2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

There were 4 electrical outlets on the main floor area accessible to children that did not have protective covers. Correction: All electrical outlets in areas accessible to children must have protective covers. **Corrected at the time of the inspection, all outlets were covered.** No response is required. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

Category: physical safety. 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.

Reviewed the Providers file and found them to be missing documentation of completion of the Working with an Early Childhood Mental Health Consultant training. Correction: All providers must complete the Working with an Early Childhood Mental Health Consultant training. Correct by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

No fire, tornado or emergency drills had been completed. Correction: All drill must be completed and recorded according to their required schedule. Correct immediately and respond with statement of compliance. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.14 · Subsequent health evaluations for the primary provider, applicant 2, and children residing in the home who are less than ten (10) years of age must be obtained every two (2) years or as required in a written plan signed by a licensed physician or other health care provider. A new family member and/or a new resident of the home must obtain a health evaluation form signed and dated by a licensed physician or other health care provider within thirty (30) days from the date the individual began living in the home.

Reviewed files for other people in the home, and found Kristin, a new household member, to be missing a health evaluation. Kristin moved in more than 30 days ago. Correction: All new residents of the home must obtain a health evaluation within 30 days of living in the home. Correct and respond with statement of compliance. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

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

2.120.C.1.c · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For each adult eighteen (18) years of age or older, who begin residing in the home after care begins, requests must be submitted within five (5) calendar days of when he or she begins residing in the home, and these adults must not be allowed unsupervised access to children in care until all background checks have been successfully completed.

A new resident of the home, Kristin, did not have a TRAILS background check request. Correction: TRAILS requests for new household members must be made within 5 calendar days of when they begin residing in the home. Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

Category: supervision. 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 7 child files and found 4 children to have expired health statements. Correction: All children must have current health statements on file within 30 days of enrollment and within 30 days of expiration. Correct and respond with statement of compliance. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 7 child files and found 3 children to have expired emergency medical authorization. Correction: All children must have current emergency medical authorization on file, and the authorization must be updated annually. Correct immediately and respond with statement of compliance. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

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

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 7 child files and found 1 child to be missing authorization for sunscreen. Correction: All children must have written authorization for sunscreen on file. Correct immediately and respond with statement of compliance. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

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 knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

There was contact solution in an unlocked drawer in the main floor bathroom that was accessible to children. Correction: All keep out of reach items need to be inaccessible to children. **Corrected at the time of inspection, contact solution was moved to a locked drawer.** No response is required. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

Category: physical safety. 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.

Reviewed the Providers file and found them to be missing documentation of completion of the Injury Prevention for Homes training. Correction: All providers must complete the Injury Prevention for Homes training. Correct and provide documentation of completion with written response. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.N · 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 for recognizing the impact of bias on early childhood professionals. This course is required once and will be counted towards ongoing training requirements;

Reviewed the providers file and found them to be missing documentation of completion of the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: All providers must complete the Recognizing the Impact of Bias on Early Childhood Professionals training. Correct and provide documentation of completion with written response. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. 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;

Reviewed the providers file and found them to be missing documentation of completion of the Playground Safety for Homes training. Correction: All providers must complete the Playground Safety for Homes training. Correct and provide documentation of completion with written response. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the Providers file and found their Immunization training to be expired. Correction: All providers must complete Immunization training, and renew the training annually. Correct and provide documentation of completion with written response. Correct by 01/03/2025

Corrected Corrected by Jan 3, 2025

Category: health medication. 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.

Review the Providers file and found their Safe Sleep training to be expired. Correction: All providers must complete Safe Sleep training, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

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

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed the providers file and found their Medication Administration training to be expired. Correction: All providers must completed Medication Administration training, and renew the training every 3 years. Correct immediately and provide documentation of completion with written response. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

Category: ratio. Marked corrected in the state record.

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.

Reviewed the providers file and found their Standard Precautions training to be expired. Correction: All providers must complete Standard Precautions training, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

Category: ratio. Marked corrected in the state record.