Is the Child Safe?

Select Yes or No. If you select No, describe the situation and actions taken to ensure safety in the narrative field.

Caretaker's Ability to Protect

Describe the parent's or caretaker's ability to ensure the safety of the child.

Child's Current Condition

Enter a description of the child's current physical and emotional condition.

Are There Prior Suspected Incidents of Abuse or Neglect?

Select Yes or No. If you select Yes, describe the incidents in the narrative field.

Actions Taken to Reduce Risk in Own Home or Out of Home Care Setting

Enter  the actions taken by the agency  to reduce risk of harm to the child.

Current Behavior and Level of Functioning

Enter a description of  the child's current behavior and level of mental, emotional, and physical functioning.