§748.301. What is a serious incident? A serious incident is a non-routine occurrence that has or may have dangerous or significant consequences on the care, supervision, and/or treatment of a child. The different types of serious incidents are noted in §748.303 of this title (relating to When must I report and document a serious incident?). §748.303. When must I report and document a serious incident? (a) You must report and document the following types of serious incidents involving a child in your care. The reports must be made to the following entities, and the reporting and documenting must be within the specified time frames: Serious Incident (i)To Licensing? (ii) If so, when? (i) To Parents? (ii) If so, when? (i) To Law enforcement? (ii) If so, when? (1) A child dies while in your care. (A)(i) YES (A)(ii) Within 2 hours after the child's death [Report as soon as possible, but no later than 24 hours after the incident or occurrence.] (B)(i) YES (B)(ii) Within 2 hours after the child's death [Immediately]. (C)(i) YES (C)(ii) Immediately, but no later than 1 hour after the child's death . (2) A substantial physical [critical] injury or critical illness that a reasonable person would conclude needs [warrants] treatment by a medical professional or hospitalization[ including dislocated, fractured, or broken bones; concussions; lacerations requiring stitches; second and third degree burns; and damage to internal organs.] (A)(i) YES (A)(ii) Report as soon as possible, but no later than 24 hours after the incident or occurrence. (B)(i) YES (B)(ii) Report as soon as possible, but no later than 24 hours after the incident or occurrence. (C)(i) NO (C)(ii) Not Applicable. (3) Allegations of abuse, neglect, or exploitation of a child; or any incident where there are indications that a (A)(i) YES (A)(ii) As soon as you become (B)(i) YES (B)(ii) As soon as you become (C)(i) NO (C)(ii) Not applicable.
child in care may have been abused, neglected, or exploited. aware of it. aware of it. (4) Physical abuse committed by a child against another child. For the purpose of this subsection, physical abuse occurs when there is substantial[:] physical injury [that results in substantial bodily harm and requiring emergency medical treatment], excluding any accident; or failure to make a reasonable effort to prevent an action by another person that results in substantial physical injury [that results in substantial bodily harm] to a child. (A)(i) YES (A)(ii) As soon as you become aware of it [possible, but no later than 24 hours after the occurrence or incident]. (B)(i) YES (B)(ii) As soon as you become aware of it [possible, but no later than 24 hours after the occurrence or incident]. (C)(i) NO (C)(ii) Not applicable. (5) Sexual abuse committed by a child against another child. For the purpose of this subsection, sexual abuse is: conduct harmful to a child's mental, emotional or physical welfare, including nonconsensual sexual activity between children of any age, and consensual sexual activity between children with more than 24 months difference in age or when there is a significant difference in the developmental level of the children; or failure to make a reasonable effort to prevent sexual conduct harmful to a child. (A)(i) YES (A)(ii) As soon as you become aware of it [possible, but no later than 24 hours after the occurrence or incident]. (B)(i) YES (B)(ii) As soon as you become aware of it [possible, but no later than 24 hours after the occurrence or incident.] (C)(i) NO (C)(ii) Not applicable. (6) A child is indicted, charged, or arrested for a (A)(i) YES (B)(i) YES (C)(i) NO