WPC  'fYiT־˙fY~(]L!02`fE俏`Q=IA$b=A'q^LcN}߫GMzg(Q2v˕/l$fBvds N>[ eD*$s2c*Xf MRW7-zs2Ie;KXIOޔ.bNa.7<=r1P_-o)Y0wO9r4ѵp`䚹#rW4ofXQS/56.~Ib(} nmv鶏qrϖVktOUԴ)i :IsX%LЦ%Q\Z!s<^;B55-2lV{KASDHMН/n1%,d[ke6Mo)]zʏdVqH?m̥ە4#U N % 0(UBw_4cwNU.UN^  m 1 0D   bF F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F 0N` SAVIN 2055DP PCL 60(  Z 6Times New Roman RegularX($\  `*Times New RomanTT_,3|x%2A`ArialTT(C Z 6Times New Roman Regular, U '  _  @5(#ҧXXCFS2030DInstructions  Rev.October2001#XXҧI#(3$ !  Page of &>$"Small Circle"0  !  __XX (  8XXdd8COMPLETINGTHERISKASSESSMENT,FORMCFS2030D u | TheRiskAssessmentshouldbecompletedonanychildinthehome.TheRiskAssessmentistoassesstheriskof p futuremaltreatment.Completethisformonlyforchildabuse/neglectcases.#(]#( ( 3  3r"0    CASENAME: 󀀀Usethesamecasenameasonpage1,SectionII,#1offormCFS1000.3r݌ (#(# Ќ  3  3X"0    CASENUMBER: 󀀀Usethesamecasenumberasonpage1offormCFS1001.3Xs݌} (#(# Ќ  3  32"0    EVENTNUMBER: 󀀀Usethesameeventnumberasonpage1offormCFS1001.32M݌ x (#(# Ќ  3  3"0    SOCIALWORKER: 󀀀EnterthenameoftheassignedworkerfromformCFS1002,page2,SectionIII. 3)݌] (#(# Ќ  3  3"0    DATEOFASSIGNMENT: 󀀀EnterthedateofcaseacceptancefromformCFS1002,page1.3"݌X (#(# Ќ  #(=#(#(# SectionI:PASTABUSE,NEGLECT,ANDOTHERGENERALRISKFACTORS      Indicatethetypeofabuseorneglectinthecurrentreport.Checkanystatementsthataretrue. e    Abuse includes:physicalabuseandemotional/mentalabuse     Sexual abuseincludes:sexualabuseonly `   Neglect includes:physicalneglect,lackofsupervision,andabandonment  Ѐ  ServiceHistory meanscasewaspreviouslyopenedforservices. E 0  DescribeanypastAbuse/NeglectorservicehistoryfromSectionIinnarrative.Iftherehasbeeninthe @ past,oriscurrentlyanassessmentinvolvingachilddeathasaresultofabuseorneglectbyacurrentcare m giver,checkyes.%(#(#  SectionII:CHILDRISKFACTORS     (Ԁ   M   Completeforallchildrenidentifiedinthefamily.Identifychildbynameandage.Checkanyfactors    identifiedbasedontheassessmentofthefamily.  #(4 #( H   SectionIII:PARENT/_CAREGIVER_ԀRISKFACTORS  -! Ѐ p" Ѐ  Completeonall_caregivers_Ԁinthehome.#(m #ԀIdentify_caregiver_Ԁbynameandage.Primary_caregiver_Ԁprovides (#   primarycareforthechildren.Secondary_caregiver_Ԁprovidessecondarycareforthechildren. U $   Otherriskfactors: Checkanythatareidentifiedwithintheassessmentofthefamily.Completeonall !P&   caregiversinthehome. }"'  SectionIV:NARRATIVEANDANALYSIS  #x)     ForeachriskfactoridentifiedinSectionIII,orotherriskfactorsnotnotedabove;describeeachsectionof ]%+   riskfactorsandhowitaffectsthechild'ssafety.Also,describethefamily'sabilitytouseit'sstrengthsand &,   resourcestomanagetheriskfactors. &X -   Describeanyothersignificantfamilyorchildstrengthsorresourcesnotnotedabove. =(!/   +`%4 ЇSectionV:RISKASSESSMENTCONCLUSIONS  (   Riskleveliscomputergeneratedforabuseandneglect.Theriskleveliscomputedatlow,moderate,high   or  intense.Thehighestrisklevelistheoverallrisklevel.  P   Ifanoverrideisidentifiedtheoverallrisklevelisautomaticallyintense. " 5  # "{#   Overridesinclude:  x    3  30"0 `   _nona__ccidental_Ԁphysicalinjurytoaninfant30K݌ 0 ` (#` (# Ќ    3  33"0 `   _nona__ccidental_Ԁphysicalinjuryrequiringhospitalormedicaltreatment )33N݌] ` (#` (# Ќ    3  3e"0 `   B._4 <DL!XBifsexualabuse,perpetratorislikelytohaveaccesstothechild3e݌3 ` (#` (# Ќ    3  H.4 <DL!_4XH3"0 4   ݀therewaschilddeathasaresultofpastabuseorneglect# #3݌  4(#4(# Ќ    RiskConclusion: Riskconclusionisdeterminedthroughtheassessmentofriskfactorsidentifiedforchildren @    and_caregivers_Ԁinthehome,familystrengthsandresourcestocontroltherisk,andtheoverallrisklevel. m      Conclusionchoicesinclude:     Nosignificantrisk: Therewerenosignificantriskfactorsidentified. z     Riskcontrolled: Significantriskfactorswereidentified;butfamilystrengthsoravailableresourcesare !  &   sufficienttoprovideforthechild(ren)'ssafety. S     Riskpresent: RiskfactorswereidentifiedandthereareNOTsufficientfamilystrengthsandavailable  resources 4 toprovideforthechild(ren)'ssafetywithoutagencyintervention.#XX;#