Corrective Action Plan

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LOS ANGELES COUNTY
DEPARTMENT OF CHILDREN AND FAMILY SERVICES
BUREAU OF CHILD PROTECTION
BUREAU OF CHILDREN AND FAMILY SERVICES
CORRECTIVE ACTION PLAN
Relative/NREFM Caregiver’s Name(s):
Date:
Street Address:
City:
Zip:
SPA/Regional Office:
RA:
ARA:
SCSW:
CSW:
PLEASE INDICATE AREAS OF DEFICIENCIES/ISSUES:
Deficiencies/Issues: (Description of the nature of the deficiencies)
Unsafe/unsanitary condition in or near the home
___House [§89387]__________________________________________________
___Yard [§89387.1(a)]_______________________________________________
___Garage/Shed____________________________________________________
___Pool [§89387(d)]_________________________________________________
___Other (specify)__________________________________________________
Storage of medications and cleaning solutions [§89387.2]________________________
Storage of weapons and ammunition [§89387.2(a)]_____________________________
Hot water [§89387(h)(n)]_________________________________________________
Smoke detectors [§89387(p)]______________________________________________
Windows/Security window bars [§89387(d)(q)]________________________________
Heater and fireplace [§89387(l)]____________________________________________
Automobile/Car seat [§89374]_____________________________________________
Bedrooms/sleeping areas meet Title 22 requirements [§89387]____________________
Others (specify)_________________________________________________________
DCFS 725 (11/02)
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