Updated: 6/23/14
SCL Incident Reporting Process
Incident Report
Notify guardian and record time (within 24 hours)
Notify Case Manager and record time (within 24 hours)
Have employee involved fill out page 1 and 2 of the incident report form immediately
Within 10 days fax completed report with follow-up to Case Manager and attach fax cover sheet and fax report. Be sure to include in the follow-up how the case manager was involved.
If a medication error include in follow-up name of medication, number of times per day, and dosage
File report in both the IR Central File AND the Individual’s Binder
Critical Incident Report
Notify guardian and record time (within 8 hours)
Notify Case Manager and record time (within 8 hours)
Have employee involved fill out page 1 and 2 of the incident report form immediately
Notify DDID by faxing report to 502-564-2284 (within 8 business hours)
Within 7 days fax completed report with follow-up to Case Manager and attach fax cover sheet and fax report. Be sure to include in the follow-up how the case manager was involved.
File report in both the IR Central File AND the Individual’s Binder
Critical Incident Report (abuse, neglect, exploitation)
Notify guardian and record time (immediately)
Notify Case Manager and record time (immediately)
Have employee involved fill out page 1 and 2 of the incident report form immediately
If the individual is in immediate danger call DCBS (Department for Community Based Services) at 859-245-5258 or their afterhours line at 1-877-597-2331
If they are not in immediate danger fill out the online form immediately and submit at https://prd.chfs.ky.gov/ReportAbuse/home.aspxEmail only if it is between the hours of 8AM-4:30PM Mon-Fri and it is not an emergency.
Notify DDID by faxing report to 502-564-2284 (within 8 hours). Include APS email confirmation if submitted through website.
Within 7 days fax completed report with follow-up to Case Manager and attach fax cover sheet and fax report. Be sure to include in the follow-up how the case manager was involved.
File report in both the IR Central File AND the Individual’s Binder
Indicate how CM was involved in the follow-up of the incident
Remember to include relevant information about what happened before the incident and what happened as a result of the incident
Write in complete sentences
Include full names of staff involved