2.312.D.1 · Prior to working with children all staff members caring for children not required by rule to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module. This module must be renewed every two (2) years.

Reviewed provider and assistant files. Kristian had not completed the Department approved basic First Aid and CPR module. Correction: Immediately all staff prior to working with children and not required by rule to be certified in CPR and First Aid must complete the Department approvved basic first aid and CPR module. This module must be renewed every 2 years. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ requirements;

Reviewed provider and assistant files. Kristian and Angelica did not have the training Department approved training about recognizing the impact of bias. Correction: Immediately provider and all staff within 90 days of working with children must complete the Department approved training about recognizing the impact of bias. This training is required once. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

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 must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed provider and assistant files. Angelica did not have a current Department approved course of training for Medication Administration. Most current course on files expired 5/2024 Correction: Immediately Provider must complete Department approved course of training for Medication Administration. This course must be completed every 3 years. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: ratio. 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.

Reviewed provider and assistant files. Kristian and Angelica did not have a current Department approved training about abuse prevention. Correction: Immediately provider and all staff must complete the Department approved training about abuse prevention. This training must be updated annually. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 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.

Reviewed provider and assistant files. Kristian and Angelica did not have a current Department approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ safe sleep training. Correction: Immediately provider and all staff must complete the Department approved safe sleep training. This training must be updated annually. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

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;

Reviewed provider and assistant files. Kristian and Angelica did not have the training Department approved training regarding Playground Safety for Homes. Correction: Immediately provider and all staff within 30 days of working with children must complete the Department approved training regarding Playground Safety for Homes. This training is required once. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 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;

Reviewed provider and assistant files. Kristian and Angelica did not have the training Department approved introduction to the early intervention and preschool special education programs. Correction: Immediately provider and all staff within 90 days of working with children must complete the Department approved introduction to the early intervention and preschool special education programs. This training is required once. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: recordkeeping. 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.

Reviewed provider and assistant files. Kristian did not have a current Department approved training in standard precautions meeting OSHA requirements. Correction: Immedjately all providers and staff members must complete the epartment approved training in standard precautions meeting OSHA requirements prior to working with children. This training must be updated annually. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: ratio. 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.

Reviewed provider and assistant files. Kristian had not completed a minimum of 1 hour Child Development training. Correction: Immediately provider and all staff within 90 days of working with children must complete a minimum of 1 hour Child Development training. This training is required once. Submit a written statement of compliance by 2/5/2025. Correct by 01/22/2025

Corrected Corrected by Jan 22, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed provider and assistant files. Kristian and Angelica did not have the training Department approved training injury prevention for homes. Correction: Immediately provider and all staff within 90 days of working with children must complete the Department approved training injury prevention for homes. This training is required once. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 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.

Reviewed provider and assistant files. Kristian and Angelica did not have the training Department approved training working with an early childhood mental health consultant. Correction: Immediately provider and all staff within 90 days of working with children must complete the Department approved training working with an early childhood mental health consultant. This training is required once. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

Reviewed provider and assistant files. Kristian and Angelica had not completed the required minimum of 15 clock hours of ongoing annual professional development training. Correction: Immediately all providers and staff must complete the required minimum of 15 clock hours of ongoing annual professional development training including at least 3 hours of social emotional development training. Submit a written statement of compliance by 2/5/2025 Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: recordkeeping. 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 there was a loose trash bag in an unlocked cabinet under the sink in the downstairs bathroom and the laundry room was unlocked and accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately all hazardous items must be inaccessible to children. Submit a written statement of compliance by 2/5/2025. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: physical safety. 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 6 children's files. 1 child had an expired authorization for emergency medical care. Correction: Immediately all children must have a current authorization for emergency medical care on file prior to the first day of attendance. This authorization must be updated annually. Submit a written statement of compliance by 2/5/2025. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

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

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

At the time of inspection Kristian A had not completed the department approved training in emergency and disaster preparedness. Correction: Immediately all staff prior to caring for children all staff must complete the department approved training in emergency and disaster preparedness. Submit training certificate and a written statement of compliance by 3/13/2024 Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 provider did not have a record of emergency drill held over the past 12 months. Correction: Immediately a record of emergency drills must be completed and available for review. Lockdown and active shooter drills held quarterly, Fire drills held monthly and tornado drills held monthly March through October. Submit ongoing plan of compliance by 3/13/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. 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.

At the time of inspection 1 child had a medical form that expired 1/25/2024. Correction: Immediately all children must provide within 30 days a health status statement signed and dated by a health care professional. This health statement must be updated annually. Submit a written statement of compliance by 3/13/2024 Correct by 03/06/2024

Corrected Corrected by Mar 6, 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.

Reviewed 7 children's files. 2 children did not have current authorization to obtain emergency medical care. Correction: Immediately all children prior to admission must have written authorization for authority to obtain emergency medical authorization. This authorization must be updated annually. Submit a written statement of compliance by 3/13/2024 Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Marked corrected in the state record.