PREA Incident Action Plan

Resident
Name
Number

Alleged victim (V)
Alleged abuser (A) Reporter (R) / Other (O)











Staff Involved
Name
Title













Administrative SART
Name
Title

Date:
















Steps
Date
Comments

Verify Investigation Started





Complete Initial Retaliation Check (30 day)
(Note: Any checks required in addition to victim)



If unfounded, no further action is necessary. Forward completed packet to PREA Coordinator.

Verify Medical Check




Verify Initial Mental Health Check



Investigation’s Findings




Complete Reporting to Resident




Complete Incident Review




Forward packet to the PREA Coordinator



30-day Mental Health Check



60-day Retaliation Check




90-day Retaliation Check