CCC Reporting Action Steps for Staff on Duty

If staff determine an event is reportable based on the “Reportable Incident Types for CINS/FINS” list the following steps should be completed immediately after the incident. The report must be sent to the CCC within 2 hours.

  1. Fill out the CCC Form
  2. Contact a Supervisor to consult (Go up the chain of command as necessary)
  3. Call the CCC at 1-800-355-2280 and provide the Operator the information requested from the CCC Form
  4. Fax the CCC form to the Chief Operations Officer 1-352-334-3817
  5. Fax Reports accepted by the CCC to the Florida Network 1-850-921-1778
  6. Fax Reports accepted by CCC to DJJ Office of Prev.& Victim Services, Mike Jacobs 850-922-6189
  7. Document all actions taken and results in the Program Log Book

DJJ Central Communication Center (CCC)

Reportable Incident Types

For CINS/FINS

Program Disruption Incidents

  1. Accident
  2. Building Emergency
  3. Discovery of Illegal or Controlled Drugs or Alcohol (includes nicotine)
  4. Disturbance
  5. Hostage Situation
  6. Incidents Involving Visitors
  7. Natural or Environmental Disaster
  8. Recovery or Possession of a Weapon or Firearm
  9. Serious Incidents/Media Attention/Liability
  10. Theft of Department Vehicles, Equipment, or Youth Property
  11. Use, Threatened to be Used, or Discovery of an Explosive Device

Medical Incidents

  1. Contagious Diseases
  2. Employee Death
  3. Injury (verified broken or dislocated bones, significant head injury, eye injury, altering vision, acute dental injury)
  4. Medical Illness
  5. Youth Death
  6. Medication Error, Medication Missing and Medication Recovered

Mental Health and Substance Abuse Incidents

  1. Self-Inflicted Injury
  2. Suicide Attempt and /or Suicide Gestures

Complaints against Staff Incidents

  1. Abuse or Neglect
  2. Accessing and/or Downloading Computer
  3. Alleged Romantic/Sexual Relationship
  4. Background Screening Prior to Engagement
  5. Employee Arrest
  6. Falsification of Records/Documents
  7. Gambling
  8. Negligent Release
  9. Physical Abuse, Medical Neglect, or Sexual Abuse
  10. Romantic/Sexual Relationship (Family)
  11. Sexual Contact
  12. Use of Intoxicating Substances
  13. Use of PAR or ANY other use of force resulting in injury

Youth Behavior Incidents

  1. Battery (DJJ definition: “a charge”)
  2. Food Boycott
  3. Sexual Battery/Youth on Youth
  4. Felony Activity/Incident Involving Youths

Rev. 04/08, 11/09, 3/10, 9/10, 11/10, 12/11, 5/13Page 1 of 1F-RM-1031

INCIDENT REPORT-CENTRAL COMMUNICATION CENTER

CCC 1-800-355-2280

CDS Family & Behavioral Health Services

Location of Incident: ______Program Code Number (JJIS Number): ______

  1. Date and Time of Incident: ______am orpm
  2. Date and Time initial call received: ______am orpm
  1. Name of those involved and their status (participant, parent, staff, etc.):
  1. Description/Summary of Incident:
  1. Other important information which management should know:
  1. Corrective action, if any, taken:

Date and time caller told to call CCC: ______am orpm

Date and time CCC called: ______am orpm

CCC Operators Name: ______

CCC response to the report: Not Accepted____ Accepted____ Confirmation Number: ______

Individual calling in incident: Name:______Title: ______

Program: ______Phone #:______

Individual completing this form: Name:______Title: ______

(if different from above)

Program: ______Phone #:______

Rev. 04/08, 11/09, 3/10, 9/10, 11/10, 12/11, 5/13Page 1 of 1F-RM-1031