(a) Reporting requirement.  Contract provider staff and Developmental Disabilities Services Division (DDSD) staff must report injuries and behavioral or health-related incidents involving any person receiving DDSD services, excluding Family Support Assistance Payment Program per OAC 340:100-13.

(b) Critical incidents.  Critical incidents include:

• (1) suspected abuse, neglect, or exploitation of a service recipient;
• (2) threatened or attempted suicide by a service recipient;
• (3) death of a service recipient;
• (4) an unplanned hospital admission of a service recipient;
• (5) a medication event resulting in emergency medical treatment for a service recipient;
• (6) law enforcement involvement in a situation concerning a service recipient;
• (7) property loss of more than $500 involving a service recipient;
• (8) a service recipient who is missing;
• (9) an unusual or significant incident involving a service recipient that may attract media attention; and
• (10) a highly restrictive procedure used on a service recipient, such as:
  • (A) p.r.n. medication for behavioral control; and
  • (B) physical hold.

(c) Non-critical incidents.  Non-critical incidents include:

• (1) an injury to a service recipient;
• (2) an unplanned health-related event involving a service recipient;
• (3) physical aggression by a service recipient;
• (4) fire setting by a service recipient;
• (5) deliberate harm to an animal by a service recipient;
• (6) property loss of less than $500 involving a service recipient;
• (7) a vehicle accident involving a service recipient;
• (8) the suspension, termination, or removal of a service recipient's program, including employment; and
• (9) a medication event involving a service recipient, including:
  • (A) dose at wrong time;
  • (B) missed dose;
  • (C) wrong dose;
  • (D) wrong medicine;
  • (E) wrong route;
  • (F) incorrect medicine label or instructions;
  • (G) refused medication by the service recipient;
  • (H) incorrect medication documentation; or
  • (I) any other significant occurrence involving medication.

(d) Incident notification requirements.  When an incident occurs, contract provider staff notifies:

• (1) the DDSD case manager immediately when there is a critical incident per OAC 340:100-3-34(b).  If the incident occurs outside regular working hours, DDSD on-call staff is notified immediately.
  • (A) When contract provider staff notifies emergency on-call staff, the DDSD case manager must be notified within one working day of the incident.
  • (B) Contract provider staff submits Form 06MP046E, Incident Report, to the DDSD case manager and DDSD State Office within 72 hours after the incident;  • 1
• (2) the DDSD case manager by Form 06MP046E within 72 hours of the occurrence of a non-critical incident per OAC 340:100-3-34(c);
• (3) the service recipient's family or guardian, in accordance with provider policies;
• (4) other persons or entities whose notification is required by law or regulation, including:
  • (A) notifications per OAC 340:100-3-35, when a service recipient dies; and
  • (B) immediately notifying investigative authorities in the event of suspected abuse, neglect, or exploitation, including:
    • (i) Office of Client Advocacy per OAC 340:2-3-33;
    • (ii) Adult Protective Services per Section 10-104 of Title 43A of the Oklahoma Statutes (43A O.S. § 10-104); or
    • (iii) Child Protective Services per 10 O.S. § 7103; and
• (5) those persons per OAC 340:100-5-57.1 when reporting use of restrictive and intrusive behavior interventions.