KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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This entire form must be completed before it will be
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for the release of any of my information in the Child Abuse/Neglect Central Registry to
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https://www.dcf.ks.gov/Agency/Operations/Documents/OBI/OBI_1011_CAN_ROI.pdf
A CINC report is assigned for reasons of either alleged abuse/ neglect or non abuse neglect
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overwhelmed parent, runaway and parent child conflict (non abuse/ neglect categories
https://www.dcf.ks.gov/services/PPS/Documents/FY2011DataReports/FamPres/Pressituation_FamilyPresFY11.pdf
to individuals who have a positive indication that substance abuse treatment may be needed
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Prior report for child abuse/neglect
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Youngest child in home age 3 or younger
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-4316SolutionsScreeningInstrument07-17.pdfView duplicates
Unlike Child Protective Services, APS has no federal funding or oversight
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of the four allegation types, abuse, neglect, financial exploitation and self-neglect (KSA 39-1430
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2021/DCF Testimony for Kansas Senior Care Task Force.pdf
OBI 1011 9/2018 Page 1 OF 1
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for the release of any of my information in the Child Abuse/Neglect Central Registry to
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This applicant is listed in the Child Abuse/Neglect Central Registry
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https://www.dcf.ks.gov/services/PPS/Documents/OBI_1011_CAN_ROI.pdf
funds are used for programs designed for the primary prevention of child abuse and neglect
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16 grants are supporting establishment of child abuse prevention services in communities
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https://www.dcf.ks.gov/Agency/Documents/Budget/FY 2011-2012 Budget Documents/28900 Exp Jus 12 Childrens Cabinet.pdf
Previous opening for child protective services
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Lack of natural support network Caregiver: o Experienced abuse/neglect as a child o Provides emotionally/mentally/physically inadequate
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_2K.pdf
actions or inactions do not meet the abuse and/or neglect definitions per applicable K.S.A. and K.A.R.
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https://www.dcf.ks.gov/services/PPS/Documents/FY2020DataReports/CPS/Investigative Findings_FY2020.pdf
Page 1 of 3 Group Boarding Home
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Facility Child Record Documentation Policies and Procedures Refresher
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Psychopathology *including abuse/neglect, RAD, ADHD, separation anxiety, etc
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 201 GBH and RC Annual Training Log For Providers.pdf
registry or repository, and the State child abuse and neglect registry and database where the staff member resides
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2018/HB2639 Fingerprinting Fee Fund.pdf