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 6 child files and identified 2 children's parental emergency medical authorization to be expired. Correction: The emergency medical authorization must be updated annually. Submit a written statement of compliance to specialist. Correct by 02/23/2026

Corrected Corrected by Feb 23, 2026

Category: health medication. 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.

Reviewed provider's file and identified the Shaken Baby/Abusive Head Trauma training to be expired. Correction: The training must be updated every 2 years. Submit documentation with written statement of compliance to specialist. Correct by 02/23/2026

Corrected Corrected by Feb 23, 2026

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.

Reviewed provider's file and identified the Child Abuse Prevention Training to be expired. Correction: The training must be updated annually. Submit documentation with written statement of compliance to specialist. Correct by 02/23/2026

Corrected Corrected by Feb 23, 2026

Category: recordkeeping. 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 file and identified at least a 3 hours of social-emotional development training to be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ missing. Correction: At least 3 hours of social-emotional development training must be completed each year. Submit documentation with written statement of compliance to specialist. Correct by 03/23/2026

Corrected Corrected by Mar 23, 2026

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.

Reviewed provider's file and identified the Standard Precautions training to be expired. Correction: The training must be updated annually. Submit documentation with written statement of compliance to specialist. Correct by 02/23/2026

Corrected Corrected by Feb 23, 2026

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 child files and identified one child's immunization statement to be missing and one child's immunization record not documented on an approved immunization certificate. Correction: The immunization record must be recorded on an approved immunization certificate. Submit a written statement of compliance to specialist. Correct by 03/23/2026

Corrected Corrected by Mar 23, 2026

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 6 child files and identified 2 children to be missing the health statement and one child's health statement to be expired. Correction: Each child must have a current health statement. Submit a written statement of compliance to specialist. Correct by 03/23/2026

Corrected Corrected by Mar 23, 2026

Category: ratio. Marked corrected in the state record.

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Two latch puzzles on the floor, accessible to children under 3 years of age, posing a potential choke hazard. Correction: Choke hazards must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Provider placed the latch puzzles to an area inaccessible to children. No response required. Correct by 02/23/2026

Corrected Corrected by Feb 23, 2026

Category: physical safety. 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.”

In the living room, diapers and diaper creams on the floor accessible to children. In the playroom, all purpose cleaner on the floor, posing a potential hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Hazardous items must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Provider placed the diapers and the all-purpose cleaner to an area inaccessible to children. No response required. Correct by 02/23/2026

Corrected Corrected by Feb 23, 2026

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