How do I report?
- Call immediately or as soon as possible
- Provide a written report within two working days
- 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
in the county where the patient lives.
Santa Clara County
Social Services Agency
591 North King Road
San Jose, CA 95133
(800) 414-2002
Fax (408) 923-2134San Mateo County
Department of Health Services
Aging and Adult Services
225 35th Ave.
San Mateo, CA 94403
(800) 675-8437
Fax (650) 573-2193
B. If abuse occurred in a nursing home, adult residential facility, adult day program or day health care center:
- Call (800) 231-4024
- Send report to Long Term Care Ombudsman in county where abuse occurred.
Santa Clara County
LTC Ombudsman Program
(408) 944-0567San Mateo County
Ombudsman Program
of San Mateo, Inc.
(650) 349-7008
What form do I use to report?
There are two options for State required forms:
Form SOC-341 - This is a one page form to which you can attach other pages as needed (such as a body map).
Form OES 602 - This is a 10 page forensic examination form
with instructions.
