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 two staff files and observed expired documentation of Shaken Baby Abusive Head Trauma training for Monica (09/21/23) Correction: Obtain documentation of Shaken Baby Abusive Head Trauma training for all providers. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed 2 staff files and observed expired documentation of Standard Precautions training for Monica (09/15/23) Correction: Obtain documentation of Standard Precautions training for all providers. Correct by 10/05/2023

Corrected Corrected by Oct 5, 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 2 staff files and observed expired documentation of immunization training for Monica (09/14/23). Correction: Obtain documentation of current immunization training. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

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

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

Reviewed 6 children's files and observed CH 3 missing documentation of emergency medical authorization. Correction: Obtain documentation of emergency medical authorization for all children in care. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Marked corrected in the state record.

7.707.51.A.10 · The admission record must include:Written authorization, obtained in advance of the event from a parent or guardian, for a child to participate in field trips or excursions, whether walking or riding in an approved vehicle.

Reviewed 6 children's files and observed CH 4 missing documentation of field trip authorization. Correction: Obtain documentation of field trips for all children. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: transportation. Marked corrected in the state record.

7.707.51.A.11 · The admission record must include:Written authorization for media use including, but not limited to, television and video viewing, music, video games, and computer use. The authorization must include approved time limits. The authorization form only needs to be on file if media use is not addressed in the home policies and procedures FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statement; and

Reviewed 6 children's files and observed CH 4 missing documentation of media authorization. Correction: Obtain documentation of media authorization for all children Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.E.1 · The provider must inform the parent or guardian, through the policies and procedures statement or an authorization form, that sunscreen will be applied to the children's exposed skin prior to outside play. A doctor's permission is not needed to use sunscreen at the home. When a parent or guardian supplies sunscreen for an individual child, the container must be labeled with the child's first and last name. If sunscreen is provided by the provider, parents must be notified in advance, in writing, of the type of sunscreen the provider will use. Parent(s) or guardian(s) must notify the provider if sunscreen has been applied to the child's skin prior to arriving at the home. Sunscreen must never be applied to an infant's skin.

Reviewed 6 children's files and observed CH 4 missing documentation of sunscreen authorization. Correction: Obtain documentation of sunscreen authorization for all children. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Marked corrected in the state record.