7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed the provider's training file. The most recent "Shaken Baby/Abusive Head Trauma" training completed by the provider expired on 3/23/2023. Correction: Effective December 31, 2016 each provider, staff member or regular volunteer working with children less than three (3) years of age must complete a department approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed annually and may count towards ongoing training requirements. Correct immediately and document compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A · An admission record must be completed for each child prior to or at the time of the child's admission and updated annually, unless otherwise specified in these rules. The admission record must include:

Learned through conversation with the provider that a new child was recently cared for at the Family Child Care Home for "one or two" days. A file including the enrollment information, health, immunization records, and parent DocuSign Envelope ID: 98EB1C6F-5D29-4B85-A479-CCD169F2AA6B FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorizations for the child was not available for review at the time of inspection. Correction: An admission record must be completed for each child prior to or at the time of the child's admission and updated annually unless otherwise specified in these rules. The admission record must include the items listed under 7.707.51.A 1-12 in the Family Child Care Home Regulations. A child should not be cared for before they have the required enrollment information in their record. Correct immediately and document a continued plan of compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

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

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed the provider's training file. The most recent "Child abuse prevention" training completed by the provider expired as of 3/24/2023. Correction: Effective 12/31/2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements. Correct immediately and document compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.932.E · By December 31, 2010, all swing sets or permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards. DocuSign Envelope ID: 98EB1C6F-5D29-4B85-A479-CCD169F2AA6B FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

A plastic toddler play house with two slides that were approximately twenty-four (24) inches in height was located next to a blue swing set structure. The pink slide on one end of the plastic playhouse was less than two (2) feet away from the tetter totter attached to the swing set. This made the use zone for the slide less than two (2) feet in length. Correction: By December 31, 2010, all swing sets or permanent climbing equipment must ensure a minimum fall zone consistent with the nationally recognized standards. The Consumer Product Safety Playground Handbook states that the recommended use/fall zone for this type of equipment should be at least six (6) feet. Correct immediately and document compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

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

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

The resilient material wood chips measured less than one (1) inch in depth in the use zone below the blue slide and the swing set swing. The blue slide is approximately twenty-eight (28) inches in height. The resilient material measured two (2) inches in depth in the use zone for the two (2) pink plastic slides that were approximately twenty-four (24) inches in height. Correction: By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6”) of a nationally recognized protective surface underneath the equipment. Please ensure there is six (6) inches of resilient material in the use zone of permanently installed equipment or remove access to the equipment. Correct immediately and document compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

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

7.707.934.C · 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. Gas grills with propane tanks must have a safety on/off knob on it.

A small fulcrum-style teeter-totter/see-saw was located as an attachment to the swing set. The Consumer Product Safety Playground Handbook does not recommend the use of fulcrum-style teeter-totters or see-saws for children that are toddler or preschool age and younger. Four (4) swing chains with white plastic covers over the chains and a large "eye" bolt hanging down at the end of each chain where a swing would attach were accessible to children and were located on the blue swing set in the outdoor play area. Correction: Outdoor play space, including areas under decks must be free from safety hazards including, but not limited to, DocuSign Envelope ID: 98EB1C6F-5D29-4B85-A479-CCD169F2AA6B

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed the provider's training file. The most recent "CDPHE Child Care Immunization training" completed by the provider expired on 3/25/2023. Correction: Effective December 31, 2016 each provider or staff member 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 within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements. Correct immediately and document compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: health medication. 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 three (3) child files. Two (2) of the child files did not contain documentation of immunization status or exemption. Both children had attended at least one (1) day of child care. Correction: 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 DocuSign Envelope ID: 98EB1C6F-5D29-4B85-A479-CCD169F2AA6B

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 three (3) child files. One (1) child file for a child that had been enrolled for more than 30 days did not contain a statement of the child's current health status signed and dated by a health care provider or written verification of a scheduled appointment with a health care practitioner. Correction: 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 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 child care home. Correct and document compliance to the Department in your response. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.A.1.a · At the time of admission each child's file contains: Health information, including any known DocuSign Envelope ID: 98EB1C6F-5D29-4B85-A479-CCD169F2AA6B FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ allergies, medication being taken and possible side effects, special diets required, and chronic health conditions

Reviewed three (3) child files. One (1) child file did not contain any records for the child including health information for the child. Learned through conversation with the provider that the child had attended the child care home for "one or two days". Correction: At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the home: a. Health information, including any known allergies, medication being taken and possible side effects, special diets required, and chronic health conditions. Correct immediately and document a continued plan of compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: health medication. 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.

Reviewed three (3) child files. Learned through conversation with the provider that there was no file for one (1) child who had attended "one or two" days at the Family Child Care Home. Written authorization to obtain emergency medical care wan not on file at the time of inspection. Correction: 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. Correct immediately and document compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

The provider currently has two (2) dogs in the home. One (1) of the dogs did not have current vaccination records available for review. Correction: The provider’s animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist. Correct immediately and document compliance to the DocuSign Envelope ID: 98EB1C6F-5D29-4B85-A479-CCD169F2AA6B

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 the provider's record of emergency drills. A fire drill was documented for January 2024. No other drills including fire drills in previous months were available for review at the time of inspection. Correction: 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. Correct immediately and document a plan of continued compliance to the Department in your response. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.