Complete Only for Child Abuse/Neglect
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F. Date and time safety was determined
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G. Child Safe
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Section II: Persons Involved in Investigation
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Document the verified incident date per PPM
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2030A.doc
Out-of-State Services
Prior Authorization
Reporting Child Abuse and Neglect
Transfer of Cases
Use of Toll-Free
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the name and address of the child, the child's parents
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_1-13.docx
See Section 8 / Part 28 for
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RS staff that has reason to suspect that a child has been injured as a result of physical, emotional, or sexual abuse or neglect shall report such situations
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https://content.dcf.ks.gov/rehab/Policy Manual/WebHelp/Section_1/Part-13_Misc_admin.htm
If the child/youth screens into a PRTF they can stay up to 14 days while awaiting a PRTF bed
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5 If Mental Health / Substance Abuse treatment needs are identified during the course of the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400G.doc
Remember to consider the child’s age–inability to do an activity is a problem only if he or
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Yes No Are there reports of child abuse or neglect on file
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5U.doc
Caregiver has given up or deserted a child with stated or apparent intention to not resume
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situation; and conditions or circumstances surrounding the abuse/neglect or family situation
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2035.doc
Federal mandates require DCF to refer your child to the local Infant-Toddler Services as a result of an affirmed or substantiated abuse and/or neglect
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2015.doc
71
Regulation 6 -- Permission to Place Child: Time Limitations
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receiving state to refuse placement of a child in those situations where the safety and well being of the child is
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https://www.dcf.ks.gov/services/PPS/Documents/ICPCtrainingmanual.pdf
upon DCF's receipt of a report of child abuse or neglect a child/youth having problematic sexual behaviors (defined in the
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LOCATION OF THE CHILD
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Child Advocacy Center
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2014_B.docx
for Children and Families (DCF) concerning adult abuse, neglect, or exploitation on date
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Some situations may not be assigned for further assessment
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If it is not assigned, the reason is
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10130.doc