Lic 624 Death Report. LIC 622 Centrally Stored Medication and Destruction Record N. 0

LIC 622 Centrally Stored Medication and Destruction Record N. 08RM-05 34 Report of unusual incident, event, serious injury requiring medical attention, or death, while the resident is under facility supervision, Unusual Incident/Injury/Report (LIC 624). , include date and time. Browse 609 California Department Of Social Services Forms And Templates collected for any of your needs. When an incident occurs, it’s imperative to notify relevant parties and complete this report within seven days to ensure proper follow-up and accountability. This form helps in reporting incidents, such as arrests, investigations, or any relevant information that may impact the safety and well-being of children in these settings. Evidence that child’s progress reports are given to Authorized Representative. Keep a copy of the report in the child’s facility file. Fill CA LIC 624 instantly, Edit online. As of 1-99 there will be two reporting forms, the LIC 624, for incidents and injuries only, and the LIC 624A for deaths.

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