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.

Reviewed the provider Jasmine and applicant 2 Riley's files and identified both files were missing documentation of a current Department-approved safe sleep training. An infant was observed to be in care at the time of visit. Correction: Obtain current Department-approved safe sleep training for Jasmine and Riley. Correct immediately and respond with verification of compliance by 3/30/25 Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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 Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Reviewed the provider Jasmine and applicant 2 Riley's files and identified both files were missing documentation of a Department-approved training regarding "Injury Prevention for Homes." Correction: Obtain documentation of a Department-approved training regarding "Injury Prevention for Homes" for Jasmine and Riley. Correct and respond with verification of compliance by 3/30/25. Correct by 03/30/2025

Corrected Corrected by Mar 30, 2025

Category: recordkeeping. Marked corrected in the state record.

2.337.A.13 · The use of any trampoline by children in care is prohibited. If there is a trampoline on the property of the family child care home, it must be stored in a way that makes it inaccessible to children.

In the play area, observed a small indoor trampoline with a handlebar attached, accessible to children and posing a potential safety hazard. Correction: Ensure any trampolines are not used by children in care. **Corrected at the time of visit. Provider moved the trampoline out of the play area and made it inaccessible to children.** No response required. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: physical safety. 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 provider Jasmine and applicant 2 Riley's files and identified Riley's file was missing documentation of a Department-approved training for recognizing the impact of bias on early childhood professionals. Correction: Obtain documentation of a Department-approved training for recognizing the impact of bias on early childhood professionals for Riley. Correct and respond with verification of compliance by 3/30/25. Correct by 03/30/2025

Corrected Corrected by Mar 30, 2025

Category: recordkeeping. 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 provider Jasmine and applicant 2 Riley's files and identified both files were missing documentation of a current Department-approved training in standard precautions. Correction: Obtain current Department-approved standard precautions training for Jasmine and Riley. Correct immediately and respond with verification of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

Reviewed the provider Jasmine and applicant 2 Riley's files and identified both files were missing documentation of a current Department-approved training about child abuse prevention. Correction: Obtain current Department-approved child abuse prevention training for Jasmine and Riley. Correct

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 provider Jasmine and applicant 2 Riley's files and identified Jasmine's file was missing documentation of a current Department-approved training in medication administration. A child requiring emergency medication was observed to be in care. Correction: Obtain current Department-approved medication administration training for Jasmine. Correct immediately and respond with verification of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

2.321.B.4 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed children's medications and identified an emergency medication without the original container and pharmacy label for a child's newly identified health care need. Correction: Obtain the original container and pharmacy label for the emergency medication. Correct immediately and respond with a statement of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: health medication. 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 provider and applicant 2's files and identified that provider Jasmine's file was missing documentation of the Department-approved training "Working with an Early Childhood Mental Health Consultant." Correction: Obtain documentation of the Department-approved training "Working with an Early Childhood Mental Health Consultant" for Jasmine. Correct and respond with verification of compliance by 3/30/25. Correct by 03/30/2025

Corrected Corrected by Mar 30, 2025

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

2.337.A.11 · All hot tubs must have bolted and securely locked covers. All children in care are prohibited from using hot tubs.

In the backyard, observed a hot tub with a cover that was not securely locked. Correction: Ensure the hot tub has a bolted and securely locked cover. Correct immediately and respond with a statement of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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), surrounding the equipment.

In the backyard, observed a swing hanging from a tree and over grass. Observed a triangular rock climber three feet tall and another climber with attached platform and slide approximately eighteen inches high, both placed on grass. Correction: Ensure all climbing equipment eighteen inches or higher has resilient surfacing of at least six inches in the use zone surrounding the equipment. Correct immediately and respond with a plan for ongoing compliance by 3/30/25. Correct

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Identified through the provider's statement that the rabies vaccinations for the two dogs in the home have expired. Correction: Obtain documentation current proof of vaccination for both dogs. Correct immediately and respond with verification of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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 four children's files and identified two files to be missing documentation of a current health statement or written verification of a scheduled appointment with a health care provider. Correction: Obtain documentation of current health statements or written verification of a scheduled appointment with a health care provider for all children. Correct and respond with a statement of compliance by 3/30/25. Correct by 03/30/2025

Corrected Corrected by Mar 30, 2025

Category: ratio. 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 four children's files and identified one file missing documentation of immunization status or exemption. Correction: Obtain documentation of immunization status or exemption for all children. Correct immediately and respond with a statement of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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 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 four children's files and identified two files missing documentation of current emergency medical authorizations. Correction: Obtain documentation of current emergency medical authorizations for all children. Correct immediately and respond with a statement of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ (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 four children's files and identified one file missing documentation of written authorization for the application of sunscreen. Correction: Obtain documentation of written authorization for the application of sunscreen for all children. Correct immediately and respond with a statement of compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Marked corrected in the state record.

2.321.C.4 · For an enrolled child with a newly identified special health care need, the primary provider must obtain written instructions for providing services from the child's parent(s) or guardian(s) and the health care provider. If the child with special health care needs does not have an existing individualized health care plan, the individualized health care plan must be completed within thirty (30) calendar days of the child's identified need. For a life-threatening health care need, the health care plan and any associated medication(s) must be available prior to the child’s re-admittance to the family child care home.

Identified through the provider's statement that a child observed in care has a newly identified life-threatening health care need. Reviewed four children's files and identified documentation of the health care plan for the newly identified health care need to be missing. Correction: Obtain documentation of the health care plan for the newly identified health care need prior to the child's re-admittance. Correct immediately and respond with a plan for ongoing compliance by 3/30/25. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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