Miriam Pacas

2.312.F · Correction due April 9, 2026

Reviewed provider's file and observed it to be missing documentation of completion of building and physical premises training.

Required correction: Prior to working with children, all staff members must complete the building and physical premises training. Correct immediately and respond with a copy of training certificate to Licensing Specialist Correct by 04/09/2026

2.335.G

One exposed wire was observed to be within one (1) foot from the water heater.

Required correction: Exposed wiring, must be repaired by a qualified repair and/or service company or removed from the family

2.321.A.3 · Correction due May 9, 2026

Reviewed four child files and observed CH2 and CH4’s file to be missing current Health Statement.

Required correction: Obtain documentation of updated Health Statement and submit to licensing specialist. Correct by 05/09/2026

2.320.A.7 · Correction due April 9, 2026

Reviewed four child files and observed CH1, CH2, CH3, and CH4's files to be missing current emergency medical authorization form, signed and dated by parent/guardian.

Required correction: Obtain a current emergency medical authorization form, signed and dated by parent/ guardian, for all children at the time of enrollment and annually thereafter. Correct immediately and respond with verification of signed emergency medical authorization form to licensing specialist. Correct by 04/09/2026

Reviewed four child files and observed CH3 and CH4’s files to be missing immunization records on approved

2.320.A.1 · Correction due April 9, 2026

Reviewed four child files and observed CH1 to be missing an admission record.

Required correction: Obtain an admission record for each child prior to or at the time of the child's admission and update annually or when changes occur, unless otherwise specified in these rules. Correct immediately and submit written plan of ongoing compliance to Licensing Specialist. Correct by 04/09/2026

2.312.R.1 · Correction due June 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of 15 annual clock hours of ongoing training, including 3 hours of social emotional content.

Required correction: Obtain documentation of completion of 15 annual clock hours of ongoing training, including 3 hours of social emotional content, for Provider and all applicable staff. Correct and respond with verification of compliance by 6/20/25. Correct by 06/20/2025

Identified through Provider Miriam’s statement that no file was available for review by Specialists for B.P. (Applicant 2) and son O. (O. Adult Household Member). Miriam stated O. cares for the children alone when she must leave for appointments, etc. Neither B. nor O. are equally qualified.

2.312.P · Correction due June 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved “Injury Prevention for Homes" training.

Required correction: Obtain documentation of completion of Department-approved “Injury Prevention for Homes" training for Provider and all applicable staff. Correct and respond with verification of compliance by 6/20/25. Correct by 06/20/2025

2.312.G · Correction due May 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved “Shaken Baby/Abusive Head Trauma” training, expired as of 2/10/2020. The provider had 3 children under the age of 3 years in care at time of inspection.

Required correction: Obtain documentation of completion of Department-approved “Shaken Baby/Abusive Head Trauma” training for Provider and all applicable staff. Correct immediately and respond with verification of compliance by 6/20/25. Correct by 05/20/2025

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved

2.312.N · Correction due June 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved “Recognizing the Impact of Bias” training.

Required correction: Obtain documentation of completion of Department-approved “Recognizing the Impact of Bias” training for Provider and all applicable staff. Correct and respond with verification of compliance by 6/20/25. Correct by 06/20/2025

2.312.J · Correction due June 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of CDPHE immunization training.

Required correction: Obtain documentation of completion of Department-approved training for CDPHE immunization training for Provider and all applicable staff. Correct and respond with verification of compliance by 6/20/25. Correct by 06/20/2025

2.133.A · Correction due May 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved emergency and disaster preparedness training.

Required correction: Obtain documentation of completion of Department-approved emergency and disaster preparedness training for the Provider and all applicable staff. Correct immediately and respond with verification of compliance by 6/20/25. Correct by 05/20/2025

2.312.M · Correction due June 20, 2025

Reviewed Provider’s file and observed it to be missing documentation of completion of Department-approved “Introduction to Early Intervention and Preschool Special Education” training.

Required correction: Obtain documentation of completion of Department-approved “Introduction to Early Intervention and Preschool Special Education” training. Correct and respond with verification of compliance by 6/20/25. Correct by 06/20/2025

2.321.A.5

Reviewed six child files and observed CH5’s file to be missing current Health Statement, expired as of 05/30/24.

2.321.B.8 · Correction due May 20, 2025

The following medications, were observed to be accessible to children, posing a potential safety hazard: -Hallway closet near restroom: Advil PM and Metamucil -Hallway closet near kitchen : Miralax -Kitchen: Weekly medication dispenser filled with miscellaneous medications in unsecured drawer

Required correction: All medications must be kept locked and inaccessible to children at all times, unless otherwise specified in rule. Correct immediately and respond with a plan for ongoing compliance by 6/20/25. Correct by 05/20/2025

2.336.C.1

The following items,were observed to be accessible to children, posing a potential safety hazard: -Unsecured drawer in Kitchen: adult scissors, knives -Entry table on first floor: Hand Sanitizer (labeled “Keep out of reach of children”) -Playroom on top of changing table : Honest brand wipes (labeled “Keep out of reach of children”) -Playroom shelf: Container with Diaper creams Honest brand wipes (labeled “Keep out of reach of children”)

2.337.D.3 · Correction due May 20, 2025

In an unsecured garage across from the outdoor patio play area, the following hazards were observed: -Unsecured garage by play area/patio: Propane tank -Unsecured Garage by play area/patio : two cans of BEHR paint (labeled “Keep out of reach of children”, sharp hand tools (pliers)

Required correction: All hazardous items and items labeled "Keep out of reach of children" must be kept inaccessible to children at all times. Correct immediately and respond with a plan for ongoing compliance by 6/20/25. Correct by 05/20/2025

2.336.C.2 · Correction due May 20, 2025

In the front family room, observed 4 non-safety outlets to be uncovered and accessible to children, posing a potential safety hazard.

Required correction: All non-safety outlets must be covered and inaccessible to children at all times. Correct immediately and respond with a plan for ongoing compliance by 6/20/25. Correct by 05/20/2025

Identified through Provider Miriam’s statement that Adult Household Member B. S. moved into Provider’s home and she was not added to the Provider’s license and no background checks were initiated.

2.120.I · Correction due May 20, 2025

Reviewed son O.P.’s (Adult Household Member) criminal background checks in database and observed expiration date to be 9/15/24.

Required correction: Provider must review ‘Navigating the Background Check’ the Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Correct immediately and notify the Licensing Specialist in writing once the resident has completed the fingerprinting process. Submit written response to Specialist by 6/20/25. Correct by 05/20/2025

2.320.A.7 · Correction due June 17, 2024

Reviewed four children's files and observed one child to have expired authorization for emergency medical care.

Required correction: Obtain updated authorization for emergency medical care. Correct immediately. Correct by 06/17/2024