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Childline pa mandated reporting Form: What You Should Know
This report is a statement of facts without naming those alleged to be the perpetrator. The reporter is acting under the authority granted to her by the Department of Human Services. If the individual is identified as a victim, the following information, when applicable, will be reported: Physical Description of the perpetrator and victim. Age, sex and race of the perpetrator and victim, if any. Name, address, and telephone number of the provider and the county, if known. Name, address, and telephone number of a witness. The name of the alleged offender. The nature and extent of medical problems that affected the physical or mental functioning of the perpetrator or victim. Details regarding the custody and care of the victim. For cases where the suspected victim is under 14, a detailed description of the sex acts perpetrated by the suspected perpetrator. THE CHILD WHO IS THE SUBJECT OF THE REPORT If a child is the subject of the mandatory report and a social worker is present at the location of the occurrence, any incident report that the social worker obtains will be considered confidential. SEXUAL ABUSE includes any unwanted, non-consensual touching of a child's sexual or reproductive organs, including the breasts, penis, vagina, anal opening or, in the case of anal intercourse, the anus. Examples of sexual abuse include: a. The touching of the child, during any form of interaction, sexual in nature or sexual activity, in a sexual manner or for sexual purposes such as oral or anal sex, masturbation, or sexual play. b. The use or abuse of drugs, alcohol, or drugs and alcohol by, including consumption of alcohol by, the child, either alone or in association with, anyone involved in the child's care. c. Sexual gratification or abuse by, including the encouragement or instruction (including through visual, written or oral means) of anyone involved in the child's care to engage in sexual acts with or in the presence of the child. Any sexual assault that occurred in the presence of the child is sexual abuse. It is possible that other incidents of sexual abuse may be reported. It is possible that other occurrences of abuse may not be reported. All allegations should be reported. When making an allegation of sexual abuse, a child must be over the age of 13 (or be emancipated). Any allegation must be substantiated.
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