BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1440
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          Date of Hearing:   April 10, 2012

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
                    AB 1440 (Perea) - As Amended:  March 29, 2012
           
          SUBJECT  :  Child abuse and neglect:  reports

           SUMMARY  :  Requires county child welfare agencies to prepare a 
          written report, as specified, within 60 days of determining that 
          abuse or neglect led to a child's death in the county.  
          Specifically,  this bill  :  

          1)Requires a county child welfare agency, within 60 calendar 
            days of determining that abuse or neglect led to a child's 
            death in the county, to review the child's death and prepare a 
            written report containing all of the following:

             a)   An analysis of the circumstances leading to the child's 
               death;

             b)   An evaluation of whether child welfare services provided 
               to the child, if any, could have been improved; and,

             c)   If it is determined that child welfare services could 
               have been improved, recommendations regarding how to 
               improve the delivery of child welfare services in the 
               future.

          2)Requires the county child welfare agency to provide a copy of 
            each of the child death review reports to the State Department 
            of Social Services (DSS) within 10 calendar days of completing 
            the report and requires DSS to review each report for any 
            systemic issues or patterns that need improvement.

          3)Requires DSS, commencing January 1, 2013, to include 
            information from the county child welfare agency death review 
            reports in its annual report identifying child fatalities and 
            any systemic issues or patterns revealed, and requires the 
            annual report to include the following additional information:

             a)   Child death information stated separately for each 
               county;

             b)   Whether each county prepared and submitted to DSS the 







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               required child death review reports;

             c)   A comparison of child death information over multiple 
               years, commencing with the 2013 calendar year, and an 
               analysis of whether the deaths indicate any systemic issues 
               or patterns that need improvement; and,

             d)   The percentage of child deaths from abuse or neglect in 
               each county involving children who had previously received 
               child welfare services.

           EXISTING LAW  

          1)Requires the county welfare department or agency, within 5 
            business days of learning that a child fatality has occurred 
            in the county and that there is a reasonable suspicion that 
            the fatality was caused by abuse or neglect, to release the 
            following information upon request:

             a)   The age and gender of the child;

             b)   The date of death; and,

             c)   Whether an investigation is being conducted by a law 
               enforcement agency or the county child welfare agency.

          2)Requires additional specified disclosures based on whether the 
            child's death due to abuse or neglect occurred while the child 
            was living with a parent or guardian, or while the child was 
            in foster care.

          3)Provides that abuse or neglect is determined to have led to a 
            child's death if one or more of the following conditions are 
            met:

             a)   A county child protective services agency determines 
               that abuse or neglect was substantiated;

             b)   A law enforcement investigation concludes that abuse or 
               neglect occurred; or,

             c)   A coroner or medical examiner concludes that the child 
               who died had suffered abuse or neglect.

          4)Requires DSS, based on required notices received from each 







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            county child welfare agency of child fatalities within its 
            jurisdiction resulting from abuse or neglect, to annually 
            issue a report identifying child fatalities and any systemic 
            issues or patterns revealed by the notices and other relevant 
            information.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  According to the author: 

               Every year, about a half million children in 
               California come to the attention of child welfare 
               officials through reports of suspected child abuse or 
               neglect.  In 2010, Child Welfare Services (CWS) 
               agencies received 479,672 allegations of maltreatment 
               of children and substantiated 88,858 of these 
               allegations through their investigatory efforts.  
               Maltreatment can take many forms, and some children 
               can suffer from more than one type: 
               neglect/abandonment, physical trauma or abuse, sexual 
               abuse, emotional abuse including threats to harm the 
               child, and medical neglect.

               Children die every day from abuse and neglect.  For 
               2009, California CWS agencies reported 117 child 
               fatalities and 85 near fatalities determined to be the 
               result of abuse and/or neglect.  Of the 117 child 
               fatality cases, 95 were children four years of age and 
               younger.  Of those, 46 children were less than one 
               year-old and 49 children were between the ages of one 
               and four.  Of the 95 fatalities, the finding for 
               specific cause of fatality in 41 of these cases was 
               blunt force trauma (Department of Social Services: 
               California Fatality and Near Fatality Annual Report 
               Calendar Year 2009-May 2011).

          Although not required by law, some but not all county child 
          welfare agencies review child abuse and neglect deaths.  A 
          recent report by the California State Auditor pointed out that 
          "�c]ounty child welfare services (CWS) agencies that do not 
          formally conduct an internal evaluation of the services they 
          delivered to a family prior to a child's death from abuse or 
          neglect are missing opportunities to identify needed changes 
          that may prevent similar future tragedies."  Child Welfare 
          Services:  California Can and Must Provide Better Protection and 







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          Support for Abused and Neglected Children (October 2011 Report 
          2011-101.1), p. 61.  In addition, counties that perform child 
          death reviews are only reviewing a portion of child abuse and 
          neglect deaths and are not implementing their own 
          recommendations to strengthen and improve their policies and 
          practices.  Id.

          Prior legislation, SB 39 (Migden), Chapter 468, Statutes of 
          2007, requires county CWS agencies to notify DSS of all child 
          fatalities that occur within their jurisdiction that resulted 
          from abuse or neglect.  SB 39 also requires DSS to annually 
          report on these fatalities and on any systemic issues or 
          patterns revealed by this information.  As the State Auditor's 
          report notes, however, DSS' "information on child deaths 
          resulting from abuse or neglect is only as good as the 
          information submitted by county CWS agencies."  Id.  at 71.  
          Based on its review, the State Auditor recommended that "all 
          county CWS agencies should perform a formal internal review of 
          the services they delivered to each child before he or she died 
          of abuse or neglect and implement any resulting 
          recommendations."  Id.

          In commenting on the need for this bill, the author says:

               It is unconscionable that children under the State's 
               care are vulnerable to abuse and neglect.  It is 
               reported that most child fatalities occur due to 
               physical abuse, mainly head trauma.  The next most 
               common cause being punches and kicks to the abdomen, 
               which result in internal bleeding.  Many of these 
               children are abused over time; however, a one-time 
               event can also result in death.  The most common forms 
               of neglect include failing to provide food for the 
               child leading to malnutrition, starvation, and 
               dehydration.  Young children are the most vulnerable 
               victims.  National statistics show that children under 
               six years of age account for 86% of all maltreatment 
               deaths and infants account for 43% of these deaths.  
               �This bill] would ensure that our most vulnerable 
               children are protected by requiring that counties 
               review a child's death due to abuse and neglect and 
               report their findings to �DSS].  The report would 
               include recommendations on improving agency practices. 
                This bill would require the county child welfare 
               agencies to learn from mistakes that were made along 







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               the way and ensure that our most vulnerable children 
               are protected.

           Concerns  
          While not stating a specific position on this bill, the County 
          Welfare Directors Association (CWDA) has expressed concerns and 
          proposed amendments.  CWDA recommends "removing some of the 
          specificity from the bill regarding the development of 
          individual child death reports, what those reports must contain, 
          how fast the reports must be completed, and providing each 
          individual report to the state."  CWDA explains: 

               Current law, added by SB 39 ?, already provides for 
               child-specific reporting when a child dies due to 
               abuse or neglect.  It is our understanding that the 
               purpose of �this bill] is not to duplicate those 
               existing efforts, but rather to ensure that child 
               welfare agencies are internally reviewing their 
               responses to allegations of abuse and neglect when a 
               child dies to identify systemic changes that can be 
               made.

          Based on this understanding, CWDA recommends amendments that 
          would do the following:

                 Require that each county have internal procedures in 
               place to investigate the death of any child who had 
               previously received child welfare services in that county, 
               if that death is determined to have been caused by abuse or 
               neglect.
                 State that the purpose of this review is to assist the 
               county child welfare agency in the identification of 
               systemic issues or patterns that need improvement.
                 Provide that counties with existing internal review 
               procedures as of the date of the bill's enactment would be 
               deemed to meet these new requirements.
                 Require an annual report to the state by each county 
               that provides data about child deaths and any systemic 
               issues or patterns that need improvement, so that the state 
               can analyze these reports and provide any overall findings 
               in the child death report it already produces annually.

          CWDA also recommends eliminating the requirement that the annual 
          state-level report include county-by-county death statistics, 
          noting that the county numbers are so small that variations 







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          among counties and year-to-year changes would not be meaningful.

          IT IS RECOMMENDED that, if this bill is passed, the Committee 
          request the author to continue to work with CWDA and Committee 
          staff to address concerns to the extent that the purpose of this 
          bill can be achieved while not overburdening counties with 
          duplicative or excessive reporting requirements.

           Prior legislation  :

          SB 39 (Migden), Chapter 468 Statutes of 2007, provides for the 
          release of specified information by county welfare agencies 
          regarding a deceased child where the death is the result of 
          abuse or neglect.

          SB 1668 (Bowen), Chapter 813, Statutes of 2006, requires that no 
          less than once each year, each county interagency child death 
          review team shall make available to the public findings, 
          conclusions and recommendations of the team, including aggregate 
          statistical data on the incidences and causes of a child's 
          death, as specified.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Youth Connection
          First 5, Fresno County
          Fresno Barrios Unidos, Executive Director
          National Association of Social Workers - California Chapter
          The Crime Victims Alliance

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089