Critical Incident Report - Modernized Trails - Child Welfare Training System

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Critical Incident Report - Modernized Trails - Child Welfare Training System
Critical Incident Report
         Modernized Trails

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Critical Incident Report - Modernized Trails - Child Welfare Training System
Table of Content

Critical Incident Report                Page   Critical Incident Report           Page

What You Need to Know                   3      Add Notifications                  41
7.701.52 Reports (Critical Incidents)   4      Add Media Contacts                 44
Signing into Modernized Trails          7      Add Actions Taken                  47
Add Incidents                           8      Incident Submission                50
Incident Summary                        12     What Happens Next?                 52
Add Parties and Witnesses               19     Access and View Active Incidents   53
• Add Staff                             20

• Add Client                            26

• Add Household Member                  32

• Add Other                             37

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Critical Incident Report - Modernized Trails - Child Welfare Training System
What You Need to Know

                    There is a difference between Mandatory Reporting and Critical Incident Reporting!

A mandatory report MUST be IMMMEDIATELY reported.

Any person deemed a mandatory reported in a licensed agency filing a mandatory report must call 1-844-CO-4-KIDS (1-
844-264-5437). This call is directed to the respective County Department.

More specifically, regulations states:

7.701.52

B. Any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been
   subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would
   reasonably result in abuse or neglect must immediately report or cause a report to be made of such fact to the state hotline,
   county department of human or social services or local law enforcement agency.

C. If the suspected child abuse occurred at the child care facility, the report of suspected child abuse must be made to the county
   department of human or social services, police department, or other law enforcement agency in the community or county in
   which the child care facility is located.

D. If the suspected child abuse did not occur at the child care facility, the report of suspected child abuse must be made to the
   county department of human or social services in the county in which the child resides or to the local law enforcement agency
   in the community in which the incident is believed to have occurred.
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Critical Incident Report - Modernized Trails - Child Welfare Training System
7.701.52 Reports (Critical Incidents)

A Critical Incident Report MUST be entered directly into Trails by the licensed agency or facility within 24 hours
(excluding weekends and Holidays).

More specifically, regulations states:

7.701.53

Critical incident reporting for 24-hour agencies, facilities and day treatment:

Within twenty four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within
twenty four (24) hours of a child's return to the facility:

1. Death
a. Report any child/youth death in the facility or foster home while a child has an open placement, to include while a child is on or
   off grounds;
b. Report death of a child/ youth while a child is on the premises of day treatment;
c. Report death of staff while on duty;
d. Report death of foster parent with child(ren)/ youth in placement;
e. Report death of volunteer or visitor while on premises.

2. Abuse and neglect
a. Report any allegation, suspicion, reasonable cause to know, observation or condition of physical, sexual, verbal, emotional,
   psychological, or financial abuse to a child/ youth when they are in placement or on the premises;
b. Report any allegation, suspicion, reasonable cause to know, observation or condition of physical, deprivation of needs, medical,
   supervisory, emotional, psychological, or financial neglect to a child/ youth while they are in placement or on the premises;
c. Report notification of an open investigation conducted by the county
                                                                    4      department.
Critical Incident Report - Modernized Trails - Child Welfare Training System
7.701.52 Reports (Critical Incidents)

3. Injury
   a. Report any serious injury to a child/youth that requires emergency medical attention by a health care professional outside of
      the facility or admission to a hospital;
   b. Report any serious injury in which there is no known cause or due to alleged lack of supervision;
   c. Report any injury, bruise or abrasion on the individual that occurs as a result of a physical management.
   d. Report any injury to a foster parent, staff, volunteer or visitor as a result of an altercation with a child/youth.

4. Illness
   a. Report any serious illness that requires emergency medical attention by a health care professional outside of the facility or
      admission to a hospital;
   b. Report when the wrong medication or dosage is given, or when the prescribed medication is not given to the child/youth,
      which results in an adverse side effect (physiological or psychological) which requires treatment from a medical professional
      outside of the facility to address the adverse effects and ensure the safety of the child/ youth to sustain life;
   c. A mandatory reportable illness, as required by the Colorado Department Of Public Health And Environment, of a child or staff
      member;
   d. Report any suicidal attempt by a child/youth that requires emergency medical attention by a health care professional outside
      of the facility or admission to a hospital;
   e. Report any self-injurious behavior by a child/youth that requires emergency medical attention by a health care professional
      outside of the facility or admission to a hospital;
   f. Report if a child/youth is placed on a 72-hour/ M1 hold;
   g. Report if a child, foster parent, or staff on duty receives medical or emergency attention outside of the facility as a result of a
      drug or alcohol related incident.
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Critical Incident Report - Modernized Trails - Child Welfare Training System
7.701.52 Reports (Critical Incidents)

1. Emergency response
   a. Report if a fire department responds and extinguishes a fire;
   b. Report a hazardous situation that occurs that could have possibly threatened the lives of other people around a facility or
      foster home;
   c. Report incidents that result in law enforcement taking control of a situation or taking control of a facility or foster home;
   d. Report any major/ credible threat to the security and/or safety of a facility, foster home, or child/youth in out-of-home care;
   e. Report if a law enforcement agency files charges; issues a summons or citation to a child/ youth, and/or a child/youth is
      arrested while child/youth has an open placement at the facility or foster home, to include when child/youth is on or off
      grounds;
   f. Report if a child/ youth leaves without consent if under the age of 18 and does not return to the facility or foster home within 24
      hours; Do NOT wait 24 hours to report a runaway- REPORT IMMEDIATELY. Sex Trafficking rules override this description and require
     an immediate response (this will be corrected in regulation in the very near future)
  g. Report if division of youth services child/ youth escapes the facility or foster home.

A report of a critical incident must be submitted directly through the Colorado Department of Human Services, Division
of Child Welfare, Trails automated system.

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Critical Incident Report - Modernized Trails - Child Welfare Training System
Signing Into Modernized Trails

Go to https://trails.state.co.us
(Chrome is preferred)

Login.

Click the Acknowledge
statement.

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Critical Incident Report - Modernized Trails - Child Welfare Training System
Add Incidents
To navigate in Modernized Trails use the left navigation             2. Click Resource Queues.
panel or the scroll bar at the right of the page.
In the Left Navigation panel. In this job aid we will be using       This expands the Resource
the Left Navigation panel.                                           Queues list.

Click Show Menu.

This expands the Left Navigation
panel.

Note: The menu items displayed in the Left Navigation
panel are dependent upon your security profile.

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Critical Incident Report - Modernized Trails - Child Welfare Training System
Under Public Facility Worker in                             In the Certified Providers: Public CPA Worker page:
the Resource Queues:
                                                            Click the Search icon to search for a specific provider.
Click the Certified Providers menu item.
                                                            Note: In the event that you are reporting on another
This opens the Certified Providers: Public CPA Worker       licensed provider, you are required to report the incident
page.                                                       under your license number and reference the other
                                                            provider.

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Critical Incident Report - Modernized Trails - Child Welfare Training System
Click the provider number link in the Provider ID column.        Navigate to Incidents in the left navigation panel.

Note: Selecting the Provider ID will open the Provider           Click Incidents.
Details record for the specific Provider in a new tab.

                                                            10
Click Actions in the Header
banner for Incidents.

Select Add Incident.

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Incident Summary

The new Incident page opens in a
new tab.

Initially, only the Incident
Summary section displays.

In the Incident Summary section:

Complete all required fields and
add information as needed in any
editable field.

When adding a new Incident:
 The Service Type drop-down
  menu is based on the Open
  Service for which the Incident is
  being created.
 The Incident Category includes

  Informational and Critical
  Incidents with corresponding
  Incident Types.

Note: Provider Info and
Incident Owner are read-only.
                                      12
Updates to the Incident Category
and Incident Type:

Use the radio buttons to select the
desired Incident Category.

Click the drop-down menu for
Incident Type.

Select the appropriate option.
Options are based on the Incident
Category selected.

Note:
 The only time you will select the
  informational category is when
  you want to notify the Department
  of information that DOES NOT
  meet the criteria for a critical
  incident as outlined in 7.701.52.
 View definitions for the Incident
  Type selection by hovering over
  the Information (i) icon.

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The Mandatory Hotline Report Date and County to which               Complete Date/Time Occurred Is.
Referral Submitted may be required based on the Incident
Type selected.                                                      Note: If the Date/Time Occurred Is selection is Estimated
                                                                    or Unknown, the Explain Estimated/ Unknown field will be
Note: A mandatory hotline report is ONLY required for               enabled and required.
those incidents in which the reporting party has knowledge,         Otherwise, the Date Occurred and Time Occurred fields
suspects, or has observed that youth(s) have been                   will be enabled and required.
subjected to circumstance or conditions that result in abuse
and/or neglect. REFER TO PAGE 3.

                                                               14
Complete all required fields and revise information as        The “Save Successful” message displays.
needed in any editable field.
                                                              Click Ok to continue.
Click Save.
                                                              The information you entered will now appear
                                                              in the Incident Summary.

                                                         15
The new Incident Details page displays with all of the        In the Incident Description pop-up window:
sections of the Incident.
                                                              Complete the What Happened?, Who was Involved?,
In the Incident Description:                                  and Location Details text boxes. Be Very Specific

Click the Edit link for the Incident Description.             Click Save.

The Incident Description pop-up window opens.                 Note: When you click Save the Incident Number will be
                                                              generated for future reference.

                                                         16
The information you entered will know
appear in the Incident Descriptions.

The Incident Number populates.

                                        17
Continue and complete each of
the remaining sections within the
Incident Details page.

   Parties and Witnesses
   Notifications
   Media Contacts
   Actions Taken
   Incidents Submission

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Add Parties and Witnesses

Navigate to the Parties and
Witnesses section by clicking
the Parties and Witnesses link
in the left navigation panel.

                                 19
Add Staff (Specific for Group Centers ONLY)

In the Parties and Witnesses
section:

Click the Actions menu in the
Parties and Witnesses section
banner.
Select Add Party/Witness.

This opens the Party/Witness pop-
up window.

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In the Party/Witness pop-up
window.

Select the Type drop-down
arrow.

Note: NOTE: DO NOT resort to
using the Type* Other -you must
make every effort to search each
individual PRIOR to using the
Type* Other.

Select Staff – Trails.

This expands the Party/Witness
pop-up window for Staff in Trails

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In the Party/Witness pop-   Select Party, Witness or Both.    As needed:
up window for Staff in                                        Click the Party Role* drop-
Trails                      Note: If the Incident Role        down arrow.
                            selected is Party or Both, the    Select appropriate role.
Click the Incident Role     Party Role field is enabled and
drop-down arrow.            required.                         Note: If Other is selected, an
                                                              Other text box displays and is
                                                              required.

                                           22
Click the Search icon to open     In the Select Employee search       Click Search to locate the Staff
the Select Employee search        window:                             member or Close to close without
window.                                                               saving.
                                  Enter one or more Search
Note: The radio button for Find   criteria to locate the specific
Staff by Name should be auto-     staff member.
filled.
                                  Note: The Soundex toggle
                                  allows you to search for a client
                                  by name phonetically.

                                                      23
The Search Results display          Click Select to add the Staff   The Staff information displays
below the Search Queries.           member or Cancel to close       in the Party/Witness pop-up
                                    without saving.                 window.
Click in the row with the desired
staff member name to select the
desired Staff.

                                                      24
Enter Comments as needed                This adds the Party or Witness
                                        record and returns you to the
Click Add to save the information or    Incident Details page.
Cancel to close without saving.

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Add Client

In the Parties and Witnesses
section:

Click the Actions menu in the
Parties and Witnesses section
banner.

Select Add Party/Witness.

This opens the Party/Witness pop-
up window.

Note: All clients will be in Trails
unless they are out of state or
privately placed.

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In the Party/Witness pop-up
window:

Click the Type drop-down arrow.

Select Client – Trails.

                                  27
This expands the                Select Party, Witness or          Click the radio button for
Party/Witness pop-up            Both.                             Find Client by Name.
window for Clients in Trails:
                                Note: If the Incident Role
Click the Incident Role         selected is Party or Both, the
drop-down arrow.                Party Role field is enabled and
                                required.

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Click the Search icon to   In the Select Client search   Click Search to locate the
open the Select Client     window:                       Client or Close to close
search window.                                           without saving.
                           Enter one or more Client
                           Search criteria to locate
                           the specific client.

                           Note: The Soundex toggle
                           allows you to search for a
                           client by name
                           phonetically.

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The Search Results           Click Select to add the     The Client information
display below the Search     Client or Cancel to close   displays in the Party/Witness
Queries.                     without saving.             pop-up window.

Click the name link in the
Full Name column to
select the desired Client.

                                               30
Complete the remaining required fields        This adds the Party or Witness record
and enter as much additional                  and returns you to the Incident Details
information as is available.                  page.

Click Add to add the information or
Cancel to close without saving.

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Add Household Member

In the Parties and Witnesses
section:

Click the Actions menu in the
Parties and Witnesses section
banner.

Select Add Party/Witness.

This opens the Party/Witness pop-
up window.

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The Substance Use Treatment
field is only visible if the Type field
is Client – Trails and Incident Role
is Party or Both. The toggle is
read-only.

In the Party/Witness pop-up
window:

Click the Type drop-down arrow.

Select Client – Trails.

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This expands the                Select Party, Witness or          Click the radio button for
Party/Witness pop-up            Both.                             Select Household
window for Clients in Trails:                                     Member.
                                Note: If the Incident Role
Click the Incident Role         selected is Party or Both, the
drop-down arrow.                Party Role field is enabled and
                                required.

                                                  34
Click the Select Member drop-down arrow.               The Household Member information displays in
Select the desired Household Member.                   the Party/Witness pop-up window.

Note: If the Provider has no Household Members,        Complete any additional information as is
an error message will display.                         available.

                                                  35
Click Add to save the information or Cancel to        This adds the Party or Witness record and
close without saving.                                 returns you to the Incident Details page.

                                                 36
Add other

Note: NOTE: DO NOT resort to
using the Type* Other you must
make every effort to search each
individual PRIOR to using the
Type* Other.

In the Parties and Witnesses
section:

Click the Actions menu in the
Parties and Witnesses section
banner.

Select Add Party/Witness.

This opens the Party/Witness pop-
up window.

                                    37
In the Party/Witness pop-up window:

Click Type drop-down arrow.

Select Other.

                                      38
This expands the          Select Party, Witness or
                                                       Complete the required
Party/Witness pop-up      Both.
                                                       fields and enter as much
window for Other:                                      additional information as is
                          Note: If the Incident Role   available.
Click the Incident Role   selected is Party or Both,
drop-down arrow.          the Party Role field is
                          enabled and required.

                                            39
Click Add to add the information or        This adds the Party or Witness record
Cancel to close without saving.            and returns you to the Incident
                                           Details page.

                                      40
Add Notifications

In the Incident Details Page:

Navigate to the Notifications
section by clicking the
Notifications link in the left
navigation panel.

                                 41
Select Add Notification.                          In the Notification pop-up window.

This opens the Notification pop-up window.           If any Notification is late according to regulation, then
                                                      the late notice explanation is required.
                                                     Date Entered and Entered By fields are read-only.

                                             42
In the Notification pop-up window:                               This adds the Notification and returns you to the Incident
                                                                 Details page.
Complete the required fields and enter as much additional
information as is available.

Click Add to save the changes or Cancel to close without
saving.

                                                            43
Add Media Contacts

Navigate to the Media Contacts
section by clicking the Media
Contacts link in the left navigation
panel.

                                       44
In the Media Contacts section:

Click the Actions menu in the
Media Contacts section banner.

Select Add Media Contact.

This opens the Add Media
Contact pop-up window.

                                 45
In the Add Media Contact pop-up        When all required fields are completed,   This adds the Media Contact and
window:                                save and submit the record.               returns you to the Incident Details
                                                                                 page.
Complete the required fields and       Click Add to save the information or
enter as much additional information   Cancel to close without saving.
as is available.

Note: Date Entered and Entered By
fields are read-only.

                                                          46
Add Actions Taken

In the Incident Details page:

Navigate to the Actions Taken
section by clicking the Actions
Taken link in the left navigation
panel.

Note:
 Actions Taken prior to entering
  a critical incident should be
  entered at the time you enter
  the critical incident.
 Actions Taken after completing
  the critical incident can be
  added or updated up to but no
  more than 30 days after the
  Department has locked the
  critical incident.

                                    47
In the Action Taken pop-up window:
In the Actions Taken section:

                                                                   Complete the required fields and enter as much additional
Click the Actions menu in the Actions Taken section banner.        information as is available.

Select Add Actions Taken.                                          If Other is selected for Action Taken, then Other text box
                                                                   becomes required.
This opens the Action Taken pop-up window.
                                                                   Note: Date Entered and Entered By fields are read-only.

                                                              48
When all required fields are completed, save and submit        This adds the Action Taken and returns you to the Incident
the record.                                                    Details page.

Click Add to save the information or Cancel to close
without saving.

                                                          49
Incident Submission

Navigate to the Incident Submission section by           In the Incident Submission section:
clicking the Incident Submission link in the left
navigation panel.                                        Complete all fields and revise information as needed
                                                         in any editable field.

                                                         After completing the information, click the Submit
                                                         Incident button.

                                                    50
A Success message displays when the Incident is
submitted Successfully.                                The Incident Submission section is read-only.
                                                       The Submit Incident button is disabled.
Click the Ok to continue.                              The Date Submitted field is set to Today’s Date.
                                                       The Submitted By field is set to the Worker.
You return to the Incident Details page.               The Review Decision/Status is set to Pending Review.

                                                       Note: The Incident Submission section will be re-enabled
                                                       if the Incident Review is rejected. If the Department
                                                       rejects the submission it will be sent back to the provider
                                                       for revision and resubmission.

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What Happens Next?

Once you have submitted the critical incident report (CIR) the Department supervisor receives a notification.
The supervisor will review the CIR. If any information is missing the Department supervisor will reject the CIR
in order for the provider to make the necessary revisions. After the provider has made the revisions they must
resubmit the CIR.

For up to 30 days after the CIR was submitted, the provider can add more information to the CIR as needed.

                                                      52
Access and View Active Incident List

In the Left Navigation panel.                                Click Resource Queues.

Click Show Menu.                                             This expands the Resource Queues list.

This expands the Left Navigation panel.

Note: The menu items displayed in the Left Navigation
panel are dependent upon your security profile.

                                                        53
Under Public CPA Worker in the Resource Queues:        In the Active Incident page:

Click the Active Incidents menu item.                  A Tally of the total number of Active Incidents displays.

This opens the Active Incidents page.                  Click the Search icon to search for a specific Incident.

                                                       Note: Default sort is by Discovered Date with the most
                                                       recent at the top.

                                                  54
Click the Download icon to download        Navigating within the Active Incidents   To further assist with locating the desired
the list to your computer as a CSV file.   table.                                   record, the columns in the table can be
                                                                                    sorted or filtered using the icons to the
                                           Use the Scroll bars at the right and     right of each column heading.
                                           bottom of the page to view additional
                                           Incidents and columns in the list.

                                                               55
In the Active Incidents table.          The Incident Details page displays.       Return to the Active Incidents List:

Click the Incident number link in the   Navigate through the Incident Details     Click the Back to Workspace link or
Incident ID column.                     page using the Left Navigation panel or   the Workspace – Active Incidents tab
                                        the right scroll bar.                     to return to the list.
Note: Selecting the Incident ID will
open the Incident Details record for
the specific Active Incident listing.

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Question or Concerns

 If you have any questions or concerns regarding Trails training, access
 requests, questions, or concerns please email
 CDHS_dcw-placementservices@state.co.us.

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