F. All reports [ pertaining specifically to a participant, ] such as but not limited to, adult protective services, medical, or police, shall be maintained in the participant's record.

This is not a common business practice to file an incident report in a health/medical file. It lists other people's personal information.  Currently, the incident reports are kept in a separate file for easy review for inspectors AND a progress note is in the health/medical file. 

Define "major":

A. Each center shall report to the regional licensing office within 24 hours of the occurrence of any major  incident that incident that has negatively affected or that threatens the life, health, safety, or welfare of any participant.

Accidents due to falls, cuts, arguments resulting in injury, or a pt wandering out are incident report worthy.  Does an incident report need to be done if it was health related, like a stroke or heart attach?  For non "accident" related incidents, a progress note would suffice- unless these are considered major.