2.135.A · All child care providers must have a written plan for emergency notification of parents and reunification of families following an emergency or disaster.

The policies and procedures lacked a written plan for emergency notification of parents and reunification of families following an emergency. Correction: Add the missing/incomplete policies to the statement of policies and procedures (parent handbook) and make available to parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Nallely V. did not have documentation confirming completion of the working with an early childhood mental consultant training. Correction: All staff must complete the working with an early childhood mental health consultant training within 90 days of caring for children. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

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

2.136.A · All child care providers must have a written plan that accounts for children with disabilities as defined in 42 U.S.C. Section 12102 and those with access and functional needs as defined in the State Emergency Operations Plan (2019) (SEOP). The State Emergency Operations Plan (SEOP) is hereby incorporated by reference. No later editions or amendments are incorporated. The State Emergency Operations Plan (SEOP) is available for public inspection and copying at the Colorado Department of Early Childhood at 710 S. Ash St., Bldg. C, Denver, CO 80246 during regular business hours. The State Emergency Operations Plan (SEOP) is also available for no cost from the Colorado Division of Homeland Security & Emergency Management at https://www.colorado.gov/pacific/dhsem/state-eop. The plan must include a specific requirement indicating how all children with special needs will be included in the emergency plan.

The policies and procedures lacked a written plan that accounts for children with disabilities in the case of an emergency. Correction: Add the missing/incomplete policies to the statement of policies and procedures (parent handbook) and make available to parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: ratio. Marked corrected in the state record.

2.312.B · Prior to issuance of the license or providing care to children, the primary provider, applicant 2, and equally qualified provider, must complete a Department approved fifteen (15) clock hour pre-licensing course of training.

No documentation was provided demonstrating that equally qualified provider, Nallely V. had completed the 15 clock hour pre-licensing course. Correction: Staff who are considered equally qualified providers must complete a Department approved 15 clock hour pre-licensing course. Have the above mentioned staff complete the required course. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

Ana A, and Nallely V. did not have documentation confirming completion of the building and physical premises training. Correction: All staff must complete the building and physical premises training prior to working with children. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 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 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.

Ana A. did not have documentation confirming completion of the child abuse prevention training. Correction: All staff must complete the child abuse prevention training prior to working with children. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Ana A. did not have documentation confirming completion of the introduction to early intervention and preschool education training. Correction: All staff must complete the introduction to early intervention and preschool education training within 90 days of within 90 days of caring for children. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 11/16/2024

Corrected Corrected by Nov 16, 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 Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Nallely V. did not have documentation confirming completion of the injury prevention for homes training. Correction: All staff must complete the injury prevention for homes training within 90 days of caring for children. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The most recent report of inspection or notice was not posted. Correction: Post the most recent licensing inspection report or a notice as to where the report may be reviewed at the facility. **CORRECTED AT THE TIME OF INSPECTION, provider posted the notice next to the license, 10/17/2024. No written response is necessary for this violation. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Marked corrected in the state record.

2.316.B.31 · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information: The procedures, including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ for whom the local authorities have been contacted;

The policies and procedures document lacked a section outlining the procedures for when a child is lost or ouside the supervision of a staff member. Correction: Add the missing policy to the facility's policies and procedures. Make itavailable to parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

Category: supervision. Marked corrected in the state record.

2.320.A.10 · 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: Written authorization for media use is required if the media use is not included in the written policies and procedures statement; including, but not limited to, television and video viewing, music, tablet and/or smart phone usage, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures statement; and

1 child record did not have the required media use authorization. Correction: Collect any missing media use authorizations for all children. Place completed forms in their respective files. Provide confirmation of this to the Licensing Specialist in the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

1 child record did not have the required field trip authorization. Correction: Collect any missing field trip authorizations for all children. Place completed forms in their respective files. Provide confirmation of this to the Licensing Specialist in the written response. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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.”

the following hazardous items were accessible to children: 1 pair of adult scissors on the edge of the kitchen counter, loose plastic bags in the unlocked top kitchen drawer. Correction: Make hazardous items inaccessible to children. **CORRECTED AT THE TIME OF INSPECTION. Provider removed the items and put them behind a locked door, making them inaccessible to children, 10/16/2024. No written response is necessary for this violation. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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

2.336.C.12 · Furnaces and hot water heaters must be maintained in accordance with the manufacturer specifications and inaccessible to children.

The following items stored within three feet of the hot water heater/furnace cardboard boxes, plastic, paper. Correction: Flammable or combustible items must be stored at least three feet from the furnace and the hot water heater. **CORRECTED AT THE TIME OF INSPECTION. Provider removed the cardboard box and other debris from the furnace, 10/16/2024. No written response is necessary for this violation. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Marked corrected in the state record.

2.336.C.13 · All family child care homes must have smoke alarms installed in every bedroom licensed for care, in the immediate vicinity outside every bedroom, in every area used as a sleeping room, and at least one on each floor of the house.

the smoke alarm was unplugged and not installed. Correction: Ensure that a smoke alarm is installed correctly in every area used as a sleeping room and at least one on each floor of the house. **CORRECTED AT THE TIME OF INSPECTION. Provider plugged in the smoke alarm, 10/16/2024. No written response is necessary for this violation. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The provided documentation for Nallely V.'s 15 clock hours of professional development was inadequate. Correction: Staff who are considered equally qualified providers must complete a minimum ofr 15 clock hours of ongoing professional development each year. Provide evidence of training completion to the Licensing Specialist with the written response. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

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.

Reviewed 9 children’s files and observed 2 files to be missing documentation of immunization records. Observed 4 files to have immunizations on an unapproved form. Correction: Obtain documentation of immunization records and add to files immediately. Transfer the additional immunization records to a Colorado Department of Public Health and Environment (CDPHE) approved form within 30 days. **Submit a written statement of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 provider file’s and observed Ana to be missing documentation of current safe sleep training. Correction: Obtain documentation of current Department approved safe sleep training and add to file. Correct today. **Send documentation of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

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

7.707.51.A.3 · The admission record must include:Parent(s) and guardian(s) home and e-mail addresses; telephone numbers, including home, work, cell and pager numbers, if the parent chooses to provide those numbers; employer name and work address; and, any special instructions as to how the parent(s) or guardian(s) may be reached during the hours that the child is in care at the child care home.

Reviewed admission form and observed it to be missing parent’s/ guardian’s employer name, address, and phone number. Correction: Add parent/guardian employer name, address, and phone number to the admission form and make available to parents to complete. Correct Today. **Submit a written statement of compliance to specialist with response form by 12/15/2023 Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.4 · The admission record must include:Names and telephone numbers of persons other than parent(s) or guardians(s) who are authorized to take the child from the family child care home.

Reviewed the admission from and observed it to be missing authorized pick-up person’s phone number. Correction: : Add authorized pick-up person's phone number to the admission form and make available to parents to complete. Correct today. **Submit a written statement of compliance with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.5 · The admission record must include:Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s) or guardian(s) cannot be reached immediately.

Reviewed the admission form and observed it to be missing emergency contact address and phone number. Correction: Add the address and phone number of the persons who can assume responsibility of the child in the event of

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.707.51.A.6 · The admission record must include:Names, addresses,and telephone numbers of the child's health care provider,dentist,pedadontist,and hospital of choice, if applicable.

Reviewed the admission form and observed it to be missing the hospital of choice address and phone number. Correction: Add hospital of choice address and phone number to the admission form and make available to parents to complete. Correct today. **Submit a written statement of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

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

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 2 provider file’s and observed Ana to be missing documentation of current Immunizations training. Correction: Obtain documentation of the Colorado Department of Public Health and Environment (CDPHE) immunizations training and add to file. **Send documentation of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 children’s files and observed 4 files to be missing documentation of a health statements. Children has been enrolled for more than 30 days. Correction: Obtain documentation health statements and add to file **Submit a written statement of compliance to specialist with response form by 12/15/2023. Correct by 12/15/2023

Corrected Corrected by Dec 15, 2023

Category: ratio. 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.

Reviewed 2 provider files and observed Ana to be missing documentation of current shaken baby/ abusive head trauma training. Correction: Obtain documentation of current Department approved Shaken Baby/ Abusive Head Trauma training and add to file. Correct today. **Send documentation of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 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.

Reviewed 2 provider files and observed Ana to be missing documentation of current Child Abuse Prevention training. Correction: Obtain documentation of current Department approved Child buse Prevention training and add to file. Correct today. *Send documentation of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. 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

: Reviewed 2 provider files and observed Julie to be missing documentation of disaster preparedness training. Correction: Obtain documentation of Department approved Disaster preparedness training and add to file. Correct today. **Send documentation of compliance to specialist with response form by 12/15/2023. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.31.A.9 · All providers and all persons residing in the home must submit to the State Department at time of Original application on the form required by the State Department, a health evaluation signed and dated by a licensed physician or other health professional.

Reviewed 2 provider files and observed Julie to be missing documentation of a medical evaluation. Correction: Obtain documentation of a medical evaluation signed and dated by a medical professional and add to file **Send a written statement of compliance to specialist with response form by 12/15/2023. Correct by 12/15/2023

Corrected Corrected by Dec 15, 2023

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

A bottle of Dawny Unstoppables on a table in the play area labeled “keep out of reach of children”, accessible to children. Observed a tube of Desitin diaper cream on the changing table labeled “keep out of reach of children”, accessible to children. Observed a bottle of Dawn dish washing soap labeled “keep out of reach of children” in an unlocked cabinet in the bathroom, accessible to children. Observed a roll of plastic trash bags in an unlocked drawer in the bathroom, accessible to children. Correction: All hazardous items must be inaccessible to children **CORRECTED AT THE TIME OF INSPECTION. **PROVIDER MOVED THE DOWNY, DAWN, DESITIN, AND PLASTIC BAGS TO A CLOSET BLOCKED BY FURNITURE, MAKING THE ITEMS INACCESSIBLE TO CHILDREN 11/15/2023. **No response required for this violation. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Reviewed 2 provider files and observed Ana to be missing documentation of 15 hours annual training. Correction: Provider must complete 15 clock hours of training each year. Ensure that all providers complete 15 hours of training each year. **Submit a written statement of compliance to specialist with response form by 12/15/2023. Correct by 12/15/2023

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.