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The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children’s illnesses, accidents, and injuries

Rule 2.206.B.10. Correction due, as CDEC set it: Sep 24, 2026. Cleared, as CDEC recorded it: Oct 12, 2026.

An admission record must be completed for each child prior to or at the time of the child’s admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Rule 2.209.A.7. Correction due, as CDEC set it: Apr 13, 2026. Cleared, as CDEC recorded it: Apr 20, 2026.

Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Rule 2.217.A.15. CDEC’s category: General Requirement/Physical Care. Correction due, as CDEC set it: Apr 13, 2026. Cleared, as CDEC recorded it: Apr 20, 2026.

Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/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 less than two and one-half (2½) 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 center.

Rule 2.219.B.2. CDEC’s category: Child Records. Correction due, as CDEC set it: May 12, 2026. Cleared, as CDEC recorded it: Apr 20, 2026.

All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Rule 2.212.A. CDEC’s category: Personnel. Correction due, as CDEC set it: Feb 25, 2026. Cleared, as CDEC recorded it: Mar 3, 2026.

Items labeled “keep out of reach of children” must be inaccessible to children.

Rule 2.229.C. CDEC’s category: Equipment/Materials. Correction due, as CDEC set it: Feb 25, 2026. Cleared, as CDEC recorded it: Mar 3, 2026.

Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Rule 2.120.I. Correction due, as CDEC set it: Sep 18, 2025. Cleared, as CDEC recorded it: Nov 7, 2025.

Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

Rule 2.121.D.4. Correction due, as CDEC set it: Sep 18, 2025. Cleared, as CDEC recorded it: Nov 7, 2025.

The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Rule 2.121.J.1. Correction due, as CDEC set it: Sep 18, 2025. Cleared, as CDEC recorded it: Nov 7, 2025.

Items labeled “keep out of reach of children” must be inaccessible to children.

Rule 2.229.C. CDEC’s category: Equipment/Materials. Correction due, as CDEC set it: Sep 18, 2025. Cleared, as CDEC recorded it: Nov 7, 2025.

Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Rule 2.229.L. CDEC’s category: Equipment/Materials. Correction due, as CDEC set it: Sep 18, 2025. Cleared, as CDEC recorded it: Nov 7, 2025.

All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Rule 2.230.C.1.a. Correction due, as CDEC set it: Sep 18, 2025. Cleared, as CDEC recorded it: Nov 7, 2025.

Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Rule 2.120.I. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Rule 2.121.J.1. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center’s administration of medications policies and procedures

Rule 2.212.N. CDEC’s category: Personnel. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Rule 2.216.A.1. CDEC’s category: Staff Files. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of 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 certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section 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., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Rule 2.219.B.1. CDEC’s category: Child Records. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/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 less than two and one-half (2½) 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 center.

Rule 2.219.B.2. CDEC’s category: Child Records. Correction due, as CDEC set it: Nov 1, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center’s policies. Access to these medications must be limited.

Rule 2.220.G. CDEC’s category: Health/Medication. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Rule 2.230.C.1.a. Correction due, as CDEC set it: Oct 2, 2024. Cleared, as CDEC recorded it: Mar 13, 2025.

All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Rule 7.702.42.A. CDEC’s category: Staff Files. Correction due, as CDEC set it: Dec 13, 2023. Cleared, as CDEC recorded it: Dec 18, 2023.

Within ninety (90) calendar days of employment, all Directors and Assistant Directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Rule 7.702.42.J. Correction due, as CDEC set it: Jan 13, 2024. Cleared, as CDEC recorded it: Dec 18, 2023.

Within ninety (90) calendar days of employment, all Directors and Assistant Directors must complete the department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Rule 7.702.42.K. Correction due, as CDEC set it: Jan 13, 2024. Cleared, as CDEC recorded it: Dec 18, 2023.

Glitter must not be used with children under three (3) years of age.

Rule 7.702.71.F. CDEC’s category: Equipment/Materials. Correction due, as CDEC set it: Dec 13, 2023. Cleared, as CDEC recorded it: Dec 18, 2023.

Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Rule 7.702.71.L. CDEC’s category: Equipment/Materials. Correction due, as CDEC set it: Dec 13, 2023. Cleared, as CDEC recorded it: Dec 18, 2023.

In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Rule 7.702.91.H. CDEC’s category: Indoor/Safety Requirements. Correction due, as CDEC set it: Dec 13, 2023. Cleared, as CDEC recorded it: Dec 18, 2023.

A record must be maintained, either written or electronic, for each staff member that includes the following: All information from background checks as required in the General Rules for Child Care Facilities at Section 7.701.32.

Rule 7.702.35.A.6. Correction due, as CDEC set it: Jan 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.

All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Rule 7.702.42.B. CDEC’s category: Personnel. Correction due, as CDEC set it: Jan 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.

Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Rule 7.702.42.F. Correction due, as CDEC set it: Feb 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.

Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Rule 7.702.42.G. CDEC’s category: Staff Files. Correction due, as CDEC set it: Jan 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.

Items labeled ?keep out of reach of children? must be inaccessible to children.

Rule 7.702.71.C. CDEC’s category: Equipment/Materials. Correction due, as CDEC set it: Jan 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.

Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Rule 7.702.72.B. Correction due, as CDEC set it: Jan 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.

Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

Rule 7.702.91.D. CDEC’s category: Indoor/Safety Requirements. Correction due, as CDEC set it: Jan 23, 2023. Cleared, as CDEC recorded it: Feb 17, 2023.