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01. Edit your unusual incident report online
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Send unusual incident report child care via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out UNUSUAL INCIDENT/INJURY REPORT - FAMILY CHILD CARE HOME
- Click ‘Get Form’ to open it in the editor.
- Begin by entering today’s date, facility license number, licensee’s name, facility name, and address in the designated fields.
- List the names of the child(ren) involved along with their birth dates and gender. Ensure accuracy for proper documentation.
- Indicate the type of incident or injury by checking one or more applicable boxes. Be thorough in your selection to ensure all relevant details are captured.
- In the description fields, provide a detailed account of what happened and describe the injury specifically. Include names of individuals involved if applicable.
- Document how this incident will be prevented in the future to enhance safety protocols within your care environment.
- Finally, fill out the contact information for agencies notified and ensure that all required signatures are completed before submitting.
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