Totally Kids After School Program

2.530.A.10 · 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 written record of any serious accident, illness, or injury occurring during care with a copy provided to the parent(s) or guardian(s);.

Identified through Directors statements that a written record of the injury was not provided to the parents/guardians. Correction: Ensure a copy of the written record of any serious accident, illness, or injury occurring during care is provided to the parents/guardians. Submit documentation of plan of compliance with written response. Correct by 12/16/2025

Corrected by Dec 16, 2025

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2.512.D.1 · When accidents, injuries, or illnesses occur, the program director or responsible adult in charge must notify the child’s parent(s) or guardian(s) and, if necessary, seek medical care for the child.

Identified through Directors statement that an injury report was not completed and placed in child's file, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ no written report was given to the parent(s)/guardian(s). Correction: The center must maintain and update annually, a record on each child that includes:a written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent(s)/guardian(s). Submit documentation of plan of compliance with written response. Correct by 12/16/2025

Corrected by Dec 16, 2025

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2.505.C.11 · . The procedure, including notification of parent(s) or guardian(s), for handling children's illnesses, accidents, and injuries, including when children will be excluded from care and notification of parent(s) or guardian(s)

Reviewed policy and procedures for the facility and observed facility to not follow injury policy by not informing parent(s)/ guardian(s) in writing of an injury received by a child during child care hours. Correction: 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. Submit documentation of plan of compliance with written response. Correct by 12/16/2025 ________________________________________________

Corrected by Dec 16, 2025

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2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed staff files and observed 3 staff having expired Standard precautions training. Correction: Obtain current documentation of Standard Precautions training, add to staff files and submit documentation of

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2.508.C · Within thirty (30) calendar days of employment all staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed Director file and observed director having an expired immunization training certification. Correction: Obtain current documentation of Immunization training, add to staff files and submit documentation of compliance with written response to licensing specialist. Correct by 09/15/2025

Corrected by Sep 15, 2025

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2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 6 staff files and observed 3 staff having expired Department approved training about child abuse prevention. Correction: Obtain current documentation of Child abuse prevention training, add to staff files and submit documentation of compliance with written response to licensing specialist. Correct by 09/08/2025

Corrected by Sep 8, 2025

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2.507.J · 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.

Reviewed 5 staff files and observed no staff have Medication administration policies and procedures training. Correction: Obtain current documentation of Medication administration polices and procedures training, add to staff files and submit documentation of compliance with written response. Correct by 04/30/2025

Corrected by Apr 30, 2025

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2.121.J.1 · 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:

Reviewed 6 staff files. Observed Alejandra to be out of state within the past five years. Observed Alejandra to be missing documentation of an out-of-state background clearance and documentation of submission. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verifictation that staff member Alejandra has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance for staff member Alejandra with written response to specialist. Correct immediately. Correct by 12/20/2023

Corrected by Dec 20, 2023

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2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 6 staff files. Observed May to be missing documentation of department approved Standard Precautions Training. Correction: Obtain documentation of department approved Standard Precautions Training and put in staff file. Correct immediately. Correct by 12/20/2023

Corrected by Dec 20, 2023

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2.508.B.1 · Program Leaders Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must meet the following qualifications: Complete the Department-approved course in injury prevention;

Reviewed 6 staff files. Observed Selena to be Director and has expired department approve injury prevention training. Correction: Obtain documentation of department approved injury prevention training and put in staff file. Correct immediately. Correct by 12/20/2023

Corrected by Dec 20, 2023

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2.508.B.3 · Each program leader must be at least 18 years of age, demonstrate ability to work with children, and must meet the following qualifications: Must have at least three (3) months (460 hours) of full-time or equivalent part-time satisfactory and verifiable e

Reviewed 6 staff files. Observed May and Emagene to be program leaders and missing documentation of qualifications. Correction: Obtain documentation of qualifications and put in staff file. Correct immediately. Correct by 12/20/2023

Corrected by Dec 20, 2023

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