Elder Abuse

How do I report?

  1. Call immediately or as soon as possible
  2. Provide a written report within two working days (they request a fax)
  3. Contact police if there is immediate danger or sexual assault

To whom do I report?

You may call/send report to local police, or to one of two state protective services depending on where the abuse occurred.

A. If the abuse occurred as an inpatient in an acute care hospital, in a private residence, hotel, apartment, shelter, or location not otherwise listed.

Call and send report to County Adult Protection Services PDF Document in the county where the patient lives.

  • Santa Clara County
    Adult Protective Services

    (408) 975-4900
    Fax (408) 975-4910

    San Mateo County
    Adult Protective Services

    (800) 675-8437
    Fax (650) 573-2310


    B. If abuse occurred in a nursing home, adult residential facility, adult day program or day health care center:

    Call and send report to Long Term Care Ombudsman in county where abuse occurred. (Ombudsman Crisis Line is (800) 231-4024)

    Santa Clara County
    LTC Ombudsman Program
    (408) 944-0567

    Fax (408) 944-0776

    San Mateo County
    Ombudsman Program
    (650) 780-5707

    Fax (650) 364-5399


  • What form do I use to report?

    There are two State forms:

    Required:
    Form SOC-341 PDF Document -
    This is a one page form to which you can attach other pages as needed (such as a body map PDF Document).

    Optional additional detailed forensic form:
    Form CalEMA 2-602 PDF Document -
    This is a 10 page forensic examination form with instructions PDF Document.

     

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