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.”

There was a large container of soap in the shower of the upstairs bathroom labeled Keep out of Reach of Children. Correction: All hazardous items labeled keep out of reach of children must be inaccessible. *** Corrected at time of inspection Soap was moved to a high shelf. No response needed. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 child files and found 2 to be missing a current authorization for emergency medical care. Correction: Child's admission record must include authorization for emergency medical care and must update annually. Correct and provide a written statement of compliance. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

2.335.N · Any animals in the family child care home 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 has 2 cats and 2 dogs, there was only current documentation for Ricochet. The 2 cats and other dog do not have current documentation of vaccines. Correction: Any animals in the home must be vaccinated as required by state law. Correct and provide documentation with a written statement of compliance. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

2.335.D · The premises of the family child care home must be kept safe and free from hazards to health at all times.

There is a open liter box next to the toilet in the bathroom the children use. The liter box was not clean and had animal waste visable. Correction: The home must be kept free from hazards to health at all times. Correct and provide a written statement of compliance. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: health medication. 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 Heather's file and found her to be missing a current training in Standard Precautions. Correction: Prior to working with children and annually providers must complete a training in standard precautions. Correct

Open Not marked corrected in the state record

Category: ratio. 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 7 child files and found one to be missing a current health status. Correction: Within 30 days of admission and within 30 days following the expiration date, the parent or guardian of each child must submit a statement of the child's current health status. Correct and provide a written statement of compliance. Correct by 08/28/2023

Corrected Corrected by Aug 28, 2023

Category: ratio. Marked corrected in the state record.

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 providers file and found her prevention of shaken baby/abusive head trauma training to be expired. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Each provider working with children less than 3 years of age must complete an approved Prevention of Shaken Baby/Abusive Heath Trauma training and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 07/28/2023

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. 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 providers file and found her child abuse prevention training to be expired. Correction: Each provider must complete an approved training about child abuse prevention and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 07/28/2023

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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 providers file and found her immunization course to be expired. Correction: Each provider must complete the Co. Dept. of Public Health immunization course and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 07/28/2023

Corrected Corrected by Jul 28, 2023

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

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

Reviewed the providers file and found her Safe sleep training to be expired. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Providers working with infants must complete the Dept. approved Safe Sleep training and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 07/28/2023

Corrected Corrected by Jul 28, 2023

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

7.707.931.B · The outdoor play space must be enclosed with at least a forty-two inch (42" ) fence or 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 home does not have a fenced play space, provisions must be made for outdoor play in an area approved by the State Department.

A safety walk through out the outdoor play space was completed. It was observed that the fence was unstable and falling down in several areas. The fencing in those areas was not 42 inches. Correction: The outdoor play space must be enclosed with at least a 42 inch fence or natural barrier. Correct and provide a written statement of compliance. Correct by 07/28/2023

Corrected Corrected by Jul 28, 2023

Marked corrected in the state record.