2.321.A.4 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care recommended schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf,(4th ed. American Academy of Pediatrics, 2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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..

reviewed 13 children files and observed Ch13 to have expired medical health statement as of 4/18/2025. Correction: Obtain current medical health statement for child and add to file and send written response to specialist. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

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

2.316.B.13.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:Unscheduled field trips or excursions away from the family child care home require notification upon departure to the parent(s) or guardian(s) via written or electronic methods, which must include: locations, estimated times of attendance, and a phone number to contact the family child care home provider during the trip.

reviewed policies and observed field trip policies missing how and when will that parents will be notifiy and be given information on estimated time gone, and contact of provider if they do an unschedule field trip. Correction: Send update policies and procedures to specialist with written response. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

2.316.B.19.a · 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: Identify and consult with an early childhood mental health consultant or other specialists as needed.

reviewed policies and obsesrved no minimum policy on identifying and consulting a early child health mental FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ consultant as part of behavioral issue concerns and guidance. Correction: Send update policies and procedures to specialist with written response. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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

2.316.B.31 · 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: The procedures, including how parents are notified, for any child who has been separated from the group outside of the supervision of their assigned staff member or for whom the local authorities have been contacted;

reviewed policies and obsesrved no policies on procedures of notifying a parent for a child separated from the group outside of the supervsion of providers. Correction: Send update policies and procedures to specialist with written response. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Category: supervision. Marked corrected in the state record.

2.316.B.36 · 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: The policy on interacting with chickens, reptiles, or amphibians, including notification to parents or guardians on the risks associated with children under the age of five (5) having access to these animals. The policy must include notification of the national recommendations from the Centers for Disease Control, the American Academy of Pediatrics found in Caring for Our Children, and the Colorado Department of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Public Health and Environment that chickens, reptiles, or amphibians be inaccessible to children under the age of five (5) and are not suitable for school or child care settings with children under the age of five (5). The policy must notify parents or guardians that chickens, reptiles, and amphibians are recommended to be inaccessible to children under the age of five due to a higher risk of infection and increased disease severity.

Observed policy did not included the CDC or the American Academy of Pediatrics and CDPHE and risk involve with children having access to chickens. Also policy did not notify parents that chickens be inaccessible to children under age 5. Correction: Send update policies and procedures to specialist with written response. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

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

2.325.C · All parents must have access to menus and must be notified of meals being served.

Identified through provider that they do not have menus for parent to view prio to children are served. Correction: Make menus accessible to parents and send written response to specialist. Correct by 08/16/2024

Corrected Corrected by Aug 16, 2024

Marked corrected in the state record.

7.707.931.G · All outdoor areas where children may pass or play shall be kept free of animal contamination. All animal wastes must be promptly removed and placed in a lidded container or otherwise inaccessible to children.

in back yard towards the outdoor play kitchen dog feces on the ground accessible to children. Correction: All outdoor areas must be kept free of anumal contaminations. Correct immediately, corrected at time of visit provider pick and disposed of dog feces making it inaccessible to children. No response needed. Correct by 08/17/2023

Corrected Corrected by Aug 17, 2023

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 2 children files adn observed ch2 to have immunization documentation on non-approved form and to have start date of 8/7/2023. Correction: Obtain current ch2 immunization record and add to file. Correct immediately and send written response to specialist. Correct by 08/17/2023

Corrected Corrected by Aug 17, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 file and observed provider ch2 to have expired medical health statement and new born to have no current medical health statement. Correction: Obtain current medical health statement for family members under 12 and add to provider file and send written response to specialist. Correct by 09/15/2023

Corrected Corrected by Sep 15, 2023

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