2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a 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.

At the time of inspection provider had a Department approved Standard Precautions training that expired 8/27/2024. Correction: Immediately all providers must have on file a current Department approved Standard Precautions training. This training must be updated annually. Submit a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 2024

Category: ratio. 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 common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

At the time of inspection provider had a Department approved Training about child abuse and neglect that expired 8/27/2024. Correction: Immediately all providers must have on file a current Department approved training about child abuse and neglect. This training must be updated annually. Submit a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 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 inspection provider had a Department approved Safe sleep training that expired 8/27/2024. Correction: Immediately all providers must have on file a current Department approved safe sleep training. This training must be updated annually. Submit a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 2024

Category: physical safety. 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 training that expired 8/27/2024. Correction: Immediately all providers must have on file a current Department approved CDPHE immunization training. This training must be updated annually. Submit a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 2024

Category: health medication. 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 inspection provider had not completed the Department approved training Injury Prevention for Homes. Correction: Immediately all providers within 90 days of hire all staff and providers must complete the department approved

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 Department approved training Working with an early childhood mental health consultant. Correction: Immediately all providers within 90 days of hire all staff and providers must complete the department approved training Working with an early childhood mental health consultant. . Submit a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 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;

Reviewed 10 children's files. 3 children did not have a current authorization for emergency medical care on file at the time of inspection. Correction: Immediately all children must have a current authorization for emergency medical care on file for review. This authorization must be updated annually. Submit a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 inspection 1 child did not have record of immunization on file for review. Correction: Immediately prior to enrollment all children must provide documentation of immunization status. Submit immunization statement and a written statement of compliance by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 2024

Category: health medication. 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 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 10 children's files. 9 children did not have current statements of health status on file for review. Correction: Immediately within 30 days of enrollment all children must have on file a current health statement signed and dated by a health care professional. Health statements must be updated in accordance with the American Academy of Pediatrics recommended schedule. Submit a written statement of compliance and appointment dates for all children by 1/1/2025 Correct by 12/18/2024

Corrected Corrected by Dec 18, 2024

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ ordinance, and proof of vaccination must be available for review by the licensing specialist.

At the time of inspection 1 dog Ryder did not have a current rabies vaccination. Most current vaccination for Ryder expired 8/22/2024 Correction: Immediately all animals in the FCCH must be vaccinated as required by state lay and proof of vaccination must be available for review. Submit rabies vaccination for Ryder and a written statement of compliance by 1/1/2025. Correct by 12/18/2024

Corrected Corrected by Dec 18, 2024

Marked corrected in the state record.

7.707.72.B.2.d · Use closest hand washing sink to the diaper changing area that is not used for food preparation.

Per discussion with provider, the sink in the kitchen is the closest sink and has been used for handwashing after diapering. A different sink needs to be designated. Correction: Immediately (09/15/2023) do not use sink in the kitchen for handwashing after diapering. Designate another sink for handwashing after diapering. Submit verification of correction to Licensing with written response no later than 09/29/2023. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

Category: ratio. Marked corrected in the state record.

7.707.72.B.2.e · Children's hands must be washed with soap and water after diapering

Per discussion with provider, the children's hands are not routinely washed after diapering. Correction: Immediately (09/15/2023) ensure that all children's hands are washed with soap and water after diapering. Submit verification of correction to Licensing with written response no later than 09/29/2023. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

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.

Access to the unlocked laundry room area on the lower level allows access to an unlocked cabinet under the sink. Bleach, PineSol, ZEP, Thymecide, Pledge and Murphy Oil soap all labeled to "Keep Out of Reach of Children (KORC) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ are accessible in the cabinet. In the lower level bathroom there is shaving cream (KORC) stored on a shelf over the toilet and there is GermX and Antiseptic mouthwash (both labeled KORC) accessible on the sink counter. In the upper bathroom observed acteminophen and ibuprofen, spray sunscreen, PooPourri spray and a small container of room spray (all items labeled KORC) in unlocked drawer or on counter. (The access to items in this bathroom was corrected during the visit by the installation of safety locks to prevent access to the items.) Correction: Immediately (09/15/2023) ensure that all items labeled as "Keep Out of Reach of Children" (KORC) are stored so that they are inaccessible to children. Submit verification of correction to Licensing with written response no later than 09/29/2023. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

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

7.707.923.O · The home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC. The fire extinguisher or identifying sign where the fire extinguisher is located must be highly visible and easily accessible.

No fire extinguisher meeting the 5 pound minimum requirement was present at the facility. There were only three pound extinguishers on site. Correction: Immediately (09/15/2023) obtain a minimum 5 pound fire extinguisher that is highly visible or with a sign designating the location. Submit verification of correction to Licensing with written response no later than 09/29/2023. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

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