Child Care Reportable Incident Form

Examples of reportable incidents include, but are not limited to, the following:

• Aggressive or unusual behaviour: by a child towards other persons, including another child, which has not been appropriately assessed in the child’s care plan
• A choking incident: involving a person in care that requires first aid, emergency care by a medical practitioner or nurse practitioner, or transfer to a hospital
• Disease outbreak or occurrence: above the incident level that is normally expected
• A fall: experienced by a child of such seriousness as to require emergency care by a medical practitioner or nurse practitioner, or transfer to a hospital
• Motor vehicle injury: an injury to a child that occurs during transit by motor vehicle while the child is under the care or supervision of the licensee
• Service delivery problem: any condition or event that could reasonably be expected to impair the ability of the licensee or their employees to provide care, or that affects the health, safety or well-being of children

For a complete list of reportable incidents, please refer to Schedule H of the Child Care Licensing Regulation.

In your incident report, provide the following, in as much detail as possible:

• A description of the incident (who, what, when, where, how, why)
• The events that led to the incident and any factors that may have contributed to it
• The strategies that were implemented to minimize the situation
• The steps taken immediately after to respond to the incident
• The safety measures, corrective and preventative actions that were put into place
• Who was notified (besides Licensing)
• The current status of the child(ren) and any changes that were made to their care plan
• The person(s) involved in or who witnessed the incident should complete the report so that the details are reported first hand. The facility manager can review the report and provide any additional details and follow-up actions before signing the report. If the manager completes the report, it is helpful to include staff notes regarding the incident to ensure all relevant details and contributing factors are included.

Submit incident reports to Licensing Direct using our direct reporting portal.

Tips for a successful submission:

• Use Google Chrome, Apple Safari or Mozilla Firefox.
• If the form does not send, all areas of the form with a red asterisk have not been completed. Even if there is data in the field, it may not have been entered in the correct format such as the date/time fields.
• Complete the form, working from top to bottom. Certain data elements at the end of the form rely on mandatory information entered at the top.
• Printing and saving reports will not work well directly from the editable form. If you need to print or save copies, we recommend that you use Chrome. Set the print setting to “print to PDF” rather than sending the form to a printer, which allows you to save or print a PDF copy of the submission.

Contact Licensing Direct if you have any questions. We are here to help.

Ensuring the well-being of all individuals in care is legally required in operating a community care facility. As a care provider, knowing, understanding and following the legislation and standards that govern child care facilities and community care homes is an essential part of maintaining the health and safety of your facility.