Bcal 4593: Fill out & sign online

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01. Edit your bcal 4593 online

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Click ‘Get Form’ to open the BCAL 2007 incident report in the editor.
Begin by entering the 'Name of Facility/Home' and 'License Number' at the top of the form. This information is crucial for identifying the location of the incident.
Fill in details about the person directly involved, selecting whether they are a resident, employee, or visitor. Include their name and facility address.
In the 'FACTS OF THE INCIDENT' section, provide the date and time of the incident. Describe what happened, including any injuries sustained and actions taken by staff.
List any other individuals involved or witnesses in the designated section. Ensure you include their names and roles (resident, employee, visitor).
Complete the 'PERSON(S) NOTIFIED' section by documenting who was informed about the incident and when. This may include AFC Licensing or law enforcement if applicable.
Finally, sign and print your name along with your title at the bottom of the form to validate it before submission.

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