A serious incident must be documented in a written report that includes the following information:(1) The name of the operation, physical address, and telephone number;(2) The time and date of the incident;(3) The name, age, gender, and date of admission of the child or children involved;(4) The names of all adults involved and their role in relation to the child(ren);(5) The names or other means of identifying witnesses to the incident, if any;(6) The nature of the incident;(7) The circumstances surrounding the incident;(8) Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions;(9) The treating licensed health-care professional's name, findings, and treatment, if any;(10) The resolution of the incident; and(11) If the child returns to the operation after you complete the report for an unauthorized absence, an update regarding the unauthorized absence and the child's return.