Dcdee 0058-2026

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4.9 out of 5

51 votes

The document is an Incident Report Form used for documenting incidents involving children in child care facilities. It includes sections for recording details such as the date and time of the incident, child's information, equipment involved, cause and type of injury, treatment received, and steps taken to prevent future occurrences. The report must be submitted within 7 days if medical treatment is required.

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Click ‘Get Form’ to open the dcdee 0058 in the editor.
Begin by filling in the 'Incident Number' and 'Date Keyed' fields at the top of the form. Ensure you include your initials for verification.
Complete the 'Facility Id#' and 'Facility ID Name' sections, followed by entering the consultant's name and date.
Indicate whether the incident occurred in a Family Child Care Home or a Child Care Center, and provide the county name.
Fill out details regarding the incident, including 'Date/Time of Incident', child's name, sex, age, and witness information.
Select any relevant pieces of equipment involved in the incident from both indoor and outdoor options provided.
Describe the cause and type of injury by checking appropriate boxes. Specify which body part was injured.
Document where treatment was received and provide a detailed description of how and where the incident occurred along with first aid received.
Finally, ensure that both staff member and parent/guardian signatures are obtained along with their respective dates before submission.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (101 Votes)
2014	4.9 Satisfied (51 Votes)

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How are NC schools funded?

Primarily from state governments. In the 20212022 school year, the most recent year of available data, about 56.7% of public school funding came from state sources. Another 23.4% came through local programs, and the federal government provided the remaining 19.9%.

What do the letters NC and DCDEe stand for?

NCDCDEE stands for North Carolina Division of Child Development and Early Education, which oversees early childhood education in North Carolina.

What is ncid who is required to have a ncid look in the dcdee works tab?

NCID is a secure username and password a WORKS applicant uses to access their account. Each applicant must have an individual NCID. In a web browser, such as Internet Explorer, go to the North Carolina Identity Management (NCID) website at and sign up today!

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How are NC DCDEe services funded?

North Carolinas Division of Child Development uses a combination of state and federal funds to provide subsidized child care services to eligible families through a locally administered state-supervised voucher system.

Is there a standard incident report form?

You may use OSHAs 301: Injury and Illness Incident Report or an equivalent form. Some state workers compensation, insurance, or other reports may be acceptable substitutes, as long as they provide the same information as the OSHA 301. 1.

Dcdee 0058-2026

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