2.336.C.13.b · For family child care homes licensed after March 1, 2024, smoke alarms must be interconnected so that when one (1) alarm is activated all are activated.

Fire alarms currently in the home are not interconnected. Correction: Family Child Care homes licensed after March 1, 2024 must be interconnected. Correct and provide a written statement of compliance. Correct by 11/28/2024

Corrected Corrected by Nov 28, 2024

Category: physical safety. 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.:

Through provider statement it was determined that she needs an updated building and physical premises training. Correction: Prior to working with children the primary provider and all staff must complete a building and physical premises

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Through provider statement it was determined that 2 person residing in the home do not have current medical statements. Correction: Prior to license approval the primary provider and all persons living in the home must obtain a medical statement. Correct and provide a written statement of compliance. Correct by 11/28/2024

Corrected Corrected by Nov 28, 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.”

There was a razor in the shower in the bathroom accessible to children and disinfectant spray on the shelf above the toilet labeled keep out of reach. Correction: All hazardous items must be inaccessible to children. ***Corrected at time of inspection, items moved to a shelf out of reach, no response needed. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

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

Kelli stated that her CPR and First Aid training is expired. Correction: Provider must complete an approved training in CPR and First Aid. Correct and provide documentation with a written statement of compliance. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The drill log has not been updated since March of 2024. Correction: A record of all emergency drills held over the last 12 months must be maintained by the facility. Correct and provide a written statement of compliance. Correct by 07/10/2024

Corrected Corrected by Jul 10, 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.

Reviewed 8 child files and found 2 to be missing a current health statement. Correction: Within 30 days after admission and within 30 days following the expiration date, parents of each child must submit a statement of the child's current heath status. Correct and provide a written statement of compliance. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

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 providers file and found her to be missing a current training in Shaken Baby/abusive head trauma. Correction: Providers working with children less than 3 years must complete an approved training in Shaken Baby/Abusive Head trauma and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 08/11/2023

Corrected Corrected by Aug 11, 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 providers file and found her to be missing a current training in child abuse prevention. Correction: Provider must complete an approved training about child abuse prevention and must renew annually. Correct

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed providers file and found her to be missing a current training in Standard Precautions. Correction: Provider must complete an approved training in Standard precautions and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: ratio. 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 providers file and found her to be missing a current immunization course. Correction: Provider must complete the child immunization course and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 08/11/2023

Corrected Corrected by Aug 11, 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.

Reviewed providers file and found her to be missing a current training in safe sleep. Correction: Providers working with infants must complete a safe sleep training and must he renewed annually. Correct and provide documentation with a written statement of compliance. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

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