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For
Providers > Health
- Abuse
and Neglect
Abuse and
neglect are some of the most difficult issues that child care providers face.
Your responsibility to the children in your care (as well as state and federal
law) requires you to document the situation in the child's file with a written
description of what you observed and the dates, and to report suspected child
abuse or neglect to the Department of Social Services in your state. If the
child is old enough to talk, you may wish to ask him "Can you tell me about
this?" (for a bruise, burn, or other physical mark). You should not show
alarm, disgust, or anger -- the child may believe you are upset with him, and
not share information with you.
If you have
reason to believe a child has suffered harm in the parents' care, you should
follow the law in every respect, but also make an effort to communicate with the
parents if it will not result in further harm to the child. If a child appears
to be neglected, talk to the parent about how a child needs to be properly fed,
clothed, bathed, and kept clean and safe. Sometimes a parent may need
information on parenting, or may need help due to circumstances beyond control,
such as severe illness in the family, or poverty due to job loss or divorce.
If you see
signs of abuse, again, ask the parent about what you have seen, unless you think
the parent will punish or harm the child for "telling." If the parent
has a reasonable explanation (which is consistent both with the physical
evidence on the child and with the child's behavior), it might have been a real
accident and not abuse. However, any child who consistently shows up with burns,
bruises, breaks, fractures, or other serious injuries should have his or her
case investigated to prevent further injury to the child.
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