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 tornado or lockdown/active shooter drills held over the past 12 months. Correction: Immediately ensure that drills are completed 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 8/14/2025 Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 provider did not have a current health evaluation on file for review. Correction: Immediately provider applicant 2 and all children residing in the home must obtain a health evaluation every 2 years. Submit appointment dates and a written statement of compliance by 8/14/2025. Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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

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.

Reviewed provider information. Provider did not have a current CDPHE immunization course on file for review. Correction: Immediately provider must complete the CDPHE immunization course. This training must be updated annually. Submit a written statement of compliance by 8/14/2025. Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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 guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 4 children's files. 2 children did not have current authorization for emergency medical care. Correction: Immediately ensure all children have current authorization for emergency medical care on file for review. This authorization must be updated annually. Submit a written statement of compliance by 8/14/2025 Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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.

Reviewed 4 children's files. 1 child did not have documentation of school required immunizations or immunization exemption. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately all children prior to enrollment must provide documentation of school required immunizations or immunization exemption. Colorado law requires that proof of immunization be provided prior to the first day of admission. Submit a written statement of compliance by 8/14/2025 Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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

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 4 children's files. 3 children did not have current statements of health on file for review. Correction: Immediately ensure that all children have current statements of health on file for review within 30 days of enrollment. Health statements must be updated in accordance with the american academy of pediatric recommended schedule. Submit appointment dates or health statements by 8/14/2025. Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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

2.325.I · If 100% fruit juice, which is not a sugar sweetened beverage, is offered as part of meals and/or snacks, it must be limited to no more than two (2) times per week.

At the time of inspection observed provider giving a child apple juice throughout the day in their water bottle. Correction: Immediately ensure that juice if offered is 100% fruit juice that is not sugar sweetened and is served no more than twice per week. Submit a written statement of compliance by 8/14/2025. Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

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 provider and applicant 2 have not completed the required Department approved training in playground safety for homes. Correction: Immediately all providers must complete the required Department approved training in playground safety for homes. This training is required one time. Submit a written statement of compliance by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 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 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 stated that drills have not been completed. Correction: Immediately required fire drills must be completed monthly, tornado drills completed monthly March through October and lockdown drills held quarterly. Submit a written statement of compliance by 10/2/2024. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 both provider and applicant 2 did not have a current Department approved first aid and cpr training. Correction: Immediately prior to working with children provider and applicant 2 must be certified in first aid and CPR provided by a department approved vendor. Submit training certificate and a written statement of compliance by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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;

At the time of inspection provider has not completed the required Department approved training intro to the early intervention and preschool special education programs. Correction: Immediately all providers must complete the required Department approved training intro to the early intervention and preschool special education programs. . This training is required one time. Submit a written statement of compliance by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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 Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

At the time of inspection provider and applicant 2 have not completed the required Department approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training Injury prevention for homes. Correction: Immediately all providers must complete the required Immediately all providers must complete the required Department approved training Injury prevention for homes. This training is required one time. Submit a written statement of compliance by 10/2/2024 . Correct by 09/18/2024

Corrected Corrected by Sep 18, 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 and applicant 2 have not completed the required Department approved training working with an early childhood mental health consultant. Correction: Immediately all providers must complete the required Immediately all providers must complete the required Department approved training working with an early childhood mental health consultant. This training is required one time. Submit a written statement of compliance by 10/2/2024 . Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

2.320.A · 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:

At the time of inspection there was not an enrollment record available for review for 3 children that were present at the visit Correction: Immediately a complete admission record must be completed for each child prior to or at the time of admission. This record must be updated annually or if changes occur. Submit a written statement of compliance by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. 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 inspection there were no immunization records available for review for 3 children in attendance. Correction: Immediately all children prior to attendance must have Documentation of immunization status on file for review. Submit a written statement of compliance by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 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 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 inspection 3 children did not have a statement of current health status signed and dated by a health care professional. Correction: Immediately all children within 30 days of enrollment must have on file a statement of current health status

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

At the time of inspection applicant 2 did not have a current department approved safe sleep training on file for review. Correction: Immediately all providers must complete department approved safe sleep training. This training must be completed annually. Submit a written statement of complinace by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

7.707.934.C · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal. Gas grills with propane tanks must have a safety on/off knob on it.

At the time of inspection there was an uncovered window well accessible to children in the backyard. There was metal edging sticking up and a tripping hazard in the backyard area. Correction: Prior to recomendation for license all outdoor space must be free from safety hazards. Submit pictures of window well and a written statement of compliance by 12/1/2023 Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

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