Heather Medrano

2.337.A.8 · Window wells accessible to children must have covers that are in good condition and will protect children from falling into the window well. Window well covers must not prevent exiting from a basement window designated as the second exit.

3 window well covers accessible to children in the outdoor play area having holes and cracked. Correction: Window wells accessible to children must have covers that are in good condition. Submit documentation of compliance to specialist with written response. Correct by 09/30/2025

Corrected by Sep 30, 2025

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

2 climbers with attached slides over 18 inches in height having approximately 2- 3 inches of resilient surfacing within the use zone surrounding the equipment. Correction: All climbing equipment, sliding equipment, or equipment with attached platforms 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone. Submit documentation of compliance to specialist with written response. Correct by 09/30/2025

Corrected by Sep 30, 2025

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 files and observed 2 files having an expired emergency medical authorization. Correction: Obtain documentation of current emergency medical authorization and add to file. Correct by 09/30/2024

Corrected by Sep 30, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 files and observed 1 file to be missing an immunization record. Correction: Obtain documentation of current immunization record and add to file. Correct by 09/30/2024

Corrected by Sep 30, 2024

2.321.B.8 · All medications in the family child care home, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to the primary provider, applicant 2, equally qualified provider, qualified substitute, or staff members trained in administering medication.

Medications accessible to children in an unlocked cabinet in the bathroom. Correction: All medications in the family child care home, except those medication specified in the department-approved medication administration training as emergency medications, must be locked an inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Provider locked cabinet making medications inaccessible to children. Correct by 09/30/2024

Corrected by Sep 30, 2024

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.”

Diaper wipes labeled keep out of the reach of children accessible to children on low basket attached to diaper changing station posing a potential safety hazard. Correction: Make all hazardous items inaccessible to children. Correct by 09/30/2024

Corrected by Sep 30, 2024

2.337.B.1.a · All climbing equipment, sliding equipment, or equipment with attached platforms, eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone, see rule section 2.337(B)(3), surrounding the equipment.

Approximately 1 to 2 inches of resilient surfacing surrounding 2 slides measuring over 18 inches in height in the use zone of the climbing equipment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All climbing equipment, sliding equipment, or equipment with attached platforms, 18 inches or higher must have a resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Correct by 09/30/2024

Corrected by Sep 30, 2024

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Identified through provider that Michael still resides in the residence. Observed Michael having expired FBI clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that powerpoint has been reviewed within 24 hours. Submit verification with written response to Specialist. Correct by 10/03/2023

Corrected by Oct 3, 2023

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 "keep out of reach of children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

3 bags of diaper wipes labeled keep out of reach of children accessible to children on living room floor and in an unlocked cabinet in the living room posing a potential safety hazard. Correction: Make all hazardous items inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Provider moved diaper wipes to a high shelf making them inaccessible to children. Correct by 10/03/2023

Corrected by Oct 3, 2023

7.707.923.O · The 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. The fire extinguisher or identifying sign where the fire extinguisher is located must be highly visible and easily accessible.

Fire extinguisher to be expired making it nonworking condition. Correction: The home must contain at least 1 fire extinguisher, in working condition with a minimum weight of 5 pounds. Correct by 10/03/2023

Corrected by Oct 3, 2023

7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

Approximately 1 to 2 inches of resilient surfacing around 3 portable climbers over 2 feet in height in the backyard play space. Correction: Playground equipment must be surrounded by and have at least 6 inches of protective surfacing. Correct by 10/03/2023

Corrected by Oct 3, 2023

7.707.934.B · All outdoor play areas shall frequently be surveyed and must be kept safe and free from hazardous materials or debris that could cause harm to children

A storm door accessible to children leading to the garage in the backyard play space with a broken window and pieces of pointed plastic posing a potential safety hazard. Correction: Make all hazardous items inaccessible to children. Correct by 10/03/2023

Corrected by Oct 3, 2023