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Bcal 4605-2026
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- Click ‘Get Form’ to open the bcal 4605 incident report in the editor.
- Begin by indicating whether the incident was phoned to licensing. Select 'Yes' or 'No' and provide the date and time if applicable.
- Fill in the TYPE OF REPORT section by selecting one of the options: Incident, Accident, Illness, or Death.
- Complete the FACILITY section with your License Number, Facility Type, Phone Number, and Address details.
- In the CHILD(REN) IN CARE INVOLVED section, enter each child's name, birthdate, sex, home address, and parent information.
- Document CAREGIVER(S) / OTHER PERSON(S) INVOLVED / WITNESS(ES) by providing their names and contact details.
- Detail the INCIDENT DETAILS including date, time, location, and a specific description of what occurred.
- Indicate if First Aid was given and provide additional medical treatment information if applicable.
- List any PERSON(S) NOTIFIED regarding the incident along with their notification dates and times.
- Finally, sign off on the report by entering your title and date before submitting it through our platform.
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