ZERO TOLERANCE POLICY

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. Date of incident, date of report, time of incident, nature of event. c. Attending physician's name, findings, and treatment if any. d. Disposition of the case. e. Name, title and signature of person reporting incident, (i.e., a person who was primary witness to the incident.)” Copies of incident reports will be mailed (one copy each) to: Department of Social Services, the client's Regional Center service coordinator, the client's care home, and the client's parent (when applicable). The original copy will be placed in the client's file. Writing and Filing Incident Reports 1. All incidents should be recorded in writing, by the primary person that observed the incident, as soon as feasible, ON THE SAME DAY OF THE INCIDENT. Do not wait until the next day to record the incident. 2. All incidents should be recorded whether or not you think they will be filed with agencies of authority. 3. If in doubt about whether or not to file a report with the agency of authority, FILE IT. It is better to err on the side of caution than to not report a potentially harmful situation. 4. State the names and/or titles of staff that observed the incident and of those who participated in the resolution of the incident. 5. State the name of the client who is the subject of the incident. 6. Follow the instructions on Licensing Form 624 “UNUSUAL INCIDENT/INJURY REPORT.” Fill out the form COMPLETELY. 7. Give as much OBJECTIVE detail as possible when writing the report. (See following examples.) [Poor example: “Jane had a seizure which lasted one minute and 20 seconds. She slid out of her chair during the seizure and as a result obtained a quarter size rug burn on the left side of her head.” Better example: “At 10:06 a.m. Jane was sitting at the table in the art room participating in class with 8 other students. She was observed by this teacher to roll her eyes back in her head and quickly become limp. She slid off of her chair sideways (toward the left) onto the floor, making contact with the floor, first with her leg and hip, then her shoulder and head. There were no obstacles in her way during the fall. During the ictal phase of the seizure, her head scraped against the carpet causing a small bump on her head (the size of a dime) at her left temple, and a carpet burn 1” x 1” also on her left temple. Total seizure time was 1 minute 20 seconds.”
8. If you are uncertain as to how to write the incident, seek out assistance from your supervisor. Child Abuse Reporting Procedures Although IRT does not specifically serve children, all staff members are mandated to report any suspected child abuse that they become aware of during the course of their professional duties, including information gleaned from otherwise confidential therapy sessions. Information of this nature should be brought to the attention of IRT Administration for consultation prior to reporting. In the event an IRT Administrator is not available, specific procedures are in place and reports can be made by phone to: Child Abuse Hotline 1-800-540-4000
Page 1 and 2: ( Agency Name ) ZERO TOLERANCE POLI
Page 4 and 5: Procedure for Reporting Client Abus
Page 8 and 9: (* This document specifically addre
Page 10 and 11: Telling a lead staff member or a fe
Page 12 and 13: Appendix A Outline For Appropriate
Page 14 and 15: Χ Χ Χ manner. DO NOT: Physically
Page 16 and 17: Appendix of Definitions August 1, 2
Page 24: (Agency Name), Inc. Employee Inform

ZERO TOLERANCE POLICY

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