Child Care Injury/Incident Report - del wa 2026

1. Click ‘Get Form’ to open the Child Care Injury/Incident Report in the editor.
2. Begin by entering the Licensee’s name and address at the top of the form. This identifies who is responsible for the report.
3. Fill in the child's name, date, and time of the incident. Accurate details are crucial for record-keeping.
4. In the 'Describe circumstances of injury/incident' section, provide a clear account of what happened. Include specifics about where it occurred and any equipment involved.
5. Indicate whether first aid was administered and describe any further treatment given. This helps document care provided immediately after the incident.
6. If there were witnesses, list their names. Additionally, note if a medical professional was contacted, including their name and time of contact.
7. Document whether the parent was contacted, along with their name and time of contact. Repeat this for licensor and Children’s Administration contacts if applicable.
8. Mark and describe the area of injury clearly to provide visual context for future reference.
9. Finally, gather comments from the parent/guardian and obtain their signature along with your own as licensee to finalize the report.

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