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Send providers in licensed child care settings can use the unusual incident injury report form to report via email, link, or fax. You can also download it, export it or print it out.

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Incident reporting is the process of recording worksite events, including near misses, injuries, and accidents. It entails documenting all the facts related to incidents in the workplace. Incidents are generally accidents or events that cause injuries to workers or damages to property or equipment.
There are nineteen types of incidents defined in the rule that are considered major unusual incidents.
Unusual Incident means incidents involving serious illness or accidents, death of an individual, injury or illness of an individual requiring inpatient or emergency hospitalization, suicide attempts, a fire requiring the services of a fire department, an act of physical aggression, or any incident requiring abuse ...
An incident report is a tool that documents any event that may or may not have caused injuries to a person or damage to a company asset. It is used to capture injuries and accidents, near misses, property and equipment damage, health and safety issues, security breaches and misconducts in the worksite.
Form LIC 624, Unusual Incident/Injury Report, is an document created for daycare providers that allows them to report unusual incidents and/or injuries to the appropriate California state agencies.
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Also required to report MUIs are all providers who are contracted, certified, or licensed to serve persons with developmental disabilities, including all county board and developmental disabilities staff and contractors and anyone providing Medicaid waiver services.
Unusual incidents, such as suspected child abuse and epidemic outbreaks, must be reported to licensing by phone, followed by a written report. You must also report any changes to your facility, including personnel changes, modifications to the facility, and address changes.
If you are providing care for your children (or those of a relative), and children from only one other family then you do not need a child care license and you are legally exempt (license-exempt) from licensure requirements in California.
Incident reporting is the process of recording worksite events, including near misses, injuries, and accidents. It entails documenting all the facts related to incidents in the workplace. Incidents are generally accidents or events that cause injuries to workers or damages to property or equipment.
3 Types of Incidents You Must Be Prepared to Deal With Major Incidents. Large-scale incidents may not come up too often, but when they do hit, organizations need to be prepared to deal with them quickly and efficiently. ... Repetitive Incidents. ... Complex Incidents.

unusual incident report california licensing