Special Incident Reporting
All vendors will report special and unusual incidents in the lives of the people they support to the Regional Center. Even if it is something they are learning about that happened while they were not responsible for providing services.
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Within 24 hours of the incident, the vendor will notify RCEB SIR Team by phone at 510-315-6508 or email at sir@rceb.org Please include name of client, UCI, description of the incident and the name of the vendor.
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Within 48 hours of the incident, the vendor will send the written SIR to sir@rceb.org
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All SIRs from vendors will be emailed to SIR@rceb.org or faxed to 510-315-6508.
Some reminders:
1) Please be sure to uphold confidentiality by including the following “confidentiality statement” in your emails to CMS/RCEB but to customize it to your agency. The statement below should follow all your emails to CMS/RCEB containing client information.
CONFIDENTIALITY STATEMENT
The information in this email message is privileged and confidential information intended for the use of the addressee listed above. If you are neither the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, you are hereby notified that any disclosure or taking of any action in reliance on the content of this e-mailed information is strictly prohibited. The attached material is confidential patient information and protected by the California Welfare and Institution Code, Section 5328. If you have received this copy in error, please immediately notify us by telephone or arrange for return of the original documents to us.
2) Please do not include any client information in the subject line of the email. This includes but is not limited to name, UCI, DOB, etc. The use of client initials is preferred.
3) All electronically forwarded SIRs should be password protected with the following password: “sir” sir should be in lower case and in regular type (not bold or italic).
Blank form: Special Incident Reports Form (Password Required)
Directions to complete the form:
Mandated Abuse and Neglect Guidelines Based on the location/setting
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