Updated Data Breach Reporting Form
(as of May 29th, 2020)
TB489 Security Incident Breach Response Reporting
If you are a service provider of RCRC and confidential and personally identifiable information related to individuals you are serving is lost, stolen, or obtained by an unauthorized entity, you must submit a Security Breach Report to Redwood Coast Regional Center immediately, using:
- Report Form DS 5340 (pdf)
- Report Form DS 5340 (Word Docx)
You are required to inform each person who may have been affected by the breach.
Sample notification letter from DDS
Best Practices for Protecting Confidential, Sensitive, and Personal Information
All service providers should review the Community Operations Division Program Advisory from the Department of Developmental Services (DDS) regarding best practices for protecting confidential, sensitive, and personal information, regardless of format (i.e.- electronic or paper).
Department of Developmental Services Training Presentation: Information Security and Privacy
California Office of Privacy Protection Recommendations
Recommended Best Practices for Keeping Confidential Information Secure
If you have any questions, please contact the Community Resource Manager:
Humboldt or Del Norte Counties at (707) 445-0893
Lake or Mendocino Counties at (707) 462-3832
You may also contact Jonathan Padilla, Director, Community Services Department at 707-462-3832 x 289 or (707) 445-0893.