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 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 6 children's files. 3 children under the age of 2 years did not have current statement of health status updated inaccordance with the American Academy of Pediatrics recommended schedule. Correction: Immediately all children under the age of 2 years must have on file a urrent statement of health status updated inaccordance with the American Academy of Pediatrics recommended schedule or as required in writing by a health care professional. Submit required documents and a written statement of compliance by 12/16/2024 Correct by 12/02/2024

Corrected Corrected by Dec 2, 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 there was a package of antibacterial wipes labeled keep out of reach of children on FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ a shelf in the UPK room accesible to children. Correction: Immediately all items laveled keep out of reach of children must be kept in areas inaccessible to children. Violation was corrected at the time of inspection. Wipes were moved to a high shelf out of reach. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

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

7.707.22.F.1 · An Experienced Child Care Provider (ECCP) home is a licensed child care home where care is approved for no more than nine (9) children of different age combinations depending upon which option the home is operating.

At the time of inspection provider had 10 children in care. Correction: Immediately maximum number of children may not be exceeded at any time. Submit a written statement of compliance by 1/16/2024 Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

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 provider records. Provider did not have a current Department approved training in Standard Precautions that meets current OSHA requirements. Correction: Immediately provider must complete a current Department approved training in Standard Precautions that meets current OSHA requirements. This training must be updated annually. Submit training certificate and a written statement of compliance by 1/16/2024 Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Category: ratio. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed provider records. All residents over the age of 18 years living in the home did not have renewed fingerprints done within the last 5 years. Correction: Immediately all residents in the home over the age of 18 years must obtain a new clearance letter by completing the fingerprint process at an approved vendor. Submit proof of submission and a written statement of compliance by 1/16/2024 Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Category: background checks. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 10 children's files. 1 Child did not have proof of immunization on file for review. Correction: Immediately all children must provide an immunization record on file on or prior to the first day of attendance. Submit a written statement of compliance by 1/16/2024 Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Category: health medication. 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 10 children's files. 2 children did not have a current health statement signed and dated by a health care professional on file for review. Correction: Immediately all children must have on file within 30 days of enrollment must have a health statement signed and dated by a health care professional. This statement must be updated as required by the health care provider. Submit a written statement of compliance by 1/16/2024 Correct by 01/09/2024

Corrected Corrected by Jan 9, 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 10 children's files. Provider did not have authorization for 1 child to obtain emergency medical care. Correction: Immediately all children must have in their files authorization for emergency medical care on file prior to or on the first day of admission. This authorization must be updated annually. Submit a written statement of compliance by 1/16/2024 Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Marked corrected in the state record.