| - RISK DECISION # 3 - |
 |
| Page 717 f3 =============== |
| === RISK ASSESSMENT MODEL === for Child Protection in Ontario |
| - THE THEORY - |
| - SAFETY ASSESSMENT FORMS - ( Form # 3 ) |
| Cont'd from Page 717 f2 |
| SAFETY ASSESSMENT - ( Form # 4 ) - > |
| PRESENT ? |
| INFORMATION SUPPORTING ASSESSMENT OF SAFETY FACTOR |
| SAFETY FACTOR |
| 10. |
| Child sexual abuse is suspected and circumstances suggest that child safety may be an immediate concern. |
 |
| Yes |
|
| No |
| Not Known |
|
| 11. |
| Caregiver's drug or alcohol abuse seriously affects his/her ability to supervise, protect, or care for each child/children |
|
|
|
| Yes |
| No |
| Not Known |
| 12. |
| Other (specify): |
|
|
|
| Yes |
| No |
| Not Known |