Ariz. Admin. Code § R6-5-7434 - Notification of Unusual Incidents and Other Occurrences

A. A licensee shall make a record of any unusual incident on an incident reporting form which shall include the following information:

1. Location of the unusual incident;

2. Name and address of any child involved in or observing the incident;

3. Name of the agency if different from the facility;

4. Name, title, and address of any staff involved in or observing the incident;

5. Name and address of any other person involved in or observing the incident;

6. Date of the incident;

7. Time of the incident;

8. Description of the incident; and

9. Licensee's response to the incident.

B. The licensee shall maintain a record of all unusual incidents occurring at the facility in a separate log or place, which shall permit the Licensing Authority to easily locate the incident reporting form if the licensee maintains the form in a location separate from the log.

C. When a child in care dies, the licensee shall notify the child's placing agency or person, and the Licensing Authority within two hours of knowledge of the death.

D. When a child in care suffers a serious illness, serious injury, or a severe psychiatric episode requiring hospitalization, the licensee shall notify the child's placing agency or person within 24 hours of knowledge of the occurrence.

E. A licensee shall comply with the statutory obligation to report child maltreatment, as prescribed in A.R.S. § 13-3620.

F. A licensee shall comply with any reporting requirements set forth in the licensee's contracts with placing agencies or persons.

G. No later than 5:00 p.m. on the next business day, the licensee shall notify the Licensing Authority when any of the following occurs:

1. Fire or a natural disaster affecting the licensee;

2. Law enforcement involvement in which a formal complaint is filed by or against the licensee, but excluding incidents of children cited solely for absence without leave from the facility;

3. Any incident of alleged child maltreatment of a child in care;

4. When a child in care or any other person suffers any injury from use of restrictive behavior management, and which requires treatment by a licensed medical practitioner;

5. When a child in care suffers any physical injury from an incident involving another child in care and requires treatment by a licensed medical practitioner;

6. When a child in care suffers an injury or psychiatric episode that is severe enough to require hospitalization or external medical intervention for the child; and

7. When a child in care requires external emergency services including a suicide watch.

H. Within five calendar days, a licensee shall give the Licensing Authority written documentation of an event listed in subsection (G) above. The documentation shall contain at least the information required by subsection (A), and may be a copy of the licensee's unusual incident reporting form.

I. If a child in care dies, a licensee shall notify the local law enforcement authority and cooperate in any arrangements for examination, autopsy, and burial.

Notes

Ariz. Admin. Code § R6-5-7434

Adopted effective July 1, 1997; filed with the Secretary of State's Office May 15, 1997 (Supp. 97-2).