TX HHS Form 1020. Acknowledgement of Responsibility for Reporting Abuse. Neglect and Exploitation and Reasonable Suspicion of Crime

The TX HHS Form 1020, Acknowledgement of Responsibility for Reporting Abuse, Neglect and Exploitation and Reasonable Suspicion of Crime, is a crucial document that helps ensure the well-being and safety of individuals receiving services at state-supported living centers. This form must be completed by employees, contract employees, or volunteers who work with these facilities.

The form outlines the responsibilities of reporting abuse, neglect, and exploitation, as well as reasonable suspicion of crime against an individual. Key features include immediate notification to the facility director and Texas Department of Family and Protective Services in cases of suspected abuse, neglect, or exploitation, and reporting within two hours if a serious physical injury is sustained or within 24 hours if not. The form also emphasizes the importance of reporting any incident that may be abuse, neglect, or exploitation, even if unsure.

This document serves as a vital tool for employees, contract employees, or volunteers to acknowledge their responsibility in reporting incidents and take necessary follow-up actions. By completing this form, individuals demonstrate their understanding of the importance of reporting and the potential consequences of failing to do so. Key points include:

• Immediate notification required in cases of suspected abuse, neglect, or exploitation
• Reporting within two hours if a serious physical injury is sustained or within 24 hours if not
• Acknowledgement of responsibility to report incidents and potential consequences for failing to do so