2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 8 children files and observed 1 child to be missing signed documentation of parent receiving copy of policy upon child's enrollment. Correction: Ensure all parents receive, and sign policy documentation, upon enrollment. Correct immediately 4/10/2025 and submit written documentation by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 files and observed 2 children to be missing health statements. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 5/10/2025. Correct by 05/10/2025

Corrected Corrected by May 10, 2025

Category: ratio. 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 files and observed 1 child to be missing a signed and dated emergency medical authorization. Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 4/10/2025 and submit written documentation by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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

2.320.A.9.c · 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. Routine field trips and excursions, such as daily transportation provided by the family child care home to and/or from care, require annual authorization by written or electronic methods, which must include departure and arrival times to and from the family child care home; and pick up and drop off times and locations.;

Reviewed 8 children files and observed 2 children to be missing permission for field trips. Correction: Obtain and maintain current and up to date authorization for field trips for all children enrolled. Correct

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

2.321.E.2 · The primary provider, applicant 2, equally qualified provider, qualified substitutes, or staff members must apply sunscreen, have the parent(s) and/or guardian(s) apply sunscreen, or use an alternative form of sun protection for children approved by the parent(s) or guardian(s), prior to children going outside. Sunscreen must be reapplied as directed by the product label.

Reviewed 8 children files and observed 2 children to be missing sunscreen authorization. Correction: Obtain and maintain sunscreen authorization for all children enrolled. Correct immediately 4/10/2025 and submit written compliance by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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 Provider's file and observed Standard Precaution training to be expired (1/16/25). Correction: Obtain and maintain current and up to date training in Standard Precaution. Correct immediately 4/10/2025 and submit written compliance by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

Category: ratio. 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 Provider's file and observed Safe Sleep training to be expired (1/16/25). Correction: Obtain and maintain current and up to date training in Safe Sleep. Correct immediately 4/10/2025 and submit written compliance by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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

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 Provider's file and observed Intro to Early Intervention and Preschool Education Programs training to be missing. Correction: Obtain and maintain training in Intro to Early Intervention and Preschool Education Programs. Correct immediately 4/10/2025 and submit written compliance by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. 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 in the downstairs bathroom accessible to children, packaged wipes, bathroom cleaner, and a bottle of Fabreze, in unlocked drawer and cabinet beneath the sink. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 4/10/2025 and submit written compliance by 5/10/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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

2.316.A · At the time of enrollment and upon any amendments to policies and procedures, the provider must give the parent(s) or guardian(s) a written statement of the family child care home's policies and procedures, and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The provider must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures. By signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 10 children's files and observed 1 to be missing a signed Parent Policy statement for media, field trips, and sunscreen. Correction: Obtain and maintain signed policy statements in all enrolled children's files. Correct immediately 5/7/24 and submit compliance by 6/7/24. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

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 10 children's files and observed 1 to be missing a signed emergency medical authorization. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain signed emergency medical authorization for all children enrolled. Correct immediately 5/7/24 and submit compliance by 6/7/24. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

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 10 children's files and observed 1 to be missing an immunization record, and 4 immunization records to be on a Not Approved Form. Correction: Obtain and maintain immunization records for all children enrolled. Correct immediately 5/7/24 and submit compliance by 6/7/24. Correct by 05/07/2024

Corrected Corrected by May 7, 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 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 10 children's files and observed 1 to have an expired health statement. Correction: Obtain and maintain current up to date health statements for all children enrolled. Correct and submit compliance by 6/7/24. Correct by 06/07/2024

Corrected Corrected by Jun 7, 2024

Category: ratio. Marked corrected in the state record.

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

Fire extinguisher observed to be less than the required 5lbs. Correction: Ensure fire extinguisher meets the required minimum weight of 5lbs. Correct immediately 5/7/24 and submit compliance by 6/7/24. Correct by 05/07/2024

Corrected Corrected by May 7, 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.

Bathroom in basement was observed to have one outlet without a protective cover. Correction: Ensure all electrical outlets have protective covers. Correct immediately 5/7/24. ***Corrected at time of visit by placing a protective cover in outlet. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 and tornado were observed not to have been completed for the month of April. Correction: Ensure fire and tornado drills are done monthly. Correct immediately 5/7/24 and submit compliance by 6/7/24 Correct by 05/07/2024

Corrected Corrected by May 7, 2024

Category: recordkeeping. Marked corrected in the state record.