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 visit, reviewed 2 child files and found that 2 files contained expired health statements. Correction: Review all cild files and ensure all files have a current health statement. Submit a written statement of compliance by 3/20/2025. Correct by 02/18/2025

Corrected Corrected by Feb 18, 2025

Category: health medication. 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 the visit, observed a top unlocked drawer in the kitchen containing two knives that were accessible to children. Correction: Ensure that the home is kept safe and free from hazards at all times. This was corrected at the time of the visit, as the provider moved the knives to an area making them inaccessible to children. Submit a written statement of future

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 three child files and found that one file contained immunization documentation on the incorrect form. Correction: Review all child files to ensure they contain documentation of immunizations on the CDPHE or an approved alternate certificate. Submit a written statement of compliance by February 18, 2025.. Correct by 02/18/2025

Corrected Corrected by Feb 18, 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;

At the time of the visit, reviewed three child files and found that one file contained an expired Emergency Medical Authorization Form. Correction: Review all child files to ensure they contain a current, signed, and dated Emergency Medical Authorization Form. Submit a written statement of compliance by March 20, 2025. Correct by 02/18/2025

Corrected Corrected by Feb 18, 2025

Category: health medication. 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 the visit, reviewed the provider's file and found that the First Aid/CPR Training Certificate was expired. The certificate expired on April 30, 2024. Correction: Review your file to ensure it contains a current First Aid and CPR Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 20, 2025. Correct by 02/18/2025

Corrected Corrected by Feb 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · 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 for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

At the time of the visit, reviewed the provider's file and found that the Recognizing the Impact of Bias Training Certificate was missing. Correction: Review your file to ensure it contains the Recognizing the Impact of Bias Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 20, 2025. Correct by 02/18/2025

Corrected Corrected by Feb 18, 2025

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 the visit, reviewed the provider's file and found that the Injury Prevention in Homes Training Certificate was missing. Correction: Review your file to ensure it contains the Injury Prevention Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 20, 2025. Correct by 02/18/2025

Corrected Corrected by Feb 18, 2025

Category: recordkeeping. Marked corrected in the state record.