TransparencySpecial Incident Reporting (SIR) Forms/Documents
Service providers have the responsibility to report incidents that impact a client’s health and/or safety while the client is receiving services or supports, or if the client is a victim of a crime, or dies, regardless of when or where the incident occurred. Please refer to Title 17, Section 54327 for reporting requirements. Below are forms and SIR resources to assist service providers with meeting the mandate.
Forms:
Instructions for Completing ACRC SIR Form
Vendor Special Incident Report List
Incidents of Behavioral Restraints Seclusion and Involuntary Emergency Medication
SIR Resources:
Special Incident Reporting Requirements
ACRC Shared Information Report Instructions
Mandated Reporting Requirements Flow Chart -SIR
Vendor Supplement Information of Types of SIRs
Review Special Incident Reporting Training Booklet to help ensure the safety of clients served by Alta California Regional Center and why we need to comply with Title 17.