immediately ensure that all children have signed and dated health statement updated in accordance with the american academy of Pediatrics recommendations or as required in writing by a health care professional. Submit written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: health medication. 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.”

At the time of inspection observed paint cans stacked behind the door in the playroom. Correction: Immediately ensure all hazardous items are stored out of reach of children. Submit written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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

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.

At the time of inspection observed uncovered outlets in the playroom. Correction: Immediately ensure all outlets in rooms accessible to children have protective covers. Submit written statement of compliance by 11/7/2024 Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

Reviewed 2 staff files. 1 staff member Ginger M did not have a current health evaluations signed and dated by a health care professional. Correction: Immediately all providers and children living in the home must provide a health evaluation signed and dated by a health care professional. This health statement must be updated every 2 years or as required by a health care provider. Submit a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 2 staff files. 2 staff members Tara H and Ginger M did not have a current department approved prevention of shaken baby/abusive head trauma training on file for review. Correction: Immediately all staff must complete the department approved prevention of shaken baby/abusive head trauma training. This training must be updated annually. Submit training certificates and a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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 2 staff files. 2 staff members Tara H and Ginger M did not have a current department approved training about child abuse prevention on file for review. Correction: Immediately all staff must complete the department approved training about child abuse prevention. This training must be updated annually. Submit training certificates and a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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 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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 staff files. 2 staff members Tara H and Ginger M did not have a current state department approved Standard Precautions training meeting OSHA requirements on file for review. Correction: Immediately all staff must complete the current state department approved Standard Precautions training meeting OSHA requirements. This training must be updated annually. Submit training certificates and a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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 2 staff files. 2 staff members Tara H and Ginger M did not have a current CDPHE approved immunization training on file for review. Correction: Immediately all staff must complete the CDPHE approved immunization training. Submit training certificates and a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

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 2 staff files. 2 staff members Tara H and Ginger M did not have a current department approved safe sleep training on file for review. Correction: Immediately all staff must complete the department approved Safe Sleep training. This training must be updated annually. Submit training certificates and a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 children's files. 1 child under the age of 2 years enrolled over 30 days did not have a health statement on file for review. Correction: Immediately within 30 days after admission all children must submit a statement of child's current health status. This health statement must be updated in accordance with the provider recommendations. Submit a written statement of compliance by 12/12/2023 Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: ratio. Marked corrected in the state record.