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 enitity, you must submit a Secuirty 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. A sample letter from DDS is provided here.
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). To open the Program Advisory, please click here.
Additionally, we are posting several helpful documents that were presented by the DDS Security Officers to our communities: Information Security and Privacy- WHAT are the Guidelines? HOW is it to be done? WHY is it to be done? To open the Security Training presentation, please click here.
For the California Office of Privacy Protection Recommendations, please click here, and for the Recommended Best Practices for Keeping Confidential Information Secure, please click here. And finally, for the Data Security Overview, please click here.
If you have any questions please contact a Community Resource Manager for Humboldt/Del Norte Counties : 707-445-0893 or Lake Mendocino Counties : 707-462-3832. You may also contact Kim Nash, Director of Clinical and Community Services Departments at 707-445-0893, ext.371