At the request of Congress, the Department of Health and Human Services Office of Inspector General (OIG) examined states' monitoring and reporting of injuries and other critical incidents of people with developmental disabilities living in group homes. They found that up to 99% of these critical incidents were not reported to the appropriate law enforcement or state agencies as required.  To assist states in making improvements, the Administration for Community Living (ACL) joined OIG and the HHS Office of Civil Rights, along with the U.S. Department of Justice, to develop Model Practices to help address gaps in reporting and monitoring efforts.

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