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 provider's files and observed provider to not have documentation of playground safety training Correction: Obtain and maintain documentation of training. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

Reviewed provider's files and observed no documentation of the early intervention training. Correction: Obtain and maintain documentation of training. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 provider's trainings and observed no documentation of injury prevention training. Correction: Obtain and maintain documentation of training. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

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 12 children's files and observed 1 child to have an expired emergency medical authorization form. Correction: Obtain and maintain documentation of current emergency medical authorization for all children enrolled with expired authorization. Correct immediately 2/24/25 and submit compliance by 3/24/25. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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

7.707.31.A.10 · Subsequent health evaluations for the provider and children residing in the home who are less than twelve (12) years of age must be submitted every two (2) years or as required in a written plan signed by a physician or other health professional. A new family member and/or a new resident of the home must submit to the State Department, within thirty (30) days from the date the individual began living in the home, a State Department approved health evaluation form signed and dated by a licensed physician or other health professional.

Reviewed providers files and observed an expired health statement. (Ex. 5/16/23) Correction: Obtain and maintain documentation of current health statement. Correct by 04/06/2024

Corrected Corrected by Apr 6, 2024

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

Reviewed provider's files and observed an expired standard precautions training. (ex. 5/4/23) Correction: Obtain and maintain documentation of current standard precautions training. Correct immediately 3/6/24 and submit compliance by 4/6/24. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed provider's files and observed an expired first aid and CPR training. (ex. 6/15/23) Correction: Obtain and maintain documentation of current first aid and CPR. Correct immediately 3/6/24 and submit compliance by 4/6/24. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. 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 provider's files and observed provider to not have current CDPHE immunization training. (ex. 6/2/23) Correction: Obtain and maintain documentation of current CDPHE immunization training. Correct immediately 3/6/24 and submit compliance by 4/6/24. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

Reviewed provider's files and observed provider to not have documentation of 15 hours of ongoing training. Correction: Obtain and maintain documentation of 15 hours of annual training. Correct immediately 3/6/24 and submit compliance by 4/6/24. Correct by 03/06/2024

Corrected Corrected by Mar 6, 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 8 children's files and observed 2 children to have immunization records but not on the CDPHE FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approved form. Correction: Transfer immunizations to the CDPHE approved form and maintain in child's files. Correct immediately 3/6/24 and submit compliance by 4/26/24. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

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