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.

At the time of the visit, reviewed applicant 2's background checks and found that required 5 years FBI check has not been updated. Correction: Immediately have applicant 2 submit fingerprints. Submit a copy of the receipt and a written statement of compliance by 4/13/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 the visit, the provider did not have a current copy of the Emergency drill log. Correction: Immediately ensure that fire drills are performed monthly, Tornado drills are held monthly from March to October, and lockdown/ active shooter on premises/ emergency drills are performed at least quarterly. These need to be documented for review. Submit a plan of when drills will be performed and a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 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 the inspection, reviewed the provider's file and found it was missing a current health evaluation and found that Applicant 2, Shawn T, was missing a current health evaluation. Correction: Immediately obtain a current health evaluation. Submit a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

At the time of the inspection, reviewed 4 children's files and found the 1 file contained an expired form (3/10/2024) and 2 files did not have the emergency medical authorization form at all. Correction: Immediately review all children's files and ensure all files contain a current emergency medical authorization form signed by a parent/ guardian. Submit a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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

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.

At the time of the visit, reviewed 4 children's files and found that 1 file was missing documentation of immunizations. Correction: Immediately review all children's files and ensure all files contain current documentation of a CDPHE certificate of immunization or an "approved alternate" certificate of immunization record. Submit a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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

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

At the time of the visit, reviewed 4 children's files and found that 1 children's file had an expired health statement. The health statement expired on 12/14/2023. Correction: Immediately review all children's files and ensure all files contain a current health statement signed and dated by a health care provider. Submit a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

Category: ratio. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

At the time of the visit, reviewed 4 children's files and found that 1 file was missing sunscreen authorization. Correction: Immediately review all children's files and ensure all files contain written authorization and instructions from parents/ guardians regarding the application of sunscreen. Submit a writtten statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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.”

During the safety walk-through, observed 2 unlocked drawers in the kitchen with knives that were accessible to children. 1 unlocked drawer was next to the refrigerator and 1 unlocked drawer was next to the oven. In the unlocked cabinet under the kitchen sink, there was a bottle of sanitizer labeled "Food contact surface" under the sink accessible to children. Correction: Immediately ensure all hazardous items and materials are inaccessible to children. Submit a written statement

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

2.337.A.13 · The use of any trampoline by children in care is prohibited. If there is a trampoline on the property of the family child care home, it must be stored in a way that makes it inaccessible to children.

During the safety walk-through, observed the trampoline is accessible to children. Correction: Immediately ensure that the trampoline is stored in a way that makes it inaccessible to children. Submit pictures and a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

Marked corrected in the state record.

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

During the safety walk-through of the backyard, observed a stand alone post by the left fence corner that had 2 nails sticking out which could be a potential safety concern. Observed the small holes on the edge of the platform of the red slide which could be a hazard. Correction: Immediately ensure all outdoor equipment is safe and free of hazards. Submit pictures and a written statement of compliance by 4/4/2024. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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