Special Incident Reporting (SIR)
TCRC has developed a Provider COVID-19 Checklist for providers to assist them in taking all of the necessary steps to report the incident, and to help protect the health & safety of individuals and staffs.
TCRC has also developed two supplemental forms to the SIR for COVID-19 reporting:
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 Regulations, 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
Some of these forms and documents contain macros to simplify data entry. You may get a warning message regarding macros depending on your level of security. The macros have been tested and are safe to run.
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
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/