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HomeMy WebLinkAboutMINUTES - 01162007 - D.4 (2) • v bE__L Contra TO: BOARD OF SUPERVISORS 4► FROM: Joe Valentine -`� Costa Employment and Human Services Director CountyOST'4 COON'S � DATE: January 16, 2007 SUBJECT: OCTOBER 27, 2006 CHILD FATALITY REFERRAL SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: CONSIDER accepting a preliminary report from the Employment and Human Services Director on the October 27, 2006 child fatality referral. FISCAL IMPACT: None BACKGROUND: Employment and Human Services filed a report on October 31, 2006 with the State regarding a child fatality that occurred on October 27, 2006 that may have been due to child abuse or neglect. There had been prior Child Protective Services referrals, but the last referral received had been closed for over eight months prior to the time of the fatality. The County Child Welfare staff were stunned and saddened by this horrific tragedy. As soon as they were advised of the death, they began an immediate internal review of the procedures that were followed in prior involvements with this family. This report will summarize the results of this internal review and outline the steps they will be taking to reduce the possibility of such a tragedy occurring again. CONTINUED ON ATTACHMENT: YES SIGN A RE: i/RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE --,,,,APPROVE OTHER SIGNATURE(S): / ' ACTION OF BOADD O `N 4 O APPROVE AS RECOMMENDED /OTHER _ rue_� )AA VOTE OF SUPERVISORS /�,� Q I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENTIUI kk ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS THE DATE SHOWN. ABSENT: ABSTAIN: '1 ATTESTED �v /� JOHN CULLEN, K OF HE BOARD OF SUPERVISORSAND COUNTY ADMINISTRATOR Contact Person: CC: BY: �' O `� DEPUTY ADDENDUM TO DA. JANUARY 16, 2007 (CHILD FATALITY REPORT) On this day the Board of Supervisors accepted a report from the Employment and Human Services Department Director on the October 27, 2006 Richmond child fatality. Joe Valentine, Employment and Human Services Director and Ms. Valerie Earley, Director, E1ISD Child Welfare, presented preliminary findings and policy changes in response to the October 27, 2006 death:of an 8-year-old. Mr. Valentine told the Board EHSD would strengthen their procedures to lessen the possibility of such a tragedy occurring again. He stressed Child Protective Services can only be as effective as the information that is available to them. He also told the Board of Supervisors that in discussing the details of the case he is restricted to information contained in the state report. l le said, "our basic finding in this case is that all of our procedures were followed. However, that's not satisfactory to us". Mr. Valentine noted Family Court had been involved with this family for the past couple years and results from any independent psychological evaluations or assessments that had been ordered were not forwarded to Child Protective Services, adding that the Court is not legally required to share that information. Supervisor Uilkema asked if preschool, head start or childcare institutions are included in the scope when situations are unidentifiable. Mr. Valentine responded all teaching staff is provided training on how to be alert to potential risks and how to make referrals. He said EHSD gets that information out to child abuse prevention services, community outreach childcare centers and preschools. Supervisor Uilkema asked staff who might fit the profiles that could have been excluded and should be included on the remedial list. Ms. Earley said none is excluded, but the problem lies when a child is home schooled. Supervisor Glover said he finds it very disturbing in this particular instance and given the death of a 2-year-old girl on December 13, 2006 after she ingested baking soda at her Pittsburg foster home, the measures outlined for steps to take to reduce the possibility of such a tragedy occurring again were not enough. He said there are gaps within the County regarding individuals when red flags aren't raised to warrant a more thorough investigation. He said he was particularly concerned that a County health clinic doctor who saw the girl a week before her death noted her low weight but did not report it, according to health officials. Supervisor Glover said he appreciates the report but said he is looking for something more inclusive. He pointed out that Health Services Department should be involved in the discussion. He spoke of Social Services Departments linking witli the other departments to do a thorough review of the process. lie said he would like to look at a process inclusive of the County's EHSD system to make sure the County would investigate when there are red flags for issues within the County's Child Welfare Addendum to D.4 Page—2-of 4 January 16, 2007 system. "This is really unacceptable that we have a system that fails and we lost the life of two individuals in such a short period," he said. Supervisor Gioia said he observed 1)the flow of infonnation among law enforcement agencies to Social Services agencies were untimely; and 2)the issue of cumulative history versus a pattern of looking at each contact in isolation. He stated "cumulative history" needs to be defined. He asked Ms. Earley when an agreement with law enforcement agencies to improve information sharing and case coordination would be completed with the Police Departments. Ms. Earley said an old agreement exists and she hopes to have a discussion with the Police Chief first week of February to develop a plan. Supervisor Gioia asked Ms. Earley when the results of the community child death review team.panel would come in. Ms. Earley said both the autopsies were released last week and she hoped this matter would be scheduled for their review next month. Supervisor Gioia asked Mr. Valentine if there was a.statewide protocol that would address issues being dealt with in the follow up steps. Mr. Valentine stated EIISD is going above and beyond with the legal mandates. Supervisor Gioia asked Mr.Valentine what his beliefs are about particular inherent biases in social workers that may affect children being placed out of their homes based on their race. Mr. Valentine noted a disproportionate number of African-American children are removed from their homes and placed in foster care throughout the country. He said EHSD staff have been trained to assess factors from cultural and legal standpoints. Supervisor Gioia asked Mr. Valentine if there was departmental bias to err on the side of not removing a child if there is some question about whether to do so or not. Mr. Valentine responded EHSD's goal is the safety of children. Supervisor Bonilla said the second action mentioned under Follow Up Actions to "root#&the existing protocol and_forms used by the investigating social worker to expand on their written findings from their investigation. We will ask the .social worker to not only summarize the results front the current investigation but compare the referral to any history to identify potential trends in risk.factors" is not specific enough. She Addendum to D.4 Page—3-of 4 January 16, 2007 explained once the second call has been reached for one address or family there should inunediately be a red flag for extra scrutiny. She said when a child says he is hungry—it is a form of abuse and something should be done beyond a phone call. Mr. Valentine said because the details of any particular investigation are confidential, EHSD was unable to provide in this report other collateral calls that were made that led them to decide to not send out a social worker. He said EHSD is responsible to conduct a Child Protection. Investigation. He agreed all the recommendations need to be translated into specific procedures and guidelines for social workers so they know what is expected of them. Supervisor Glover suggested protocol for departments to work together to catch these situations before they become life-threatening or life-ending. Supervisor Glover asked Mr. Valentine to bring together the various Departments to come up with some of those protocols, understanding there are confidentiality issues involved. Chair Piepho said she would like to see a report back to the Board of Supervisors soon with additional and ongoing efforts that are being reviewed. Supervisor Gioia suggested referring this matter to the Family and Human Services Committee for ongoing questioning and monitoring. Chair Piepho requested Health Services Department to be included for ongoing involvement. Supervisor Uilkema requested EHSD contact either Alameda Contra Costa Medical Association or their Board of Directors to offer some refresher programs for the medical community to heighten awareness. Supervisor Gioia discussed the need for.better after-hours service, including a system to let social workers easily access case histories at night. He stressed the importance of having.cumulative history available to the Police Officer in charge. County Administrator John Cullen said the County may need to adopt something similar to the zero-tolerance policy on domestic violence, to jump-start community awareness of child abuse and better coordinate services. Mr. Valentine noted involving as many different organizations and parent education and training as possible. He said this requires a community-wide approach. Supervisor Uilkema suggested today's recommendations could come back through the Family and Human Services Committee. Addendum to D.4 Page—4-of 4 Janucny .16, 2007 Supervisor Bonilla said she would like to extend the Board's understanding to the social workers involved in this matter. She said there should be critical follow up action because the Board would like to make sure county employees are getting the best possible care after going through these circumstances. By a unanimous vote with none absent the Board of Supervisors took the following action: ACCEPTED a preliminary report from the Employment and Human Services Director on the October 27, 2006 child fatality; DIRECTED this matter be referred to the Family and Human Services Committee for ongoing questioning and monitoring; DIRECTED Health Services Department and Alameda Contra Costa Medical Association to be involved in all discussions related to this matter; DIRECTED the EHSD Director to meet with various Department Heads to collaborate and work together through the EHSD System; and INCLUDED referrals to Family and Human Services Committee EMPLOYMENT AND HUMAN SERVICES CONTRA COSTA COUNTY DATE January 3, 2007 TO Contra Costa County Board i of Supervisors FROM Joe Valentine, Director SUBJECT Preliminary Report on the October 27, 2006 Child Fatality Referral Summary: On October 31, 2006 we filed a report with the State regarding a child fatality that occurred on October 27 that may have been due to child abuse or neglect (attached). There had been prior Child Protective Services (CPS) referrals, but the last referral received had been closed for over eight months prior to the time of the fatality. Our County Child Welfare staff were stunned and saddened by this horrific tragedy. As soon as we were advised of the death, we began an immediate internal review of the procedures that were followed in our prior involvements with this family. This report will summarize the results of this internal review and outline the steps we will be taking to reduce the possibility of such a tragedy occurring again. However, any final conclusions regarding the cause of the child's death will have to wait the final Coroner's report and the independent review of the fatality by the County's "Child Death Review Team." Background: On October 27, 2006 we received a report from law enforcement regarding the death of an 8 year old boy due to possible abuse/neglect on the part of the mother. In reviewing our records, we identified that we had received previous referrals on this family back in 2005 and in January of 2006. Briefly, these were: ✓ March, 2005: Allegations of sexual abuse by an adult male were substantiated, but the mother was found to be actively trying to protect the child and was cooperating with the police investigation. ✓ May. 2005: Complaint received alleging that the child was physically abused, but complainant did not see any physical marks. Complainant also alleged that the child was digging through garbage for food. The information obtained during the initial telephone screening did not meet the criteria for a follow-up home-visit investigation. ✓ September, 2005: A report was received stating that back in July of 2005 an officer had responded to an allegation that the child was playing alone at a McDonald's restaurant. The officer returned the child home and talked to the mother. The written report, received two months later, did not indicate that any abuse or neglect had occurred. Report to Board of Supervisors on October 27 Child Fatality Case January 3, 2007 Page 2 of 4 ✓ November, 2005: A referral was received alleging that the child had run away due to a lack of supervision. An in-home investigation was completed by a social worker. As a part of the investigation, the social worker learned that the mother had reported the child missing as soon as she discovered he was gone. The investigation did not result in a finding of neglect. ✓ January, 2006: Allegations were made of physical and emotional abuse by both mother and father due to an altercation between them. During our investigation the police were contacted to obtain more information. They had a report on file indicating that the parents fought during an exchange of the children for a visit. A social worker conducted an in-person investigation and spoke with the child as part of the investigation. No evidence of abuse or neglect was found, but the social worker referred the mother to a community based provider for counseling services. There was a "transition visit" involving the mother, the social worker, and the community caseworker on February 22, 2006 and the referral was closed. Review Process: • An intensive internal review by the Department was initiated immediately upon being informed of the death. . • The entire case file was reviewed by senior management. • Review meetings were held with Children's Services managers and supervisors and all aspects of our involvement with the family were discussed in detail. • The Child Welfare Director interviewed all the staff and supervisors associated with our previous involvement. • A Child Welfare Director from another county reviewed the entire file, participated in the review meeting, and gave us recommendations. • The County Administrator's Office participated in the review. • The State Department of Social Services conducted an independent review of all of the information in the full electronic case file to determine if all proper protocols and state policies were followed. Findings: 1. All of the applicable department policies and procedures were complied with regarding the investigation of Child Abuse and Neglect referrals, and all of the legal mandates were followed. 2. Multiple referrals had been received on this case during the prior year, but there were no substantiated referrals involving the mother. Each referral was properly screened and/or investigated, although it is not clear to what extent the cumulative history of referral allegations were taken into consideration. 3. The last referral on this family had been received eight months prior to the death and no referrals of any kind had been made to CPS after that. ' Report to Board of Supervisors on October 27 Child Fatality Case January 3, 2007 Page 3 of 4 4. When the January 2006 referral waF pother was referred to a contracted community based prThe Department contracts for these services whe �,glect but feels the family could benefit from � ntial risk factors. Participating in thesF" �. 5. Community based orgar _ A Family Services to provide ser, / \ /K report on whether the families L. U throu h and �v g participated in services. _ �Gj forts to extract information for statistical sup, that have been referred for community service 6. Family Court had been involved with th�.� ,couple of years. The results from any independent psychologi 4 ,r assessment that had been ordered were not forwarded to Child Prot-. Aces. However, the Court .is not legally required to share this information. Follow Up Actions: Although our preliminary review concluded that all of the appropriate procedures were followed in this case, it is difficult for us to accept the death of any child we might have been involved with. Our commitment to ensuring the safety of children has driven us to scrutinize all aspects of our existing procedures and our coordination with other organizations that come into contact with children and families at risk. As a result, of this review, we are planning on taking the following steps: 1. Modify the existing screening protocol and forms so that the initial phone screener includes a more detailed history of past referrals on the referral form that is given to the investigating social worker. 2. Modify the existing protocol and forms used by the investigating social worker to expand on their written findings from their investigation. We will ask the social worker to not only summarize the results from the current investigation but compare the referral to any past history in order to identify potential trends in risk factors. 3. Provide training to staff on how to use the modified protocols so that they are better able to assess the level of risk a child might be facing from all possible perspectives. 4. Provide adequate and timely "critical incident stress debriefing" to the staff involved in tragic incidents in order to better help them cope with the emotional impact of these incidents and better apply lessons learned to future assessments. Report to Board of Supervisors on October 27 Child Fatality Case January 3, 2007 Page 4 of 4 5. Modify the requirements for the community based organizations we contract with to provide services for families so that we are notified within a shorter time frame if a referred family has not participated in services. 6. For families who have not participated in services, determine whether we should send a "Community Engagement Specialist" to the home to see if they can provide any assistance to the family in accessing services. Although Community Engagement Specialists are different from CPS Social Workers, they are mandated reporters and could generate a re-referral if the situation warrants it. 7. Build on the existing memorandum of agreements with law enforcement agencies to improve information sharing and case coordination. Such agreements now exist with many of the local police departments, and the Richmond and San Pablo Police Chiefs have agreed to enter into similar agreements. These agreements call for timely information sharing, a dispute resolution process if an officer has concerns with our handling of a case, and a process for regular information sharing meetings between social workers and the officers assigned to investigate child abuse and neglect complaints. 8. Build on the existing Memorandum of Agreement with Family Court to facilitate the cross sharing of information in cases in which both CPS and the Family Court are involved. Accompany this expanded Agreement with enhanced training for both CPS and Family Court staff to better understand the legal requirements, needs and services of each program. Next Steps 1. All of the above improvements can be implemented with no additional funding and with no changes in laws or county ordinances. The Department has already moved ahead to begin planning for development of the recommended changes. 2. Once the County's Child Death Review Team receives the Coroner's report and conducts its independent external review of the case, the Department will cooperate fully with the review. There are other improvements in systems, protocols, and training that we'll be proposing as part of our updated "System Improvement Plan." These improvements will further strengthen our ability to respond to child safety needs. Updates to the County's child welfare "System Improvement Plan" are required by the California "Child Welfare Performance Outcomes and Accountability Act." Our 2007 Plan will be submitted to the Board of Supervisors and to the State sometime in the next couple of months. JV:ah Attachment CC' John Cullen, County Administrator Valerie Earley, Director, Children & Family Services 11/02/2006 02:39 9166572281 PUBLIC AFFAIRS PAGE 02/04 OCT-31-2006 1?:30 SOCIAL SERVICE DEPT. P.Bli01 STATE OF CAUFOPIMA•HEALTH AND KW-M110CUAMW cAUPDAMIA Z PAMMIRT OF= AL SLWCE9 California Department of Social Services Children's Services Operations Bureau Main Telephone Number. (91118614100 Fax Number. 1916)681.8148 Child Fatality/NearFatality Questionnaire Based on Suspected Abuse or Neglect Name of CountyContact: Telephone Number. � (WA (Person wRh knowledge of incident) CWS Client Identifier: a��s'1�f24- 430 q-2oI217160unty: Conte Cv OZZ Child's Age: 8y1 Child's Date of Death:—/°1 al 104 Child's Gender: 2r Male ❑ Female Child's Race/Ethnicity: Suspected cause'of fatatlity/near fatality (injury or condition): , d s d 'n b OI o ' Brief Narrative of CWS History for the child and family: (Include # of referrals with dates; # of open cases; reason(s) for referral(s)with disposition(s); date and description of last county contact.) Residence of the child at the time of the fatality/near fatality:; C8'Home of ParenvL.egal Guardian ❑ Foster Care/OUt of-Home Care Cross Reporting Done on this Case (to or from): !°' Law Enforcement O Community Care Licensing ❑ District Attorney O Other Comments/Other. SDG RM 17ABI TOTAL P.01 11/02/2008 02:39 9166572281 PUBLIC AFFAIRS PAGE 03/04 •.00T-31-2006 1^:27 SOCIAL SERUICE DEP?. P.02/03 ` swe of Caalifomiu—Health and Human Services Agency California DeparQncnt of Social Sovices Amchwnt A California Depastmcat of Social Setvioes Children's Services Operations Bureau Brief narrative of CWS history attachment: . 1. 09/25/2002: Allegations of physical abuse to 4 yoby mo's boyfriend JjW Evaluated Out as no marks or bruises noted by reporting party(RP). 2. 0310212005: Allegations of sexual abuse to 7 yo 31VApoby step-fa Substantial risk toby fa. Failure to protect by mo. Investigated and found that Sex abuse and Substantial risk Substantiated against Failure to protect by mo Unfounded.' .Case closed as mother protecting and cooperating w/Richmond PD, Mo and child referred to therapy. 3. 05/23/2005: Allegation of General Neglect to by nwm. RP states child physically abused by mo but has not witnessed any marks or bruises. RP states seeing child digging through garbage for food. When asked, child stated that he was hungry. Evaluated Out. 4. 09/06/2005: DOJ report of 07/05 rec'd in screening 09/09/2005 regarding allegations that child was found playing alone at McDonald's restaurant. Child stated that he had run away from home because his babysitter had handcuffed him to the bed while his mo was at work. ?D returned child to his home. Evaluated Out due to PD investigationand time lapse. 5. 1112312005: Allegation of lack of supervision to min that child ran away from home and mother failed to contact PD for 4 hrs. Investigated and found that mo had appropriately reported as soon as she woke up to find that VoWwas missing. PD and mo checked interior of the home and did not find the child. Mo bel}gyed t�t{atlie diad gone to McDonald's and in fact he had. Allegations unfounded. " 6:' b1I297�60b: Last contact with CFS: Allegations of physical and emotional abuse by mo and fa to" Substantial risk by mo to No. Incident happened on 1!28106 and mo reported to CFS on 1/29/06. Mo called CFS to report to ERP after hours SW who followed up with PD, PD stated that hey had a report on file which states that mo and fa got into a scuffle when exchanging r a visit.-Per.court order, exchanges were supposed to happen at a neutral setting. Fa did ilfi 11/01/2006 02:39 9166572281 - — PUBLIC AFFAIRS PAGE 04/04 r OCT-31-2006 1728 SOCIAL. SERUICE DEPT. P.03iO3 Stam of California–He:jtb and Hume,Scrvieee AgeWY California Dieparm=c of Social Scrwiees • Atrachmai[A Califaraia Deparmneat of Social Services Cbild:ea's Services Operaticns Bureau mo takes good care of him and they do"flea things together". No abuse or neglect noted tcdlW Family connected to Differential Response/Path 11 services, Transition visit completed w/mo,community caseworker and CFS social worker on 2/22/06: Case file closed on 2/23/2006 as'unfounded for allegations of physical and emotional abuse. Substantiated for allegations of General Neglect/Substantial,Risk. ...... .- .-..�.+...+�.�....moi. SOC 826 2 EMPLOYMENT AND HUMAN SERVICES CONTRA COSTA COUNTY DATE January 3, 2007 TO Contra Costa County Board of Supervisors FROM Joe Valentine, Director Board, SUBJECT Preliminary Report on the October 27, 2006 Child Fatality Referral Summary: On October 31, 2006 we filed a report with the State regarding a child fatality that occurred on October 27 that may have been due to child abuse or neglect (attached). There had been prior Child Protective Services (CPS) referrals, but the last referral received had been closed for over eight months prior to the time of the fatality. Our County Child Welfare staff were stunned and saddened by this horrific tragedy. As soon as we were advised of the death, we began an immediate internal review of the procedures that were followed in our prior involvements with this family. This report will summarize the results of this internal review and outline the steps we will be taking to reduce the possibility of such a tragedy occurring again. However, any final conclusions regarding the cause of the child's death will have to wait the final Coroner's report and the independent review of the fatality by the County's "Child Death Review Team." Background: On October 27, 2006 we received a report.from law enforcement regarding the death of an 8 year old boy due to possible abuse/neglect on the part of the mother. In reviewing our records, we identified that we had -received previous referrals on this family back in 2005 and in January of 2006. Briefly, these were: ✓ March, 2005: Allegations of sexual abuse by an adult male were substantiated, but the mother was found to be actively trying to protect the child and was cooperating with the police investigation. ✓ May, 2005: Complaint received alleging that the child was physically abused, but complainant did not see any physical marks. Complainant also alleged that the child was digging through garbage for food. The information obtained during the initial telephone screening did not meet the criteria for a follow-up home-visit investigation. ✓ September. 2005: A report was received stating that back in July of 2005 an officer had responded to an allegation that the child was playing alone at a McDonald's restaurant. The officer returned the child home and talked to the mother. The written report, received two months later, did not indicate that any abuse or neglect had occurred. Report to Board of Supervisors on October 27 Child Fatality Case January 3, 2007 Page 2 of 4 ✓ November, 2005: A referral was received alleging that the child had run away due to a lack of supervision. An in-home investigation was completed by a social worker. As a part of the investigation, the social worker learned that the mother had reported the child missing as soon as she discovered he was gone. The investigation did not result in a finding of neglect. ✓ January. 2006: Allegations were made of physical and emotional abuse by both mother and father due to an altercation between them. During our investigation the police were . contacted to obtain more information. They had a report on file indicating that the parents fought during an exchange of the children for a visit. A social worker conducted an in-person investigation and spoke with the child as part of the investigation. No evidence of abuse or neglect was found, but the social worker referred the mother to a community based provider for counseling services. There was a "transition visit" involving the mother, the social worker, and the community caseworker on February 22, 2006 and the referral was closed. Review Process: • An intensive internal review by the Department was initiated immediately upon being informed of the death. • The entire case file was reviewed by senior management. • Review meetings were held with Children's Services managers and supervisors and all aspects of our involvement with the family were discussed in detail. • The Child Welfare Director interviewed all the staff and, supervisors associated with our previous involvement. • A Child Welfare Director from another county reviewed the entire file, participated in the review meeting, and gave us recommendations. • The County Administrator's Office participated in the review. • The State Department of Social Services conducted an independent review of all of the information in the full electronic case file to determine if all proper protocols and state policies were followed. Findings: 1. All of the applicable department policies and procedures were complied with regarding the investigation of Child Abuse and Neglect referrals, and all of the legal mandates were followed. 2. Multiple referrals had been received on this case during the prior year, but there were no substantiated referrals involving the mother. Each referral was properly screened and/or investigated, although it is not clear to what extent the cumulative history of referral allegations were taken into consideration. 3. The last referral on this family had been received eight months prior to the death and no referrals of any kind had been made to CPS after that. Report to Board of Supervisors on October 27 Ctiild Fatality Case January 3, 2007 Page 3 of 4 i i 4. When the January 2006 referral waF ' ,! -n.other was referred to a contracted community based pr r J. The Department contracts for these services when �� ,' \ I/ glect but feels the family could benefit from ;+ential risk factors. Participating in thesF 5. Community based orgar d Family ` ; !/ Services to provide ser` � � � /� � f .;k report on whether the families t. ' ' ` / .� .' �` through and participated in services. j �� f� ,i f 'dorts to extract information for statistical sup; r / ,`� �` ,� ,/that have been referred for community services. 6. Family Court had been involved with the `� /couple of years. The results from any independent psychologicG. �, .r assessment that had been ordered were not forwarded to Child Protr, �' i,ices. However, the Court is not legally required to share this information. Follow Up Actions: Although our preliminary review concluded that all of the appropriate procedures were followed in this case, it is difficult for us to accept the death of any child we might have been involved with. Our commitment to ensuring the safety of children has driven us to scrutinize all aspects of .our existing procedures and our coordination with other organizations that come into contact with children and families at risk. As a result, of this review, we are planning on taking the following steps: 1. Modify the existing screening protocol and forms so that the initial phone. screener includes a more detailed history of past referrals on the referral form that is given to the investigating social worker. 2. Modify the existing protocol and forms used by the investigating social worker to expand on their written findings from their investigation. We will ask the social worker to not only summarize the results from the current investigation but compare the referral to any past history in order to identify potential trends in risk factors. 3. Provide training to staff on how to use the modified protocols so that they are better able to assess the level of risk a child might be facing from all possible perspectives. 4. Provide adequate and timely "critical incident stress debriefing" to the staff involved in tragic incidents in order to better help them cope with the emotional impact of these incidents and better apply lessons learned to future assessments. Report to Board of Supervisors on October 27 Child Fatality Case January 3, 2007 Page 4 of 4 5. Modify the requirements for the community based organizations we contract with to provide services for families so that we are notified within a shorter time frame if a referred family has not participated in services. 6. For families who have not participated in services, determine whether we should send a "Community Engagement Specialist" to the home to see if they can provide any assistance to the family in accessing services. Although Community Engagement Specialists are different from CPS Social Workers, they are mandated reporters and could generate a re-referral if the situation warrants it. 7. Build on the existing memorandum of agreements with law enforcement agencies to improve information sharing and case coordination. Such agreements now exist with many of the local police departments, and the Richmond and San Pablo Police Chiefs have agreed to enter into similar agreements. These agreements call for timely information sharing, a dispute resolution process if an officer has concerns with our handling of a case, and a process for regular information sharing meetings between social workers and. the officers assigned to investigate child abuse and neglect complaints. 8. Build on the existing Memorandum of Agreement with Family Court to facilitate the cross sharing of information in cases in which both CPS and the Family Court are involved. Accompany this expanded Agreement with enhanced training for both CPS and Family Court staff to better understand the legal requirements, needs and services of each program. Next Steps 1. All of the above improvements can be implemented with no additional funding and with no changes in laws or county ordinances. The Department has already moved ahead to begin planning for development of the recommended changes. 2. Once the County's Child Death Review Team receives the Coroner's report and conducts its independent external review of the case, the Department will cooperate fully with the review. There are other improvements in systems, protocols, and training that we'll be proposing as part of our updated "System Improvement Plan." These improvements will further strengthen our ability to respond to child safety needs. Updates to the County's child welfare "System Improvement Plan" are required by the California "Child Welfare Performance Outcomes and Accountability Act." Our 2007 Plan will be submitted to the Board of Supervisors and to the State sometime in the next couple of months. JV:ah Attachment cc: John Cullen, County Administrator Valerie Earley, Director, Children & Family Services 11/02/2006 02:39 9166572281 PUBLIC AFFAIRS PAGE 03/04 OCT-31-2006 11 '2? SOCIAL SERVICE DEPT. P.02iO3 slate Cr ealifornia-Health snd Hun=services Agency ulifarnia Depwvnwt of social services Atmehmcnt A C:nUh raie Depar= ut of Social ServiDes Mild='a Services operati+oas Bureau Brief narrative of CWS history attachment: 1. 09125/2002: Allegations of physical abuse to 4 yoby ma's boyfriend Evaluated Out as no marks or bruises noted by reporting party(RP). 2, 0310212005: Allegations of sexual abuse to 7 yo INVANoby step-fa : Substantial risk to mm..rby fa. Failure to protect by mo. Investigated and found that Sex abuse and Substantial risk Substantiated against ' Failure to protect by mo Unfounded.'.Case closed as mother protecting and cooperating w/Richmond PD. Mo and child referred to therapy, 3. 05123/2005: Allegation of General Neglect td, by mom. RP states child physically abused by mo but has not witnessed any marks or bruises. RP states seeing child digging through garbage for food. When asked, child stated that he was hungry. Evaluated Out. 4. 09/0612005: DOJ report of 07/05 rev'd in screening 09/09/2005 regarding allegations that child was found playing alone at McDonald's restaurant. Child stated that he had run away from home because his babysitter had handcuffed him to the bed while his mo was at work .PD returned child to his home. Evaluated Out due to PD investigation and time lapse. 5. 1112312005: Allegation of lack of supervision to 11poin that child ran away from home and mother failed to oontact PD for 4 hrs. Investigated and found that mo had appropriately reported as soon as she woke up to find that I§Wwas missing. PD and mo checked interior of the home and did not fund the child. Mo bet*exl tlt�at:7ie bad.go'e.to McDonald's and in fact he had. Allegations unfounded. 6� F1nWG06. Last contact with CFS: Allegations of physical and emotional abuse by mo and fa toYl Substantial risk by mo to Im. Incident happened on 1128/06 and mo reported to CFS on 1/29/06. Mo called CFS to report to ERP after hours SW who followed up with PD. PD stated that hey had a report on file which states that mo and fa got into a scuffle when exchanging c ' r a visit._Per.court order, exchanges were supposed to happen at a neutral setting. Fa•did nal have'wear seat so mo transported child to fn's and wanted to see his apartment. Fa refused and attempted to take the child form ma. Mo reported that the child sustained some scratches in the scuffle. investigated and reported that AMP was talked to.in private. He did not' report any concerns in the home to the Social Worker. He also reported that his SOC 926 1 y166572281 PUBLIC AFFAIRS PAGE 04/04 , jJ�j-31-2006 17 ?B SOCIAL SERUICE DEPT. P.03/03 State of C L1%fbtttia—Health and Humm Scrvieee Aseacy Cblifvrnia Depvwicnt of Social Services Aaachmat A Calif=ia Depar=eaz of Sacial Services Children's Services Opem ions Bureau mo takes good care of him and they do "flan things together". No abuse or neglect noted tc4fflW Family connected to Differential Rlrsponse/Path II services. Transition visit completed w/mo,community caseworker and CFS social worker on 2/22106: Case file closed on 2/23/2006 as'unfaundsd for allegations of physical and emotional abuse. Substantiated for allegations of General Negleot/Substantial Risk. .. .....1�-...r._.,.. ..._ SOC 826 2