Child Care Center Resources

Child Care Routine Inspections

Adams County Health Department’s Child Care Task Force conducts routine health inspections for licensed child care facilities to ensure compliance with Colorado’s Rules and Regulations Governing the Health and Sanitation of Child Care Facilities in the State of Colorado. Routine health inspections for child care facilities are required at least every two years but may occur more frequently based on an assessment of risk. While the Health Department does not license child care facilities, a passing health inspection is required for approval by the Department of Early Childhood Division of Early Learning Licensing and Administration (DELLA). Below are some helpful inspection resources:

Updated Regulations (Effective April 14, 2025)

CDPHE completed a stakeholder process to update 6 CCR 1010-7, Health and Sanitation of Child Care Facilities in the State of Colorado. The proposed changes were adopted by the Board of Health on February 19, 2025 and will go into effect on April 14, 2025. The updated regulation will be posted on April 14th. In the meantime, please reference the redline version of the current regulation to view the changes that were made.

• 6 CCR 1010-7 redline February 19,2025
• Updates to 6 CCR 1010-7 slides
• Updates to 6 CCR 1010-7 meeting recording
• Notice of adopted regulations  

Regulations

• Variance Application
• CDPHE Child Care Health Regulations Website  

Training

• Routine Inspection Questions
• Co.Train Courses (Create a Co.Train account to register)
  • Everything you need to know about cleaning, sanitizing, and disinfecting: (Co.Train course ID 1108635)  

Cleaning, Sanitizing & Disinfecting

• Sanitizing with Bleach
• Disinfecting with Bleach
• List of Approved Disinfectants  

Food Safety

• Food Safety in Child Care Settings
• Indirect Draining Guidance
• Multi-Use Sink Plan Application  

Environmental

• Preventing Childhood Lead Poisoning
• Radon Testing Requirements
• Poisonous Plants in Child Care / Pautas sobre plantas tóxicas (Spanish)  

Disease Prevention, Outbreak, and COVID-19 Support for Child Cares

Our Health Department provides disease prevention and control guidance to child care programs within Adams County, including those that do not traditionally require Health Department approval for licensure (e.g., sports, performing arts, or faith-based camps). If you are a child care facility or program and need to report an outbreak, illness concerns, or have questions about reportable illnesses, please contact [email protected]. 

• (NEW) Vomit/Fecal Clean-Up Plan
• (NEW) Vomit/ Fecal Clean-Up Procedure Sign
• Infectious Diseases in Child Care and School Settings
• How Sick is Too Sick / ¿Cuál es el punto en que uno está demasiado enfermo? (Spanish)
• Sample Illness Policy
• Illness Surveillance Log
• Hand Washing Procedure Sign / Lávese las manos (Spanish)
• Diaper Changing Procedure Sign / Procedimiento para cambiar pañales (Spanish)
• 2023-24 Child Care Immunization Table
• Notice of Immunization Requirement & In-Process Form
• CDPHE CIIS School and Child Care User Webpage  

Child Care New Construction/Remodeling: Plan Review  

All new programs must submit the Child Care Plan Review Packet before starting any construction or remodeling.  The plan review packet fee must be paid, and the plans must be reviewed and approved by our department before any work begins. 

• Child Care Plan Review Packet for Remodels and New Builds
• EPA Lead Inspection Information
• EPA Asbestos Inspection Information  

Child Care Opening, Change of Ownership & Room Evaluation Inspections 

To schedule an inspection for a new child care, a change of ownership, or changes to rooms within an existing child care program, contact [email protected].