Resources & Frequently Asked Questions
Child Fatality & Near Fatality County Webinar Resources
County Webinar Q & A Documents
Frequently Asked Questions
Who is considered a “guardian?”
- Regulations have been adopted at MPP section 31-502.232(a), which clarify that a “guardian” includes a “putative parent or guardian.” A “putative parent or guardian” is an individual with whom the child resides and who routinely acts as the child’s parent or guardian.
What if there are multiple causes of death and material contributing factors?
- Prior to July 1, 2015, regulations stated that counties must disclose information when a child’s death was the “result of” abuse or neglect, meaning disclosure was triggered when abuse and/or neglect was the direct cause of the child’s fatality. MPP section 31-502.13 was revised to clarify that it is not necessary for abuse and/or neglect to be the sole or direct cause of the child’s death. Rather, in cases where there are multiple factors that resulted in a child fatality, it is only necessary to determine that abuse and/or neglect was a “material contributing factor” in the child’s death.
- A “material contributing factor” is defined as a factor that is more than inconsequential or incidental, which contributed to the cause or causes of the child fatality.
What if a child fatality occurs in one county and the child is transported to another county for medical treatment?
- This is known as a “cross-jurisdictional” fatality. MPP section 31-502.122 and .26 clarifies reporting and disclosure responsibility when fatal maltreatment of a child occurs in one county and the child is transported to another county for medical treatment. If a county’s involvement with the child fatality was limited to the provision of medical services to the victim and/or the preparation and issuance of a coroner or medical examiner’s report, the CWS agency in the county where the abuse and/or neglect occurred shall report the fatality to CDSS on behalf of both counties.
What if two different agencies are differing in their determination of abuse and/or neglect?
A determination that the fatality was the result of abuse and/or neglect exists when one of the following conditions is met:
- A “determination” of abuse and/or neglect by Child Welfare Services or Probation is the substantiation of abuse and/or neglect allegations which resulted in the fatality; or
- A law enforcement investigation concludes that the child’s death was a result of abuse and/or neglect; or
- A corner/medical examiner concludes that the child’s death was a result of abuse and/or neglect.
In some cases, law enforcement, the coroner and/or CWS may reach differing conclusions when determining the cause of a child fatality. When any one or more of the three agencies determine or substantiate abuse and/or neglect as resulting in or being a material contributing factor to a child’s death, information must be reported to CDSS and disclosed pursuant to MPP section 31-502.3, even if one or both of the other agencies have not reached that same determination.
Child Death Review Team Resources
The National Center for Fatality Review and Prevention is a helpful resource for state and local Child Death Review programs promoting death review methodologies, principles and models. Please peruse the plethora of resources available in conjunction with statewide regulatory guidance to assist in county practice of Child Abuse and/or Neglect Death case reviews.
Alameda County Child Death Review Team
Los Angeles County ICAN Multi-Agency Child Death Review Team
Marin County Child Death Review Team
Mendocino County Child Death Review Team
Orange County Child Death Review Team
Sacramento County Child Death Review Team
Santa Clara County Children's Death Review Team
Child Death Review Toolkit
The Critical Incident Citizen Review Panel decided to develop a Toolkit to assist county - level agencies interested in creating or reviving CDRTs in their jurisdictions. The Toolkit will help counties assess their CRDTs and implement improvements by assisting them in developing policies and procedures and guiding them in making other changes where necessary. This toolkit also serves as an opportunity to provide best practice implementation guidance to enhance county CDRT efforts.
Child Death Review Toolkit