R03-401 Incident Reports

A. A licensee shall develop, implement, and comply with written policies and procedures that provide for a comprehensive risk management review process designed to review and evaluate clinical and administrative activities to:

1. Identify incidents that present a risk of harm to consumers, staff, and other individuals, including the public at large listed in section (B), and

2. Determine actions that might reduce the risk specified in (A) (1).

Review in Policy and Procedure manual and verify it contains all elements of A 1-2.

 

B. A comprehensive risk management review shall include, at a minimum, the following incidents:

1. Death involving a client while on the licensed premises who is currently receiving services from the licensee,

2. Acts or omissions that do not meet the professions standards of care and ethics,

3. Allegations of abuse, neglect, or exploitation of a client by a staff member or another client, and

4. Damage to the facility that causes an interruption in the delivery of services.

Review a risk management review and verify it contains all the elements of R03-401 B 1-4.

 

C. A licensee shall report the following incidents by telephone, facsimile, mail, or hand delivery to the Department of Social and Rehabilitation Services within 72 hours from the date of the incident:

1. Death involving a client while on the licensed premises who is currently receiving services from the licensee,

2. Charges of abuse, neglect, or exploitation of a client by a staff member or anther client.

Review Policy and Procedure manual.

 

D. Incident reports specified in section (C) shall include the following data:

1. Name and license number of the licensee,

2. Identification of the nature of an incident,

3. A description of the incident including the events leading up to it, and

4. The date and time of the event,and

5. The first name and first initial of the last name of the clients involved.

Verify incident report form contains all elements of R03-401 D 1-5.

 

E. A written report of the final disposition of the incident shall be submitted to the Department of Social and Rehabilitation Services within 30 calendar days of the incident.