2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

Reviewed 2 staff files and observed 1 staff member, Lisa R. (hd 7/2023) to have an expired Shaken Baby training. Correction: Obtain and maintain a current and up to date Shaken Baby training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 children files and observed 1 infant with expired health statement per AAP recommended guidelines Correction: Obtain and maintain health statement for all children under the age of 2 years per the AAP recommended guidelines. Correct and submit written compliance by 8/7/2025. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

Category: health medication. 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 2 staff files and observed the Provider and 1 staff member, Lisa R. (hd 7/2023) to have an expired Child Abuse Prevention training. Correction: Obtain and maintain a current and up to date Child Abuse Prevention training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

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 2 staff files and observed 1 staff member, Lisa R. (hd 7/2023) to have an expired Safe Sleep training. Correction: Obtain and maintain a current and up to date Safe Sleep training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Category: physical safety. 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 2 staff files and observed the Provider and 1 staff member, Lisa R. (hd 7/2023) to have an expired immunization training. Correction: Obtain and maintain a current and up to date immunization training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

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

2.312.K · Within thirty (30) 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 playground safety for homes. This course is required once and will be counted towards ongoing training requirements;

Reviewed 2 staff files and observed 1 staff member, Lisa R. (hd 7/2023) to be missing the playground safety for homes training. Correction: Obtain and maintain the playground safety for homes training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Category: recordkeeping. 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 2 staff files and observed the Provider and 1 staff member, Lisa R. (hd 7/2023) to be missing the injury prevention for homes training. Correction: Obtain and maintain the injury prevention for homes training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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 2 staff files and observed the Provider and 1 staff member, Lisa R. (hd 7/2023) to be missing the working with a mental health consultant training. Correction: Obtain and maintain working with a mental health consultant training for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 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 5 children files and observed 1 child to have immunizations not on a state approved form. Correction: Obtain and maintain immunizations on a state approved form for all children enrolled. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ scheduled appointment with a health care provider. 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 family child care home.

Reviewed 5 children files and observed 3 children with expired health statement. Correction: Obtain and maintain health statement for all children enrolled. Correct and submit written compliance by 8/7/2025. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

Category: ratio. Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 2 staff files and observed 1 staff member, Lisa R. (hd 7/2023) to be missing a signed Child Abuse statement form. Correction: Obtain and maintain a signed Child Abuse statement form for all staff. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Marked corrected in the state record.

2.331.H · Verbal or emotional abuse and derogatory remarks about any child or any child’s family and home environment is prohibited.

During safety walk through, Specialist heard staff member used a derogatory remark while feeding an infant. Correction: Ensure staff does not use derogatory remarks toward a child at any time. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Marked corrected in the state record.

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

During safety walk through observed small screw, small jewelry, and AA battery accessible to children. Correction: Ensure all items that pose a choking hazard are inaccessible to children at all times. Correct immediately 7/7/2025. ***Corrected at time of visit by removing items. No response required. Correct by 07/07/2025

Corrected Corrected by Jul 7, 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.”

During safety walk through observed wipes, hand sanitizer, deodorant, sunscreen, and small pliers accessible to children. Correction: Ensure all items that are labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 7/7/2025. ***Corrected at time of visit by removing items. No response required. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

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

2.336.C.11 · Flammable or combustible items must be stored in a locked area remote from the kitchen, and at least three (3) feet from the furnace, hot water heater or any other heating device. These items include, but are not limited to, paints, fuels, insecticides, and other hazardous chemicals.

During safety walk through observed cardboard boxes stored next to the water heater and furnace. Correction: Ensure all flammable or combustible items are stored at least 3 feet from the funace and water heater. Correct immediately 7/7/2025. ***Corrected at time of visit by moving boxes. No response required. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

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

2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

During safety walk through observed loose fill resilient material to be less than 3 inches around the fall zone of slide. Correction: Ensure resilient material is raked on a regular basis to ensure a depth of at least 6 inches. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/02/2025

Corrected Corrected by Jul 7, 2025

Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 2 staff files and observed 1 staff member, Lisa R. (hd 7/2023) to be missing clearance letters for CBI and FBI. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Lisa R. has reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI Clearance Letters for staff member Lisa R. with written response to the Specialist. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Category: supervision. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Reviewed 2 staff files and observed the Provider to have a health statement without medical personnels signature and date. Correction: Obtain and maintain current and up to date health statement. Correct and submit written compliance by 8/7/2025. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

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

2.311.A.13.a · All equally qualified providers, qualified substitutes, and staff members must obtain a medical statement signed and dated by a licensed physician or other health care provider within thirty (30) days of employment.

Reviewed 2 staff files and observed 1 staff member, Lisa R. (hd 7/2023) to have an expired health statement form. Correction: Obtain and maintain current and up to date health statement for all staff. Correct and submit written compliance by 8/7/2025. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

Category: health medication. 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.

Emergency drills for fire, tornado, and lock down, were not documented for January - June 2025. Correction: Ensure all emergency drills are documented and fire drills are done monthly, tornado drills are done March-October, and lock down drills are done quarterly. Correct immediately 7/7/2025 and submit written compliance by 8/7/2025. Correct by 07/07/2025

Corrected Corrected by Jul 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.311.A.13 · Prior to license approval, the primary provider, applicant 2, and all persons residing in the home must obtain a medical statement signed and dated by a licensed physician or other health care provider.

Reviewed 2 staff member files and observed the Provider's to be missing a current and up to date health statement. Correction: Obtain and maintain current and up to date health statement. Correct and submit compliance by 8/15/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

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

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed Provider's file and observed it to be missing a current and up to date CPR and First Aid Training. Correction: Obtain and maintain current and up to date CPR and First Aid training. Correct immediately 7/15/2024 and

Corrected Corrected by Jul 15, 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 2 staff files and observed 1 staff member, Lisa R. (hd 6/2023) to have an expired Safe Sleep training. Correction: Obtain and maintain Safe Sleep training for all staff members. Correct immediately 7/15/2024 and submit compliance by 8/15/2024. Correct by 07/15/2024

Corrected Corrected by Jul 15, 2024

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

2.335.Y · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Trike in outdoor play area was observed to be missing handle covers to prevent potential injury from sharp edges. Correction: Ensure all outdoor equipment and materials are sturdy, safe and free of hazards. Correct immediately 7/15/2024. ***Corrected at time of visit by removing trike from play area. No response required. Correct by 07/15/2024

Corrected Corrected by Jul 15, 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 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 8 children's file and observed 2 children to be missing Emergency Medical Authorization, and 2 children to have expired Emergency Medical Authorization forms. Correction: Obtain and maintain Emergency Medical Authorization forms for all children enrolled. Correct immediately 7/15/2024 and submit compliance by 8/15/2024. Correct by 07/15/2024

Corrected Corrected by Jul 15, 2024

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

2.320.A.9 · 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: Written authorization for field trips and excursions can occur on a daily, weekly, monthly, or seasonal basis.

Reviewed 8 children's file and observed 2 children to be missing Field Trip Authorization. Correction: Obtain and maintain Field Trip Authorization forms for all children enrolled. Correct immediately 7/15/2024 and submit compliance by 8/15/2024. Correct by 07/15/2024

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. 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 8 children's file and observed 3 children to be missing Immunization records, and 3 to have immunization records on Not Acceptabel Form. Correction: Obtain and maintain immunization records on department approved Colorado forms for all children enrolled. Correct immediately 7/15/2024 and submit compliance by 8/15/2024. Correct by 07/15/2024

Corrected Corrected by Jul 15, 2024

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 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 8 children's file and observed 6 children to be missing health statements. Correction: Obtain and maintain Health Statements for all children enrolled. Correct and submit compliance by 8/15/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

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 8 children's file and observed 2 children to be missing authorization for sunscreen. Correction: Obtain and maintain authorization for sunscreen for all children enrolled. Correct immediately 7/15/2024 and submit compliance by 8/15/2024. Correct by 07/15/2024

Corrected Corrected by Jul 15, 2024

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.”

1 bottle for cleaning up after pets, labeled "keep out of reach of children" observed accessible to children. Correction: Ensure all hazardous materials labeled "keep out of reach of children" are inaccessible to children. Correct immediately 7/15/2024. ***Corrected at time of visit by removing bottle from bathroom. No response required. Correct by 07/15/2024

Corrected Corrected by Jul 15, 2024

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