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

The TX HHS Form 1020-V, Acknowledgement of Responsibility for Reporting Abuse, Neglect and Exploitation and Reasonable Suspicion of Crime, is a crucial document used to ensure the reporting of incidents that may involve abuse, neglect, or exploitation in state-supported living centers. This form must be completed by employees, contract employees, or volunteers who work with individuals receiving services at these facilities.

The form outlines specific responsibilities and procedures for reporting suspected cases of abuse, neglect, or exploitation. These include immediate notification to the facility director and HHSC Complaint and Incident Intake (Cll) if there is suspicion of abuse, neglect, or exploitation. The document also defines what constitutes abuse, neglect, or exploitation, including examples such as sexual contact, physical injury, and verbal threats.

This form emphasizes the importance of reporting incidents promptly and accurately to ensure the well-being and safety of individuals receiving services at state-supported living centers. By acknowledging their responsibility to report suspected cases of abuse, neglect, or exploitation, employees, contract employees, or volunteers can help prevent harm and promote a safe environment for all.

• The form must be completed by employees, contract employees, or volunteers who work with individuals receiving services at state-supported living centers.
• Reports of suspected abuse, neglect, or exploitation must be made immediately to the facility director and HHSC Complaint and Incident Intake (Cll).
• The form defines what constitutes abuse, neglect, or exploitation, including examples such as sexual contact, physical injury, and verbal threats.