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 file. Observed Provider to have expired department approved immunization course. Correction: Provider must obtain current documentation of department approved immunization course and put in file. Submit written verification on correction response to specialist. Correct by 06/20/2025

Corrected Corrected by Jun 20, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 10 child files. Observed 3 to not have immunizations on certificate of immunization from the Colorado Department of Public Health and Environment. Correction: Provider must ensure immunization records are listed on the Colorado Department of Public Health and Environment certificate of immunization. Submit written response on correction response to specialist. Correct immediately. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

Unlocked bottom cabinet under sink in kitchen near bathroom to have Huggies wipes and Member's Mark Wipes labeled "keep out of reach of children". Correction: Provider must ensure all items labeled "keep out of reach of children" are inaccessible to children. Submit written verification on correction response to specialist. Correct immediately. ***CORRECTED AT TIME OF VISIT*** Provider placed wipes in upper cabinet inaccessible to children. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: physical safety. 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.

Exposed chicken wire covering two flower beds in garden in the backyard play area posing potential safety hazard. Correction: Provider must ensure all outdoor play areas are kept safe and free from hazardous materials or debris. Submit written verification on correction response to specialist. Correct immediately. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Category: physical safety. 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.

Ten children's files were reviewed and two children did not a current health statement signed and dated by a licensed health care provider. Correction: The statement of the child's current health status must be signed by a health care provider who has seen the

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The provider did not have the most recent licensing inspection report posted or a notice as to where the report can be reviewed. Correction: At all times the most recent licensing inspection report must be posted or a notice of where the report may be reviewed. Correct Immediately. Submit documentation and written verification of compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Marked corrected in the state record.

2.336.C.11 · Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

There was obsesrved to be clothes drying on hanging rack within three (3) feet of the hot water heater. Correction: All flammable items must be stored at least 3 feet from the hot water heater. Provider moved clothes, putting them in another area of the home correcting at time of inspection. No further action needed. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: physical safety. 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.

At the time of inspection there were 7 children physically in attendance and only 5 children were sign in. Correction: The provider must maintain a daily sign in/out containing the child's name, time child arrives and leaves the home and a guardian's signature. Correct Immediately. Submit documentation and written verification of compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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;

Ten children's files were reviewed and one child did not have a current emergency authorization signed and dated by the parent or guardian. Correction: A dated, written authorization for emergency medical care signed and updated annually by the parent/guardian must be included in the admission record. Correct Immediately. Submit documentation and written verification of 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.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.

Ten children's files were reviewed and one child did not have a record of immunization status. Correction: At the time of admission, the parent/guardian must provide documentation of school required immunizations status for each child. Correct immediately. Submit documentation and written verification of 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.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

The provider did not have the process of filing a complaint post in a prominent location for families to view. Correction: The provider must post in a prominent location information regarding the procedures for filing a complaint. Correct Immediately. Submit documentation and written verification of compliance by 7/25/24. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

Marked corrected in the state record.

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

Observed items in the bathroom that were labeled "keep out of reach of children" and were accessible to children (hand soap, nail polish remover, air freshener, rubbing alcohol, deodorant) Correction: All items labeled "keep out of reach of children" must be inaccessible to children. Correct Immediately. Submit documentation and written verification of 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.

2.336.C.13 · All family child care homes must have smoke alarms installed in every bedroom licensed for care, in the immediate vicinity outside every bedroom, in every area used as a sleeping room, and at least one on each floor of the house. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There was observed to be no smoke alarms in the living room where children slept. Correction: All family child care homes must have smoke alarms installed in every bedroom licensed for care, in every area used as a sleeping room and at least one on each floor of the house. Correct Immediately. Submit documentation and written verification of 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.

2.337.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.

The play shed was observed to have nails sticking out of the door frame that were exposed and posing a possible hazard. There were broken clear bucket, cracked red fire truck and a cracked white measuring cup in the toy shed accessible to children. Correction: All outdoor play areas must be kept safe and free from hazardous materials or debris. Correct Immediately. Submit documentation and written verification of 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.

7.707.934.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

In the outdoor play area, there was two tonka trucks that had rusted medal, one tonka truck toy that has 3 broken/cracked wheels, a riding toy that was located in the corner with 2 broken front wheels a baby doll with missing legs, 2 old rusted nail sticking out of door that open shed and a wood panel on the side of the shed that was look and splintering all accessible to children. Correction: The provider must ensure that all outdoor areas are frequently surveyed and kept safe and free from hazardous materials that could cause possible harm to children. Correct immediately. Submit a written statement to continue to be in compliance by 8/30/23. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, perfumes, curling irons, adult sharp FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as "keep out of reach of children.

In the bathroom there was observed to be lotion, 2 containers of deodorant and hand sanitizer. In the kitchen there was observed to be a pizza cutter, fire starter stick, large packing tape dispenser with sharp jagged edging accessible to children. Correction: The Provider must ensure that all hazardous items and materials and any items that state "keep out of reach of children" are inaccessible to children. The Provider removed all items and places them in a locked cabinet and up above the refrigerator correcting at the time of inspection. Submit a written statement to continue to be in compliance by 8/30/23. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

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

7.707.75.E · Toddlers, preschoolers, and older children, as necessary, must have a suitable mat not less than two inches thick, cot, bed, or sofa, with a clean washable sheet that has been sanitized between uses by different children. Children must be provided with a clean blanket.

At the time of inspection, children were observed napping on a mat that did not have a clean washable sheet. The provider stated that she was not aware that that was required. Correction: The provider must provide a suitable mat not less than 2 inches thick with a clean washable sheet that has been sanitized between uses by different children. Children must also be provided a clean blanket. Correct immediately. Submit a written statement to continue to be in compliance by 8/30/23. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Marked corrected in the state record.

7.707.51.B · All forms contained in the admission record must be current and accessible to providers, substitutes and to representatives of the State Department.

Eight children files were reviewed, one child's file was not available for review by the licensing specialist at the time of inspection. Correction: All forms contained in the admission record must be current and accessible to the provider and the State Licensing Specialist upon request. Correct immediately. Submit a written statement to continue to be in compliance by 8/30/23. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.C.1.c · . Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization.

Eight children files were reviewed, one child's file was missing a written parent authorization for the use of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ sunscreen and insect repellant. Correction: The provider must require all children to have a parent written authorization to apply sunscreen and insect repellant. Correct immediately. Submit a written statement to continue to be in compliance by 8/30/23. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: ratio. Marked corrected in the state record.

7.707.51.A.8 · The admission record must include:A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s)

Eight children files were reviewed, one child's file was missing a written parent authorization for emergency medical care. Correction: The provider must require at the time of admission and updated annually a written authorization for emergency medical care signed and dated by the parent or guardian. Correct immediately. Submit a written statement to continue to be in compliance by 8/30/23. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: recordkeeping. 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) 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Eight children files were reviewed, two children files were missing an updated health statement signed and dated by a licensed health care professional. Correction: The provider must ensure that within thirty (30) days after admission and within thirty days following the expiration date, the parent of each child must submits a statement of health signed and dated by a licensed health care provider. Submit documentation and a written statement to continue to be in compliance by 8/30/23. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Category: ratio. Marked corrected in the state record.