CMS-07-021/023 - Los Angeles County Department of Children and ...

1. BEHAVIOR INCIDENTS
EXHIBIT A-VIII
(Any incidents that threaten the physical health, emotional health, or continued
safety of any child. e.g. substance abuse, physical violence, manual restraints,
suicide attempts, sexually related incidents, school incidents, police contacts, and
disruptive behavior by parents or other visitor)
NOTE: “OHCMDM” in the table below means the L A Co. DCFS Out-of-Home
Management Division Monitor.
HOW TO WHOM WHEN
Fax only if I- County Placement Worker (DCFS Immediately or the next workday
Track is down CSW or Probation DPO)
OHCMDM/Probation Monitors Immediately or the next workday
Community Care Licensing (CCL) Immediately or the next workday
2. OTHER SIGNIFICANT INCIDENTS (Child not enrolled in school; child not regularly
attending school)
HOW TO WHOM WHEN
Fax only if I-
Track is down
County Placement Worker Within 3 school days
3. ILLNESS (E.g. common cold or flu that may or may not require medical treatment by
physician)
HOW TO WHOM WHEN
Written Parent/Guardian Within 7 calendar days
4. INJURY OR ACCIDENT (Includes, but is not limited to, incidents requiring medical
treatment by a physician. If in doubt, report or call the required agency for
clarification.)
HOW TO WHOM WHEN
Fax only if I-
Track is down
Community Care Licensing Immediately or the next workday
Written Parent/Guardian (mail copy) Within 7 calendar days
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