May 17, 2017 · community care licensing division. 4K comments, 136 shares, Facebook Watch Videos from Live on Patrol: Live on Patrol Live on Patrol. Unusual Incident Report. The advanced tools of the editor will guide you through the editable PDF template. F or childcare providers and preschools only: in addition to the above, call Community Care Licensing within the next working day and follow up in 7 days with a written report (Unusual Incident Report Form Lic 624 for Centers and Unusual Incident Report Form Lic 624B for fa mily providers).

Unusual incident report community care licensing

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community care licensing division unusual incident/injury report instructions : notify licensing agency, placement agency and responsible persons, if any, by next working day.

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law enforcement contact report. And you should use these forms to file an Unusual Incident Report with Community Care Licensing: click here for child care centers and here for family child care homes.

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a separate unusual incident report does not need to be submitted if all required information is provided.

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Within an (1) hour of the incident occurring or complaint being received, center staff should complete a written statement to include: 1) observations of incident, 2) when the incident occurred, 3) where the incident occurred, 3) names of others in attendance, (i. For community care facilities that serve children, a pregnancy or termination of a pregnancy does not, in and of itself, constitute an unusual incident unless it meets the criteria specified for mandated reporting in Penal Code section 11166(a). Fill out an Unusual Incident/Injury Report (LIC 624 for CCC, LIC 624B for FCCH). . ), and 4) sketches (when appropriate). resident to resident violence, in addition to sending an incident report, the licensee must also immediately contact the Community Care Licensing Program as well as the funding program, and make them aware of the incident. .

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PIN 22-02-CCP describes what needs to be in place to safely give IMS in licensed child care programs.

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Fill out an Unusual Incident/Injury Report (LIC 624 for CCC, LIC 624B for FCCH).

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*Scan a copy of the Unusual Incident Report and CFS report (if one has been made) to the Unusual Incident folder.

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community care licensing division unusual incident/injury report instructions : notify licensing agency, placement agency and responsible persons, if any, by next working.

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