CMS-07-021/023 - Los Angeles County Department of Children and ...

E. Neglect, including medical neglect.
F. Infliction of mental/emotional suffering.
EXHIBIT A-VIII
HOW TO WHOM WHEN
Telephone Law Enforcement Immediately
County Placement Worker (For
DCFS use Child Abuse Hotline after
hours.)
Immediately
Parent/Guardian Immediately, if deemed
appropriate by County Placement
Worker, Child Abuse Hotline, or
Law Enforcement
Fax only if I- Community Care Licensing Immediately or the next workday
Track is down OHCMDM/Probation Monitors Immediately or the next workday
Written Law Enforcement (Fax or mail copy) Within 36 hours
NOTE: Use of State Form SS8572, “Suspected Child Abuse,” is mandatory.
Additional information may be provided on the "Special Incident Report (SIR)” form
with a copy of SS8572 attached.)
9. SIGNIFICANT CHANGES IN FOSTER FAMILY AGENCIES
A. Any change in licensee's mailing address.
B. Any change in the plan of operation which affects service to children.
C. Any change of the Chief Executive Officer of a corporation or association.
D. A change in administration.
HOW TO WHOM WHEN
Written report
by mail/fax
County Placement Worker Immediately upon anticipation of
change; immediately upon
occurrence or the next workday
OHCMDM/Probation Monitors Immediately upon anticipation of
change; immediately upon
occurrence or the next workday.
E. Staffing disruption, e.g. strikes or staff shortages
HOW TO WHOM WHEN
Written report Community Care Licensing Immediately or the next workday
by mail/fax OHCMDM/Probation Monitors Immediately or the next workday
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