30
County of Los Angeles CHIEF EXECUTIVE OFFICE Kenneth Hahn Hall of Administration 500 West Temple Street, Room 713, Los Angeles, California 90012 (213) 974-1101 http://ceo.lacou nty .gov WILLIAM T FUJIOKA Chief Executive Offcer Board of Supervisors GLORIA MOLINA First District March 31, 2011 MARK RIDLEY-THOMAS Second District ZEV YAROSLAVSKY Third District DON KNABE Fourth District To: Mayor Michael D. Antonovich Supervisor Gloria Molina Supervisor Mark Ridley-Thomas Supervisor lev Yaroslavsky Supervisor Don Knabe MICHAEL D. ANTONOVICH Fifth District From: William T Fujioka Chief Executive Officer RESPONSE TO REPORTING AGGREGATE AND TREND DATA ON CHILD DEATHS BOARD MOTION (ITEM NO. 48-B, AGENDA OF OCTOBER 12, 2010) On October 12, 2010, and further amended on November 3, 2010, by motion of Supervisors Mark Ridley-Thomas and Mayor Michael D. Antonovich, your Board directed the Chief Executive Officer (CEO), in consultation with the Department of Children and Family Services (DCFS) and County Counsel, to compile vital Los Angeles County child death statistics for the past ten years including, but not limited to: 1) the total number of deaths of children with prior DCFS history; 2) age, area of residence and area of death location of the child; 3) cause of death and circumstances; 4) abuse or neglect status; 5) alleged perpetrator in homicides; 6) DCFS status and placement at time of death; 7) race/ethnicity of the child; and 8) indication of whether one or both parents were minors at the time of the child's birth. In addition, your Board directed the CEO to report back with a plan to designate a single County entity to be responsible for consistently tracking and compiling Los Angeles County data on child abuse, neglect, and deaths. i. Reportinq Aqqreqate and Trend Data on Child Deaths A work group consisting of CEO, DCFS, and County Counsel members convened in October 2010 and met on a regular basis to review and analyze available aggregate data on child fatalities with DCFS history. The intent was to gather data on all modes of child fatalities - including for example, natural deaths, accidental deaths, third-party homicides, and suicides. It was determined that the state's Child Welfare Services/Case Management System (CWS/CMS) was the appropriate data "To Enrich Lives Through Effective And Caring Service" Please Conserve Paper - This Document and Copies are Two-Sided Intra-County Correspondence Sent Electronically Only

County of Los Angeles CHIEF EXECUTIVE OFFICEridley-thomas.lacounty.gov/PDFs/laceo.pdf · consistently tracking and compiling Los Angeles County data on child abuse, neglect, and deaths

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County of Los AngelesCHIEF EXECUTIVE OFFICE

Kenneth Hahn Hall of Administration500 West Temple Street, Room 713, Los Angeles, California 90012

(213) 974-1101http://ceo.lacou nty .gov

WILLIAM T FUJIOKAChief Executive Offcer

Board of SupervisorsGLORIA MOLINAFirst District

March 31, 2011MARK RIDLEY-THOMASSecond District

ZEV YAROSLAVSKYThird District

DON KNABEFourth District

To: Mayor Michael D. AntonovichSupervisor Gloria Molina

Supervisor Mark Ridley-ThomasSupervisor lev YaroslavskySupervisor Don Knabe

MICHAEL D. ANTONOVICHFifth District

From: William T Fujioka

Chief Executive Officer

RESPONSE TO REPORTING AGGREGATE AND TREND DATA ON CHILD DEATHSBOARD MOTION (ITEM NO. 48-B, AGENDA OF OCTOBER 12, 2010)

On October 12, 2010, and further amended on November 3, 2010, by motion ofSupervisors Mark Ridley-Thomas and Mayor Michael D. Antonovich, your Boarddirected the Chief Executive Officer (CEO), in consultation with the Department ofChildren and Family Services (DCFS) and County Counsel, to compile vital Los AngelesCounty child death statistics for the past ten years including, but not limited to: 1) thetotal number of deaths of children with prior DCFS history; 2) age, area of residenceand area of death location of the child; 3) cause of death and circumstances; 4) abuseor neglect status; 5) alleged perpetrator in homicides; 6) DCFS status and placement attime of death; 7) race/ethnicity of the child; and 8) indication of whether one or bothparents were minors at the time of the child's birth. In addition, your Board directed theCEO to report back with a plan to designate a single County entity to be responsible forconsistently tracking and compiling Los Angeles County data on child abuse, neglect,and deaths.

i. Reportinq Aqqreqate and Trend Data on Child Deaths

A work group consisting of CEO, DCFS, and County Counsel members convenedin October 2010 and met on a regular basis to review and analyze availableaggregate data on child fatalities with DCFS history. The intent was to gather dataon all modes of child fatalities - including for example, natural deaths, accidentaldeaths, third-party homicides, and suicides. It was determined that the state's ChildWelfare Services/Case Management System (CWS/CMS) was the appropriate data

"To Enrich Lives Through Effective And Caring Service"

Please Conserve Paper - This Document and Copies are Two-SidedIntra-County Correspondence Sent Electronically Only

Each SupervisorMarch 30, 2011Page 2

source to compile aggregate child fatality data going back to Calendar Year (CY)2000.

It is important to note that CWS/CMS does not track all of the requested dataelements required in the Board motion. For example, CWS/CMS does not trackmode-of-death per the Coroner or location of the incident that led to the child'sdeath. To the extent that CWS/CMS tracks fatality data, not all data fields aremandatory which may result in the imperfect capture of data. In addition, over theyears reporting requirements have changed whereby the Coroner started to reportall child homicides, rather than just homicides believed to be caused by abuseand/or neglect by a parent or caregiver. This change resulted in an increase in thetotal number of child deaths reported, starting in CY 2005. To that end, aggregatedata from CWS/CMS is difficult to validate going back to CY 2000, and may notpresent comprehensive information on child fatalities that can be used to analyzechild fatality trends and patterns.

To present more current and comprehensive information on child fatalities,additional analysis and validation was conducted to report on data elements thatare not tracked within CWS/CMS for CY 2010 only. These additional data elementsinclude: 1) Fatalities with a reasonable suspicion or a determination that

abuse/neglect led to the child's death (Senate Bill 39); 2) incident location; and3) final mode-of-death per the Coroner. For comparative purposes we have alsoprovided data on children with an open DCFS case in CY 2010 and generalpopulation statistics on children living in LA County.

The Board motion calls for child fatality statistics for children with DCFS history.The following chart depicts the parameters by which DCFS history was defined forthe purposes of this report:

I;ll;lI1I:.(::íf'i

Sibling

,::Ctíild.has"'an" 0 "ên;.,caseôr,,'refêr'ral.ãftheictime'''6f, åêlâ.th., ô'r a, êios'è.'~ ,''''~,~:t~''_~'' t~,,~ _~";;;'t.:';:"-";5¡:P ~;:¡,/,';~:è?:',~:: 'Y";'-:; "" ,~.ß\5';'"f':"'-;i:,_,'\~':'';:'filJtt ,A-,.,~~ . 1\:-l' 5,';'J#:'" -':" ;;,~" '. ';~ii"'i:~'¡~::,

r~f.erral prior to thedatepfdgl3,.lh(êlanypolqt'ln his/he(;ilifetime);isíbl In1of;the'(jéèeaseå'chiIÇJ Hås:an .,operf. casèö'r"referraí at~tlìê"~timè:Óf,:'t;~."., ""'~'r' '.k _' ',\;':";~!~';''i,:8i ,',é\ ": ,"~~ ,t\:,), 'A),¥.~\:;:.,,',f' ,__' ;;;:' '~i,. ..'" "':,C;"r.,, -e-,_,. :i~';'; 'i,,~.;\;- ,rtt~\' ';è~';-_":" ;Ó-' '_ ;,\;:- .,.:"'b ..~: '/, iY '¡,k~/ -," ,¡,):.,;'si"è1eatWbria'clôsed case ôr;'referral,priôr:td thèchild'si-date oftdeatl'(atcany'I'poi nt. Tn ;tiî~:~i 61 i ng' s I ifetirréR~;'èvêniHit' occùrs';ptiö'tto ,the '. deèétl~èd;tìì ild' S".

;~.~,'afe'o(~'¡1t1r ~.,:, ". ;1.' . j,;:;/~t~¡~~," ..' ......, 'C/''''';' CiY,;;"',;;t "', h.,!/;

no . d,p~,r~.6htr9f;thê';'9~ç~;asecfrPbrlg'~na§,;'a. plosJ~(~.¿..,(1S~ or ,..referr~Lj prior,. t91Jtie,

¡êhil,p's!da~~'()î ,.gèåth in which,!h'eYCire, the'à,llegêqfp~rp~tr9t?r( a(,any'ppipt'i~~:~h~f~~~t~Jtlif~ti~èç ;ve~:di,;" i:~(Occ:tr~ prl,~Sd!.t~~è g~ce,~sea,. ~:~i~~~~~.;:~~ie:"

of't

Each SupervisorMarch 30, 2011Page 3

All graphs and charts on available data elements are presented in Attachment A.

Issues with Existinq Child Fatalitv Data

Efforts were made to compile child fatality data that CWS/CMS does notsystematically track; however, it is evident from reviewing the available data that astandardized process for compiling and reporting pertinent child fatality data needsto be developed. For example, there is no systematic data available on child fatalitytrends and circumstances. Clear, concise data on child fatality trends, such asgang-related shootings and co-sleeping deaths, will allow for more informed policydiscussions related to child welfare. In addition, there are a multitude of entities(e.g., Inter-Agency Council on Child Abuse and Neglect, Coroner, law enforcementagencies, hospitals) within Los Angeles County that track and report data on childfatalities and a lack of a single entity responsible for cohesively bringing the datatogether and reporting informative trended data to the Board. Therefore, thedepartment will focus on working with these County agencies and departments todevelop a comprehensive approach to tracking and reporting pertinent child fatalitydata.

11. Sinqle Entitv

The Board has moved that the CEO designate a single entity to report on childabuse, neglect, and deaths in order to present meaningful data that can informcritical policy decisions in enhancing child safety and well-being. As mentionedabove, there are numerous entities that cross-report child fatality data and there is aneed to develop a comprehensive understanding of the various data elements thatare currently being tracked in order to establish an effcient and timely reporting

protocol of the most informative data. The CEO will convene a work group with thespecific purpose of developing a standardized process for compiling and presentingpertinent child fatality data to the Board. This group will also determine which dataelements should be tracked in order to provide the Board with data that can informdiscussions related to child welfare. Clear parameters for determining whether achild has DCFS history will also be standardized by this workgroup. In addition, theCEO will develop criteria that will facilitate selection of a single entity to beresponsible for future reporting. Additional information on the implementation ofthese efforts can be found in Attachment A.

Each SupervisorMarch 30, 2011Page 4

A status report on the progress in determining criteria for reporting pertinent childfatality data to the Board and establishment of a single entity will be provided.

If you have any questions or need additional information, please let me know, or haveyour staff contact Antonia Jiménez at (213) 974-7365.

WTF:AJ:DSSMF:ljp

Attachment

c: Executive Office, Board of Supervisors

Children and Family ServicesCounty Counsel

Child Deaths Board Motion,bm

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Nov

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mov

ed tn

atth

e C

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l:xec

utiv

e O

ffice

r (C

EO

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Dep

artm

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lçlre

l' an

d F

amily

Sel

vice

s(D

CF

S)

and

Cou

nty

Cou

nsel

,compilevital LA County death statistics forthe pastten years including but

not l

iinite

d to

:

· Tot

al n

umbe

r of

chi

ld d

eath

s w

ith D

CFS

his

tory

;· Age, area of residence,

and area of death location of

the

child

ren;

· Cau

se o

f de

ath

and

circ

umst

ance

s;· Abuse or

neglect status;

· Alleged perpetrator

in h

omic

ides

;· DCFS status and placement at

time

of d

eath

;· Race/ethnicityofthe child;

and

. Indication of

whe

ther

one

or

both

par

ents

wer

e m

inor

s at

the

time

of th

e ch

ild's

birt

h.

In addition,

the Board inovedthatthe CEO reportbackwith a plan to designate

a si

ngle

Cou

nty

entit

yto

be

resp

on s

ible

for

cons

iste

ntly

trac

kin

9 an

d c

ompi

ln 9

LA

Cou

nty

dat

a on

chi

ld a

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, neg

lect

, an

dde

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s.

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Dat

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.

. CWS/CMS was not designedto track data on child fatalities, therefore it

only

trac

ks a

lim

ited

aino

unt

of

info

rmat

ion

in th

e ca

se o

f a c

hild

dea

th. F

or e

xam

ple,

CW

S/C

MS

doe

s no

ttrac

k al

lege

dpe

rpet

rato

r in

hom

icid

es o

r in

cide

nt lo

catio

n.

. Som

~,d

~at

h:da

tá' f

ielc

sare

'n\jt

m~

n:da

tóry

IIi 'C

W$ì

çMsy

vhic

hm~

yr~

sLÍít

ln m

i~si

n~ v

aiu

és;

:~\

. For comparative

purposes; statistics

on children

rece

ivin

g se

rvic

es fr

om D

CF

S a

nd g

ener

al c

hild

popu

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n st

atis

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for

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ount

y is

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ase:

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" ;1 "

I rj \, , d t

j" r! "¡

.

Tot

ál =

2,75

8¡14

f

CY 200 LA County

Age

s 0-

17 C

ensu

sC

Y 2

010

Chi

ldre

n W

ith a

n O

pen

DC

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ase

..

.

(Gen

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ende

r

, = "T

otal

=55

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10 A

GG

RE

GA

TE

FA

TA

LIT

Y D

AT

ft.

. I ¡ ~ l l i i e ~

Tot

al =

1,82

7

.Cf 2010

FA

TA

LIT

Y Q

AT

A.

.

I,Ge,

n,, c

:,~r,

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eng~

rT

otai

=;-

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ggre

gate

and

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nd D

ata

on C

hild

Dea

ths

Dat

a G

raph

s an

d C

hart

sATTACHMENT A

Chi

ld R

ace/

Eth

nici

ty

Ç!_

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9ncl

: CO

LJ,

n~y,

~g!.

~_0.

:17

c.eE

.~~~

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'~.. -- -- . --. -___...__..'--_ ..-.'_.-'"__...""-"-_...-.......~"-_...._.._._.',...~..,..""....

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Rac

e/E

thni

cify

IjA

mer

ican

__

221;

365

8%

it__ ._

I.Note: Other includes

Dec

lines

to S

tate

and

Mix

ed E

thni

cit

. CY 2000-2010 AGGREGATE FATALITY DATA

. ¡ .,

~ ~ ,

jo;

" t:

Tot

al =

2,75

8,1i

l1

,,¡..-

": ,,

, '"

i:o~l =

.1,8

27

. .CY 2010 Children With an Open DCFS Case

..~

I Rac

e/E

thni

city

~ .

~ !

, Wh'ite Other ' ,

I; Total = 6596 159 ::

Ii 5a~44 ~ ')0," ~O% 1,

I, .""/ Asian/Pacific U

" V./ Islander I:

!, American

1,57

8 :,'

1".. Indian/ 3%

~; Alaskan! I

rl Native rl

¡ 221 H

I. .". ~Ol§.,.." _.. ..~~._.'I'

f Note: Other inclup~s Declines

to S

tate

a~~

Mik

ed E

thni

cit

CY

201

0 F

AT

ALI

TY

DA

TA

.

~ i

Asi

an25

3,38

69%

,. ~

~ ' r::

. .

t Rac

~/i;t

Íini

9ity

.1,

R-¡

¡"c~

/Eth

nici

tv

Whi

te2.

1T

otal

=17

5

3%

Asi

an/P

acif

icIs

land

er5

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ortin

g A

ggre

gate

and

Tre

nd D

ata

on C

hild

Dea

ths

Dat

a G

raph

s an

d C

hart

sATTACHMENT A

Supe

rvis

oria

l Dis

tric

t of

Res

iden

ce,~

. . ':~".

;. ... .d~d"",.~,_ P,.....

"'~l

lioc

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.CY 200 LA County Ages

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C

ensu

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ed

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ces

esas

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r 31

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AT

ALI

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TA

.. i

1%

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I I

Tot

ai =

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õtal

=17

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ntv_

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-ot-

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ty¿:

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e: A

dd r

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FSoffèethatpròv¡d~d,5ei;icês",' ". , ' " ' ," ., ~ ,., .

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icat

es a

gdre

sses

:that

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sing

l.val

qes"

inC

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/CM

S o

r co

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and

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e in

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3 In

dica

tes

child

ren

with DCFS history"whosea:1åst known'residènce:;\vas,outsideof:kCounty

-". "

l -'ll

-14

-

Rep

ortin

g A

ggre

gate

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nd D

ata

on C

hild

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ths

Dat

a G

raph

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hart

sATTACHMENT A

DC

FS

Sta

tus

at T

ime

of D

eath

· · '\

;l:~

lll ~

I

DCFS.stâiu5 attime'òf âeath

is

prio

ritii

ed

,in

thê"

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win

g:ør

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: 1)

opè.

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àse2

ygpe

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asé,

~) C

lòSê

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efer

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l,', '. ~';_, - '-'-::- '., _ :_~_'" __--:;~.._, ___ _'-" '.- ~ ", _ - -', -A '_':~~ (,:.,

, ,_:::,~-'¿: ,,"" :"'*'i:~.\"--' _ _' ij"" ,"L - ¡O' _~/,;_.d'_, ",'

" -

5) FamllxHistory; ,~rexamplèiifaclilê:fha~an op'!!neasJ! ~tt!,me of

peat

hi

a c

tòse

Cl r

efer

raft

wo'

yeai

i: ea

rile

r/an

'dai

sil:

)'lin

g w

ith a

nòpen.ca~ tl1~ii'tl1êlchilêlJs.ìriçl~Çle'di~th'~;Op~it:êa~r~áteg~'ly~' " . '~. .' .'.,

.2000-2010 AGGREGATE FATALITY DATA

..

2010

FA

TA

LIT

Y D

AT

A.

,--

600

-50

0 J

4tO

J30

0 I

"00

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o J

o i

l DCFS'Sta, his

at T

iiñè~

afD

liaH

ì+_.- - '~ ' 551

.Total= 502 30%

446

': ' "

28"

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214%

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1'°

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-- ..

.~

IDC

FS

.~ti!

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e ~

t dea

th

80 -

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Total =:

175

65 37%

46

": ~

'7:

2111

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n O

pen

91 p

riori;

; Prí

c¡r

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e R

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ry~

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1 Includes all:o'pe-h r'eferrals~regardless.'ofthè',nurñber of

days

it

isop

èn

'~There!is no specifiedtimeframe established:Jor'includihg"a chiiã\vitn adoseà case or c1osed,referrcil-e..g.'ra,child with'

a"

dosê

dféf

erta

l sev

en y

ears

agÔ

"is s

til)n

è:ud

ed ir

riìni

§, c

atèg

ory.

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e's

pr-ã

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to"r

évie

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~to

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oirig

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åck;

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rs.

.,~Tnese£hiìdreh~dÓ . r(qfÎh"aveiDCF~:G1f9i;thè'ms~l~ês;:bútHà,veã~~âtriIY~rnE:ml?~êr. who lrasghi~to(y~îth D~GFS

-15

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Rep

ortin

g A

ggre

gate

and

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nd D

ata

on C

hild

Dea

ths

Dat

a G

raph

s an

d C

hart

sATTACHMENT A

Plac

emen

t at T

ime

of D

eath

(O

pen

Cas

es)

liCY2000-2010 AGGREGATE FATALITY DATA

DC

F~ßt

atus

~a1_

Tin

ie ó

f D

êâth

,O"'.

... ..

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-of-

Hom

e

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er

.'

i Pla

,cem

ent"

at~

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eãth

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2~2

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551

¿ ..

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~

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âI=

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%In

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e

.1 II l:J_"" - _ -: = :. - - _- :. - - -

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TA

LIT

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eath

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en ¿

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18%

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6S 37%

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t" a

, I, =

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46 ji,

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nl-

l_h.

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pen

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n P

rior

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r F

ëmi~

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e R

a'er

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ase

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erra

l His

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%

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orT

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iber

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RE

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'H9.n;.~¡ smaií,F~;;i1Y'Ht~er§U~i~¡å'n"HöFhêfS96z~tÝ §HêlteríR.éŠtl~iiiglHrim.~;i~uÎi;Sp~çifietHl:fu~ ~' .., "'-", ".' ". o! 0/". .,

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-16-

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Rep

ortin

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ata

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a G

raph

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Min

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ATTACHMENT A

~'~

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. Jríd

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...."

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ere

unde

r "'1

8 ~

ears

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inor

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e ch

ild's

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e ~f

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827

2%Yes 33

-17

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.

Indi

cate

s whether one'or both

pare

nts

~ ßd

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tal=

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(/.t-coQ)C"C-.-.tUc: t/0_.æ æCO .tCu"C "Cc: c:Q) CO

~ (/l- .t"C Q,c: COCO ~Q) CJ- COCO _C) CO

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Rep

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Dat

a G

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sA

TT

AC

HM

EN

T A

New

Dat

a E

lem

ents

-O

verv

iew

CW

S/C

MS

was

not

des

igne

d to

trac

k ch

ild fa

talit

y da

ta,

and

ther

efor

e, d

oes

not t

rack

all

of th

e re

ques

ted

data

elem

ents

in th

e B

oard

mot

ion.

Add

ition

al a

naly

sis

was

con

duct

ed to

ext

ract

the

follo

win

g da

ta e

lem

ents

for

CY

201

0 O

NL

Y:

1. A

buse

or

Neg

lect

Sta

tus

(583

9)

2. S

uper

viso

rial

Dis

tric

t of

Inci

dent

3. F

inal

Cau

se-o

f-D

eath

per

Cor

oner

4. F

inal

Mod

e-of

-Dea

th p

er C

oron

er

-19

-

Rep

ortin

g A

ggre

gate

and

Tre

nd D

ata

on C

hild

Dea

ths

Dat

a G

raph

s an

d C

hart

sATTACHMENT A

5839

Abu

se o

r N

egle

ct S

tatu

s. . _~:~,lll~

Senate Bil

3,9. (SB39) ~ecame éffectiveon

January'1, 200S,and'a'pp.liês to child,;deaths tl1at:

occu

rred

on

th

at. d

àte,

or

ther

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39 p

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he p

ublic

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uest

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tain

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rmat

ion

and

reco

rdsr

egar

ding

child

fat~

litie

s w

here

ther

e is

a""

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icio

nt~å

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:sèd

by

a-i?

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;~r;

n~gl

eEt,

or w

lìe'iê

.~ i:

~~êr

iÍi,~

t!on

'is m

~det

ha,tå

~usè

or

f.neglec led

toa

child's death. In

Aug

ust

2010 the Board adopted the

reco

mm

enda

tions

oU

:he

Office of

Inde

pend

ent R

evie

w

~w

hi~

h ca

lleC

lifot

.SB

39 d

êt~

rmiri

atic

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à"be

;m.(

Jè'in

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sure

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n. -

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S83

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ivis

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ti .s

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lopr

eg41

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repo

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;,-;: , _:._', :'_', h' ',_ ..... _-;.-' . ,"'. .'.' .,- . '.

ana

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lt: a

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ntliQ

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Est

ablis

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. . . . The workgroup

wil present

the

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rd w

ith a

pro

pose

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ojec

t cha

rter

, a le

gal e

ntity

res

pons

ible

for overseeing

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Sin

gle

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ity, a

nd p

ropo

sed

staf

fng

reco

mm

enda

tions

.

-26

-