Patricia Medina

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 drill log of all required drills available for review. Correction: Immediately drills must be completed as required. Fire drills completed monthly, tornado drills completed monthly March through October and Emergency lockdown drills completed quarterly. Submit a written statement of complinace by 11/17/2025 Correct by 11/03/2025

Corrected by Nov 3, 2025

2.311.A.14.a · All equally qualified providers, qualified substitutes, and all staff members must obtain a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ subsequent health evaluation every two (2) years or as required in a written plan signed by a licensed physician or other health care provider.

At the time of inspection provider did not have a current health evaluation completed and signed by a physician in the past 2 years Correction: Immediately provider must have a current health evaluation completed and signed by a physician. This must be updated every 2 years. Submit a written statement of complinace by 11/17/2025. Correct by 11/03/2025

Corrected by Nov 3, 2025

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 1 children's file. Ch did not have a current authorization for emergency medical care signed and dated annually by the parents. Correction: Immediately all children msut have a current authorization for emergency medical care signed and dated annually by the parents. Submit a written statement of complinace by 11/17/2025. Correct by 11/03/2025

Corrected by Nov 3, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 inspection there was a cnaister of lysol wipes on the desk low enough to be accessible to children. Correction: Immediately all hazardous items msut be kept out of reach of children. Submit a written statement of compliance by 12/16/2024. Correct by 12/02/2024

Corrected by Dec 2, 2024

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 not completed the annual required CDPHE immunization course. Correction: Immediatley all providers within 30 days of caring for children must complete the annual required CDPHE immunization course. This training must be updated annually. Submit training certificate and a written statement of compliance by 12/16/2024. Correct by 12/02/2024

Corrected by Dec 2, 2024

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 a record of drills completed in the past 12 months was not available for review Correction: Immediately ensure drills are completed as required. Fire drills held monthly, Emergency lock down drills held quarterly and tornado drills held monthly March through October. Submit a written statement of compliance by 12/16/2024 Correct by 12/02/2024

Corrected by Dec 2, 2024

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 the provider did not have a current First aid and CPR training certificate available for review. Correction: Immediately obtain a current CPR and First aid training certificate. This training is required prior to working with children and must be updated every 2 years. Submit training certificate and a written statement of compliance by 12/16/2024 Correct by 12/02/2024

Corrected by Dec 2, 2024

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 had not completed the annual required Department approved training regarding playground safety for homes. Correction: Immediately all providers within 30 days of caring for children must complete the required training regarding playground safety for homes. This training is required 1 time Submit training certificate and a written statement of compliance by 12/16/2024. Correct by 12/02/2024

Corrected by Dec 2, 2024

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 had not completed the required Department approved training Introduction to the early intervention and preschool special education programs. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately all providers within 90 days of caring for children must complete the required training Introduction to the early intervention and preschool special education programs. This training is required 1 time. Submit training certificate and a written statement of compliance by 12/16/2024. Correct by 12/02/2024

Corrected by Dec 2, 2024

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 had not completed the required Department approved training regarding Injury Prevention for Homes. Correction: Immediately all providers within 90 days of caring for children must complete the required training Immediately all providers within 90 days of caring for children must complete the required training regarding Injury Prevention for Homes. This training is required 1 time. This training is required 1 time. Submit training certificate and a written statement of compliance by 12/16/2024. Correct by 12/02/2024

Corrected by Dec 2, 2024

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 had not completed the required Department approved training Working with an Early Childhood Mental Health Consultant. Correction: Immediately all providers within 90 days of caring for children must complete the required training Immediately all providers within 90 days of caring for children must complete the required training Working with an Early Childhood

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

At the time of inspection provider had not completed the required annual 15 hours of ongoing professional development training. Correction: Immediately provider must complete a minimum of 15 hours of ongoing professional development training including at least 3 hours of social emotional development. Training hours are required to be completed annually. Submit a written statement of compliance by 12/16/2024 Correct by 12/02/2024

Corrected by Dec 2, 2024

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 1 children's file. Child did not have a current health statement updated in accordance with the American Academy of Pediatrics recommendations. Correction: Immediately all children over the age of 2 years must have a health statement on file and updated in accordance with the American Academy of Pediatrics recommendations. Submit a written statement of compliance by 12/16/2024. Correct by 12/02/2024

Corrected by Dec 2, 2024

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 1 child's paperwork. Child did not have a current signed dated statement of health on file at the time of inspection. Correction: Immediately all children within 30 days of enrollment must have on file a current statement of health signed and dated by a health care provider. This must be updated annually or as required by the health care provider. Submit a written statement of compliance by 1/16/2023 Correct by 01/09/2024

Corrected by Jan 9, 2024

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 1 child's paperwork. Provider did not have current authorization to obtain emergency medical care. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately all children must have on file current authorization to obtain emergency medical care. This statement must be updated annually. Submit a written statement of compliance by 1/16/2023 Correct by 01/09/2024

Corrected by Jan 9, 2024

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 inspection provider could not provide vaccination records for the pet onsite. Correction: Immediately all animals onsite must have proof of vaccination available to review at all times. submit proof of vaccination and a written statement of compliance by 1/16/2023 Correct by 01/09/2024

Corrected by Jan 9, 2024