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Tit. the California Department of Public Health (CDPH) Licensing District Office, and the participant's Medi-Cal managed care plan (MCP) . The California Department of Public Health (CDPH) adopted new regulations for General Acute Care Hospitals and Acute Psychiatric Hospitals, effective January 1, 2022. Upon receipt of a report of an outbreak or unusual occurrence, the local public health department recommends control actions and may conduct an epidemiologic Unusual Occurrences. Please contact your local health department to ensure there is no closure order. 1279.1 (c) The facility shall inform the patient or the party responsible for the patient of the adverse event by the time the report is made (to CDPH). Office of Risk Management Plan of Correction Training. endstream endobj 1256 0 obj <>>>/Filter/Standard/Length 128/O(Raja6qTd.)/P -1052/R 4/StmF/StdCF/StrF/StdCF/U( V&!Y- )/V 4>> endobj 1257 0 obj <>/Metadata 108 0 R/OCProperties<>/OCGs[1273 0 R]>>/Outlines 144 0 R/PageLayout/SinglePage/Pages 1247 0 R/StructTreeRoot 211 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1258 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1259 0 obj <>stream AFL 18-48 November 13, 2018 TO: All Facilities . Hospitals must report HCP influenza vaccination data to the California Department of Public Health (CDPH), including the percentage of HCP vaccinated. If the student declines immediate care or referral for follow-up care, this [declination] is to be noted on the Report of Unusual Occurrence form under 'Other', with an explanation written by the faculty. (except for adverse event and unusual occurrence reporting, HSC 1279.1). Reporting is key to protecting the health or safety of individuals in the childcare facility and community. Local health departments will work with employers to determine which employees in the workplace may be at risk of COVID-19 infection and may reach out to employees who are considered close contacts of a person infected with COVID-19. First and foremost -Take care of the patient or visitor! +7%y _5} As referenced in division (E) of section 5119.36 of the Revised Code, "Major Unusual Incident" has the same meaning as "Reportable Incident." (5) "Six month reportable incident" means an incident type of which limited information must be reported to the department. CDC 52.13 for foodborne disease outbreaks.) Inform parents and families that it takes effort by the entire community to reduce the spread of COVID-19. If the hospital has an adverse event as described in items 1-28 & Unusual Occurrence, please follow the steps outlined in MCP 561.1, Reporting Sentinel Events and Significant Adverse Event Policy. Choose My Signature. Hospitals should review their current patient safety plans or similar policies and procedures and ensure that they have the required processes in place to comply with these new requirements by the effective date. Protect the confidentiality of health information by not identifying the employee to anyone other than the Regional Office, the local health department, and other governmental agencies as required. If the hospital has an adverse event as described in items 1-28 & Unusual Occurrence, please follow the steps outlined in MCP 561.1, Reporting Sentinel Events and Significant Adverse Event Policy. Reporting party may also call provider management or the EMS Agency to verbally report an incident which will be documented on an Espaol, - -3@$s3fI`v.TfI 6W h$/ 0 6 Click on the New Document option above, then . submit written report within 7 days of occurrence. Infant Care Center means any child care center or part of a child care center of any capacity where less than 24-hour per day nonmedical care and supervision are provided to infants in a group setting. The Harriman State Campus, 1220 Washington Avenue, Albany, NY 12226-2050 (518) 457-8126 www.doccs.ny.gov 2 Introduction The Unusual Incident System maintains information on incidents that occur within the New York endstream endobj 34 0 obj <> endobj 35 0 obj <> endobj 36 0 obj <>stream An incident report shall be retained on file by the facility for one year. Unusual occurrence reports identify system weaknesses and help us avoid future errors and ensure safe and effective care for our members. Make sure you have enough staffing to adhere to ratios and group sizes. Health and Safety Code Section 1597.467(b), How should providers notify the parents and families in the facility. Ensure you have posted COVID-19 resources in multiple languages. Note: Authority cited: Sections 208(a) and 1225, Health and Safety Code. Division/Unit : Parks and Trails / Itasca State Park. UNUSUAL INCIDENT/INJURY/DEATH REPORT Instructions: The licensee shall make a telephonic report to the Department of Health Care Services Complaints and Counselor Certification Division at (916) 322-2911 within one (1) working day for any of the following events: 1) Death of any resident from any cause - even if death did not occur at facility Follow the step-by-step instructions below to design your unusual occurrence report for CDP: Select the document you want to sign and click Upload. (Nature of Adverse Event): If the adverse event meets the description of an unusual occurrence, check the appropriate box identifying the type of adverse event . retain copy of report in client's file. If you have not done this since the COVID-19 public health emergency, please do it now. endstream endobj 37 0 obj <>stream Refer to the CDPH Guidance on small group cohorts that provides more detail on cohort size limitations, mixing, etc. It is critical to always maintain confidentiality of any child or staff member who has been exposed to, or confirmed positive for, COVID-19. name of facility facility file number city, state, zip describe event or incident (include date, time, location, perpetrator, nature of incident, any antecedents leading up to incident and how clients were affected, including any injuries: person(s) who . facility file number . Reset Unusual incidents and major unusual incidents are reported and tracked across Ohio to identify patterns and trends and determine causes and contributing factors necessary for prevention planning. 0 telephone number ( ) address . MZQG3NB -NXI#s7":#x> C:g endstream endobj startxref Definition Safety reporting is the filing of reports and collection of information on actual or potential safety deficiencies. ?a6=)!6q@f@)"h:>ptUkc?TfAA. Childcare providers are required to report to the local health department the presence or suspected presence of . Charted nurse notes MUST include any unusual complaint, observation or incident (i.e. (D) The death or significant injury of a patient or staff member resulting from a physical assault that occurs within or on the grounds of a facility. Title 22, California Code of Regulations, section, Child Care Center" or "Day Care Center" (or "center") means any child care facility of any capacity, other than a family child care home as defined in Section. The AFL does not specify reporting by telephone, but rather is silent on the method. ADHC/CBAS INCIDENT REPORT INSTRUCTIONS. Show details How it works Open form follow the instructions Easily sign the form with your finger Send filled & signed form or save Rate form 4.7 Satisfied 306 votes be ready to get more Closing Date : 03/02/2023. %%EOF Child Care Resource and Referral Agencies, CDPH Guidance for Child Care Programs and Providers, Use of Cloth Face Coverings to Help Slow the Spread of COVID-19, CDPH Guidance for the Use of Face Coverings. [|/Lw,se+Vya'Fv9 }Yqu?CQD.m;~*%_i6c~pB}a^Hx% $YbD+PpS^j. For purposes of this subparagraph, "hyperbilirubinemia" means bilirubin levels greater than 30 milligrams per deciliter. If CDPH determines there is no ongoing threat of imminent danger of death or serious bodily harm, the hospital is subject to an onsite inspection and/or an offsite investigation that includes interviews and records reviews. (b) For purposes of this section, "adverse event" includes any of the following: (1) Surgical events, including the following: (A) Surgery performed on a wrong body part that is inconsistent with the documented informed consent for that patient. 1255 0 obj <> endobj 63 0 obj <>stream An "unusual occurrence" is defined as any occurrence that threatens the welfare, safety, or health of patients, personnel, or visitors. 22, 72541 - Unusual Occurrences . Always supervise ill children, and make sure all staff wear face coverings. (D) Retention of a foreign object in a patient after surgery or other procedure, excluding objects intentionally implanted as part of a planned intervention and objects present prior to surgery that are intentionally retained. unusual incident/injury report . Not allow anyone into the child care program who has been identified as a COVID-19 case who is still isolated or anyone who was exposed to COVID-19 who is still in their quarantine period. when making a determination on whether or not to report an occurrence. >.V"r[#Xt$X'fq-SWZXw8 DJwigs~B>?Wy[@&% }1([_3{qJkx6{;nU7Q'hvIj^QP7 m |u!@4e@{49-0]YlPc'E. There are three variants; a typed, drawn or uploaded signature. Unless there is a local health department order stating otherwise, child care programs on closed school campuses can remain open or re-open. Sacramento, CA 95814 Occurrence report is the proper name for these reports. 1272 0 obj <>/Encrypt 1256 0 R/Filter/FlateDecode/ID[<1CADE1C1F89DB94A88C74C7B92B10B17>]/Index[1255 27]/Info 1254 0 R/Length 96/Prev 371643/Root 1257 0 R/Size 1282/Type/XRef/W[1 3 1]>>stream 2 0 obj "Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the caregiver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. II. California Department of Public Health Schools Guidance FAQs. CDPH reports data separately for hospital employees, licensed independent practitioners such as physicians, other contract staff, and trainees and volunteers (Health and Safety Code section 1288.7-1288.8). Staff in all child care facilities are strongly encouraged to wear face coverings over their nose and mouth indoors, unless they have an exemption as outlined in CDPH guidance, in which case they must still use an acceptable alternative. {|~&YN /&wYWt J(Ve6-# 3\',VGpy'cm$,xQGXaFDh~%F=;2T1HbX through the California Department of Public Health (CDPH). Skilled Nursing Facilities. Children should not wear face coverings while sleeping. . Reportable Incident Enter names and titles of witnesses, and indicate if the person named witnessed the incident or was in proximity to where the incident occurred Details of Reportable Incident: Include a brief summary of the details of the incident Characteristics of Injury: Enter detailed descriptions of the injury clients/residents . Parents are required to sign children in and out of the facility each day. Close off areas used by the person confirmed to have COVID-19 until the area has been cleaned and disinfected. Posted 11:34:47 PM. Workplace Outbreak Guidance for Local Health Departments. hbbd```b``"I=",VD%H$k*%AD.$/pg`bd`)g`$O'@ M{G Unusual Incident/Injury/Death Report Form (DHCS 5079) Personal Rights - Alcohol Recovery and Drug Treatment Facilities (DHCS 5080) Derechos Personales - Facilidades de Recuperacin y Tratamiento (DHCS 5080SP) Disclosure to DHCS (DHCS 5140) Fire Clearance And Zoning (Outpatient) Division 5. Attorney Advertising. instructions : notify licensing agency, placement agency and responsible persons, if any, by next working day. Written notification must be provided to staff, and it can be done through an email, text, or a memo. Article 5. The completed Unusual Occurrence Reports must be emailed to the EMS Authority at: COVID19@emsa.ca.gov. Preschool-age child means a child as defined in Health and Safety Code Section. Rancho Cordova, CA 95670 (916) 322-4336. Hospitals have been required to report adverse events since2009, whentheadverse events reporting statutewent into effect. CHA commented on prior proposed versions of these regulations inAugust 2020,April 2021, andSeptember 2021. If symptoms, other than fever, are not resolving continue to isolate until symptoms are resolving or until after day 10. "Small Family Child Care Home" means a home that provides family child care for up to six children, or for up to eight children if the criteria in Section, "Large Family Child Care Home" means a home that provides family child care for up to 12 children, or for up to 14 children if the criteria in Section, Title 22, California Code of Regulations, sections. Reporting the Occurrence A. Incident reporting standards will now . Hospitals have been required to report adverse events since 2009, when the adverse events reporting statute went into effect. CDPH Licensing District Office, and the participant's MCP within 24 hours of the occurrence. Upon receipt of a report of an outbreak or unusual occurrence, the local public health department recommends control actions and may conduct an epidemiologic investigation. The local health department will also inform you of its isolation and quarantine guidelines for cases and exposed individuals. Tit. If the abuse occurred in a LTC facility, was physical abuse, did not result in serious bodily injury, Early Learning and Care COVID-19 Resources. If the adverse event meets the description of an unusual occurrence, check the appropriate box identifying the type of adverse event . o An unusual occurrence is any event that has potential to result in harm to a student, or to others while at the Arizona State University, Edson College of Nursing and Health Innovation buildings, or at an assigned community clinical site to which a student has been assigned to obtain clinical experience or to fulfill a course requirement. Check one or more of the agencies notified of the incident or injury. Detailed information about the variables included in each dataset are described in the accompanying data dictionaries for the year of interest. Child care programs can contact their local Child Care Resource and Referral Agencies for more information about obtaining supplies. CAUTION - Before you proceed, please note: By clicking accept you agree that our review of the information contained in your e-mail and any attachments will not create an attorney-client relationship, and will not prevent any lawyer in our firm from representing a party in any matter where that information is relevant, even if you submitted the information in good faith to retain us. submit written report within 7 days of occurrence. California Emergency Medical Services Authority. A good time to do this is when you update the emergency cards. Create your signature and click Ok. Press Done. city, state, zip . hb```f``rc`a`ad@ A+s|HP gqFIfu Although Executive Order N-39-20 (PDF) temporarily suspends enforcement of minimum staffing requirements, this waiver is under the condition that facilities notify CDPH . telephone number ( ) address . Unusual Incident/Injury Report (LIC 624B) - You must use this form and submit it to your local licensing office when reporting any incidents or injuries occurring during day care hours. The following is guidance on completing the Incident Report form for COVID-19 unusual occurrences: Section I (Incident Information), A. %PDF-1.6 % submit written report within 7 days of occurrence. Additionally child care facilities should: Child care providers or staff responsible for cleaning should clean and disinfect all areas such as offices, classrooms, spaces, bathrooms, common areas, including kitchens, hallways, and high traffic areas, and shared manipulatives, toys, electronic equipment (like tablets, touch screens, keyboards, and remote controls) used by the ill individuals, focusing especially on frequently touched surfaces. Questions regarding this notice may be directed to the Children's Behavioral Health Unit at HFS.CBH@illinois.gov or by calling 217-557-1000. Children under 2 years of age with COVID-19 infection may discontinue isolation after day 5. Messages to parents and families should inform them about the importance of not participating in potential stigma and discrimination against any person believed to have been exposed to COVID-19. Chapter 3. retain copy of report in client's file. Post the parental notification in a visible place for parents and guardians, along with written correspondence via handouts or email distribution. ?>O*UYTCo Please follow guidance from the local health department, if it is more restrictive than state guidance. , 5==zy <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 20 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Access the most extensive library of templates available. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations. For system issues involving patient care, email, fax or mail report to the EMS Agency. Calling the Unusual Incident Hotline at (202) 673-4464; or Mailing or delivering an Unusual Incident Report, or a description of the incident and circumstances, to the DHS Office of Program Review, Monitoring and Investigation, 64 New York Avenue, NE, 6th Floor, Washington, DC 20002. To file a complaint regarding a state licensed community care facility or child care facility visit our Complaint Hotline Page for contact information and more. is State of CaliforniaHealth and Human Services Agency California Department of Public Health Surveillance and Statistics Section P.O. If cases have been identified in more than one cohort, a decision about whether the facility should close should be made in consultation with your local health department. Send an email, developed in collaboration with the local health department, to parents and staff to inform them that a case of COVID-19 in a child or staff member has been reported and that the facility will work with the local health department to notify exposed people about quarantine and testing. 23. name of facility facility file number city, state, zip describe event or incident (include date, time, location, perpetrator, nature of incident, any antecedents leading up to incident and how clients were affected, including any injuries: person(s) who . No. Hospitals must report adverse events through CDPH's secure, electronic web-based portal. For preschool programs that are based on a school campus, if the school campus is closed, then the local school district will decide if the childcare or preschool program can open. 1279.1 (c) The facility shall inform the patient or the party responsible for the patient of the adverse event by the time the report is made (to CDPH). Can a child care center be operated on a closed school campus? hTQMO0+!>B? John Roberts Fox News Daughter Getting Married, Unusual Occurrence Reporting CDPH considers any power outage related to a planned PSPS event as an unusual occurrence, reportable under Title 22 California Code of Regulations. Also ensure you have a plan in place to screen staff and children upon arrival, develop and train staff on COVID-19 prevention policies and protocols for families, and have adequate disinfectant and cleaning supplies. (B) The abduction of a patient of any age. retain copy of report in client's file. (C) The wrong surgical procedure performed on a patient, which is a surgical procedure performed on a patient that is inconsistent with the documented informed consent for that patient. They are meant to report incidents that are outside normal operating procedures that may have an impact on patient care and safety. For any questions or P.O. Reporting conveys the health care organization's message to the public that it is doing everything possible, proactively, to prevent similar patient safety events in the future. (G) A patient death or serious disability due to spinal manipulative therapy performed at the health facility. Immediately report a positive test result to your local CDSS Child Care Licensing Regional Office and notify parents and staff of any positive test results in compliance with the most current Public Health guidance and instructions. Description of the guidance given from the local health department (i.e., quarantine, closure of facility, notification to families and staff, cleaning and disinfection) and providers plan of action. If you contract with a state-subsidized early care and education program, we recommend that you contact the program directly to obtain their guidance for payment during closure. endobj The facility shall furnish such other pertinent . Cal. Given that these Title 22 regulations are PROCEDURE FOR USE OF UNUSUAL OCCURRENCE REPORT 1.10 Risk management 1.10.1 Any event that may pose a potential liability safety risk as identified on the unusual occurrence report must be reviewed by senior management. From now on simply cope with it from home or at your workplace from your mobile device or desktop computer. hbbd```b``:"A$V2, If staff develop COVID-19 symptoms while present in the facility, they should be sent home and instructed to follow up with their health care provider. Of the total, 57 % unusual occurrences have been reported by radiation therapy technologists, including treatment preparation processes. CDA 4009i (REV 10/2020) . Staff may return to the facility when: *Loss of taste and small may persist for weeks or months after recovery and need not delay the end of isolation. retain copy of report in client's file. instructions : notify licensing agency, placement agency and responsible persons, if any, by next working day. hbbd``b` t Consult the local public health department for their advice on taking any public health actions beyond removing sick or exposed children or adults from the child care program. (D) Patient death or serious disability directly related to hypoglycemia, the onset of which occurs while the patient is being cared for in a health facility. If in doubt, report. State Of California Employee Hardship Transfer, Note that the regulation citations below, while for GACHs, have identical requirements foracute psychiatric hospitalsin the regulations. (B) Patient death or serious disability associated with the use or function of a device in patient care in which the device is used or functions other than as intended. Please follow recommendations from the local health department when they are more restrictive than state guidance. 4 0 obj 1-833-4CA4ALL vQ*ysQ{`L] VP+#he {/\h puN|N[X#MXo(n *4v#S]nC=0`/n+GYzK`vJ (916) 558-1784, COVID 19 Information Line: (except for adverse event and unusual occurrence reporting, HSC 1279.1). x][SH~Tn[)=LdyH hlFP{i$,5rt>NxpRUz/w^|[~_yUW_+a9_,#q1|&rjbD4X(LHGQ-).~^=Mq$Lqkctz;Zfb*oS! Unusual occurrence reporting requirements, state facilities must report any occurrence that jeopardizes the health and safety of patients as soon as practical within 24 hours. They are also used to report employee injury and in some cases employee behavior issues. (7) An adverse event or series of adverse events that cause the death or serious disability of a patient, personnel, or visitor. QUARTERLY REPORTING REQUIREMENT. Close contacts will need to be identified. Work Shift/Work Hours : Rotating Shift. The facility should not allow any individual who has a COVID-19 positive test result or COVID-19 symptoms to enter the facility until they have completed their isolation period. Examples of Reportable Incidents: UOTHER REPORT ABLE DISEASE OR DISEASE OF UNUSUAL OCCURRENCE UConfirmed UNot confirmed USuspected Does your . Guidance for Local Health Jurisdictions on Isolation and Quarantine of the General Public, Guidance for Child Care Programs that Remain Open, How can a child care facility convey to parents the importance, Operating Schools During COVID-19: CDC's Considerations, What are the testing requirements needed for, When can an individual return to the facility. <> A reportable event under this subparagraph does not include a situation requiring prompt . (a) A health facility licensed pursuant to subdivision (a), , or (f) of Section 1250 shall report an adverse event to the department no later than five days after the adverse event has been detected, or, if that event is an ongoing urgent or emergent threat to the welfare, health, or safety of patients, personnel, or visitors, not later than 24 hours after the adverse event has been detected. Every fire or explosion which occurs in or on the premises shall be reported within 24 hours to the local fire authority or, in areas not having an organized fire service, to the State Fire Marshal. Does facility staff have to wear face coverings? h[o0y;v UZ1-!Y~ZSJX=8icOKTH*P"%A% "\&B2!ZPUY@dW.&KOV;71{}e],^pZo:[, ,~ww_le$o Children 2 years of age and older with COVID-19 infection may discontinue isolation after day 5. "Hi %%EOF (E) Death or serious disability, including kernicterus, associated with failure to identify and treat hyperbilirubinemia in neonates during the first 28 days of life. An unusual incident is an alleged, suspected, or actual event or occurrence involving a DHS customer, employee, contractor, subcontractor, or volunteer that adversely affects or compromises the integrity of DHS programs or which threatens the health or safety of a DHS customer, District employee or the general public, or District property. Wait as long as possible before you clean or disinfect to allow respiratory droplets to settle before cleaning and disinfecting. San Diego Gas and Electric or call 1-800-411-7343 Unusual Occurrence Reporting CDPH considers any power outage related to a planned PSPS event as an unusual occurrence, reportable as required in Title 22 California Code of Regulations. The CDPH suspension included waiving hospital reporting requirements for healthcare personnel influenza vaccination . If the portal is not operational, hospitals should submit reports to CDPH via email or telephone. Additionally, hospitals must report within 24 hours adverse events that are ongoing urgent or emergent; threatening the welfare, health, or safety of patients, personnel, or visitors; and sexual assault or allegations of sexual assault of a patient. Although Executive Order N-39-20 (PDF) temporarily suspends enforcement of minimum staffing requirements, this waiver is under the condition that facilities notify CDPH . Quail Park Memory Care Residences of Visalia is a comfortably appointed Memory Care withSee this and similar jobs on LinkedIn. name of facility . Reports unusual circumstances to the Lead Security Officer/Manager, and documents utilizing appropriate Security Incident Report (IR) Completes accurate, clear and legible Security Incident . endstream endobj 221 0 obj <>>>/Filter/Standard/Length 128/O(*q,Xw4\r)/P -1340/R 4/StmF/StdCF/StrF/StdCF/U(fF]wO )/V 4>> endobj 222 0 obj <>/Metadata 13 0 R/Outlines 25 0 R/PageLayout/OneColumn/Pages 218 0 R/StructTreeRoot 96 0 R/Type/Catalog/ViewerPreferences<>>> endobj 223 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 224 0 obj <>stream Note: CDPH and Cal/OSHA require all California employers to notify local health departments when they meet the reporting threshold of three or more cases of COVID-19 in their workplace within a two-week period. ,&8SjE|-J7q)s 8 % If a child develops symptoms while in the facility, the facility must separate the child from others in an isolation room or area (such as a cot in a corner of the room) that can be used to isolate a sick child. Decrease, Reset %PDF-1.5 % Because of their nature, unusual incident reports must be filed by phone and in writing. It looks like your browser does not have JavaScript enabled. 19. MS 0500 Current through Register 2023 Notice Reg. 21. The following is guidance on completing the Incident Report form for COVID-19 unusual occurrences: Section I (Incident Information), A. Facial coverings, gloves, hand sanitizer, thermometers, and additional supplies have been provided by the State. They may need to consult with healthcare providers for advice about wearing cloth face coverings. Treat the entire cohort, classroom, or other group as exposedparticularly if they have spent time together indoors. Unusual occurrences are generally widespread in their effect, threaten the welfare, safety, or health of center participants, and are largely those that happen: In the environment - such as earthquake or flood; or In the facility - such as fire or explosion Reports of unusual occurrences must be submitted within 24 hours of occurrence. unusual incident/injury report . occurrence of preventable adverse events. Any individual, who has knowledge of suspected . (3) Patient protection events, including the following: (A) An infant discharged to the wrong person. Please turn on JavaScript and try again. Add the Unusual occurrence report example for redacting. This CDPH summary was containedinAll FacilitiesLetter 21-40released Nov. 12. endobj Revisions CHA advocated for that were made to the regulations include: CDPHalsoreleased a summary of the adverse events reporting requirements. Never place face coverings on babies or children under 2 years of age because it poses a danger and risk for suffocation. We provide the leadership, advocacy, training and tools that empower Californias hospitals and health systems to do their best work. Make your practice more effective and efficient with Casetexts legal research suite. 1279.1. . Unusual Incident Report January - December 2020, with Ten-Year Trends from 2011 - 2020 . A reportable event under this subparagraph does not include a situation requiring prompt action that occurs in the course of surgery, or a situation that is so urgent as to preclude the obtaining of informed consent.