2.318.C.3 · The following emergency records must be kept and maintained at the family child care home for twelve (12) months: Dates of monthly smoke alarm testing.

no record of monthly smoke alarm testing. Correction: conduct and keep a record of monthly smoke alarm testing. Document compliance to licensing specialist in written response. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. 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.

that one of the ten child files reviewed had an expired medical statement. Correction: Obtain documentation of current health statement and add to child's file. Document compliance with the written

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.”

According to the provider statement, children access the licensed basement area by passing through the kitchen which had the following hazardous items accessible: loose plastic bags. Correction: Ensure that all hazardous items are inaccessible to children. **This violation was corrected at the time of inspection.** The provider showed an alternate access point to the licensed basement area that avoids the kitchen and committed to using this new access going forward. No written response is required for this violation. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

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

2.336.C.10 · Any cooking stoves with controls within reach of a child shall have a safety guard.

According to the provider statement, children access the licensed basement area by passing through the kitchen containing a stove with controls within the reach of children. Correction: Ensure that children do not have access to cooking stove controls **This violation was corrected at the time of inspection.** The provider showed an alternate access point to the licensed basement area that avoids the kitchen and committed to using this new access going forward. No written response is required for this violation. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Marked corrected in the state record.

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ surrounding the equipment.

that the 18-inch pink toddler slide with a house-shaped platform had only 3 inches of resilient surfacing in the use zone. Correction: Ensure that equiptment measuring 18-inches or higher has at least 6 inches of resilient surfacing in the use zone. **This violation was corrected at the time of inspection.** The provider removed the slide from the play area and made it inaccessible to the children. No written response is required for this violation. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: physical safety. 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.

Two of eight children files to have expired health statements. Correction: Obtain a current health statement for the children missing one and add it to the child's file. Document compliance to the Licensing Specialist with the written response. Correct by 01/07/2024

Corrected Corrected by Jan 7, 2024

Category: ratio. Marked corrected in the state record.

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.

The following to be missing from the children's admission records: the address of the child's physician, the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ address of the child's dentist, and the name, phone number and address of the hospital of choice. Correction: Add the missing documentation to the admission record and collect the information for all children missing it. Correct immediately. Send a copy of updated admission form to Licensing Specialist. Document compliance with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: health medication. 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.

1 of 8 children files reviewed to have an expired authorization for emergency medical care form. Correction: Obtain an authorization for emergency medical care form for all children enrolled and update annually. Correct immediately. Send copies of the emergency medical authorization form for the children missing it to the Licensing Specialist. Document future plans for compliance on the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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.

The following to be missing from the children's admission record: the parent's employer address, the parent's email. Correction: Add the missing documentation to the admission record and collect the information for all children in care. Correct immediately. Send a copy of the updated admission form to the Licensing Specialist. Document compliance with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 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.

The following to be missing from the children's admission record: the address for the emergency contact person. Correction: Add the missing documentation to the admission record and collect the information for all children in care. Correct immediately. Send a copy of the updated admission form to the Licensing Specialist. Document compliance with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.C.2 · The provider can accept such medicines only in the Original container. Prescription medicine containers must bear the Original pharmacy label that shows the prescription number, name of medication, date filled, physician's name, child's name, and directions for dosage. When no longer needed, medications must be returned to the parent or guardian or destroyed.

Prescription medication without original pharmacy label. Correction: Prescription medications must contain the original pharmacy label. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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

7.701.33.A.1 · Each applicant listed below must submit to the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI) a complete set of fingerprints taken by a qualified law enforcement agency or any third party vendor approved by CBI including county departments of human or social services that use fingerprint machines pursuant to Section 19-3-406(1)(C),(2), C.R.S., to obtain any fingerprint criminal history record held by the CBI and FBI. If a third party takes the individual’s fingerprints, the fingerprints may be electronically captured using CBI’s approved LiveScan equipment. Payment of the fee for the criminal record check is the responsibility of the individual being checked, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ identified as follows:

Identified through provider statement that Fernando Q M lives in the home, is over 18 years of age, and has not completed a FBI/CBI background check. Correction: Obtain documentation of the CBI and FBI clearance letters or resubmit CBI/FBI background checks. Correct immediately. Individuals named above must be directly supervised at all times by someone who has completed all background checks. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint on the CDEC website. Submit verification that the staff members named above have reviewed the PowerPoint within 24 hours. Send copies of clearance letters to the Licensing Specialist. Document compliance with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: background checks. 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

Fabian Q M to be missing Department approved documentation of the emergency and disaster preparedness training course. Correction: All providers/staff of a child care facility must be trained in emergencies and disaster preparedness prior to caring for children. Correct immediately. Obtain documentation of the emergency and disaster preparedness training course and add to staff file. Send copies of the missing training certificates to the Licensing Specialist. Document compliance with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.923.L · Flammable or combustible items must be stored in a locked area remote from the kitchen, at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

The following items stored within three feet of the hot water heater/furnace: bedding, towels, bleach, and paper. Correction: Flammable or combustible items must be stored at least three feet from the furnace and the hot water heater. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: physical safety. 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.

The following items to be accessible to children and labeled "keep out of reach of children": clorox wipes, lotion. The following items to be accessible to children that are considered hazardous: lighter, medications in unlocked master bathroom Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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

7.707.922.A · Toys, toy parts and any material accessible to children under three (3) years of age must be large enough that they cannot be swallowed or inhaled, to prevent a choking hazard.

The following items to be accessible to children under three and posing a choking hazard: clothes pins hanging from the ceiling in the playroom. Correction: Toys, toy parts, furnishings, equipment, and materials accessible to children less than three years of age must not be a choke hazard or able to be inhaled. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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