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STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT …

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESSTATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT CHILD ABUSENOTE: RETAIN IN EMPLOYEE/LICENSEE FILENAMEPOSITIONC alifornia law REQUIRES certain persons to REPORT known or suspected child abuse . As a licensee or anemployee at a licensed facility or a child care institution, YOU are one of those persons - a "mandatedreporter."PERSONS WHO ARE REQUIRED TO REPORT ABUSEM andated reportersinclude a licensee, an administrator, or an employee of a licensed community careor child day care facility. [Penal Code ("PC") (a)(10)] Mandated reporters also include anemployee of a child care institution, including, but not limited to, foster parents, group home personnel,and personnel of residential care facilities.

ABUSE THAT MUST BE REPORTED . Physical injury inflicted by other than accidental means on a child. [PC § 11165.6] Sexual abuse meaning sexual assault or sexual exploitation of a child. [PC § 11165.1] Neglect meaning the negligent treatment, lack of treatment, or the maltreatment of a child by a person

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