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5 lessonsAbout 34 minutesNo CE or licensure credit

ALW incident reporting and quality assurance for care coordinators

Five short lessons for ALW care coordinators: what the waiver counts as an incident, who reports it to whom and how fast, follow-up and records, the participant's safety plan, and the quality-assurance measures the waiver lists.

Begin the courseSee the sourcesPrint the job aids

Written for

  • CCA professionals
Course version
2026.10.3
Text checked against its sources

Before you begin

What you will be able to do

  • Decide whether an event a home reports is an ALW incident, using the waiver's list, the DHCS checklist and the DHCS priority levels.
  • Route an ALW incident within the times the waiver states: 24 or 72 hours from the home, at once from the CCA, and immediately on signs of abuse or neglect.
  • Follow an incident to resolution, with a complete report, a current status for DHCS and notes that match the file.
  • Revise a participant's safety plan with her after an incident, with no physical restraint or seclusion and with her concerns recorded.
  • Explain the quality-assurance measures the waiver lists, and how a pattern of incidents leads to technical assistance or a corrective action plan.

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In this course

  1. What the waiver counts as an incidentAbout 7 minutes · Not yet
  2. Who reports, to whom, and how fastAbout 7 minutes · Not yet
  3. Follow-up and documentationAbout 7 minutes · Not yet
  4. The participant's safety planAbout 7 minutes · Not yet
  5. The quality-assurance measures the waiver listsAbout 6 minutes · Not yet
  6. Course check · 10 questions0 of 5 lessons done

Sources

Sources behind this course

Each lesson lists the sources it uses. Open the original for the exact rule, form or instruction that applies to your work. The source library describes each one in more detail.

California DHCS, approved by CMS

ALW waiver application CA.0431.R04.01, 2024 to 2029, as amended March 1, 2025

Critical incidents and who reports them, review and follow-up, restraints and seclusion, the ISP's risk and emergency planning, CCA quality requirements, the health and welfare performance measures and the quality improvement strategy.

Where to look: Appendix G-1 (critical events and incidents), G-2 (restraints and seclusion) and the Health and Welfare quality section; Appendix H-1; Appendix D-1-d, D-1-e and D-2-a; Appendix C-1/C-3 (Care Coordination); Appendix A (CCA oversight).

Open the current ALW waiver (PDF)
California DHCS

ALW Policy Letter 26-001, Long-Term Care Ombudsman referrals for the ALW (June 22, 2026)

Who may receive an Ombudsman referral for ALW priority, and who may request it.

Where to look: The list of criteria and the note on who may request a referral.

Open Policy Letter 26-001 (PDF)
California DHCS

ALW provider resources, forms and memoranda

The current ALW provider forms and memoranda, including the incident-reporting process, the incident checklist and the priority levels.

Where to look: The Incident Reporting links.

Open the DHCS provider page
California DHCS

Assisted Living Waiver Program: Required Incident Reporting (RCFE incident reporting checklist)

What RCFEs and HHAs report to the ALW program, when, where and with what details, the definition of incidents that may threaten health, safety or welfare, and absences over 24 hours.

Where to look: The four columns and the footnote. Read on 2026-10-22 from the archive.org copy captured March 12, 2025; the DHCS page refused scripted reads.

Open the DHCS incident reporting checklist (PDF)
California DHCS

Incident Report Priority Levels

The three priority levels for ALW incident reports, with the events in each, and the level that is not sent to ALW.

Where to look: Levels 1, 2 and 3. Read on 2026-10-22 from the archive.org copy captured March 10, 2025; the DHCS page refused scripted reads.

Open the DHCS incident priority levels (PDF)
Call the ALW teamFit check