REPORTING:

If you are concerned about the health, welfare or safety of someone with a developmental disability, the Lorain County Board of Developmental Disabilities MUI department is here to help.

Step 1: Always take immediate actions to ensure the person is safe, healthy and out of danger.

Step 2: If you suspect someone is the victim of a crime or is in immediate danger, call 911 and ensure the person’s safety first.

Step 3: To report an MUI, contact the County Board Investigators at the following:

Regular Business hours: 440-329-3734

Afterhours/Emergencies: 440-282-1131

Independent Providers MUI/UI Forms:

UNUSUAL INCIDENT (UI) DOCUMENTATION REQUIREMENTS

1. What is due and when is it due?

Every Independent Provider must submit to the County Board a sample of their monthly Unusual Incident (UI) Logs. The County Board is requesting each IP send in their monthly sample as follows:

2. What form do I use?

The form can be found here

3. Where do I send it?

Choose one of the following

• • Email  IPEmail@murrayridgecenter.org
  • Fax to 440-326-0247
  • Postal Mail to 1091 Infirmary Road Elyria OH 44035 Attn Investigative Agents

4. What if I don’t have any UIs that month?

You will still need to submit the form for the assigned month when it is due. Indicate on the form that you did not have any UIs that month.

MAJOR UNUSUAL INCIDENT (MUI) DOCUMENTATION REQUIREMENTS

Every Independent Provider must submit to the County Board an annual analysis of MUIs occurring during the preceding calendar year.

1. What is due and when is it due?

Every IP must turn in an annual MUI analysis no later than Feb 28^th each year.

2. What form do I use?

The form can be found here

3. Where do I send it? Choose one of the following
   • Email  IPEmail@murrayridgecenter.org
   • Fax to 440-326-0247
   • Postal Mail to 1091 Infirmary Road Elyria OH 44035 Attn Investigative Agents

4. What if I did not have any MUIs this year?

You will still need to submit the form for the year when it is due. Indicate on the form that you did not have any MUIs this year.

AGENCY PROVIDER INFORMATION

UNUSUAL INCIDENT (UI) DOCUMENTATION REQUIREMENTS FOR AGENCY PROVIDERS

1. What is due and when is it due?

The County Board is required to review, on at least a quarterly basis, a representative sample of agency provider’s unusual incident logs. The County Board is requesting Agency Providers send in the following monthly UI logs:

2. What form do I use?

The form can be found here

3. Where do I send it? Choose one of the following
   • Email  MUI@murrayridgecenter.org
   • Fax to 440-326-0247
   • Postal Mail to 1091 Infirmary Road Elyria OH 44035 Attn Investigative Agents

4. What if I don’t have any UIs that month?

You will still need to submit the form for the assigned month when it is due. Indicate on the form that you did not have any UIs that month.

MAJOR UNUSUAL INCIDENT (MUI) DOCUMENTATION REQUIREMENTS FOR AGENCY PROVIDERS

Every Agency Provider must submit to the County Board an annual analysis of MUIs occurring during the preceding calendar year.

1. What is due and when is it due?

Every IP must turn in an annual MUI analysis no later than Feb 28th each year.

2. What form do I use?

The form can be found here

3. Where do I send it? Choose one of the following
   • Email MUI@Murrayridgecenter.org
   • Fax to 440-326-0247
   • Postal Mail to 1091 Infirmary Road Elyria OH 44035 Attn Investigative Agents

4. What if I did not have any MUIs this year?

You will still need to submit the form for the year when it is due. Indicate on the form that you did not have any MUIs this year.

MUI/UI Forms:

• Unusual Incident Investigation Summary
  • Unusual Incident Investigation Summary (PDF)
• Witness Statement
  • Witness Statement (PDF)
• Instructions for Unusual Incident Investigation Summary 
• Unusual Incident Report Instructions
• Unusual Incident Report
  • Unusual Incident Report (PDF)
• MUI Reporting Quick Reference 2019

Helpful Links:

• MUI Rule
• Health and Welfare Alerts