Quick Reference Guide 1255 Treat Blvd #530, Walnut Creek, CA, USA 800-652-9546 © 2016
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QUICK REFERENCE GUIDE
Protect Children - State of California
How to Report
If You Are a Victim
If you suspect child abuse,
IMMEDIATELY report by calling:
» County Child Protective Services
(CPS)
» Local police or Sheriff
» CPS Website
» Mandatory reporters must submit
a written report on Form SS 8572
(attached) within 36 hours of making
an oral report
For free anonymous help 365 days a year, 24 hours a day, call:
800-4-A-Child (800-422-4453)
www.childhelp.org/pages/hotline-home
Call law enforcement to report
emergencies and crimes:
» 911
» Local police or sheriff
Quick Reference Guide 1255 Treat Blvd #530, Walnut Creek, CA, USA 800-652-9546 © 2016
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How to Talk to
Children About Abuse
» repeat their words back to them
» do not ask leading questions that suggest
answers
» tell them that you will take action that is in
their best interests
» thank them for having the courage to talk
to you
» be supportive
» write down what the child tells you as soon
as possible
What to Watch Out For
Predators groom adults by:
» creating an image of being kind and
trustworthy
» offering unsolicited help and promises
» committing boundary violations
How to Protect Children
» participate in their lives daily: know where
they are and with whom
» enhance their confidence
» listen to what they say
» be alert to changes in their behavior
» warn against accepting gifts without their
parents’ knowledge
» teach them about potential threats
» teach them to say “no” to abuse and to run
away from abusers
» teach them to report suspicious people and
behavior
» teach them to seek help from safe adults
(e.g. police or family)
» drop in unannounced at youth activities
» conduct background checks on childcare
providers
» consult the National Sex Offender Public
Website
» ensure multiple adult supervisors during
youth events
Predators groom children by:
» playing contact games (roughhouse,
tickle, touch)
» keeping secrets and taking trips with
children
» showering a child with gifts, attention,
and praise
How Can I Help Prevent Abuse?
Quick Reference Guide 1255 Treat Blvd #530, Walnut Creek, CA, USA 800-652-9546 © 2016
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What Is Child Abuse
Neglect
A parent or other person responsible for a child’s
care and protection:
» chronically fails to provide basic physical,
medical, or supervisory needs
» exposes a child to hazards
» deserts a child
You should always report when a child’s basic
needs are not being met so the authorities can
decide if a child needs protection, or a family
needs services or support
Emotional Abuse
A parent or other person responsible for a child’s
care and protection:
» humiliating, intimidating, or frightening a
child
» withholding affection
» exposing a child to domestic violence or
substance abuse
» encouraging a child’s criminal or
delinquent behavior
Physical Abuse
Any intentional act that harms a child by any
means, such as:
» striking, kicking, choking, shaking,
throwing, or biting
» burning, binding, stabbing, whipping, or
using a weapon
» excessive punishment that causes
significant injury
Sexual Abuse
Sexual abuse occurs when an adult uses a child for
sexual gratification. For example:
» sex acts or sexual contact
» incest
» indecent exposure
» having a child pose or perform in a sexual
manner
» involving or attempting to involve a child in
prostitution or pornography
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Recognizing the Warning Signs of Child Abuse
If a person with average judgment, who saw or heard what you did, would suspect child abuse, then you have
a reasonable suspicion that you must report to the authorities.
Physical Clues
» multiple injuries in different stages of
healing
» broken/fractured bones or other injuries
indicating use of excessive force
» shapes of injuries, including glove-like or
sock-like immersion burns or outlines of
objects (belt or whip, iron, cigarette, etc.)
» clustered injuries or a pattern of injuries
» restraint injuries (rope burns on child’s
wrists/ankles or bruises at the corner of
child’s mouth)
» signs of sexual abuse (torn or blood-stained
underwear, painful urination or defecation,
sexually transmitted disease, chronic
bladder infections)
» repeatedly dressed in filthy clothes or
inadequately for harsh winter weather (no
shoes or coat)
» chronically untreated infections or illnesses
» recurrent and severe hygiene problems
» malnutrition
Behavioral Clues
Some ¬ but not all ¬children react to abuse with
behaviors, such as:
» extreme fear of parents or physical contact
» extreme lags in development
» withdrawing or acting submissive,
indicating they have learned that attention
results in being hurt
» angry, aggressive, or destructive behavior
indicating they are starved for attention
» explicit sexual language or inappropriate
sexual behavior
» dramatic change in school performance, or
chronic truancy
» chronic hunger or eating disorders
» suicidal ideas or self-abuse
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Parental Clues
» overreacting (becoming hostile or
defensive) or underreacting (showing little
concern or indifference) to questions about
a child’s condition
» giving improbable or changing explanations
for their child’s injuries
» being overly critical and unable to say
anything positive about a child
» having little understanding of a child’s
physical and emotional needs
» having rigid and unrealistic expectations
about a child’s development
» blaming the child for the parent’s problems
Environmental Clues
» structurally unsafe housing
» lack of utilities (heat, water, electricity)
» dangerous objects within child’s reach
(poisonous substances, guns, etc.)
» severe infestation of insects, mice, or rats
» uncontrolled vicious or dangerous animals
» exposure to bare or exposed electrical wires
» extremely unsanitary conditions
» dangerous persons in home
» yelling or screaming heard from outside,
indicating domestic violence
Recognizing the Warning Signs of Child Abuse (cont.)
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Mandated Reporters are people who work in
certain occupations and are required by law to
make a report to the appropriate agency when
they have a “reasonable suspicion” that a child is
being abused.
Ethical Reporters are not required by law to report
suspected abuse, but are concerned citizens who
encounter suspected child abuse and want to do
something to stop the abuse.
Why Make a Report? In 2013, there were
679,000 confirmed cases of child abuse in the
U.S., according to the Department of Health
& Human Services. By most estimates, this
represents only a small percentage of actual child
abuse victims.
Everyone has a responsibility to protect children.
All 50 states, the District of Columbia, and the
U.S. Territories require certain adults to report
child abuse.
Immunity...
You cannot be sued or penalized for reporting your
reasonable suspicions of mistreatment — even if
you’re mistaken.
Criminal Penalties...
Mandated reporters face penalties if they fail to
report suspected child abuse when they should.
Anyone who intentionally makes a false report of
child abuse may be exposed to criminal liability.
Confidentiality ...
Your identity as reporter is confidential, and so is
your report. To protect your privacy and the child’s,
do not disclose your report to anyone except on a
need-to-know basis.
Protections & Penalties
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How Do I Make A Report?
» Do not “investigate” suspected child abuse
or neglect in an attempt to prove it. Leave
the investigation to the experts. All you
need to make a report is a reasonable
suspicion which can be based on a single
incident or multiple factors.
» Once you suspect abuse, immediately call
County Child Protective Services (CPS) or
the local police or sheriff
» Click here to visit the CPS Website
» Mandatory reporters must submit a written
report on Form SS 8572 (attached) within
36 hours of making an oral report
» Call law enforcement to report emergencies
and crimes:
911
local police or sheriff
» Gather as much of the following
information as you have available
before you report:
the name, age, home address, and
present location of the child
the name of the child’s parent or
caregiver
names and ages of other children in
the home
nature and extent of current and
previous abuse
any potential risks to the
investigator
any information about the abuser
What Will The Agency Do?
The child protective agency or law enforcement
will assess the report to determine if an immediate
response is necessary based on the risk to the
child.
The agency’s goal is to ensure the child’s safety.
It may investigate if needed, and begin providing
family services and support.
However, if a child is in danger at home, the child
will be removed to safety.
Children in the agency’s care are reunited with the
family, so long as this is safe for the child.
Quick Reference Guide 1255 Treat Blvd #530, Walnut Creek, CA, USA 800-652-9546 © 2016
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APPENDIX A:
CALIFORNIA COUNTY EMERGENCY RESPONSE
CHILD ABUSE REPORTING TELELPHONE NUMBERS
Retrieved from
http://www.childsworld.ca.gov/res/pdf/CPSEmergNumbers.pdf
CALIFORNIA COUNTY EMERGENCY RESPONSE CHILD ABUSE
REPORTING TELEPHONE NUMBERS
Alameda 510-259-1800
Alpine 530-694-2235
Amador
209-223-6550 Mon thru Thurs 8:00-5:00
209-223-1075 – After hours
Butte
530-538-7882
800-400-0902 24 hours
Calaveras
209-754-6452
209-754-6500 – After hours
Colusa 530-458-0280
Contra Costa
925-646-1680 Central
510-374-3324 West
925-427-8811 East
877-881-1116
Del Norte 707-464-3191
El Dorado
530-642-7100 Placerville
530-573-3201 South Lake Tahoe
Fresno 559-255-8320
Glenn
530-934-6520
530-934-6519
530-934-1429 Intake
Humboldt 707-445-6180
Imperial 760-337-7750
Inyo 760-872-1727
Kern
661-631-6011
760-375-6049
Kings
559-582-3241 – 8:00-5:00
559-582-8776 – After hours
866-582-8776
Lake
707-262-0235
800-386-4090
Lassen
530-251-8277
530-257-6121
530-310-3682 – After hours
Los Angeles
800-540-4000 – Within CA
Rev. July 27, 2015
213-639-4500 – Outside CA
800-272-6699 TDD
Madera
559-675-7829
800-801-3999
Marin 415-473-7153
Mariposa
209-742-0900 – Daytime
209-966-7000 After hours
Mendocino
707-463-7992 Ukiah
707-962-1100 Fort Bragg
866-263-0368 – Toll free
Merced 209-385-3104
Modoc
530-233-6602
866-233-4424
Mono
760-924-1770 24 hour
760-932-7549 Sheriff Office
800-340-5411 Hot Line
Monterey
831-755-4661
800-606-6618
Napa
707-253-4262
707-253-4261
800-464-4216
Nevada 530-273-4291 24 hour
Orange
714-940-1000
800-207-4464
Placer
916-872-6549
866-293-1940
Plumas
530-283-6300 Sheriff Office
530-283-6350
800-242-3338 – Toll free
Riverside
800-442-4918
877-922-4453
Sacramento 916-875-5437
San Benito
831-636-4190
831-636-4330 After hours Police
San Bernardino
909-384-9233
800-827-8724
San Diego
858-560-2191
800-344-6000
Rev. July 27, 2015
San Francisco
415-558-2650
800-856-5553
San Joaquin 209-468-1333
San Luis Obispo
805-781-5437
800-834-5437
San Mateo
650-595-7922
650-802-7922
800-632-4615
Santa Barbara 800-367-0166
Santa Clara
650-493-1186 North
408-683-0601 South
408-299-2071 Central
Santa Cruz
831-454-2273
877-505-3299
Shasta 530-225-5144
Mendocino
707-463-7992 Ukiah
707-962-1100 Fort Bragg
866-263-0368 Toll free
Merced 209-385-3104
Modoc
530-233-6602
866-233-4424
Mono
760-924-1770 24 hour
760-932-7549 Sheriff Office
800-340-5411 Hot Line
Monterey
831-755-4661
800-606-6618
Napa
707-253-4262
707-253-4261
800-464-4216
Nevada 530-273-4291 24 hour
Orange
714-940-1000
800-207-4464
Placer
916-872-6549
866-293-1940
Plumas
530-283-6300 Sheriff Office
530-283-6350
800-242-3338 – Toll free
Riverside
800-442-4918
877-922-4453
Rev. July 27, 2015
Sacramento 916-875-5437
San Benito
831-636-4190
831-636-4330 – After hours Police
San Bernardino
909-384-9233
800-827-8724
San Diego
858-560-2191
800-344-6000
San Francisco
415-558-2650
800-856-5553
San Joaquin 209-468-1333
San Luis Obispo
805-781-5437
800-834-5437
San Mateo
650-595-7922
650-802-7922
800-632-4615
Santa Barbara 800-367-0166
Santa Clara
650-493-1186 North
408-683-0601 South
408-299-2071 Central
Santa Cruz
831-454-2273
877-505-3299
Shasta 530-225-5144
Sierra
530-289-3720
530-993-6720
Siskiyou
530-841-4200
530-842-7009 24 hour hot line
Solano 800-544-8696
Sonoma 707-565-4304
Stanislaus
209-558-3665
800-558-3665
Sutter 530-822-7227
Tehama
530-527-1911
800-323-7711
Trinity 530-623-1314
Tulare
559-730-2677
800-331-1585
Rev. July 27, 2015
Tuolumne
209-533-5717
209-533-4357 After hours
Ventura 805-654-3200
Yolo
530-669-2345
530-669-2346
888-400-0022 After hours
Yuba 530-749-6288
Rev. July 27, 2015
Quick Reference Guide 1255 Treat Blvd #530, Walnut Creek, CA, USA 800-652-9546 © 2016
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APPENDIX B:
SUSPECTED CHILD ABUSE REPORTING FORM (SS 8572)
AND REPORTING FORM INSTRUCTIONS
Retrieved from
http://ag.ca.gov/childabuse/pdf/ss_8572.pdf
http://oag.ca.gov/sites/all/files/agweb/pdfs/childabuse/8572_instruct.pdf
NAME OF MANDATED REPORTER TITLE MANDATED REPORTER CATEGORY
REPORTER'S BUSINESS/AGENCY NAME AND ADDRESS Street City Zip DID MANDATED REPORTER WITNESS THE INCIDENT?
YES NO
REPORTER'S TELEPHONE (DAYTIME) SIGNATURE TODAY'S DATE
( )
LAW ENFORCEMENT COUNTY PROBATION AGENCY
COUNTY WELFARE / CPS (Child Protective Services)
ADDRESS Street City Zip DATE/TIME OF PHONE CALL
OFFICIAL CONTACTED - TITLE TELEPHONE
( )
NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip TELEPHONE
( )
PRESENT LOCATION OF VICTIM SCHOOL CLASS GRADE
PHYSICALLY DISABLED? DEVELOPMENTALLY DISABLED? OTHER DISABILITY (SPECIFY) PRIMARY LANGUAGE
❘❒ YES NO YES NO SPOKEN IN HOME
IN FOSTER CARE? IF VICTIM WAS IN OUT-OF-HOME CARE AT TIME OF INCIDENT, CHECK TYPE OF CARE: TYPE OF ABUSE (CHECK ONE OR MORE)
YES DAY CARE CHILD CARE CENTER FOSTER FAMILY HOME FAMILY FRIEND PHYSICAL MENTAL SEXUAL NEGLECT
NO GROUP HOME OR INSTITUTION RELATIVE'S HOME OTHER (SPECIFY)
RELATIONSHIP TO SUSPECT PHOTOS TAKEN? DID THE INCIDENT RESULT IN THIS
YES NO VICTIM'S DEATH? YES NO UNK
NAME BIRTHDATE SEX ETHNICITY NAME BIRTHDATE SEX ETHNICITY
1. 3.
2. 4.
NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip HOME PHONE BUSINESS PHONE
( ) ( )
NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip HOME PHONE BUSINESS PHONE
( ) ( )
SUSPECT'S NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip TELEPHONE
( )
OTHER RELEVANT INFORMATION
IF NECESSARY, ATTACH EXTRA SHEET(S) OR OTHER FORM(S) AND CHECK THIS BOX IF MULTIPLE VICTIMS, INDICATE NUMBER:
DATE / TIME OF INCIDENT PLACE OF INCIDENT
NARRATIVE DESCRIPTION (What victim(s) said/what the mandated reporter observed/what person accompanying the victim(s) said/similar or past incidents involving the victim(s) or suspect)
A.
REPORTING
PARTY
D. INVOLVED PARTIES
VICTIM'S
SIBLINGS
SUSPECTED CHILD ABUSE REPORT
DEFINITIONS AND INSTRUCTIONS ON REVERSE
DO NOT submit a copy of this form to the Department of Justice (DOJ). The investigating agency is required under Penal Code Section 11169 to submit to DOJ a
Child Abuse Investigation Report Form SS 8583 if (1) an active investigation was conducted and (2) the incident was determined not to be unfounded.
WHITE COPY-Police or Sheriff's Department; BLUE COPY-County Welfare or Probation Department; GREEN COPY- District Attorney's Office; YELLOW COPY-Reporting Party
SS 8572 (Rev. 12/02)
B. REPORT
NOTIFICATION
E. INCIDENT INFORMATION
SUSPECT
VICTIM'S
PARENTS/GUARDIANS
CASE NAME:
CASE NUMBER:
To Be Completed by Mandated Child Abuse Reporters
Pursuant to Penal Code Section 11166
PLEASE PRINT OR TYPE
C. VICTIM
One report per victim
Reset Form
Print
DEFINITIONS AND GENERAL INSTRUCTIONS FOR COMPLETION OF FORM SS 8572
All Penal Code (PC) references are located in Article 2.5 of the PC. This article is known as the Child Abuse and Neglect Reporting
Act (CANRA). The provisions of CANRA may be viewed at: http://www.leginfo.ca.gov/calaw.html (specify ƒPenal Code≈ and search
for Sections 11164-11174.3). A mandated reporter must complete and submit the form SS 8572 even if some of the requested
information is not known. (PC Section 11167(a).)
I. MANDATED CHILD ABUSE REPORTERS
Mandated child abuse reporters include all those individuals
and entities listed in PC Section 11165.7.
II. TO WHOM REPORTS ARE TO BE MADE
(ƒDESIGNATED AGENCIES≈)
Reports of suspected child abuse or neglect shall be made by
mandated reporters to any police department or sheriff«s
department (not including a school district police or security
department), the county probation department (if designated
by the county to receive mandated reports), or the county
welfare department. (PC Section 11165.9.)
III. REPORTING RESPONSIBILITIES
Any mandated reporter who has knowledge of or observes a
child, in his or her professional capacity or within the scope
of his or her employment, whom he or she knows or
reasonably suspects has been the victim of child abuse or
neglect shall report such suspected incident of abuse or
neglect to a designated agency immediately or as soon as
practically possible by telephone and shall prepare and send
a written report thereof within 36 hours of receiving the
information concerning the incident. (PC Section 11166(a).)
No mandated reporter who reports a suspected incident of
child abuse or neglect shall be held civilly or criminally
liable for any report required or authorized by CANRA. Any
other person reporting a known or suspected incident of child
abuse or neglect shall not incur civil or criminal liability as a
result of any report authorized by CANRA unless it can be
proven the report was false and the person knew it was false
or made the report with reckless disregard of its truth or
falsity. (PC Section 11172(a).)
IV. INSTRUCTIONS
SECTION A - REPORTING PARTY: Enter the mandated
reporter«s name, title, category (from PC Section 11165.7),
business/agency name and address, daytime telephone
number, and today«s date. Check yes-no whether the
mandated reporter witnessed the incident. The signature area
is for either the mandated reporter or, if the report is
telephoned in by the mandated reporter, the person taking the
telephoned report.
IV. INSTRUCTIONS (Continued)
SECTION B - REPORT NOTIFICATION: Complete the
name and address of the designated agency notified, the date/
time of the phone call, and the name, title, and telephone
number of the official contacted.
SECTION C - VICTIM (One Report per Victim): Enter
the victim«s name, address, telephone number, birth date or
approximate age, sex, ethnicity, present location, and, where
applicable, enter the school, class (indicate the teacher«s
name or room number), and grade. List the primary
language spoken in the victim«s home. Check the appropriate
yes-no box to indicate whether the victim may have a
developmental disability or physical disability and specify
any other apparent disability. Check the appropriate yes-no
box to indicate whether the victim is in foster care, and check
the appropriate box to indicate the type of care if the victim
was in out-of-home care. Check the appropriate box to
indicate the type of abuse. List the victim«s relationship to
the suspect. Check the appropriate yes-no box to indicate
whether photos of the injuries were taken. Check the
appropriate box to indicate whether the incident resulted in
the victim«s death.
SECTION D - INVOLVED PARTIES: Enter the requested
information for: Victim«s Siblings, Victim«s Parents/
Guardians, and Suspect. Attach extra sheet(s) if needed
(provide the requested information for each individual on the
attached sheet(s)).
SECTION E - INCIDENT INFORMATION: If multiple
victims, indicate the number and submit a form for each
victim. Enter date/time and place of the incident. Provide a
narrative of the incident. Attach extra sheet(s) if needed.
V. DISTRIBUTION
Reporting Party: After completing Form SS 8572, retain
the yellow copy for your records and submit the top three
copies to the designated agency.
Designated Agency: Within 36 hours of receipt of Form
SS 8572, send white copy to police or sheriff«s department,
blue copy to county welfare or probation department, and
green copy to district attorney«s office.
ETHNICITY CODES
1 Alaskan Native 6 Caribbean 11 Guamanian 16 Korean 22 Polynesian 27 White-Armenian
2 American Indian 7 Central American 12 Hawaiian 17 Laotian 23 Samoan 28 White-Central American
3 Asian Indian 8 Chinese 13 Hispanic 18 Mexican 24 South American 29 White-European
4 Black 9 Ethiopian 14 Hmong 19 Other Asian 25 Vietnamese 30 White-Middle Eastern
5 Cambodian 10 Filipino 15 Japanese 21 Other Pacific Islander 26 White 31 White-Romanian
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