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Hope ESD  |  E  4212.9  Personnel

Signed Statement   

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Child Abuse Reporting Requirements

Section 11166 of the Penal Code requires any child care custodian, health practitioner or employee of a child protective agency who has knowledge of or observes a child in his/her professional capacity or within the scope of his/her employment whom he/she knows or reasonably suspects has been the victim of child abuse to report the known or suspected instance of child abuse to a child protective agency immediately or as soon as practically possible by telephone and to prepare and send a written report thereof within 36 hours of receiving the information concerning the incident.

I have been informed of the above law and will comply with its provisions.


(Type employee's name below line, requiring signature above)

This statement is a permanent record of the district.


Santa Barbara, California