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Special Incident Reporting

SIR Fax number for all Special Incident Reports – The regional center must be notified verbally of an incident within 24 hours of occurrence and written report received within 48 hours of incident. All Special Incident Reports (SIRs) must be faxed to:

SIR FAX NUMBER: (877) 254-6903

*As of January 1, 2017 vendor responsibilities when reporting Special Incidents involving the use of restraints have CHANGED*

WRC revised our Special Incident Reporting Form to include reference to these changes in a fillable PDF document.  We have also made the Post Emergency Restraint Response form a PDF fillable document.  Please discard all other versions of WRC SIR form and use this revised document.  See new forms and information below.



Adult Protective Services (APS) – State m andated Title XX service program which m andates the prompt investigation of all situations involving elders (age 65 or older) and dependent adults (physically or mentally impaired 18-64 year old) who are reported to be endangered by physical, sexual or financial abuse, ab andonment, isolation, abduction, neglect or self-neglect or hazardous living conditions. Online reporting is accessible here.

California Poison Control System (CPCS) is the statewide provider of immediate, free and expert treatment advice and assistance over the telephone in case of exposure to poisonous, hazardous or toxic substances. Call us toll-free – 1-800-222-1222, 24 hours a day, 7 days a week, 365 days a year.

Department of Child and Family Services (DCFS) – M andated reporters may now complete Child Abuse Reporting online..  It is necessary to make a phone report first and receive a reference number that will allow you to log in to the M andated Reporters site to complete the written report.

Long Term Care Ombudsman – An Ombudsman is an individual who is trained and State-certified to objectively investigate and resolve complaints made by individuals against abuses. The Long Term Care OMBUDSMAN Program is a free and confidential service that maintains and improves the quality of life for resident in long-term care facilities.

Official California Legislative Information – Site is maintained by the Legislative Counsel of California and contains up-to-date information on law, legislative sessions, and bill information.

Restrains and Seclusion – This is the Senate Bill regarding use of restraints and seclusion in final version in H&S Code section 1180.3. (a)This section shall apply to psychiatric units of general acute care hospitals, acute psychiatric hospitals, psychiatric health facilities, crisis stabilization units, community treatment facilities, group homes, skilled nursing facilities, intermediate care facilities, community care facilities, and mental health rehabilitation centers. It is considered a “Best Practice” for all consumers.

Risk Management Tools:

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