Exhibit 5 Hotline Call vs. Significant Incident Report.pdf
PDF 124 KB Posted
- Attached to
- Master Agreement AZ|CTR077298
- Contract number
- CTR077298
- Issued by
- Arizona
About this file
This document is an incident reporting guide from the State of Arizona's Department of Child Safety, located in Phoenix, Arizona. The document specifically outlines a comprehensive matrix detailing various types of incidents that require either an incident report, a call to the hotline, or both. The guide is issued by the Office of Procurement and provides clear instructions for reporting critical events involving children in care.
The document categorizes 24 distinct incident types that mandate reporting, including serious events such as individual deaths, suicide-related incidents, physical and sexual abuse allegations, injuries, medical emergencies, restraint usage, runaway situations, arrests, substance abuse, and other significant occurrences. Each incident type is systematically mapped to indicate whether it requires an incident report, a hotline call, or both, providing a structured approach to documenting and communicating critical child safety events. The matrix serves as a critical reference for staff to ensure proper and timely reporting of potentially serious incidents involving children under the department's care.
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Text version
SUBMITTING AN INCIDENT REPORT VS.
CALLING THE HOTLINE
State of Arizona Department of Child Safety
Office of Procurement 3003 N. Central Ave Phoenix, AZ 85012
Incident Report Call to Hotline
1. Individual deaths X X
2. Suicide ideation X
3. Suicide attempt X X
4. Self-harm X
5. Physical abuse and allegations of physical abuse; X X
6. Sexual abuse and allegations of sexual abuse; X X
7. Sexual contact or physical aggression between children X
8. Any incident involving injury or trauma (i.e. accidents) regardless of treatment location; X
9. When medicine is administered in an emergency situation; X
10. Errors in administering medications requiring emergency medical intervention; X X
11. Adverse medication reactions resulting in medical intervention; X
12. When a child in care suffers an injury, illness, or psychiatric episode that is severe enough to require hospitalization X X
13. Accidents occurring in the treatment facility or off-site, while under the supervision of the treatment facility's staff, requiring emergency medical treatment, which are not limited to near drowning that require resuscitation.
X X
14. Threats and/or altercation with parent, staff or child(ren); X
15. Assault, Fighting or Physical Aggression X
16. Damage or theft of property; X
17. Substance Abuse X
18. Police involvement; X
19. Emergency Evacuations X X
20. Transportation/traffic related incidents X
21. Disasters, such as major fire in the facility when children were present or which affect individual care areas; X X
22. Child is arrested X X
23. When a physical restraint is used; and X
24. When a child(ren) is determined to be a runaway. X X
File details come from the government source that posted it. Updated .