WPC "(!DV 5k,$Hd?-!z /:w+l' jf=aC%~F]pЉmҰ5g]?T "0K}ۜ gD';Ly'(2+|?v~Yl*q~z rdȟ=˭pTAo RɁLn6:5+QR.nɃ3ߊu%Vq ``yTVCpu9j_e%EdrR- xe\?~[}wVN{&ve!\mfm9Wx ^.T'0?hAzmu/k1bRW1vn)ϗ$oR/Hnn<{fQ|CPs>R`~$"Small Circle"0  ҇!XXXXXX   _^XXX   COMPLETINGTHEAGENCYRESPONSE,FORMCFS2030A (FamilyBasedAssessmentOnly)  Itisthepolicyofthedepartmentthatthe_SRS_Ԁresponsetoallegedchildabuseorneglectreportsshallberecordedon  formCFS2030A, AgencyResponse.Completethisformonlyforchildabuse/neglectcases. HN 3  3"0    CASENAME: 󀀀Usethesamecasenameasonpage1,SectionII,#1offormCFS1000.3݌X ^(#(# Ќ  3  3j"0    CASENUMBER: Usethesamecasenumberasonpage1offormCFS1001.3j݌  (#(# Ќ  3  3D"0    EVENTNUMBER: 󀀀Usethesameeventnumberasonpage1offormCFS1001.3D_݌l r (#(# Ќ  3  3 "0    SOCIALWORKER: 󀀀EnterthenameoftheassignedworkerfromformCFS1002,page2,SectionIII. 3 >݌ (#(# Ќ  3  3"0    DATEOFASSIGNMENT: 󀀀EnterthedateofcaseacceptancefromformCFS1002,page1.34݌ (#(# Ќ  SectionI:DETERMINATIONOFCHILDSAFETY   Documenttheattemptstocontactandresultsforeachallegedvictimfordeterminationofthechildssafety.     A:  ` listeachallegedvictimtobecontacted     B:  ` documentdateandtimeofeachattemptedorcompletedcontact dj    C:  ` documentlocationoftheattemptedorcompletedcontact *0    D:  ` documentwhoattempted(SW,LawEnforcement,etc.)orcompletedcontact     E:  ` documentresultofattemptorcontact **   #XX^u#^XX   F:  ` documentdate/timesafetywasdetermined |    G:  ` documentifchildwas/wasnotdeterminedsafe BH #XX^ #XXXX^XX ** Whencontactisattemptedbutnotsuccessful,thefollowingallowablereason(s)mustbedocumented:     ` 1.Cannotlocatechild(_ren_)despitereasonableeffortsontwoattempts.      ` 2.Familyleftthestate. V\! 0  0` (#(#3._SRS_Ԁhasbeendirectednottoproceedbyacountyordistrictattorney/lawenforcement. "` (#` (#    ` 4.Familyrefusestocooperate. #    ` 5.Appointmentsscheduledbutperson(s)failedtokeeptheappointment.  $    ` 6.ActofGod(weather,roadconditions). f!l%    ` 7.Parentrefusedaccesstothechild. *"0&    ` 8.Child(_ren_)outofstate_ie_,visitingrelatives. "'    ` 9.Other...pleasespecify.#^^ ##XX^* #^XX #(  NOTE: Ifoneormorechildrenaredeterminednottobesafefromimminentdanger,protectiveactionMUST 8%> * betaken.  %!+ Ѐ#XX^#^XX  &!, SectionII:PERSONSRESPONDING  '"-   Checkallthatapply.Ifotherischecked,specifybyagency(i.e.HealthDepartment)  )$/  SectionIII:PERSONSCONTACTED/INTERVIEWED  *%1   0  Checkandlistbynameallpersonswhoareallegedvictims,_caregivers_,allegedperpetratorsandrelevant ,'3 parties.Indicatethedateofcontact/interview,whetherinterviewoccurred,howtheinterviewwasconducted ,'4 andwhereresultsoftheinterviewcanbelocated.Ifanypersonlistedwasnotcontactedand/orinterviewed, -(5 _documentthereasonwhy.(#(# #XX^#