Special Incident Reporting (SIR)

Special Incident Report (SIR) Form in Word

Special Incident Report (SIR) Online Form with E-Signature   (instructions)

TCRC has created a streamline procedure for special incident reporting (SIR).  The purpose of this process is to more effectively carry out the mandates of Title 17, California Code of Regualations, Sec 54327  , that are meant to protect the safety and rights of people with developmental disabilities.

• SIR Letter to Vendors from the Executive Director of TCRC
• Sample Vendor Incident Report

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Reporting SIRs

For all incident reports in SB/SLO Counties, fax to (805) 456-2197

For all incident reports in Ventura County, fax to (805) 456-0870

Reporting Regulations

Title 17: www.dds.ca.gov/Title17/T17SectionView.cfm?Section=54327.htm  
Title 22: www.dss.cahwnet.gov/ord/PG240.htm   (Select Child Care, Residential, or Family Child Care from this page)

Risk Management Tools

Incident Response Checklist

Preventative Action Checklist

Additional Health and Safety Resources

Developmental Disabilities: Resources for Healthcare providers  www.ddhealthinfo.org/  

The Safety Net   http://www.ddssafety.net/  

American Heart Association www.americanheart.org  

American Diabetes Association www.diabetes.org  

American Medical Association Health Information
www.ama-assn.org/ama/pub/category/3158.html  

California Childcare Health Program
www.childcarehealth.org  

HealthFinder: US Department of Health and Human Services Health Information
www.healthfinder.gov  

Healthtouch Online
www.healthtouch.com  

National Cancer Institute
www.cancer.gov/cancer_information/  

National Institutes of Health – Health Information
www.health/nih.gov/