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 8 children's files and observed 2 children to have immunization records but not on the CDPHE approved form. Correction: Transfer immunization records to the CDPHE approved form and maintain in child's file. Correct immediately 10/23/24 and submit compliance by 10/30/24. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed provider's files and observed that no drills were recorded since March 2024. Correction: Perform and maintain documentation of drills performed according to rule above. Correct immediately 10/23/24 and submit plan of compliance by 10/30/24. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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's logs and observed that provider is not keeping records of monthly smoke alarm testing. Correction: Ensure that smoke alarms are tested monthly and records are maintained. Correct immediately 10/23/24 and submit compliance by 10/30/24. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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 hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed provider's files and observed no documentation of current standard precautions training. Correction: Obtain and maintain documentation of current standard precautions training. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: ratio. Marked corrected in the state record.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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.

Identified that provider and spouse have not been refingerprinted every 5 years. Correction: Obtain and submit documentation of verification of fingerprints. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Reviewed 3 animal shot records and observed 1 dog to not have documentation of rabies and 1 to be expired. Correction: Obtain and maintain documentation of current rabies vaccinations for dogs. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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 provider's files and observed no current health statement for provider and child under 12. Correction: Obtain and maintain documentation of current health statements. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

Category: health medication. 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 provider to not have a current first and CPR through an approved vendor. Correction: Obtain and maintain documentation of current first and CPR through and approved vendor. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.7 · Prior to issuance of the license the licensee and primary provider must complete: The State Department approved course of training for medication administration.

Reviewed providers files and observed provider to have an expired medication administration training. (ex. 5/23) Correction: Obtain and maintain documentation of current medication administration course. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: ratio. Marked corrected in the state record.

7.707.91.F · All garbage and other wastes must be stored in a manner that is inaccessible to children and disposed of in a manner that does not constitute a health hazard or nuisance.

a bag of dirty diapers open and accessible to children in care and also trash all over the backyard including diapers shredded in play area. Correction: Ensure that all garbage is stored in a manner that is not accessible to children. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Provider to not have documentation of a drill log. Correction: Begin to perform and document drills according to the rule above. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

Observed outdoor equipment over 2 feet in height to have less than 1 inch of resilient material. Correction: Ensure all equipment has at least 6 inches of resilient material. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.707.934.B · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children

the fence in the play area to have broken pickets posing a safety hazard to children. Correction: Ensure all outdoor areas are kept safe. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.707.41.B.23 · The written policies and procedures must be developed, implemented and followed, which include all updates, changes, and must include at a minimum the following information: Use of and how often sunscreen is applied, including authorization for use of sunscreen, and how infants are protected from sun exposure without the use of sunscreen

Reviewed 8 children's files and observed 1 child to not have sunscreen authorization. Correction: Obtain and maintain documentation of sunscreen authorization. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Marked corrected in the state record.

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's admission and updated annually, unless otherwise specified in these rules. The admission record must include:

Reviewed 8 children's files and observed 1 child to not have documentation of an enrollment record. Correction: Obtain and maintain documentation of enrollment record that includes all components of 7.707.51.a.1 to 11. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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 records and observed 2 children to not have documentation of immunization records and 2 to not be on the CDPHE approved form. Correction: Obtain and maintain documentation of immunization records on the first day of care and ensure records are on the CDPHE approved form. Correct immediately 11/13/23 and submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 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 8 children's files and observed 1 child without emergency medical authorization and 2 with expired forms. Correction: Obtain and maintain documentation of current emergency medical authorization forms. Correct immediately 11/13/23 or prior to next day in care. Submit compliance by 12/13/23. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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 and dated by a health care provider who has seen the child within the last twelve (12)months, or within the last six (6) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 children's files and observed 2 children to not have a current health statement within 30 days of enrollment and 1 to have an expired form. Correction: Obtain and maintain current health statements for all children enrolled within 30 days of enrollment and 30 days of expiration. Correct by 12/13/2023

Corrected Corrected by Dec 13, 2023

Category: ratio. Marked corrected in the state record.