Special Incident Reporting (SIR)

Special Incident Report (SIR) Form in Word

Special Incident Report (SIR) Online Form with E-Signature

TCRC has created a streamline procedure for special incident reporting (SIR).  The purpose of this process is to more effectively carry out the mandates of Title 17, California Code of Regualations, Sec 54327  link, that are meant to protect the safety and rights of people with developmental disabilities.

Some of these forms and documents contain macros to simplify data entry. You may get a warning message regarding macros depending on your level of security. The macros have been tested and are safe to run.

Reporting SIRs

For all incident reports in SB/SLO Counties, fax to (805) 456-2197

For all incident reports in Ventura County, fax to (805) 456-0870

Reporting Regulations

Title 17: www.dds.ca.gov/Title17/T17SectionView.cfm?Section=54327.htm  link
Title 22: www.dss.cahwnet.gov/ord/PG240.htm  link (Select Child Care, Residential, or Family Child Care from this page)

 

Risk Management Tools

Incident Response Checklist

Preventative Action Checklist

 

 

Additional Health and Safety Resources

Developmental Disabilities: Resources for Healthcare providers  www.ddhealthinfo.org/  link

The Safety Net   http://www.ddssafety.net/  link

American Heart Association www.americanheart.org  link

American Diabetes Association www.diabetes.org  link

American Medical Association Health Information
www.ama-assn.org/ama/pub/category/3158.html  link

California Childcare Health Program
www.childcarehealth.org  link

HealthFinder: US Department of Health and Human Services Health Information
www.healthfinder.gov  link

Healthtouch Online
www.healthtouch.com  link

National Cancer Institute
www.cancer.gov/cancer_information/  link

National Institutes of Health - Health Information
www.health/nih.gov/  link