Exhibit X - Submitting an Incident Report vs. Calling the Hotline.docx

DOCX document 32 KB Posted

Attached to
AZ|CTR078811
Contract number
CTR078811
Issued by
Arizona

About this file

The document is an incident reporting matrix from the State of Arizona Department of Child Safety, Office of Procurement, located in Phoenix. This guide provides a comprehensive breakdown of various incident types and the corresponding reporting protocols, distinguishing between when an incident report should be submitted and when a hotline call is required.

The matrix details 24 specific incident categories ranging from individual deaths, suicide-related events, abuse allegations, medical emergencies, physical altercations, property damage, substance abuse, police involvement, and child-related critical events. Each incident type is categorized with an "X" indicating whether it necessitates an incident report, a hotline call, or both, providing a clear decision matrix for reporting different types of critical incidents within child safety and care settings.

View the file

Other files

Show all 17

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

image1.jpeg

File details come from the government source that posted it. Updated .