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 the Provider and Assistant files and observed both have expired Child Abuse Prevention training (Sherry 3/13/25, Kylie 3/14/25). Correction: Obtain and maintain current and up to date Child Abuse Prevention training. Correct immediately 5/21/2025 and submit written compliance by 6/21/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed the Provider and Assistant files and observed both have expired Safe Sleep training (Sherry 3/11/25, Kylie 3/9/25). Correction: Obtain and maintain current and up to date Safe Sleep training. Correct immediately 5/21/2025 and submit written compliance by 6/21/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 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 the Provider and Assistant files and observed Provider has an expired Immunization training (Sherry 3/14/25). Correction: Obtain and maintain current and up to date Immunization training. Correct immediately 5/21/2025 and submit written compliance by 6/21/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 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 13 children files and observed 9 to have immunization records on an unapproved state form, and 1 child to be missing an immunization document. Correction: Obtain and maintain immunization records for all children enrolled. Correct immediately 5/21/2025 and submit

Corrected Corrected by May 21, 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.

Reviewed 13 children files and observed 8 children to have expired health statements. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 6/21/2025. Correct by 06/21/2025

Corrected Corrected by Jun 21, 2025

Category: ratio. 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 labeled "keep out of reach of children" on a counter accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children. Correct immediately 5/21/2025. ***Corrected at time of visit by removing wipes. No response required. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

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