2.312.N · 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 training for recognizing the impact of bias on early childhood professionals. 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 impact of bias training. Correction: Obtain and submit documentation of current training. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.320.A.9 · 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.

Reviewed 5 children's files and observed one child to not have documentation of an admission record and field trip authorization. Correction: Obtain and maintain current paperwork for all children enrolled. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.Q · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, and the equally qualified provider must complete the Department-approved training “Working with an Early Childhood Mental Health Consultant.” This course is required once and will be counted toward ongoing professional development.

Reviewed provider's files and observed provider to not have documentation of working with an Early Childhood Mental Health Consultant training. Correction: Obtain and submit documentation of current training. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: health medication. 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 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 files and observed provider to not have documentation of injury prevention for homes training. Correction: Obtain and submit documentation of current training. Correct by 07/09/2025

Corrected Corrected by Jul 9, 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 5 children's files and observed 3 children to have expired forms and 1 child to not have emergency medical authorization. Correction: Obtain and maintain documentation of current emergency medical authorization for children. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Reviewed provider's files and observed provider to have an expired health statement. Correction: Obtain and maintain documentation of current health statement. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: health medication. 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 5 children's files and observed 2 children to have documentation of immunization records but not on the CDPHE approved form. Correction: Transfer immunizations to the CDPHE approved form and maintain in children's files. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: health medication. 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.

Reviewed 5 childrens files and observed 1 child to have an expired health statement. Correction: Obtain and maintain documentation of current health statements for children enrolled within 30 days of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 log and observed no fire and tornado drills to be documented for the past year. Correction: Perform and maintain documentation of all emergency drills according to rule above. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.316.B · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information:

Reviewed provider's policies and observed provider has not updated policies according to rule. Correction: Update and send updated policies to specialist. Include all policies listed in 2.316.B.1-36. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

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 files and observed no documentation of monthly smoke alarm testing. Correction: Perform and maintain documentation of smoka alarm testing. Correct immediately 6/9/25 and submit compliance by 7/9/25. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: recordkeeping. 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.

Reviewed provider's files and observed provider's spouse to not have current FBI Checks. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: background checks. 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 provider's files and observed provider's child to not have a current health statement. Correction: Obtain and maintain documentation of current health statement. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: health medication. 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.

Reviewed provider's files and observed an expired standard precautions training. (ex. 6/14/24) Correction: Obtain and maintain documentation of current training. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: ratio. 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.

Reviewed provider's files and observed an expired child abuse training. (ex. 6/14/24) Correction: Obtain and maintain documentation of current training. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 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.

Reviewed provider's files and observed an expired safe sleep training. (ex. 6/14/24) Correction: Obtain and maintain documentation of current training. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: physical safety. 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.

Reviewed provider's files and observed an expired immunization training. (ex. 6/14/24) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain documentation of current training. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: health medication. 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.

Reviewed provider's files and observed no documentation of 15 hours of annual training. Correction: Obtain and maintain documentation of 15 hours of training. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 children's files and observed 1 child to not have documentation of immunizations and one to not be on the CDPHE approved form. Correction: Obtain and maintain documentation of immunizations on the CDPHE approved form in children's files. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: health medication. 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.

Reviewed 5 children's files and observed 2 children with expired health statements. Correction: Obtain and maintain documentation of current health statements. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: ratio. Marked corrected in the state record.

2.337.D.2 · 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.

a broken table in the kid's play area. Correction: Ensure all materials are safe and free from hazards. Correct immediately 6/25/24 and submit compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: physical safety. 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 5 children to have immunization records but not on the CDPHE approved form and 1 child to not have an immunization record or status form. Correction: Transfer and maintain documentation of immunization records for all children enrolled in children's files. Correct immediately 7/19/23 and submit compliance by 8/19/23. Correct by 07/19/2023

Corrected Corrected by Jul 19, 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 8 children's files and observed 2 children to not have documentation of health status forms within 30 days of enrollment or expiration. Correction: Obtain current health status forms and maintain in children's files. Correct by 08/19/2023

Corrected Corrected by Aug 19, 2023

Category: ratio. Marked corrected in the state record.

7.707.931.M · The use of a trampoline by children in care is prohibited. If there is a trampoline on the property of the home, it must be stored in a way that makes it totally inaccessible to children.

Observed the trampoline to not be secured and accessible to children at the time of visit. The netting was coming up on all sides and the entrance was not secured shut. Correction: Ensure that the trampoline is inaccessible to children at all times. Correct immediately 7/19/23 and submit compliance by 8/19/23. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Marked corrected in the state record.

7.707.934.C · 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. Gas grills with propane tanks must have a safety on/off knob on it.

Observed pieces of wood in the back yard with nails sticking out posing a safety hazard to children. Correction: Ensure that all areas of the yard are safe and free of hazards to children. Correct immediately 7/19/23 and submit compliance by 8/19/23. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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