Form Soc 832 - Notice Of Child Abuse Central Index Listing
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1CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
NOTICE OF CHILD ABUSE CENTRAL INDEX LISTING
NAME OF ALLEGED SUSPECT
COUNTY OF
The ____________________________ County Child Welfare Services agency has completed an investigation of alleged
child abuse or severe neglect and determined that the allegations of abuse or severe neglect are substantiated.
Pursuant to Penal Code Section 11169(b), this is notice that the finding of substantiated abuse or severe neglect was sent
to the California Department of Justice (DOJ) for inclusion in the Child Abuse Central Index (CACI). The CACI contains
certain information that enables authorized entities to locate investigations of alleged child abuse or severe neglect con-
ducted by county child welfare departments.
Law enforcement agencies, court investigators, probation departments and district attorneys may use the CACI when
investigating allegations of child abuse or neglect. The CACI is also used by licensing agencies and county welfare
agencies to investigate persons who apply for licenses or employment to care for children in licensed facilities. If any of
these agencies receive information from the CACI that there was a prior investigation of child abuse or severe neglect, they
are required to conduct an independent review of the child abuse or severe neglect investigation.
REPORTS OF SUSPECTED CHILD ABUSE MAINTAINED BY DOJ ARE CONFIDENTIAL AND MAY ONLY BE
DISCLOSED TO STATUTORILY AUTHORIZED PARTIES (PENAL CODE SECTION 11167.5)
The County has determined that the allegation of child abuse or severe neglect against you is substantiated
A substantiated finding is defined by Penal Code section 11165.12(b) to mean that the investigator who conducted the
investigation determined that, based upon the evidence, it was more likely than not that child abuse or neglect occurred.
The term child abuse and neglect is defined by Penal Code section 11165.6. This determination is based on the
following information discovered during the investigation:
NAME OF ALLEGED VICTIM(S):
DATE(S) AND LOCATION(S) THE ALLEGED ABUSE OR SEVERE NEGLECT OCCURRED:
THE SPECIFIC ACT(S) OF ABUSE OR SEVERE NEGLECT ALLEGED AGAINST YOU IS/ARE AS FOLLOWS:
REFERRAL NUMBER:
No action on your part is required at this time. However, if you want to challenge your listing on the CACI, you must
complete the enclosed Request for Grievance Hearing form, and mail it to the following address:
You must mail the completed Request for Grievance Hearing form no later than 30 days from the date of this notice. As part
of the grievance hearing procedures, you may inspect all records and evidence related to investigation of the referral, except
for information made otherwise confidential by law. This information may be requested by checking the box under the
signature line of the Request for Grievance Hearing form. For more information, you can contact:
COUNTY STAFF PERSON:
DATED
PHONE
(
)
SOC 832 (1/13)
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