tennessee child abuse hotline summary history/q3/non-custody/2013.087ph.pdftennessee child abuse...
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Tennessee Department of Children's ServicesTennessee Child Abuse Hotline Summary
, Interim TC, on 7/12/13 @ 3:39pm
Notified Fatality/Near Fatality Notification Group via Email:, , , , ,
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Page 3 of 8Form Id CS 0680 01/14/2014 10.22
Case # 2013.087ph
Tennessee Department of Children's ServicesTennessee Child Abuse Hotline Summary
Name:
Partipant ID:MaleGender: Date of Birth:
55 YrsAge:SSN: Race:
Address:
Deceased Date:
NoAlleged Perpetrator:
NoDCS Foster Child:
School/ ChildCare Comments:
External History Search Results:
DCS History Search Results:
DCS Intake Search Results:
Name:
Partipant ID:MaleGender: Date of Birth:
66 YrsAge:SSN: Race:
Address:
Deceased Date:
NoAlleged Perpetrator:
NoDCS Foster Child:
School/ ChildCare Comments:
External History Search Results:
DCS History Search Results:
DCS Intake Search Results:
Page 5 of 8Form Id CS 0680 01/14/2014 10.22
Case # 2013.087ph
Tennessee Department of Children's ServicesTennessee Child Abuse Hotline Summary
Name:
Partipant ID:MaleGender: Date of Birth:
12 YrsAge:SSN: Unable toRace:
Address:
Deceased Date:
NoAlleged Perpetrator:
NoDCS Foster Child:
School/ ChildCare Comments:
External History Search Results:
DCS History Search Results:
DCS Intake Search Results:
Name:
Partipant ID:FemaleGender: Date of Birth:
9 YrsAge:SSN: Race:
Address:
Deceased Date:
NoAlleged Perpetrator:
NoDCS Foster Child:
School/ ChildCare Comments:
External History Search Results:
DCS History Search Results:
DCS Intake Search Results:
Page 6 of 8Form Id CS 0680 01/14/2014 10.22
Case # 2013.087ph
Tennessee Department of Children's ServicesTennessee Child Abuse Hotline Summary
Name:
Partipant ID:MaleGender: Date of Birth:
29 YrsAge:SSN: Race:
Address:
Deceased Date:
NoAlleged Perpetrator:
NoDCS Foster Child:
School/ ChildCare Comments:
External History Search Results:
DCS History Search Results:
DCS Intake Search Results:
Page 8 of 8Form Id CS 0680 01/14/2014 10.22
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 09/09/2013 Contact Method:
Contact Time: 03:21 PM Contact Duration: Less than 15
Entered By: Recorded For:
Created Date: 09/12/2013
Completed date: 09/12/2013 Completed By:
Location:
Purpose(s): Safety - Child/Community,Service Planning,Well Being
Notation
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM received the report from the arson and bomb squad. This report states that the fire started in the basement area where 's bedroom is located. The bed that was sleeping on showed patterns of a direct burn. They also recovered the
remains of the oxygen take. The plastic tubing was still connected to the tank. The conclusion states: An analysis of the depth ofcharring, areas of lowest burn, levels of destruction and fire affects on contents and structral components combined with anevaluation of fire movement and intesity patterns and wittness statements demonstrated that the fire originatd on or around thebed located in the rear right basement bedroom as viewed from the rear of the structure. The fire then communicated to the otheraffected areas of the structrure. The most probable ignition source is that of an external heat source coming in contact withcombustible materials.
Entry Date/Time: 09/12/2013 09:16 AM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 4 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 09/05/2013 Contact Method: Phone Call
Contact Time: 02:45 PM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location:
Purpose(s): Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM spoke with the Bomb and Arson squad on the phone. They reported that their official report is with the DA's office in and that they would not give it to CM until the DA's office completed their investigation.
Entry Date/Time: 09/06/2013 02:32 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 6 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 09/05/2013 Contact Method: Correspondence
Contact Time: 07:25 AM Contact Duration: Less than 05
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location:
Purpose(s): Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
Cm received a copy of the report from the local fire department. This reported indicated that s body was found underneaththe body of . The cause of the fire was not listed in the report. The report showed that and both received life threatening injuries and and received moderate injuries.
Entry Date/Time: 09/06/2013 02:33 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 7 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 09/04/2013 Contact Method: Face To Face
Contact Time: 06:00 PM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location: Family Home
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Initial ACV Face To Face
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
Case Manager met with at the home of her aunt and uncle. It is reported that is doing very well. The familyhas private insurance that they are using and have used that to obtain services for . is in school and is doing verywell there.
Entry Date/Time: 09/06/2013 02:34 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 8 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 09/04/2013 Contact Method: Phone Call
Contact Time: 02:30 PM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location:
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM spoke with the DCS worker who would be conducting the courtesy. She reported that she would be making a home visittonight to check on as she already had to be out that direction for another client. She asked if CM could attempt to obtain
's tenncare number to aid in getting services for
CM then sent a request to welfare benefits requesting the number.
Entry Date/Time: 09/06/2013 02:34 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 9 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 09/04/2013 Contact Method: Phone Call
Contact Time: 09:00 AM Contact Duration: Less than 15
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location:
Purpose(s): Safety - Child/Community,Service Planning,Well Being
CPIT (Child Protective Investigative Team)
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM asked Detective for a copy of the official report which listed the cause of the fire. He reported that he did not have itand that CM would have to contact the Bomb and Arson squad.
CM sent a written request to the bomb and arson squad.
Entry Date/Time: 09/06/2013 02:35 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 10 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
1/14/14 10:24 AMPage 14 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 08/29/2013 Contact Method:
Contact Time: 08:00 AM Contact Duration: Less than 05
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location:
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Notation
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
Cm put in a second request to y for counseling services for . A reply from was received later thatday stating that he would be in touch with her.
Entry Date/Time: 09/06/2013 02:39 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 15 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 08/27/2013 Contact Method: Correspondence
Contact Time: 08:00 AM Contact Duration: Less than 15
Entered By: Recorded For:
Created Date: 09/06/2013
Completed date: 09/06/2013 Completed By:
Location:
Purpose(s): Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM recieved copies of the death certificates of and . The cause of death was listed asaccidental. It stated that it was unknown if tobacco use was a contributing factor. A hard copy of such is contained in the case file.
Entry Date/Time: 09/06/2013 02:40 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 16 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Safety/well-being/permanency needs at this time.
Safety:- Mother always has the child supervised if contact occurs with the AP- Any contact with AP is limited- Child is seeing a psychologist
Permanence:- Child will remain with his mother at this time
Well Being: 1. Medical-- No medical concerns noted
2. Mental Health/Behavioral-- No mental health/behavioral conditions noted
Education-
- is not of school age
Worker Observance of the home: CM did note that the home did have some clothing scattered but observed no visual safetyhazards within the home. Food was abundant and the family had the resources to adequately care for the child.
Interaction between Client/Family/DCS: When this CM arrived to the family's residence; the mother was supervising the child.
Assessment of Progress: Courtesy interview
Family Plan:- Any further steps will be determined by CM
1/14/14 10:24 AMPage 20 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 07/15/2013 Contact Method: Phone Call
Contact Time: 09:00 AM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 07/16/2013
Completed date: 07/16/2013 Completed By:
Location:
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM heard that the Funeral Home had a fund set up for the family. CM contacted them to see if they had any contactinformation for the family. The address they had was the same address as the fire.
Entry Date/Time: 07/16/2013 03:53 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 23 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 07/13/2013 Contact Method: Face To Face
Contact Time: 10:20 AM Contact Duration: Less than 45
Entered By: Recorded For:
Created Date: 07/24/2013
Completed date: 07/24/2013 Completed By:
Location: Family Home
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
;
Contact Type(s):
Narrative Details
CPSI made a home visit to meet with the family.
Present were and . explained that is not at home and is at work. She reportsthat is off work tomorrow and Friday. CM explained that there is a current investigation into the fire and CM wanted to meetwith the family and ensure that they have all that they need and that they are not in need of anything.
CM asked where the family is staying. reported that and are staying with her. She reports that this iswhere they sleep.
then spoke up and said that he is staying with his Gigi ( ) because his house burned down. He says that this is wherehe sleeps. reported that he has been going swimming with his Gigi and that he just learned to swim underwater. He reportsthat he likes to eat pancakes and that sometimes they make him eat vegetables, but that he doesn't like vegetables.
CM left a phone number with and asked her to have call to set up a time for a visit.
Entry Date/Time: 07/24/2013 10:51 AM Entered By:Narrative Type: Original
Narrative Type: Addendum 1 Entry Date/Time: 07/24/2013 10:51 AM Entered By:
The date of this was 7-23 not 7-13
1/14/14 10:24 AMPage 24 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 07/12/2013 Contact Method: Phone Call
Contact Time: 04:30 PM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 07/16/2013
Completed date: 07/16/2013 Completed By:
Location:
Purpose(s): Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM contacted the District Attorneys office to see if they had any contact information for the family. They did not.
Entry Date/Time: 07/16/2013 03:51 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 27 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 07/12/2013 Contact Method: Phone Call
Contact Time: 04:15 PM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 07/16/2013
Completed date: 07/16/2013 Completed By:
Location:
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Collateral Contact
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM contacted the Sheriff's Department to see if they had any contact information for the family. They did not.
Entry Date/Time: 07/16/2013 03:51 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 28 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 07/12/2013 Contact Method: Attempted Face To Face
Contact Time: 04:00 PM Contact Duration: Less than 15
Entered By: Recorded For:
Created Date: 07/16/2013
Completed date: 07/16/2013 Completed By:
Location: Family Home
Purpose(s): Safety - Child/Community,Service Planning,Well Being
Parent/Caretaker Interview
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
CM attempted to drive by the address listed in the referral. This was the location of the fire. No one is living there.
Entry Date/Time: 07/16/2013 03:50 PM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 29 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 06/12/2013 Contact Method: Face To Face
Contact Time: 02:00 PM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 09/12/2013
Completed date: 09/12/2013 Completed By:
Location: Family Home
Purpose(s): Permanency,Safety - Child/Community,Service Planning,Well Being
Alleged Perpetrator Interview
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
On 6/12/13 Detective and Special Agen interviewed at her residence. She stated that she is alwayson oxygen. She advised that she had been downstairs with watching "The Prince and the Frog". She stated that had gone upstairs and she stayed and watched the movie. She advised that she fell asleep and she awoke to a bright light then
took her outside. She first advised there was a "5050" then stated a "70/30" chance that she was smoking. Then she statedshe had lit a cigarette and fell asleep.
Entry Date/Time: 09/12/2013 09:29 AM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 31 ofCR - Summary 33
Case # 2013.087ph
Tennessee Department of Children's ServicesCase Recording Summary
Case Id: Case Name:
Case Status: Close Organization:
Recording ID: Status: Completed
Contact Date: 06/10/2013 Contact Method: Face To Face
Contact Time: 10:00 AM Contact Duration: Less than 30
Entered By: Recorded For:
Created Date: 09/12/2013
Completed date: 09/12/2013 Completed By:
Location: Hospital
Purpose(s): Permanency,Safety - Child/Community,Service Planning
Alleged Perpetrator Interview
Contact Sub Type:
Case Recording Details
Children Concerning
Participant(s)
Contact Type(s):
Narrative Details
Detective went to the hospital to interview . While at the hospital advised hospital staff that the fire washer fault.
Entry Date/Time: 09/12/2013 09:25 AM Entered By:Narrative Type: Original
1/14/14 10:24 AMPage 32 ofCR - Summary 33
Case # 2013.087ph