TX HHS Form 2990. Child Placing Agency (CPA) Serious Incident Report (SIR)

The TX HHS Form 2990, Child Placing Agency (CPA) Serious Incident Report (SIR), is a crucial document used to report and document serious incidents involving children in foster or adoptive homes. This form helps child placing agencies and caregivers respond promptly and effectively to unexpected events that may impact the well-being of children under their care.

The SIR requires specific information, including the name and contact details of the person completing the report, as well as the date and time of the incident. The form also asks for detailed descriptions of each child involved in the incident, including any notable physical or developmental differences. Common scenarios where this form should be used include reporting child deaths, substantial injuries, critical illnesses, allegations of abuse or neglect, and other serious incidents.

The form is divided into sections that guide users through the reporting process. The "Type of Incident" section provides a list of possible incident types, including child death, physical abuse, sexual abuse, and others. This section requires additional documentation per Section 749.513 for certain types of incidents. By completing this form, child placing agencies and caregivers can ensure that serious incidents are properly documented and reported to the relevant authorities.