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e. Caregiver behavior which is out of control and threatening to a child’s safety,
                  e.g., driving while intoxicated with children in the car or a caregiver who is
                  not taking prescribed medication.

             f. May also be due to drug or alcohol abuse; or a mental, emotional, or physical
                  problem.

15. Domestic violence is a pattern of assaultive and/or coercive behaviors including
    physical, sexual, and emotional abuses, as well as economic coercion that adults use
    against their intimate partners to gain power and control in that relationship. The
    presence of domestic violence is a risk for children. However, not all situations of
    domestic violence requires a report to DCS or law enforcement. DCS has the authority
    to intervene with families based on whether a child is being physically abused,
    sexually abused, neglected, suffering emotional abuse or is being subjected to an
    activity or condition likely to result in substantial harm. If you know a child is
    witnessing repeated or serious domestic violence and you are unsure of the impact on
    the child, call and consult a DCS screener.

16. Documentation Requirements:

               a. All allegations or reports of abuse or neglect must be documented in the
                   progress note section of the resident’s medical record. In addition, an
                   Incident Report form must be completed and forwarded to the Executive
                   Director.

               b. Reporting is done immediately after the incident occurs (if witnessed) or as soon
                   as one becomes aware of such an occurrence (receiving information from
                   another person or from the resident themselves.)

               c. The Incident Report must be received by the Executive Director no later than
                   24 hours after the event/notification. However, the Executive Director would
                   already know about the event/incident since this policy states that in any
                   instance of abuse or knowledge of abuse, must be reported to the Executive
                   Director immediately.

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