Common use of Serious Incident Reporting Clause in Contracts

Serious Incident Reporting. The following procedures shall be adhered to in reporting a serious incident, actual or alleged, which is related to youth placed by the Buyer. A serious incident includes, among others, abuse or neglect; criminal behavior; death; emergency treatment or hospitalization; facility related issues, such as fires, flood, destruction of property; food borne diseases; physical assault/other serious acts of aggression; sexual misconduct/assault; substance abuse; malnutrition; serious illnesses, (such as tuberculosis or meningitis); serious injury (accidental or otherwise); suicide attempt; unexplained absences or absences without leave; or other incidents which jeopardize the health, safety, or well being of the youth. Within 24 hours of a serious incident, or by the next business day, the Provider shall report the incident by speaking to or leaving a message for the case manager of the placing agency of each youth involved. Within 48 hours of the serious incident, the Provider shall complete and submit to the case manager of the placing agency for each youth involved a written report. The written report of the serious incident shall provide a factual, concise account of the incident and include: Name of facility/provider; name of person completing form; date and time of serious incident; date of the report; child/youth’s name, age, gender, ethnicity; placing agency name; placing agency case manager’ name; where the incident occurred, description of incident (including what happened immediately before, during and after the incident); names of witnesses; action taken in response to incident; names/agencies notified (family, legal guardian, child protective services, medical facility, police); recommendation for follow-up and/or resolution of incident; signature of person completing report; and facility/provider director’s (or designee) signature and date. Separate reports should be completed and submitted for each child/youth involved and placed by the Buyer. The provider is responsible for ensuring the confidentially of the parties involved in the incident. In the event the case manager of the placing agency determines that a serious incident has occurred the case manager will notify the Provider of the allegation. The provider shall within 48 hours of the case manager’s notification complete and submit a written report as provided, supra.

Serious Incident Reporting. The following procedures shall be adhered to in reporting a serious incident, actual or alleged, which is related to youth placed by the Buyer. A serious incident includes, among others, abuse or neglect; criminal behavior; death; emergency treatment or hospitalizationtreatment; facility related issues, such as fires, flood, destruction of property; food borne diseases; physical assault/other serious acts of aggression; sexual misconduct/assault; substance abuse; malnutrition; serious illnesses, (such as tuberculosis or meningitis); , serious injury (accidental or otherwise); suicide attempt; unexplained absences or absences without leaveabsences; or other incidents which jeopardize the health, safety, or well being of the youth. Within 24 hours of a serious incident, or by the next business day, the Provider shall report the incident by speaking to or leaving a message for the case manager of the placing agency of each youth involved. Within 48 hours of the serious incident, the Provider shall complete and submit to the case manager of the placing agency for each youth involved a written report. The written report of the serious incident shall provide a factual, concise account of the incident and include: Name of facility/provider; name of person completing form; date and time of serious incident; date of the report; child/youth’s name, age, gender, ethnicity; placing agency name; placing agency case manager’ name; where the incident occurred, description of incident (including what happened immediately before, during and after the incident); names of witnesses; action taken in response to incident; names/agencies notified (family, legal guardian, child protective services, medical facility, police); recommendation for follow-up and/or resolution of incident; signature of person completing report; and facility/provider director’s (or designee) signature and date. Separate reports should be completed and submitted for each child/youth involved and placed by the Buyer. The provider is responsible for ensuring the confidentially of the parties involved in the incident. In the event the case manager of the placing agency determines that a serious incident has occurred occurred, the case manager will notify the Provider of the allegation. The provider shall within 48 hours of the case manager’s notification complete and submit a written report as provided, supra.

Serious Incident Reporting. A serious incident includes, among other, alleged abuse/neglect, criminal behavior, death, emergency treatment, facility related issues, such as fires, flood, destruction of property, food borne diseases, physical assault and other serious acts of aggression, sexual misconduct or assault, substance abuse, serious illnesses such as tuberculosis or meningitis, serious injury accidental or otherwise, suicide attempt, unexplained absences, or other incidents which jeopardize the health, safety, or well-being of the youth. The following procedures shall be adhered to in reporting a serious incident, actual or alleged, which is related to youth placed by the Buyer. A serious incident includes, among others, abuse or neglect; criminal behavior; death; emergency treatment or hospitalization; facility related issues, such as fires, flood, destruction of property; food borne diseases; physical assault/other serious acts of aggression; sexual misconduct/assault; substance abuse; malnutrition; serious illnesses, (such as tuberculosis or meningitis); serious injury (accidental or otherwise); suicide attempt; unexplained absences or absences without leave; or other incidents which jeopardize the health, safety, or well being of the youthCSA. Within 24 hours of a serious incident, or by the next business day, the Provider Contractor shall report the incident by speaking to or leaving a message for the case manager of the placing agency of each youth involved. Within 48 hours of the serious incident, the Provider Contractor shall complete and submit to the case manager of the placing agency for each youth involved a written report. The written report of the serious incident shall provide a factual, concise account of the incident and include: Name of facility/provider; include the name of the facility and Contractor, the name of the person completing the form; , the date and time of the serious incident; , the date of the report; , the child/youth’s 's name, age, gender, and ethnicity; , the name of the placing agency name; agency, the name of the case manager at the placing agency case manager’ name; where agency, the location of the incident, a description of the incident occurred, description of incident (including what happened immediately before, during and after the incident); , the names of witnesses; , any action taken in response to the incident; names/agencies , the names of entities notified (such as family, legal guardian, child protective services, medical facility, police); , a recommendation for follow-up and/or resolution of incident; , the signature of the person completing report; , and the dated signature of the director of the facility/provider director’s (or designee) signature and dateContractor. Separate reports should be completed and submitted for each child/youth involved and placed by the BuyerCSA. The provider Contractor is responsible for ensuring the confidentially of the parties involved in the incident. In the event the case manager of the placing agency determines that a Contractors are expected to comply with licensing authority regulations regarding serious incident has occurred reporting. Contractors will provide the case manager will notify the Provider name of the allegation. The provider shall within 48 hours of the case manager’s notification complete and submit a written report as provided, suprastaff involved and/or accused.

Serious Incident Reporting. A serious incident includes, among other, abuse or neglect, criminal behavior, death, emergency treatment, facility related issues, such as fires, flood, destruction of property, food borne diseases, physical assault and other serious acts of aggression, sexual misconduct or assault, substance abuse, serious illnesses such as tuberculosis or meningitis, serious injury accidental or otherwise, suicide attempt, unexplained absences, or other incidents which jeopardize the health, safety, or well being of the youth. The following procedures shall be adhered to in reporting a serious incident, actual or alleged, which is related to youth placed by the Buyer. A serious incident includes, among others, abuse or neglect; criminal behavior; death; emergency treatment or hospitalization; facility related issues, such as fires, flood, destruction of property; food borne diseases; physical assault/other serious acts of aggression; sexual misconduct/assault; substance abuse; malnutrition; serious illnesses, (such as tuberculosis or meningitis); serious injury (accidental or otherwise); suicide attempt; unexplained absences or absences without leave; or other incidents which jeopardize the health, safety, or well being of the youthXXX. Within 24 hours of a serious incident, or by the next business day, the Provider Contractor shall report the incident by speaking to or leaving a message for the case manager of the placing agency of each youth involved. Within 48 hours of the serious incident, the Provider Contractor shall complete and submit to the case manager of the placing agency for each youth involved a written report. The written report of the serious incident shall provide a factual, concise account of the incident and include: Name of facility/provider; include the name of the facility and Contractor, the name of the person completing the form; , the date and time of the serious incident; , the date of the report; , the child/youth’s name, age, gender, and ethnicity; , the name of the placing agency name; agency, the name of the case manager at the placing agency case manager’ name; where agency, the location of the incident, a description of the incident occurred, description of incident (including what happened immediately before, during and after the incident); , the names of witnesses; , any action taken in response to the incident; names/agencies , the names of entities notified (such as family, legal guardian, child protective services, medical facility, police); , a recommendation for follow-up and/or resolution of incident; , the signature of the person completing report; , and the dated signature of the director of the facility/provider director’s (or designee) signature and dateContractor. Contractors will provide the name of the staff involved and/or accused. Separate reports should be completed and submitted for each child/youth involved and placed by the BuyerXXX. The provider Contractor is responsible for ensuring the confidentially of the parties involved in the incident. In the event the case manager of the placing agency determines that a serious incident has occurred the case manager will notify the Provider of the allegation. The provider shall within 48 hours of the case manager’s notification complete and submit a written report as provided, supra.

Serious Incident Reporting. The following procedures shall be adhered to in reporting a serious incident, actual or alleged, which is related to youth placed by the Buyer. A serious incident includesincludes but is not limited to, among others, abuse or neglect; criminal behavior; death; emergency treatment or hospitalizationtreatment; facility related issues, such as fires, flood, destruction of property; food borne diseases; physical assault/other serious acts of aggression; sexual misconduct/assault; substance abuse; malnutrition; serious illnesses, (such as tuberculosis or meningitis); serious injury (accidental or otherwise); instances of restraint or seclusion; suicide attemptattempt or self-inflicted injury; unexplained absences or absences without leaveabsence; or other incidents which jeopardize the health, safety, or well well-being of the youth. Within 24 twenty-four (24) hours of a serious incident, or by the next business day, the Provider shall report the incident by speaking to or leaving a message for contacting the case manager of the placing agency of each youth involvedinvolved and shall notify the CSA Coordinator in writing via email or fax. Within 48 hours of the serious incident, the Provider shall complete and submit to the case manager of the placing agency for each youth involved a written reportreport detailing the serious incident and shall send a copy of the written report to the CSA Coordinator. The written report of the serious incident shall provide a factual, concise account of the incident and include: Name name of facility/provider; name of person completing form; date and time of serious incident; date of the report; child/youth’s 's name, age, gender, ethnicity; placing agency name; placing agency case manager’ 's name; where the incident occurred, description of incident (including what happened immediately before, during during, and after the incident); names of witnesses; action taken in response to incident; names/agencies notified (family, legal guardian, child protective services, medical facility, police); recommendation for follow-up and/or resolution of incident; signature of person completing report; and facility/provider director’s 's (or designee) signature and date. Separate reports should be completed and submitted for each child/youth involved and placed by the Buyer. The provider Provider is responsible for ensuring the confidentially confidentiality of the parties involved in the incident. In the event the Buyer or a case manager of the placing agency determines that a serious incident has occurred occurred, the case manager will notify the Provider of the allegationProvider. The provider Provider shall within 48 hours of the case manager’s 's notification complete and submit a written report as provided, supraprovided above in this section.

Serious Incident Reporting. A serious incident includes, among other, abuse or neglect, criminal behavior, death, emergency treatment, facility related issues, such as fires, flood, destruction of property, food borne diseases, physical assault and other serious acts of aggression, sexual misconduct or assault, substance abuse, serious illnesses such as tuberculosis or meningitis, serious injury accidental or otherwise, suicide attempt, unexplained absences, or other incidents which jeopardize the health, safety, or well being of the youth. The following procedures shall be adhered to in reporting a serious incident, actual or alleged, which is related to youth placed by the Buyer. A serious incident includes, among others, abuse or neglect; criminal behavior; death; emergency treatment or hospitalization; facility related issues, such as fires, flood, destruction of property; food borne diseases; physical assault/other serious acts of aggression; sexual misconduct/assault; substance abuse; malnutrition; serious illnesses, (such as tuberculosis or meningitis); serious injury (accidental or otherwise); suicide attempt; unexplained absences or absences without leave; or other incidents which jeopardize the health, safety, or well being of the youthCSA. Within 24 hours of a serious incident, or by the next business day, the Provider Contractor shall report the incident by speaking to or leaving a message for the case manager of the placing agency of each youth involved. Within 48 hours of the serious incident, the Provider Contractor shall complete and submit to the case manager of the placing agency for each youth involved a written report. The written report of the serious incident shall provide a factual, concise account of the incident and include: Name of facility/provider; include the name of the facility and Contractor, the name of the person completing the form; , the date and time of the serious incident; , the date of the report; , the child/youth’s name, age, gender, and ethnicity; , the name of the placing agency name; agency, the name of the case manager at the placing agency case manager’ name; where agency, the location of the incident, a description of the incident occurred, description of incident (including what happened immediately before, during and after the incident); , the names of witnesses; , any action taken in response to the incident; names/agencies , the names of entities notified (such as family, legal guardian, child protective services, medical facility, police); , a recommendation for follow-up and/or resolution of incident; , the signature of the person completing report; , and the dated signature of the director of the facility/provider director’s (or designee) signature and dateContractor. Contractors will provide the name of the staff involved and/or accused. Separate reports should be completed and submitted for each child/youth involved and placed by the BuyerCSA. The provider Contractor is responsible for ensuring the confidentially of the parties involved in the incident. In the event the case manager of the placing agency determines that a serious incident has occurred the case manager will notify the Provider of the allegation. The provider shall within 48 hours of the case manager’s notification complete and submit a written report as provided, supra.