WPC <}bx梗I@Bnxd}=uy+/hPCnGoW1.{xMt^Lit\L j> qp0rP-G]~TʘtԾvmB(,OCAMfT_SWk'0Ög%CAgGtS$=اRk;ٵ?|<ܽrV֣QDs7G!k_tRWgGmI1)kͩv趒2qИҮ<{`(7rQqgMmE ~G*/)UZFyqԑ`rsvTwh-0>ijr#<UN %S 0:Y 0 c f ^ w 4  + m- aD 1uX 72 0w 0v 0 0 0T 0 0 0D 1) 72NU,f aUN"fpU@rfaafafafa                                            B B;;;;;;;;;;; CXXXXXXXX 1rHP LaserJet 8150 PCL 60(9 Z6Times New Roman RegularX($USUS.,(;3$2#  0  .3  0  0 юr0:i+003|xUTABLE A3#37=CIQYag1.a.i.(1)(a)(i)1)a)i)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(# x#?[_cgkoswSquaresSquare Bullet,cAZArial ЧTABLE B(9 Z 6Times New Roman Regular0(9 Z(Times New Roman /TABLE DTABLE ETABLE FPTABLE G8TABLE H d dddxAGaeimquy}Bullet ListBullets List !USUS.,  _TRX3'LetterX3' Letter3'LetterX3'3'LetterT*ddd Xdd Xdd X%%, dd ,dd , dd +  $ $  ^{\XXStateofKansas Dd DepartmentofSocial&RehabilitationServices  ChildrenandFamilyServices#XHX\^{# 'Xx  '@  &%XXHNOTICEOFDEPARTMENTFINDINGS#XHX%&#  Dd   FamilyReports '<  '  XXHCFS2012 Dd July2004  Page1of2#XHXܽ#"0 " INSTRUCTIONS  :Z  *W dd dd dd  dd %%, dd ,dd ,dd ," dd +  &i2 2 &ChildsnameXXH /iv i /#XHX#AllegationXXH v  @! /i~i /#XHXZ#Finding /ivi / XHXXXHAllegedPerpetratorOR v SubstantiatedPerpetrator#XHXX XH*#* -#~i -ENTER   Childsname   Enterfirstnameandlast   nameifnecessary    2 R  ENTER   PhysicalAbuse   PhysicalNeglect   SexualAbuse  " LackofSupervision  $ EmotionalAbuse  & MedicalNeglect  ( Abandonment  * ENTER  + Unsubstantiated  - or  / Substantiated  2 R 2 ENTER  3 allegedperpetratoror  5 substantiatedperpetrators  7 name  9 @: : D: ӈ " Bb > " XXH* SubstantiatedPerpetratorshavetheopportunitytoappealagencyfindings.Seereverseside#XHX #XXH.#XHXܵ #%?   % (#y3"3"  3 2#3  0 8   Iftheallegationtypeandcasefindingdecisionisthesameforallchildren.Allthechildrencanbeentered ? onthesameline. @    3 ݌@8%8% Ќ   8 "3"  32#3  0 8   Insertanddeletelinesasneededtocustomizethenotice.3G݌B8%8% Ќ  *+W,dd dd dd dd " dd " W %%,dd ,wdd , dd ,wdd ,z dd ,dd +  /ifDf /ServicesRecommended 0&!Ei 0 8i#F 8NO 0&!Gi 0 8i#H 8YES C Recommendedserviceslisted: -#!Ii -  J "XHXXXHspecificservicesrecommendortheidentifiedneedtobeaddressedbyservices JjK anyinformationorresourcesforfamilytoobtaintheservices,includinginformationregardingservices 6VL availablefromSRSorothercommunityagencies. "BM #XHXX"XH#ifservicesarerecommend,afullriskassessmentisrequired.N   X( XXXH*#W$dddd wdd w dd wdd wz dd z dd +W,%%,$dd +  *JN*J #XHX XX(#"XHXXXHBasisofDecision:#XHXX"XH#X( XXXH O #XHX XX(V#"XHXXXHUnsubstantiatedandSubstantiatedFindingsshallinclude: `Q Whoconductedtheinvestigation(SRSalone,SRSandLawEnforcement,SRSandKDHE) L lR AspecificreasonfortheDepartmentsfindingdecision 8!XS SubstantiatedFindings,alsoinclude: #0!U Dateofreport #"V  q(AyyUseoflanguageindicatingthestandardofevidencebeingclearandconvincing#XHXX"XH#X( XXXH $#W *l!W%dd$dd $#W$%%l,edd ,dd ,,dd ,dd +  & %X& % #XHX XX(@#"XHXXXH"X X"XHDistribution:#"XHX "X# 'N'n%Y '"X X"XHAn7intheboxindicatespersonsreceivingacopyofthisnotice.#"XHX "X2# -^^^^N'n%Z  - 'N'n%[^^^^ '"X X"XHFile#"XHX "X #(N'n%\  (*&W'dddd edd Jdd ,bdd !W%%%,,dd , dd ,dd , dd ,Edd , dd +  $^^^^j(&\j(& $ '(&]^^^^ '"X X"XHParents/Caregiverofchild -^^^^(&^  - '(&_^^^^ 'AllegedPerpetrator -^^^^(&`  - '(&a^^^^ 'Child#"XHX "X#"X X"XH((&b  (*(W)ddJdd , dd .dd  dd edd E dd &W'%%,Jdd , dd ,.dd , dd ,,dd , dd +  $^^^) (b) ( $#"XHX "X4# 'N*n(c^^^ '"X X"XHContractorprovidingservices -^^^^N*n(d  - 'N*n(e^^^^ 'DirectorofFacility -^^^^N*n(f  - 'N*n(g^^^^ '#X  "X# X  XChildPlacingAgencyoffosterhome#X   X{"##XHX X`!#X XXH"X  X(N*n(h  (#"XHX "X##"X X"XHԀ#"XHX "X##Thesamecopycanbesenttoallpartiesasappropriate.Eachnoticemaybeaddressedtotheindividualreceiving .,N*i thenotice.Pleaseindicateinonthecopyfilewhoreceivesacopyofthenotice."X X"XH -:+j #"XHX "X$##XHXX"XH"##"XHXXXH#XHXX"XH(%#"XHXXXH#XHXX"XHk%#"XHXXXHԀPPM2541providescircumstanceswhereseparatenoticesmaybeindicated."X X"XH .-l #X  "X%#O  X 0.n #X  Oq&#