Kaylee Blevins

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.”

A container of diaper creams and sprays labeled 'keep out of reach of children' was on a low shelf of the diaper changing table and accessible to children. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times.

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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.

Reviewed provider file. Missing a current child immunizations training. Correction: The immunizations training must be renewed annually. Submit documentation and a written statement of compliance to the licensing specialist. Correct by 07/03/2026

Corrected by Jul 3, 2026

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2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 9 child files. 4 children missing current statements of health status from a health care provider. Correction: Health statements must be provided within 30 days of starting care and updated as required by the health care provider or in accordance with the AAP recommendations. Submit a written statement of compliance to the licensing specialist. Correct by 07/03/2026

Corrected by Jul 3, 2026

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2.321.B.4 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

An inhaler for a child with asthma was missing the original container and prescription label. Correction: Immediately, all medications must be kept in the original box or container with the original pharmacy label. Submit a written statement of compliance to the licensing specialist. Correct by 06/03/2026

Corrected by Jun 3, 2026

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2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

An inhaler was on a half-wall ledge near the entrance and accessible to children. Correction: Immediately, all medications must be locked and inaccessible to children at all times. Submit a written statement of compliance to the licensing specialist. Correct by 06/03/2026

Corrected by Jun 3, 2026

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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 seven children's records and observed one children records to have expired emergency medical authorizations, posing a potential safety hazard. Correction: Obtain current emergency medical authorizations for all children's records. Correct immediately by 6.11.2025, and submit a written statement of compliance to the Specialist by 7.11.2025. Correct by 07/11/2025

Corrected by Jul 11, 2025

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2.321.A.2.b · 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: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s) and/or guardian(s), defining the interventions needed to care for a child who has an identified health condition or developmental concerns, including, but not limited to: seizures, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and or medical equipment must be available to the primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members prior to the child’s first day of care. The primary provider, applicant 2, equally qualified providers, qualified substitutes, and any staff members working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

A health care plan to be missing documentation of the health care provider and the parent(s) guardian(s) written approval, posing a potential safety hazard. Correction: Obtain written approval for all health care plans as required. Correct immediately by 6.11.2025, and submit a written statement of compliance to the Specialist by 7.11.2025. Correct by 06/11/2025

Corrected by Jun 11, 2025

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2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed seven children's records and observed one child to be missing documentation of the required current health statement. Correction: Obtain current health statements for all children as required. Correct by 6.11.2025, and submit a written statement of compliance to the Specialist by 7.11.2025. Correct by 06/11/2025

Corrected by Jun 11, 2025

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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 Provider's training records and observed documentation of the required playground safety for homes to be missing. Correction: Obtain the required playground safety for homes training. Correct by 7.11.2025, and submit a written statement of compliance to the Specialist. Correct by 06/11/2025

Corrected by Jun 11, 2025

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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's training records and observed documentation of the required injury prevention for homes to be missing. Correction: Obtain the required injury prevention for homes training. Correct by 7.11.2025, and submit a written statement of compliance to the Specialist. Correct by 06/11/2025

Corrected by Jun 11, 2025

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