OCFS-4890. Report of Death of Child in Child Care

Form OCFS-4890 is a Report of Death of Child in Child Care form used by the New York State Office of Children and Family Services. The purpose of this form is to report the unfortunate event of the death of a child that occurred while the child was under the care of a licensed child care provider or facility.

The form consists of sections where the child care provider or facility reports the details of the child's death, including the date, time, location, and circumstances. The form may also require information about the actions taken by the child care provider or facility following the incident.

Important fields in this form include accurate and timely reporting of the child's death. Prompt reporting is crucial to initiate appropriate investigations and ensure the safety and well-being of other children in the care of the child care provider or facility.

Application Example: If a child dies while under the care of a licensed child care center, the center staff or director must complete this form and submit it to the appropriate authorities immediately. The form will include all the necessary details about the incident and the actions taken by the child care center in response to the tragedy.

Related Form: There might not be an exact analogue for this form, as it is specific to reporting child deaths in child care settings. However, child care providers may need to complete other incident report forms for different types of accidents or emergencies.