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;

Reviewed 6 child files and identified 2 children's file to be missing a dated emergency medical authorization and 1 child's file to be missing the emergency medical authorization form. Correction: A dated written authorization for emergency medical care must be in children's files and updated annually. Submit a written statement of compliance to specialist. Correct by 05/20/2025

Corrected Corrected by May 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 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 6 child files and identified one child's immunization record to be missing and one child's immunization record not documented on the approved form. Correction: Each child must have an immunization record documented on the approved form. Submit a written statement of compliance to specialist. Correct by 05/20/2025

Corrected Corrected by May 20, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 one child's health statement to be missing. Correction: Each child must have a health statement. Submit a written statement of compliance to specialist. Correct by 06/30/2025

Corrected Corrected by Jun 30, 2025

Category: ratio. Marked corrected in the state record.

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 6 child files and identified all children to be missing parental written authorization for sunscreen application. Correction: Each child must have parental written authorization for sunscreen application. Submit a written statement of compliance to specialist. Correct by 05/20/2025

Corrected Corrected by May 20, 2025

Marked corrected in the state record.

2.329.H.12 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep equipment meeting Consumer Product Safety Commission (CPSC) standards, incorporated by reference in rule section 2.329(A), and placed on their back to sleep unless being held by the provider, while being transported, or on a field trip.

A 8-month- old infant placed in an unsafe sleep environment; Observed infant sleeping in a swing. Correction: All infants must immediately be placed in a safe sleep environment. Immediately ensure that children sleep in an approved sleep equipment. CORRECTED AT THE TIME OF THE INSPECTION. Provider picked up the infant from the swing. Submit a written statement of future compliance to specialist. Correct by 05/20/2025

Corrected Corrected by May 20, 2025

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