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 the Provider's file and observed the Introduction to the Early Intervention and Preschool Special Education training to be missing. Correction: Obtain and maintain the Introduction to the Early Intervention and Preschool Special Education training. Correct immediately 5/14/2025 and submit written compliance by 6/14/2025. Correct by 05/14/2025

Corrected Corrected by May 14, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the Provider's file and observed the Injury Prevention for Homes training to be missing. Correction: Obtain and maintain the Injury Prevention for Homes training. Correct immediately 5/14/2025 and submit written compliance by 6/14/2025. Correct by 05/14/2025

Corrected Corrected by May 14, 2025

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 6 children files and observed 1 child's file to have immunization records not on a state approved form. Correction: Obtain and maintain immunization records for all children enrolled on a state approved form. Correct immediately 5/14/2025 and submit written compliance by 6/14/2025. Correct by 05/14/2025

Corrected Corrected by May 14, 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 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 6 children files and observed 2 children with expired health statements. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 6/14/2025. Correct by 06/14/2025

Corrected Corrected by Jun 14, 2025

Category: ratio. 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 7 children's files and observed 3 children to have expired health statements Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit compliance by 7/6/24. Correct by 07/06/2024

Corrected Corrected by Jul 6, 2024

Category: ratio. Marked corrected in the state record.

2.329.H.7 · All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ broken or loose slats, torn mattress, chipping paint, and loose screws.

Pack and play pads observed to not be tied down per manufacturers instruction to prevent possible hazard. Correction: Ensure all sleep equipment is safe, sturdy, and free from hazards. Correct immediately 6/6/24. ***Corrected at time of visit by tying down sleep pads. No response required. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

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.”

Bathrooms used by children were observed to have items labeled "keep out of reach of children" accessible to children (disinfectant wipes, razor, cologne, hair gel, and shaving foam). Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to all children. Correct immediately 6/6/24. ***Corrected at time of visit by placing items out of reach. No response required. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

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.

Outlets in basement and Master bedroom where children sleep, were observed to be missing protective covers. Correction: Ensure all electrical outlets have protective covers on them at all times. Correct immediately 6/6/24. ***Corrected at time of visit by placing protective covers on outlets. No response required. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: physical safety. 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 7 children files and observed 2 children to have expired health statements. Correction: Obtain and maintain current and up to date health statements for all children. Submit compliance by 8/17/2023. Correct by 08/17/2023

Corrected Corrected by Aug 17, 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.

Observed knife on kitchen counter and peroxide in bathroom accessible to children. Correction: All hazardous items must be kept inaccessible to children at all times. Correct immediately 7/17/2023 and submit compliance by 8/17/2023. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

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

7.707.36.B.7.c · The personnel files for each employee, substitute, and volunteer shall be available for review by any representative of the State Department and must include: Official written verification of training, completion and expiration dates as required for the position including: Medication administration training

Observed provider to have expired medication administration training (6/19/2023). Correction: Obtain and maintain current and up to date medication administration training. Correct immediately 7/17/2023 and submit compliance by 8/17/2023. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: ratio. Marked corrected in the state record.