CHILD(REN) NAME CHILD I.D. # Omar Wilson 0000-0000-0000-0000000 Alejandro Wilson 0000-0000-0000-0000000

Referral Number: 0000-0000-0000-0000000 Referral Date 03/30/2009

SCREENER NARRATIVE Physical abuse to Omar Wilson (age 7) by father, Matthew Wilson. General neglect, failure to protect 7 year old Omar Wilson by mother, Alana Wilson. Five-year-old Alejandro Wilson is at risk.

REPORTER’S ACCOUNT (Who, What, When, Where, How and Why Now?)

Summarize: Per RP, 5-year-old Alejandro came to school very upset this morning. He could not focus on tasks and when asked what was bothering him, he began to cry. He said his brother Omar was hurt and his parents made Omar stay home from school. When asked how his brother got hurt, Alejandro said his dad got mad at Omar this morning and hit Omar with a belt. Alejandro stated that Omar now has red lines on his back and bruises on his arms. Alejandro said he was afraid of his father when his father was hitting Omar, but he is not afraid now. Alejandro has no visible injuries and denied being hit. Alejandro said Omar stayed home today so no one will see the red lines. Alejandro said his mother was there when Omar got hit, but she didn’t do anything.

Family has previous CFS history including previous referrals for neglect of Omar and previous case history. Previous case history includes a negative relationship with the social worker and contact only through the attorney. No current open case. Per case history, the family is English speaking. The mother is of Latin descent and the father is Native American and African American.

State of California Health and Welfare Agency Confidential in accordance with Department of Social Services SCREENER INFORMATION Penal Code Section 11167.5 and/or CWS Case Management System WIC Sections 827 and 10850 IN-ALGDES (Rev 12/02) Page 1 of 1