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.

Reviewed provider drill log and observed no documentation of smoke alarm drills. Correction: Obtain current monthly smoke alarm drills log. Correct immediately and send written response to specialist. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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

reviewed 7 children files and observed ch6 to have expired emergency medical authorization. Correction: obtain current emergency medical authorization for children and add to files. Correct immediately and send written response to specialist. Correct by 08/16/2024

Corrected Corrected by Aug 16, 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.”

in upstairs bathroom unlocked cabinet with disenfective spray and windex to be labeled "keep out of reach of children" to be accessible to children. Correction: Make all items labeled "keep out of reach of children" inaccessible to children. Correct immediately, correct at time of visit provider locked cabinet. No response needed. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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

2.337.A.7 · All outdoor areas where children may pass or play must be kept free of animal contamination. All animal wastes must be promptly removed and inaccessible to children.

observed animal feces accessible to children in yard were children were playing at time of visit Correction: All animal wast must be promptly removed and made inaccessible to children. Correct immediately , correct at time of visit provider went outside an pick up animal waste in yard. No response needed. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 provider file and observed provider to have expired Colorado Department of Public Health and Environment immunization course. (10/31/2022) Correction: Obtain current Colorado Department of Public Health and Environment immunization course certificate and maintain in file. Correct by 10/12/2023

Corrected Corrected by Oct 12, 2023

Category: health medication. 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 Providers file and observed Department Approved training in Standard Precautions is expired. (3/25/2023) Correction: Obtain current Department Approved training in Standard Precautions training certificate and maintain in file. Correct immediately. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

Category: ratio. 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 observed expired Department Approved Safe Sleep training. (10/31/2022) Correction: Obtain current Department Approved Safe Sleep training certificate and maintain in file. Correct immediately. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

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