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.

Provider does not have an updated drill log. Correction: Provider must maintain a record of drills held over the last 12 months. Correct and provide a written statement of compliance. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

The provider does not have a record of monthly smoke alarm testing. Correction: Dates of monthly smoke alarm testing must be maintained. Correct and provide a written statement of compliance. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. 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 child files and found 4 of them to be missing a current authorization for emergency medical authorization. Correction: Admission record must include Emergency medical authorization and must update annually. Correct and provide a written statement of compliance. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

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.”

The cabinet under the kitchen sink was unlocked and contained cleaning items marked keep out of reach of children and plastic bags. In the bathroom there were Clorox wipes and glade room spray, marked keep out of reach of children, on the back of the toilet. All items were accessible to children. Correction: All hazardous items must be inaccessible to children. Correct and provide a written statement of compliance. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: physical safety. 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.

Providers health evaluation on file was not current. Correction: Subsequent health evaluations for the primary provider must be obtained every 2 years or as required in a written plan signed by a licensed physician. Correct and provide a written statement of compliance. Correct by 05/05/2024

Corrected Corrected by May 5, 2024

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

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

The home had 3 smoke alarms but they were not interconnected. Correction: Smoke alarms must be interconnected so that when 1 alarm is activated all are activated. Correct and provide a written statement of compliance. Correct by 04/05/2024

Corrected Corrected by Apr 5, 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 room freshener in an unlocked drawer in the bathroom that children will be using. The can was labeled "keep out of reach of children'. Correction: All hazardous items must be inaccessible to children including items labeled "keep out of reach of children". Correct and provide a written statement of compliance. Correct by 04/05/2024

Corrected Corrected by Apr 5, 2024

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

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's admission and updated annually, unless otherwise specified in these rules. The admission record must include:

Reviewed 6 child files and found one to be missing an admission record. Correction: An admission record must be completed for each child prior to or at the time of child's admission. correct and provide a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. 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 the providers file and found her to be missing a current training in Shaken Baby/Abusive Head trauma. Correction: Provider working with children less than 3 years must complete an approved prevention of Shaken Baby/Abusive Head Trauma and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. 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 6 child files and found one to be missing documentation of immunization status. Correction: At the time of admission each child's file contains documentation of immunization status or exemption. Correct and provide a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

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

7.701.100.F.2 · . 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.

Provider reported she does not have a drill log. Correction: A record of all emergency drills held over the past 12 months must be maintained by the facility or center. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ health evaluation form signed and dated by a licensed physician or other health professional.

Provider reported that her health evaluation is expired and she has an appointment scheduled. Correction: Subsequent health evaluations for the provider must be submitted every 2 years or as required in a written plan. Correct and provide a written statement of compliance. Correct by 10/08/2023

Corrected Corrected by Oct 8, 2023

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

7.707.923.B · In rooms accessible to children, all electrical outlets and power strips must nave protective covers, or safety outlets must be installed; and all exposed light bulbs must have protective covers. Electrical cords must be in good condition and not posing a hazard, such as strangulation, falling or tripping.

Outlets in the kitchen do not have safety covers. Correction: In rooms accessible to children, all electrical outlets must have protective covers. Correct and provide a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

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

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 the providers file and found her to be missing a current training in Standard Precautions. Correction: Provider must complete a training in Standard Precautions prior to working with children and must update annually. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Provider reported that her CPR and First Aid is expired. Provider is scheduled to take the training in September. Correction: Provider must complete First Aid and CPR training prior to working with children. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. 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 the providers file and found her to be missing a current immunization course. Correction: Each provider responsible for the review of immunization records must complete an approved immunization course. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 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 the providers file and found her to be missing a current training in Safe sleep. Correction: All staff working with infants must complete an approved safe sleep training and must update annually. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

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

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Provider reported that her dog does not have current vaccinations. Correction: The provider's animals must be vaccinated as required by state law. Correct and provide documentation with a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

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