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.

4 children out of 5 children in care sign in. Observed sign in sheet is missing full signature of parents or guardians . previously cited on 2.2.26. Correction: The provider must maintain a daily sign in and out method containg date, child name and time arrived and time pick up and full parent signature, correct immediately and send written on going compliance response to specialist. Correct by 04/16/2026

Corrected Corrected by Apr 16, 2026

Category: recordkeeping. Marked corrected in the state record.

2.324.A.2 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and children toddler-aged and older must wash their hands at the following times:

children getting snack prior to having their hands wash with soap and water. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provider and children must was their hands prior to eating, handling or feeding a child, correct immediatley and send written on going compliance to specialist. Correct by 04/16/2026

Corrected Corrected by Apr 16, 2026

Marked corrected in the state record.

2.337.D.3 · 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.

in front playyard area a rake and wheel barrel to be accessible to children causing potential safety hazard. Correction: Outdoor space must be free from safety hazards including but not limited to tools. Correct immediately and send written on going plan of complaince. Correct by 03/26/2026

Corrected Corrected by Mar 26, 2026

Category: physical safety. 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 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.

Observed that provider does not have posting of Department complaint information at time of visit.Previously cited on 2/26/26. Correction: At all times durining operating hours facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with Department correct immediately, and send written response of ongoing compliance. Correct by 03/26/2026

Corrected Corrected by Mar 26, 2026

Marked corrected in the state record.

2.113.A.7 · Any person intentionally making a false statement or report to the Department or to any agency delegated by the Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000.

that there is no posting of complaint information at time of visit. Reviewed Nadimas response for 2/26/26 and provider had stated in their response that they would print and post complaint information above the license that specialist had previously provided. Correction: Any person making a flase statement or report to the department or to any agency delegated by the department to make an investigation or inspection under the provision of the child care licensing act may be fine up to 250.00 a day for the first day , $500 for second and so on subsequent days maximum of 10,000. Correct immediately and send on going complaince written plan to specialist with response. Correct by 03/26/2026

Corrected Corrected by Mar 26, 2026

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 bathroom a turn table make up organizer to have on the bottom shelf the following items labeled "keep out of reach of children" tooth armor, Dentite, magic root cover up, heat protectors, and lotion to be accessible to children at time of visit. Correction: Make all hazardous items labeled "keep out of reach of children" inaccessible to children, correct immediately.Corrected at time of visit provider removed items and made them inaccessible to children. No response needed. Previously cited 11/6/25. Correct by 02/26/2026

Corrected Corrected by Feb 26, 2026

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Observed provider sign in sheet to not contain date of care services. Observed 2 out of 5 children in care to be signed in. Correction: Sign in and out sheets need to have date, child name , time and parent signature, All children in care must be signed in. Correct and send written on going complaince response. previously cited on 2/2/26. Correct by 03/26/2026

Corrected Corrected by Mar 26, 2026

Category: recordkeeping. 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 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.

at time of visit no posting with complaint informaiton to be available to parents. Correction: At all times during operating hours child care must post the information on filing a complaint to the department of Early childhood correct and send written on going compliance plan to specialist with response. Correct by 03/26/2026

Corrected Corrected by Mar 26, 2026

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 5 children files and observed Ch1, Ch2 and Ch3 to have immmunization documenation on non- approved forms. Correction: Obtain current child immunization on correct department approved forms correct immediately and add to child's file and send written response to specialist. Correct by 02/26/2026

Corrected Corrected by Feb 26, 2026

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

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed Nadima Training and observed Med Administration training to not be current. Nadima stated she tried to take it only but would not allow her to . Correction: Obtain current medication administration training both part one and 2 and add to staff file and correct immediately send written verification to specialist with response. Correct by 02/02/2026

Corrected Corrected by Feb 2, 2026

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must use their full signature. The parent/guardian must provide a signature on a weekly basis to verify the record.

at time of arrival observed only 2 children sign in the sign in log outside, Nadima and SP observed a total of five children to be in care. Correction: Provider must maintain a daily sign in and out method . A full signature is required by the parent every time a child arrives or leaves the home correct and submit a written response of on going compliance to specialist. Correct by 02/02/2026

Corrected Corrected by Feb 2, 2026

Category: recordkeeping. Marked corrected in the state record.

2.329.H.16 · When the primary provider, applicant 2, equally qualified provider, or staff member places infants in approved sleeping equipment for sleep, they must check to ensure that the temperature in the room is comfortable for a lightly clothed adult, check the infants to ensure that they are comfortably clothed (not overheated or sweaty), and that bibs, necklaces, and garments with ties or hoods are removed.

Observed at time of visit a 11 month old child sleeping with a pacifier that contain a 3 inch string attached to a clip attached to child's shirt. Child Sleeping in a Graco play and sleep. Correction: Provider must check infants to ensure that bibs, necklaces and garments with ties or hoods are removed correct immediately, corrected at time of visit provider removed string attached to pacifier submit written response of on going compliance. Correct by 02/02/2026

Corrected Corrected by Feb 2, 2026

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

2.311.A.7 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Identified that Provider has current safe sleep training as of 1/7/2026. Identified at time of visit that a child was sleeping with a pacifier attached to sting that was attached to child's shirt. Correction: Provider must demonstrate an interest in and knowledge of children and concern for their proper care and well-being, correct immediately and send written response of on going compliance. Correct by 02/02/2026

Corrected Corrected by Feb 2, 2026

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

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

In kitchen 1 outlet with no protective cover to be accessible to children. Correction: All electrical outlets and power strips must have protective covers or safety outlets must be installed correct immediately, and send written response to specialist. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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

2.327.A · The primary provider, applicant 2, equally qualified providers, and/or qualified substitutes must supervise all children by sight and or sound and know the location and the activity of all children, both indoors and outdoors, at all times while they are in care.

Two children were found on corner of 29th and Vance St. by passer by. Identified that children were not under direct supervision of provider. Correction: Primary provider must supervise all children by sight and or sound and know locations and the activities of all children indoor and outdoors at all times. Correct immediately, corrected day of incident provider was call to door by police and got children back inside. Send written response to specialist. Correct by 07/17/2025 Stage II Licensing Concern : Providers continue to care for children after reportable incident occur. - FOUNDED

Corrected Corrected by Jul 17, 2025

Category: supervision. Marked corrected in the state record.

2.311.A.7 · Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Observed providers continue to provide care after a reportable incident occurred on 5/2/2025 when the providers did not demonstrate an interest in and knowledge of children and a concern for their proper care and well being. Correction: Primary providers must demonstrate an interest in knowledge of children and a concern for their proper care and well-being. Correct immediately and send written response to specialist. Correct by 07/17/2025 ________________________________________________ Stage II Licensing Concern : Children found not wearing pants and with a full diaper. - UNFOUNDED ________________________________________________

Corrected Corrected by Jul 17, 2025

Marked corrected in the state record.

2.337.D.3 · 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.

In back yard area 5 bags of Vigoro soil, labeled Keep Out of Reach of Children accessible to children. Observed on patio leaf blower on chairs and muffler on patio table. In backyard observed ladder next to fence. Observed open gate to side yard to have 2 propane tanks on ground accessible to children, lawn mowers in back to be accessible to children. Correction: Make all outdoor play space must be free from safety hazards including but not limited to lawn mowers, tools propane, gasoline, building scraps and scrap metal, correct immediately and send written response to specialist. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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 bathroom, used by children, unlocked cabinet with Ty Bowl Cleaner, and toothpaste on counter. Observed in kitchen under sink, cabinet to be unlocked containing Comet, granite wipes, multiple empty grocery bags, and a box of tall kitchen bags. In kitchen in unlocked pantry cabinet bottle of whiskey on low shelf. Observed in living room antique credenza to have unlocked drawer with batteries in bottom 2 drawers. Observed in main bathroom unlocked cabinet under FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ sink containing Clorox cleaner, deodorant, and Windex. Observed rubbing alcohol on bathroom counter. Observed in main front living room, air fresheners on low shelf on fire place. In providers CH's bedroom bottles of perfume on dresser. Observed that children use bathroom in hallway and that door to house was open making areas accessible to children. Identified by provider's statement children are in main living room at times making areas accessible to children. Correction: All hazardous items and materials must be inaccessible to children correct immediately and send written response to specialist. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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

2.311.A.18 · Primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff must register with the Colorado Shines Professional Development Information System.

Identified through Ahmad statement he is not registered in the PDIS system. Correction: Providers must all be register with the Colorado Shines Professional Development Information system send written verification to specialist. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Marked corrected in the state record.

2.313.A · Prior to working with children, unless otherwise specified in rules, personnel files for equally qualified providers, qualified substitutes, and all staff members must be available for review by the Department and must include:

Identified through provider statement that there is no provider file for applicant 2. There is no documentation of training, having read rules understanding of home policies and procedures, hours and dates of employment health evaluation, emergency contact. Correction: Obtain complete file for applicant 2 as listed in 2.313 A. 1-7. Submit all documentation to specialist with written response. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

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

2.337.A.12 · Decorative ponds in the designated play area must have childproofing grates to prevent risk of drowning when there is no fence.

In backyard fountain with 3 decorative ponds accessible to children with approximately 2 inches rain water and no surrounding fence. Correction: Install childproofing gates to prevent the risk of drowning when there is no fence surrounding decoriative ponds. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Marked corrected in the state record.

2.337.A.2 · The outdoor play space must be enclosed with at least a forty-two inch (42) fence with slats no more than four (4) inches apart, or a natural barrier. If a natural barrier is used, it must begin no higher than three and one-half inches (3-1/2) from the ground. If the family Child Care home does not have a fenced play space, the provider may apply for an outdoor hardship waiver.

Identified through provider statement they installed a front playgound area approximatley in June or July of 2024. Observed area not to be fully enclosed with 42 inch fence. Measured wooden fence to measure 32 inches. Observed child safety gate measuring 28 inches across west side of playgound blocking opening of fence which is approximately 14 feet wide. Correction: Make outdoor playspace to be enclosed with at least a 42 inch fence with slats more more than four inches apart. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Marked corrected in the state record.

2.335.I · Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on the stairs.

Observed stairway (14 stairs) in hallway to basement not have a gate. Identified hallway is used for children to access bathroom. Observed children under 2 in care at time of visit. Correction: Install gate blocking stairway when children under 2 are present. Correct by 07/17/2025

Corrected Corrected by Jul 17, 2025

Category: supervision. Marked corrected in the state record.

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 providers facility file and observed no documentation of emergency drills being held. Correction: Obtain documentation and maintain it for all emergency drills. Correct immediately and send written response to specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ requirements;

reviewed provider file and observed to have no documentation of the impact of bias on early childhood professionals . Correction: Obtain current department approved impactt of bias on early childhood professionals training for provier and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

Category: recordkeeping. Marked corrected in the state record.

2.306.A · A regular family child care home (FCCH) license allows a provider to care for up to six (6) children from birth to eighteen (18) years of age with no more than two (2) children under eighteen (18) months of age.

At time of inspection observed 5 children in care observed ch1 DOB ( 2.14.2024) 10m, ch4 DOB (11.7.23) 13m, ch5 DOB (8.29.23) 16m, Ch6 DOB (11.14.23) 13m. Previously cited 1.8.2024 Correction: Regular family child care home license allow a provider to care for 6 children from birth to 18 years with no more than 2 children under 18 months of age. Correct immediately and send provider written plan of scheduling of enrolled children and dis-enrolled children. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

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 providers and observed no documentation of current medical health statement. Previously cited 1/8/2024. Correction: Obtain current medical health statement for provider and sened a copy to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

reviewed providers file and observed no documentation of smoke alarm testing. Correction: emergency record must be kept and available for review, correct immediately and send written verification to specialist with response. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.336.C.2 · In rooms accessible to children, all electrical outlets and power strips must have protective covers, or safety outlets must be installed; all exposed light bulbs accessible to children in areas where children can play must have protective covers. Electrical cords must be in good condition and must not pose strangulation, falling, or tripping hazards.

in nap area /room that there was an outlet higher up with no safety cover observed children in room. Correction: In rooms accessible to children all electrical outlets and power strips must have protective covers, correct immediately , corrected at time of visit provider put protective cover. No response needed. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: physical safety. 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 file and observed to have expired child abuse prevention and reporting trianing as of 12/13/2024. Correction: Obtain current department approved child abuse prevention and reporting training for Provider correct immediately and send written verification to specialist with response. Correct by 12/17/2024

Corrected Corrected by Dec 17, 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 file and observed to have expired safe sleep training as of 12.12.24. Correction: Obtain current department approvedsafe sleep training for Provider correct immediately and send written

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.312.M · 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 introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

reviewed provider file and observed to have no documentation of Early intervention and preschool special education training. Correction: Obtain current department approved Early intervention and preschool special education training for provier and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 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 Nadima and Husband FBI clearance and observed them to be overdue for renewal last done in 2014. 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 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: background checks. 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 file and observed to have no documentation of injury prevention for homes training. Correction: Obtain current department approved Injury prevention for homes training for provier and send written

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 file and observed to have no documentation of working with an early childhood mental health consultant. Correction: Obtain current department approved working with early childhood mental health consultant training for provier and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

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 file and observed provier to have only 9 hours of continual ongoing professional training. Correction: Obtain missing hours of ongoing professional development training and add to file and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

Category: recordkeeping. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

reviewed 6 children files and observed Ch1 and ch3 to have no documentation of medical health statements. Previously cited 1.8.2024. Correction: Obtain current medical health statements for children and add to children files and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 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 children files and observed ch1 and ch3 to have immunizations on non approved immunization form and ch6 to have no documenation of immunizations. Correction: Obtain current immunization records for all children and add to files. Correct immediately and send written verification to specialist with response. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: health medication. 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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

reviewed 6 children files and observed ch1 to have expired emergency medical authorization as of 8.9.2024. Previously cited 1.8.2024 Correction: Obtain current emergency medical authorization for children and add to files. Correct immediately and send written response to specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 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.

reviewed facility file and observed no documenation of menus, confirmed via provider statement that she does not have menus for review. Correction: Obtain menu plan that meets USDA needs and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

Marked corrected in the state record.

2.316.B.21 · 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: Safe sleep environments for infants in compliance with rule section 2.329(H);

reviewed policiesand procedures for safe sleep to be missing the safe sleep enviorment for infants in compliance with rule 2.329.H1-17. Correction: Obtain written policies and procedures that included safe sleep enviorments for infants in compliance with rule 2.329.H1-17 and send written verification to specialist with response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

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

7.707.32.A.6 · Prior to issuance of the license, the licensee and primary provider must complete: First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

reviewed providers file and observed Nadima to have expired 1st aid CPR training as of 2/8/2023. Correction: Obtain current 1st aid CPR training for provider and add to providers file. Correct immediately and send written verification to specialist with response. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.75.H.1 · Each infant up to twelve (12) months of age must be provided with an individual crib or futon approved for infants or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Specialist observed at time of arrival an 11 month old to be placed in an unsafe sleep enviorment. Specialist observed 3 children to be in a bounce seats for nap time. One of those bounce seats was place inside a pack an play with an 11 month old. Correction: All infants must immediately be placed in a safe sleep environment .Each infant must be provided with an individual crib or futon approved for sleep. Correct immediately and send written response to specialist. Correct by 01/08/2024

Corrected Corrected by Jan 8, 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 6 children files and observed ch2, ch5 and ch6 to have documentation of immunization on incorrect form.Previously cited on 1/17/22. Correction: Obtain current immunization documentation on correct form for all children. Correct immediately and add to children files and send written response to specialist. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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 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 6 children files and observed Ch1, Ch2,Ch4,Ch5,Ch6 to have no documentation of health statement.Previously cited on 1/17/22. Correction: Obtain current medical Health statement for all children and add to children files and send written response to specialist. Correct by 02/08/2024

Corrected Corrected by Feb 8, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually.

reviewd 6 children files and observed ch5 to have expired emergency medical authorization as of 1/5/2024. Previously cited on 1/17/22. Correction: Obtain current emergency medical authorization for child 5 and add to child's file. Correct immediately and send written verification to specialist with response. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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 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 Providers file and observed no current medical health statement for provider to be available for review. Correction: Obtain current medical health statement for provider and add to file and send written verification to specialist with response. Correct by 02/08/2024

Corrected Corrected by Feb 8, 2024

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

2.111.B · The appropriate annual continuation fee, must be submitted to the Department annually, at least sixty (60) calendar days prior to the anniversary date of the license, along with a completed continuation declaration.

Spoke to provider about annual continuation fee and submitting it at least 60 calendar days prior to anniversity date which is 1/1/2022. Provider stated that she was behind and will submit continuation payment for 2024/2. Department of Early childhood office had sent email that provider is behind by 3 years, 2022,2023 and 2024. Correction: Appropriate annual continuation fee must be submitted to the department annually at least 60 calendar days prior to the anniversary. Correct immediately and send written verification to specialist with response Correct by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 time of visit specialist observed 3 children ages (22 months, 12 months and 11 months) sleeping in bouncy chairs. Correction: toddlers, preschoolers, and older children as necessary must have a suitable mat not less than 2 inches thick, cot, bed, or sofa with clean washable sheets. Correct immediately and send written response plan to specialist with response. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

reviewed providers file and observed provider to be missing 8 hours of continual education. Correction: Obtain 15 hours of continual education training with 3 in social emotional and send written verification to specialist with response. Correct by 02/08/2024

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.31.A.3 · Providers, employees, substitutes, and volunteers must demonstrate an interest in and knowledge of children and a concern for their proper care and well-being.

Identified that the provider completed infant safe sleep training on 12/12/2023 and child in their care was found in an unsafe sleep environment Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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

7.707.6.C · Sign In/Out Procedure FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

observed provider sign in and out sheet and observed no parent signature. Correction: Provider must maintained a daily sign in an out method containing date and the time child arrived or left and full signature by parent or guardian correct immediately and send written plan to specialist. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

Category: recordkeeping. Marked corrected in the state record.