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 9 children's files and observed 3 children to have immunization forms but not on the CDPHE approved form. Correction: Obtain and maintain documentation of immunization status or records and transfer to CDPHE approved form. Correct immediately 9/6/23 and submit compliance by 9/13/23. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: ratio. Marked corrected in the state record.

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ "keep out of reach of children.

clorox wipes and windex spray on the kitchen island accessible to children. Correction: Ensure all hazardous/Keep out of reach items are inaccessible to children at all times. Correct immediately 9/6/23. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: physical safety. 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 provider's files and observed provider to have an expired shaken baby course. (ex. 7/11/23) Correction: Obtain and maintain documentation of current course and maintain in files. Correct immediately 9/6/23 and submit compliance by 9/13/23. Correct by 09/06/2023

Corrected Corrected by Sep 6, 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 provider's files and observed provider to have an expired child abuse prevention course. (ex. 7/11/23) Correction: Obtain and maintain documentation of current course and maintain in files. Correct immediately 9/6/23 and submit compliance by 9/13/23. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed provider's files and observed provider to have an expired standard precautions training. (ex. 7/12/23) Correction: Obtain and maintain documentation of current course and maintain in files. Correct immediately 9/6/23 and submit compliance by 9/13/23. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: ratio. 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 provider's files and observed provider to have an expired Immunization training. (ex. 7/11/23) Correction: Obtain and maintain documentation of current course and maintain in files. Correct immediately 9/6/23 and submit compliance by 9/13/23. Correct by 09/06/2023

Corrected Corrected by Sep 6, 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 provider's files and observed provider to have an expired safe sleep training. (ex. 7/12/23) Correction: Obtain and maintain documentation of current course and maintain in files. Correct immediately 9/6/23 and submit compliance by 9/13/23. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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