2.329.H.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

At the time of inspection both portable cribs did not have a properly fitted clean sheet. Correction: Immediately ensure that all cribs and futons have a properly fitted clean sheet. Submit a written statement of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Marked corrected in the state record.

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

At the time of inspection observed a air freshener spray labeled keep out of reach of children on a low window sill in the kitchen accessible to children. Correction: Immediately all items labeled keep out of reach of children must be kept inaccessible to children. Submit a written statement of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

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

2.336.C.15.a · Fire extinguishers must be replaced at least every six (6) years.

At the time of inspection the fire extinguisher was from 2017 and had not been replaced in the past 6 years. Correction: Immediately ensure that fire extinguishers are replaced every 6 years. Submit a written statement of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: physical safety. 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 observed an incomplete drill log. Correction: Immediately drills must be completed as required. Fire Inspections required monthly, tornado drills held monthly March through October and Emergency drills held quarterly. Submit a written plan of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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. 1 child enrolled over 30 days did not have a statement of health status signed and dated by a health care provider. Correction: Immediately all children within 30 days must have a statement of health status signed and dated by a health care provider. This statement must be updated in accordance with the American Academy of Pediatrics recommended schedule. Submit a written statement of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: ratio. Marked corrected in the state record.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

At the time of inspection there was an uncovered outlet in the kitchen by the table accessible to children. Correction: Immediately ensure all outlets accessible to children have protective covers. Submit a written statement of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

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

2.337.D.3 · 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.

At the time of inspection there was a roll of wire fence on in the backyard accessible to children. Correction: Immediately ensure that the outdoor space is free from safety hazards. Submit a written statement of compliance by 4/2/2025 Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

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

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 verification that they had completed a department approved first aid and CPR training. Correction: Immediately all providers working with children must complete the department approved first aid and CPR training prior to working with children. This training must be updated every 2 years. Submit training certificate and a written statement of compliance by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of inspection all household members had not obtained an updated clearance letter or verification of the submission of the request for FBI criminal record checks within the past 5 years. Correction: Immediately all household members must obtain an updated clearance letter or verification of the submission of the request for FBI criminal record checks within the past 5 years. Submit verification of submission and a written statement of compliance by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: background checks. 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.

At the time of inspection provider had a CDPHE immunization course that expired 10/10/2022 Correction: Immediately provider must complete the CDPHE immunization course. This training must be renewed annually. Submit a written statement of complinace and the certificate by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

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..

At the time of the inspection 1 child under the age of 2 did not have a health statement signed by a physician and updated in accordance with the American Academy of Pediatrics. Correction: Immediately all children within 30 days of enrollment must have on file a health statement signed by a physician and updated in with the American Academy of Pediatrics. Submit a written statement of compliance by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

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

2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

At the time of the inspection 1 child over the age of 2 did not have a health statement signed by a physician FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and updated in accordance with the American Academy of Pediatrics. Correction: Immediately all children within 30 days of enrollment must have on file a health statement signed by a physician and updated in with the American Academy of Pediatrics. Submit a written statement of compliance by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

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

2.337.D.3 · 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.

At the time of inspection there was an loose board with exposed nails on the playground accessible to children. Correction: Immediately ensure that outdoor play spaces are free from safety hazards. Submit a written statement of compliance by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: physical safety. 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 there was no record of any emergency drills held over the past 12 Months Correction: Immediately ensure that fire drills are held monthly, Tornado drills held monthly March through October and lockdown drills held at least quarterly. Submit a written statement of compliance by 5/7/2024 Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

At the time of the visit, reviewed the 4 animals' vaccinations and found that 1 animal (Lola) is missing her vaccination record. Correction: Immediately obtain the missing vaccination record. Submit a copy of the missing vaccination record and a written statement of compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

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

7.707.51.A.10 · The admission record must include:Written authorization, obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle.

At the time of the inspection reviewed 6 children files and found that 2 files were missing the written authorization for children to participate in field trips. Correction: Immediately review all children's files and ensure all files contain a written authorization for each child to participate in field trips. Submit a written statement of compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

Category: transportation. Marked corrected in the state record.

7.707.51.A.11 · The admission record must include:Written authorization for media use including, but not limited to, television and video viewing, music, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

At the time of the inspection reviewed 6 children's files and found that 2 files were missing the written authorization for media use. Correction: Immediately review all children's files and ensure all files contain written authorization for media use. Submit a written statement of compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. 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.

At the time of the inspection reviewed 6 children's files and found that 2 files were missing the written authorization for emergency medical care. Correction: Immediately review all children's files and ensure all files contain the written authorization for emergency medical care. Submit a written statement of compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

Marked corrected in the state record.

7.707.71.C.1.c · . Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization.

At the time of the inspection reviewed 6 children's files and found that 2 files were missing the written authorization for sunscreen. Correction: Immediately review all children's files and ensure all files contain the written authorization for sunscreen.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

7.707.72.A.1 · All providers must wash their hands thoroughly with soap under warm running water, when available, and dry with an individual use and/or single use disposable towel before preparing, serving, and eating food; before administering medication; after helping a child with toileting or diapering; after provider's own toileting; after wiping a child's nose; whenever possible on field trips, at a park, or at another location away from the home; after handling animals, their toys, or food and water bowls; after contact with bodily fluids or secretions; and, any other time the hands become soiled or contaminated.

At the time of the visit, observed the provider using the same towel to wash and dry the children's hands. Correction: Immediately ensure each child has their own individual towel or disposable towel. Corrected at the time of the visit, the provider brought out paper towels for the children to dry their hands with. No response is needed. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, 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 the visit, observed in the kitchen an unlocked drawer with tools and an unlocked door with Ziploc bags. On the deck to the backyard, there was a bag of potting soil stating "Keep out of reach of children." Correction: Immediately ensure all items labeled "keep out of reach of children" and sharp items are inaccessible to children. Submit a written statement of compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

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

7.707.75.H.7 · All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to: broken or loose slats, torn mattress, chipping paint or loose screws. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the inspection, observed the Pack 'N Play was wobbly and not safe for children. Correction: Immediately ensure that all sleep/ rest equipment is safe, sturdy, and free from hazards. Corrected at the time of the visit, the provider removed the old Pack 'N Play and replaced it with a new Pack 'N Play sheet. Submit a statement of future compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

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

7.707.94.E · The home must obtain written permission from the parent or guardian for transportation of the child.

At the time of the inspection reviewed 6 children's files and found that 2 files were missing the written authorization for transportation. Correction: Immediately review all children's files and ensure all files contain the written authorization fortransportation. Submit a written statement of compliance by 7/28/2023. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

Category: transportation. Marked corrected in the state record.