2.309.A.4 · When more than eight (8) children are present, a second staff member that is qualified as an applicant 2, equally qualified provider, qualified substitute, staff member, or staff aide is required.

9 children in attendance and no second staff member present. Specialist reviewed past 2 weeks of attendance records and observed 9 children signed into the sign in/out sheet on 4/11/2024 and 4/12/2024. Correction: Ensure there is a second staff member present whenever there are 9 or more children in attendance. Correct immediately and send a statement of compliance to specialist with written response. Correct by 04/25/2024

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.317.D.1 · Sign In/Out Procedure The provider must maintain a daily sign in/out method containing the date, the child's name, the time that the child arrived at and left the home, and the parent, guardian, or authorized person's signature. A full signature is required by the parent or guardian every time the child arrives at or leaves the home. The provider may sign in or out children who arrive directly from school or an activity as needed on a daily basis. The provider must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

9 children in attendance and only 7 children signed into the sign in/out attendance record. Correction: A daily sign out method must be maintained for all children in attendance, with the time the child arrives and leaves the home, and a parent or authorized person's signature. Correct immediately and send a statement of compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

No documentation of monthly smoke alarm testings were available for review. Correction: Hold and maintain record of monthly smoke alarm testings. Correct immediately and send a statement of compliance to specialist with written response. Correct by 04/25/2024

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. 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 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 9 child files and observed 1 child to be missing documentation of immunization status or exemption. Correction: Obtain record of immunization status or exemption for child and place in child's file. Send a statement of compliance to specialist with written response. Correct immediately. Correct by 04/25/2024

Corrected Corrected by Apr 25, 2024

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 9 child files and observed 1 to have an expired emergency medical authorization. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain documentation of current required authorization for child and place in child file. Correct immediately and send a statement of compliance to specialist with written response. Correct by 04/25/2024

Corrected Corrected by Apr 25, 2024

Category: health medication. 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.

Reviewed the provider's file and observed no documentation of a current health statement. The provider's previous health statement expired 7/20/2023. Correction: Obtain documentation of a current health statement and send a statement of compliance to specialist with written response. Correct by 05/25/2024

Corrected Corrected by May 25, 2024

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