Which reporting timelines apply for a substantial physical injury or critical illness that requires medical treatment or hospitalization?

• A. To Licensing as soon as possible, but no later than 24 hours after the incident. To Parents Immediately after ensuring the safety of the child. Not to law enforcement.
• B. To Parents Immediately after ensuring the safety of the child. To Licensing as soon as possible, but no later than 24 hours after the incident. Not to law enforcement.
• C. To Licensing within 24 hours; To Law Enforcement: Immediately; To Parents: Within 24 hours.
• D. To Law Enforcement: Immediately; To Licensing: Within 1 hour; To Parents: Within 24 hours.

Answer: (A)

When a child sustains a substantial physical injury or a critical illness that requires medical treatment or hospitalization, the agency must notify Licensing within 24 hours. This ensures regulatory oversight and helps safeguard the child’s welfare. Immediately after ensuring the child’s safety, you should inform the parents so they are aware and can seek any necessary medical care or support. Law enforcement is not part of the required reporting timeline for this specific scenario, unless there are additional factors such as suspected abuse or imminent danger that would trigger a separate, independent report. In short, licensing notification within 24 hours and immediate parental notice after safety is secured reflects the appropriate sequence and priority for these serious incidents.