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 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, an unlocked drawer was observed containing a pizza cutter, and Clorox wipes and Dawn dish soap labeled “Keep out of reach of children” were found on the kitchen counter accessible to children. Correction: Immediately ensure that all sharp items and any items labeled “Keep out of reach of children” are stored in areas inaccessible to children. Corrected at the time of the visit: The provider moved the pizza cutter, Clorox wipes, and Dawn dish soap to a high cabinet, making them inaccessible to children. Correct by 08/04/2025

Corrected Corrected by Aug 4, 2025

Category: physical safety. 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 visit, I reviewed five child files and found that two files were missing health statements. Correction: Immediately review all child files to ensure that all files contain current health statements. Submit a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

At the time of the visit, I reviewed all staff files and found that Elizabeth M. had an expired Shaken Baby training certificate, which expired on 3/20/2023. Correction: Immediately review all staff files to ensure they contain a current Shaken Baby training certificate. Submit a copy of the certificate along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

At the time of the visit, I reviewed all staff files and found that Stephanie M. (expired on 3/4/2023) and Elizabeth M. (expired on 6/6/2021) had expired Abuse and Neglect training certificates. Correction: Immediately review all staff files to ensure they have a current Abuse and Neglect training certificate. Submit a copy of the certificates along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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 the visit, I reviewed all files and found that Stephanie M. (expired on 1/6/2024) and Elizabeth M. (expired on 1/10/2024) had expired Safe Sleep training certificates. Correction: Immediately review all staff files to ensure they have a current Safe Sleep training certificate. Submit a copy of the certificates along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

Category: physical safety. 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 the visit, I reviewed all staff files and found that Stephanie M. and Elizabeth M. were missing Playground Safety for Homes training certificates. Correction: Immediately review all staff files to ensure they have the Playground Safety for Homes training certificates. Submit a copy of the certificates along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

At the time of the visit, I reviewed all files and found that Stephanie M. and Elizabeth M. were missing Injury Prevention for Homes training certificates. Correction: Immediately review all files to ensure they have the Injury Prevention in Homes training certificates. Submit a copy of the certificates along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 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 the visit, it was found that there was no documentation of emergency, fire, and tornado drills for 2024. Correction: Immediately ensure that there is documentation of emergency drills conducted quarterly, fire drills conducted monthly, and tornado drills conducted monthly from March to October. Submit a copy of the drill log along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 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 the visit, I reviewed five child files and found that three files had immunization documentation on the wrong form, and one file was missing immunization documentation. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all child files to ensure all files have documentation of immunizations on the CDPHE Certificate of Immunization or an approved alternate form. Submit a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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, I reviewed five child files and found that one file had an expired written authorization for emergency medical care. Correction: Immediately review all child files to ensure that each file has a current signed and dated written authorization for emergency medical care. This form must be updated annually. Submit a copy of the form along with a written statement of compliance by 10/9/2024. Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

At the time of the visit, reviewed the staff file and found that it was missing a copy of the State Department-approved training in emergency and disaster preparedness. Correction: Ensure all staff have completed the State Department-approved training for emergency and disaster preparedness/ FEMA. Submit a copy of the training certificate and a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

At the time of the visit, reviewed the provider's file and found that it was missing a current health evaluation signed by a physician or other health professional. Correction: Immediately ensure all members of the household and the provider have a current health evaluation. Submit a written statement of 12/18/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

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

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

At the time of the visit, reviewed the staff file and found that it was missing a current Shaken Baby/ Abusive Head trauma training certificate. Correction: Immediately complete the Shaken Baby/ Abusive Head Trauma training. Submit a copy of the training certificate and a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

At the time of the visit, reviewed the provider's and staff's files and found that they were missing a current child abuse prevention training certificate. Correction: Immediately complete the child abuse prevention training. Submit a copy of the training certificate and a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State Department approved training in Standard Precautions that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

At the time of the visit, reviewed the provider's and staff's files and found that they were missing a current Standard Precautions training certificate. Correction: Immediately complete the Standard Precautions training. Submit a copy of the training certificate and a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

Category: ratio. Marked corrected in the state record.

7.707.34.B.2 · Employees and substitutes for the primary provider, for fourteen (14) days (112 hours) or more per calendar year must complete: A statement of a current health evaluation, signed by an approved health care professional, that was completed within the last twenty-four (24) months;

At the time of the visit, reviewed the staff file and found that it was missing a current health evaluation signed by a physician or other health professional. Correction: Immediately ensure there is a current health evaluation for all staff working in the program. Submit a written statement of 12/18/2023. Correct by 12/04/2023

Corrected Corrected by Dec 4, 2023

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