Donna Madril

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 provider did not have record of drills completed from September through December. Correction: Immediately drills must be completed and recorded as required. Fire drills held monthly, tornado drills held monthly March through October and emergency drills held quarterly. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At the time of inspection provider did not have a current Department approved training in Standard Precautions. Correction: Immediately provider must complete the Department approved training in Standard Precautions. This training must be renewed annually. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

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;

At the time of inspection provider did not have a current Department approved First Aid and CPR training. Correction: Immediately provider must complete the Department approved First Aid and CPR training. This training must be updated every 2 years. Submit CPR and first aid training certificate and a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

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;

At the time of inspection provider did not have a current department approved training for medication administration. Correction: Immediately provider must complete a department approved training for medication administration. This training must e updated every 3 years. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

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.

At the time of inspection provider id not have a current department approved training about child abuse prevention. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately provider must complete the department approved training about child abuse prevention. This training must be updated annually. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

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.

At the time of inspection provider did not have a current CDPHE immunization training. Correction: Immediately provider must complete the required CDPHE immunization training. This training must be updated annually. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

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 4 children's files. 1 child did not have a current signed authorization for emergency medical care. Correction: Immediately all children must have a current signed authorization for emergency medical care. This authorization must be renewed annually. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 children's files. 1 child did not have a current statement of health updated in accordance with the American Academy of Pediatric recommendations. Correction: Immediately all children must have a current statement of health updated in accordance with the American Academy of Pediatric recommendations or as required by a health care professional. Submit a written statement of compliance by 1/22/2026 Correct by 01/08/2026

Corrected by Jan 8, 2026

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 there was not a health evaluation for the provider available for review. Correction: Immediately provider must have a current health evaluation available for review. This health evaluation must be updated every 2 years. Submit current health evaluation and a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

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 5 children's files. 2 children under the age of 2 did not have current medical statements updated in accordance with the American Academy of Pediatrics recommended schedule. Correction: Immediately all children under the age of 2 years must have current medical statements updated in accordance with the American Academy of Pediatrics recommended schedule. Submit a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

2.320.B · All forms contained in the admission record must be current and accessible to providers, qualified substitutes, staff members, and representatives of the Department.

At the time of inspection provider did not have a current admission record for a currently enrolled child available for review. Correction: Immediately ensure that admission records are current and accessible to department representatives at all times. Submit a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) 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 provider. The statement of the child’s current health status must 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 statements must be kept at the licensed family child care home.

Reviewed 5 children's files. 2 children enrolled over 30 days did not have a statement of current health status on file for review. Correction: Immediately within 30 days of enrollment all children must have a statement of current health status on file for

2.306.A · A regular family child care home (FCCH) license allows a provider to care for up to six (6) children from birth to eighteen (18) years of age with no more than two (2) children under eighteen (18) months of age.

At the time of inspection reviewed 5 children's files and observed 3 children under the age of 18 months are enrolled in the program. Only 2 children were present at the time of inspection. Identified through staff statements that 3rd CH is sick and usually attends 5 days. Correction: Immediately ensure that there are only 2 children under the age of 18 months old are allowed to attend the program at any given time. Submit a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

2.329.H.12 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep equipment meeting Consumer Product Safety Commission (CPSC) standards, incorporated by reference in rule section 2.329(A), and placed on their back to sleep unless being held by the provider, while being transported, or on a field trip.

A 3 month old infant observed sleeping in a bouncer with a blanket. Correction: Immediately ensure that infants that fall asleep in a piece of equipment not approved for sleep are immediately moved to approved sleep equipment. Submit a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

2.311.A.7 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Identified that the provider completed infant safe sleep training on 8/31/2024, and a child in their care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Submit a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

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;

At the time of inspection provider did not have a current CPR and First aid training. Training on file expired 1/14/2025. Correction: Immediately provider prior to caring for children must complete a Department approved training in First Aid and CPR. This training must be updated every 2 years. Submit training certificate and a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

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 5 children's files. 1 child did not have their immunization status on file with the provider. Correction: Immediately prior to enrollment all children must have a record of immunization status on file with the provider. Submit immunization record and a written statement of compliance by 3/12/2025 Correct by 02/26/2025

Corrected by Feb 26, 2025

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 5 children's files. 2 children had emergency medical authorizations that expired 12/6/2023. Correction: Immediately all children prior to or at the time of admission must have on file a written dated authorization of emergency medical care signed and updated annually by the parents or guardian. Submit written statement of compliance by 4/12/2024 Correct by 04/05/2024

Corrected by Apr 5, 2024

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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 children's files. 1 child did not have an immunization record on file for review. Correction: Immediately all children must have on file prior to or upon admission documentation of immunization status or allowable exemption as required by the Colorado Board of Health. Submit a written statement of compliance by 4/12/2024 Correct by 04/05/2024

Corrected by Apr 5, 2024

2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) 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 provider. The statement of the child’s current health status must 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 statements must be kept at the licensed family child care home.

Reviewed 5 children's files. 2 children under the age of 2 did not have a current statement of childs health status updated as required on file for review. Correction: Immediately all children under the age of 2 must have on file a current statement of health status on file for review within 30 days of enrollment. This statement must be updated as required by either the health care professional or in accordance with the American Academy of Pediatrics recommended schedule. Submit written statement of compliance by 4/12/2024 Correct by 04/05/2024

Corrected by Apr 5, 2024