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.

Reviewed emergency drill log and observed no fire drill for April, no tornado drill for March and April, no lock down drill this last quarter. Correction: Ensure emergency drills (Fire-monthly, Tornado Mar-Oct, lock drills quarterly) are done. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed Provider's file and observed CPR and First Aid training to be expired (2/11/25) Correction: Obtain and maintain current and up to date CPR and First Aid training. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

Category: recordkeeping. 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 Provider's file and observed medication administration training to be expired (4/4/25) Correction: Obtain and maintain current and up to date medication administration training. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 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 guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 7 children files and observed 3 children to have expired emergency medical authorization. Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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

Reviewed 7 children files and observed 2 children to have immunization records not recorded on a state approved form. Correction: Obtain and maintain immunization records on a state approved form for all children enrolled. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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 7 children files and observed 1 child to have an expired health statement. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 6/27/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: ratio. Marked corrected in the state record.

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Toy scooter observed to be broken with sharp edges, posing a potential hazard. Correction: Ensure all equipment is safe and free of hazards. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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

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.

During safety walk through observed an outlet accessible to children to be missing a protective cover. Correction: Ensure all outlets accessible to children have protective covers. Correct immediately 5/27/2025. ***Corrected at time of visit by placing protective cover on outlet. No response required. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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

2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

During safety walk through and observed less than 1 inch of resilient material around slides use zone. Correction: Ensure resilient material is raked on a regular basis to ensure there is at least 6 inches of depth. Correct immediately 5/27/2025 and submit written compliance by 6/27/2025. Correct by 05/27/2025

Corrected Corrected by May 27, 2025

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 providers and provider's spouse's file and observed their health statements are both expired (3/21/24) Correction: Obtain and maintain health statements for family members in the home. Correct and submit compliance by 7/25/2024. Correct by 07/25/2024

Corrected Corrected by Jul 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 children's files and observed 1 child to have an expired emergency medical authorization form. Correction: Obtain and maintain emergency medical authorization forms for all children enrolled. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 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 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.

Reviewed 6 children's files and observed 1 child to be missing an immunization form. Correction: Obtain and maintain immunization forms for all children enrolled. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

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

In the dinning room area observed a bottle of liquor on a barrel, accessible to children. In a unlocked lower cabinet in the kitchen, observed two first aid kits accessible to children. Correction: Ensure all "keep out of reach of children" items are inaccessible to children at all times. Correct immediately 6/25/24. ***Corrected at time of visit by moving liquor to top shelf, and first aid kits to locked cabinet. No response required. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

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

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.

Two outlets, one in kitchen, and one in living room area, to be missing protective outlet covers. Correction: Ensure all outlet covers have protective covers on them at all times that children are present. Correct immediately 6/25/24. ***Corrected at time of visit by placing protective covers on outlets. No response required. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

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