Ashley Elementary

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Program lacking documentation of fire drills for November and December 2025 and program lacking documentation of lock-down drills completed quarterly. Correction: Immediately (1/13/26) ensure that all required drills are completed within the required timeframes and documentation of each drill is maintained. Provide a written statement of compliance within the overall response. Correct by 01/13/2026

Corrected by Jan 13, 2026

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2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Program lacking documentation of Emergency drills for August - November 2024. Correction: Immediately (2/5/2024) ensure that all required drills are completed within the required timeframes and documentation of each drill is maintained. Provide a written statement of compliance within the overall response. Correct by 02/05/2025

Corrected by Feb 5, 2025

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2.719.A · Each Neighborhood Youth Organization must maintain and post the appropriate fire and health inspection certificates.

Program lacking documentation of a current building fire inspection. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provide documentation through an approving building fire inspection from the local fire department, along with a written statement of compliance within the overall response ensuring that a current building fire inspection has been obtained and will be maintained. Correct by 02/05/2025

Corrected by Feb 5, 2025

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2.709.A.5.b · A dated, written authorization by a parent or guardian for: Emergency medical care signed and submitted annually by the parent or guardian.

Reviewed 3 children's files and observed all children lacking documentation of a current written emergency medical authorization signed by the parent/guardian. Correction: Immediately (2/5/25) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. Correct by 02/05/2025

Corrected by Feb 5, 2025

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2.705.B · The Neighborhood Youth Organization shall post its policies and procedures in plain view, and must make a written copy available to parents and guardians, which must include the following:

Program lacking a posting for the following: the program's mission statement, program's enrollment procedure, program's arrival and departure procedure, program's procedure for youth belongings and money, program's visitor policy, program's policy for meals and snacks. Correction: Immediately (3/7/2024) ensure that the program posts its policies and procedures to include the above listed items in plain view at all times. Provide a written statement of compliance within the overall response. Correct by 03/07/2024

Corrected by Mar 7, 2024

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2.709.A.5.b · A dated, written authorization by a parent or guardian for: Emergency medical care signed and submitted annually by the parent or guardian.

Reviewed 4 children's files and observed all files lacking documentation of a current emergency medical authorization signed by a parent/guardian. Correction: Immediately (3/7/24) ensure that the program obtains and maintains documentation of a current emergency

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2.707.B.2 · The following records shall be on file at the Neighborhood Youth Organization:Current Colorado Department of Public Health and Environment or local health department inspection report within the past twenty-four (24) months.

Program lacking documentation of current health inspection. Correction: Provide documentation of an approving health inspection along with a written statement of compliance within the overall response ensuring that a current health inspection has been obtained and will be maintained. Correct by 04/07/2024

Corrected by Apr 7, 2024

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2.707.B.3 · The following records shall be on file at the Neighborhood Youth Organization: Current local fire department inspection report issued within the past twenty-four (24) months.

Program lacking documentation of a current building fire inspection. Correction: Provide documentation of an approving Fire inspection along with a written statement of compliance within the overall response ensuring that a current fire inspection has been obtained and will be maintained. Correct by 04/07/2024

Corrected by Apr 7, 2024

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2.707.B.5 · The following records shall be on file at the Neighborhood Youth Organization: A record of all emergency drills held over the past twelve (12) months, including date and time of drill, number of adults and youth members participating, and the amount of time taken to evacuate.

Program lacking documentation of a record of emergency drills for the last 12 months. Correction: Immediately (3/7/24) ensure that the programs maintains documentation of emergency drills held over the last 12 months. Provide a written statement of compliance within the overall response. Correct by 03/07/2024

Corrected by Mar 7, 2024

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