2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

The Provider's training records and observed the 2nd applicant to be missing documentation of the required CPR and First Aid certification posing a potential safety hazard. Correction: Obtain the required CPR and First Aid certification for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The Provider's training records and observed both the Provider and the 2nd applicant to be missing documentation of the required immunization training posing a potential safety hazard. Correction: Obtain the required immunization training for all staff members as required. Correct immediately by 9.13.2024,

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.:

The Provider's training records and observed the 2nd applicant to be missing documentation of the required building and physical premises training posing a potential safety hazard. Correction: Obtain the required building and physical premises training for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

The Provider's training records and observed the 2nd applicant to be missing documentation of the required Shaken Baby/abusive head trauma training posing a potential safety hazard. Correction: Obtain the required shaken baby abusive head trauma training for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024 Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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.

The Provider's training records and observed both the Provider and the 2nd applicant to be missing FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation of the required abuse prevention training, posing a potential safety hazard. Correction: Obtain the required abuse prevention training for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024 Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The Provider's training records and observed both the Provider and the 2nd applicant to be missing documentation of the required safe sleep training posing a potential safety hazard. Correction: Obtain the required safe sleep training for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024 Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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

2.312.R.1 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, and all staff members shall: Complete a minimum of fifteen (15) clock hours of ongoing professional development each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development.

The Provider's training records and observed both the Provider and the 2nd applicant to be missing documentation of completing any required annual training, posing a potential safety hazard. Correction: Obtain the required annual training for all staff members as required. Correct by 10.13.2024 and submit a written statement of compliance and documentation of the training to the Specialist. Correct by 10/13/2024

Corrected Corrected by Oct 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.321.B.7 · The provider, applicant 2, equally qualified providers, qualified substitutes, and any staff responsible for administering medications must have current Department-approved medication administration training; current Department-approved CPR certification; current Department-approved first aid certification; and the Department-approved standard precautions training prior to administering medication.

The Provider's training records and observed both the Provider and the 2nd applicant to be missing documentation of the required Medication Administration training, posing a potential safety hazard. Correction: Obtain the required Medication Administration training for all staff members as required. Correct immediately by 9.13.2024 and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: ratio. Marked corrected in the state record.

2.324.B.3.e · The following procedure must be followed each time a diaper is changed: Primary providers, applicant 2, equally qualified providers, qualified substitutes, and staff members must use single use disposable gloves;

The Primary Provider change a child's diaper and did not use gloves posing a potential safety hazard. Correction: Gloves must be used when changing children's diapers. Correct immediately by 9.13.2024, and submit a written statement of compliance to the Specialist buy 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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

2.337.D.3 · Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, lawn mowers, tools, propane, gasoline, building scraps, and scrap metal.

A lawn mower in the backyard accessible to children and posing a potential safety hazard. Correction: Outdoor spaces must be safe and free from hazards. Correct immediately by 9.13.2024, and submit a written statement of compliance to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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

2.337.D.4 · Gas grills with propane tanks must be inaccessible or have a safety on/off knob.

A gas grill on the patio with a propane attached accessible to children, and posing a potential safety hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Gas grills must be inaccessible to children. Correct immediately by 9.13.2024, and submit a written statement of compliance to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

The Provider's training records and observed the Provider and the 2nd applicant to be missing documentation of the required Emergency and disaster preparedness training posing a potential safety hazard. Correction: Obtain the required emergency preparedness training for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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.

The Provider's training records and observed both the Provider's and the 2nd applicant to be missing documentation of the required Standard Precautions training posing a potential safety hazard. Correction: Obtain the required Standard Precautions training for all staff members as required. Correct immediately by 9.13.2024, and submit a written statement of compliance and documentation of the training to the Specialist by 10.13.2024 Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: ratio. Marked corrected in the state record.

2.312.B.1.a · The following individuals are exempt from pre-licensing training: Individuals who have a current director qualifications letter issued by the Department; or

The Provider's training records and observed the 2nd applicant to be missing documentation of the required FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ pre-licensing training, posing a potential safety hazard. Correction: Obtain the pre-licensing training for all applicants and employees who supervise and care for children. Correct immediately by 9.13.2024 and submit a written statement of compliance and documentation of the emergency drill log to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.311.A.13.a · All equally qualified providers, qualified substitutes, and staff members must obtain a medical statement signed and dated by a licensed physician or other health care provider within thirty (30) days of employment.

The Provider's records and observed both the Provider's and the 2nd applicant to be missing documentation of the required medical statement. Correction: Obtain the required medical statement for all staff members as required. Correct by 10.13.2024, and submit a written statement of compliance to the Specialist. Correct by 10/13/2024

Corrected Corrected by Oct 13, 2024

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

The Provider and all contacts living in the home to be missing current background checks. Observed the most recent checks to be completed in 2010, posing a potential safety hazard. Correction: Background checks must be completed every five years. Correct immediately by 9.13.2024, and submit a written statement of compliance to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: background checks. Marked corrected in the state record.

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed two children's records and observed one child to be missing documentation of the required signed guardian statement that they have received the policies and procedures. Correction: Obtain signed documentation that all families have received the policies and procedures. Correct by 10.13.2024, and submit a written statement of compliance to the Specialist. Correct by 10/13/2024

Corrected Corrected by Oct 13, 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;

Reviewed two children's records and observed one child to be missing documentation of the required and current emergency medical authorization posing a potential safety hazard. Correction: Obtain the required emergency medical authorizations for all children. Correct immediately by 9.13.2024, and submit a written statement of compliance to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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

2.320.A.9.a · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis. Scheduled field trips and excursions away from the family child care home require advanced notice by written or electronic methods, which must include: locations, estimated times of attendance, and a phone number to contact the family child care home provider during the trip; and written permission from the parent(s) or guardian(s) for each scheduled FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ trip or excursion.

Reviewed two children's records and observed one child to be missing documentation of the required field trip authorization, posing a potential safety hazard. Correction: Obtain the required authorization for field trips for all children. Correct immediately by 9.13.2024, and submit a written statement of compliance to the Specialist by 10.13.2024 Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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.

Reveiwed two children's records and observed two children to be missing documentation of the required health statement. Correction: Obtain health statements for all children as required. Correct by 10.13.2024, and submit a written statement of compliance to the Specialist. Correct by 10/13/2024

Corrected Corrected by Oct 13, 2024

Category: ratio. Marked corrected in the state record.

2.326.F · Infants over six (6) months of age must not be allowed to hold their own bottles when lying flat.

The provider offer an infant over six months old a bottle to hold on their own while laying flat, posing a potential safety hazard. Correction: Infants over six months must not lay flat while holding a bottle. Corrected at the time of the inspection. The Provider propped the child on a pillow. No response required. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

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

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

A pet dog, Shadow, in the home, identified through the Provider's statement that the vaccination records could not be located, posing a potential safety hazard. Correction: Obtain documentation of vaccination records for pets. Correct immediately by 9.13.2024, and submit a written statement of complianced and documentation of the record to the Specialist by 10.13.2024. Correct by 09/13/2024

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 3 childrens files and all files were missing immunization approved by the Colorado Department of Public Health. (enrolled 5/23) Correction: Obtain current immunization approved by th Colorado Deparment of Public Health and maintain in children file. Correct immediately. Correct by 10/09/2023

Corrected Corrected by Oct 9, 2023

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

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent or guardian 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 practitioner. The statement of the child's current health statusmust be signed FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 statementsmust be kept at the licensed child care home.

Reviewed 3 children files and all 3 files were missing current health statement. ( DOB 7/19, 5/21. and 12/22) Enrolled 5/23. Correction: Obtain current health statements for all children and maintain in children's file. Correct by 11/08/2023

Corrected Corrected by Nov 8, 2023

Category: ratio. Marked corrected in the state record.