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 a completed record of all drills held over the past 12 months. Correction: Immediately ensure that all drills are held 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 8/14/2025. Correct by 07/31/2025

Corrected Corrected by Jul 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of inspection one dog had an expired rabies vaccination. Correction: Immediately all animals in the home must be vaccinated as required by state law. Proof of vaccination must be available for review. Submit rabies proof and 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.

2.121.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.

Provider has not obtained a criminal record check by an approved vendor in the past 5 years. Correction: Immediatly all household members over the age of 18 must renew criminal record checks by completing the fingerprint process through an approved vendor. Submit verification of submission and a written statement of compliance by 10/2/2024 Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: background checks. 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 has not completed the Department approved training Working with an Early Childhood mental Health Consultant. Correction: Immediately all providers must complete the Department approved training Working with an Early Childhood

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 authorization for emergency medical care on file for review. Correction: Immdiately all children must have on file written, signed authorization for emergency medical care. This authorization must be renewed annually. 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.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 immunization status on file for review. Correction: Immediatly all children prior to enrollment must have on file documentation of immunization status. 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.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.

Reviewed 4 children's files. 1 child over the age of 2 did not have a current health statement signed and dated by a physician. Correction: Immediately all children must have health statements updated in accordanc with the American Academy of Pediatrics Recommendations or as required by the health care provider. 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.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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 inspection the providers has not resubmitted a complete set of fingerprints within the past 5 years. Correction: Immediately obtain fingerprints and the required fee for processing. Submit a written statement of compliance by 11/9/2023 Correct by 11/02/2023

Corrected Corrected by Nov 2, 2023

Category: background checks. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 children's files. 1 child did not have an immunization record on file at the time of inspection. Correction: Immediately ensure all children provide documentation of immunization status prior to the first day of admission. Submit a written statement of compliance by 11/9/2023. Correct by 11/02/2023

Corrected Corrected by Nov 2, 2023

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

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 statementsmust be kept at the licensed child care home.

Reviewed 4 children's files. 1 child did not have a current statement of health on file for review Correction: Immediately all children must have on file a current health statement signed and dated by a health care professional. This statement must be updated in accordance with the American Academy of Pediatrics. Submit a written statement of compliance by 11/9/2023. Correct by 11/02/2023

Corrected Corrected by Nov 2, 2023

Category: ratio. Marked corrected in the state record.

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Reviewed all provider paperwork. Provider had not completed the Department approved safe sleep training. Correction: Immediately provider must complete the Department approved safe sleep training. This training must be updated annually. Submit training certificate and a written statement of compliance by 11/9/2023 Correct by 11/02/2023

Corrected Corrected by Nov 2, 2023

Category: physical safety. 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.

Reviewed 4 children's files. 1 child did not have updated written authorization for emergency medical care. Correction: Immediately all children must have on file written authorization for emergency medical care. This authorization

Open Not marked corrected in the state record

Open / not marked corrected.