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.xas Dept of Family

and Protective Services CHILD SAFETY EVALUATION AND PLAN

Plan for Immediate and Short-Term Child Safety

F2604-B000

January 2009

Page of

F'~ [kn.LZ-lZlF ,J4 TASKS AND SERVIOES-List lOEJ all tasks and services needed to provide for the child's immediate and short-term safety.

Family Task

AJ^f^iJtH6 4Wp*£ GWMaPC

CPS/Other Service

[J*5 ^n/J/a^^n

Beginning and Epdirfg Dates/and/or Frequency) ^ / ~t

Method ofEvaluatj^n" ofEvaluatjjpn ( ~//7 J^ /> r~j r_f_

tea (atCd/or Frequency) _

Conclusion-Identify plans for further services. When appropriate, describe the possible consequences ifthe family does not carry out this plan

successfully. uccessfully. If the case is to be closed, explain why. . j I

Signatures-By signingthisform, the parents are agreeing to performthe tasks specified in this plan, and applying for TitleIV-A emergency assistance

to help cover the cost of CPS's services. Note: To functionas an applicationfor Title IV-A emergency assistance, thisform must be signed by at least one parent or relative of the child.

Parents also agree that this plan does not conflict with any existing court order.

The parents may request a review of this plan at any time. They may also request an administrative reviewer a fair hearing ifCPS denies, reduces, or

terminates any protective sofvices or emergency.assistance that they have requested-ordpes not act promptly on theirrequest forservices.

14X11 Date v r Date L>

Signature - Parent Date Signature - Supervisor Date
Texas Department of Family and Protective Services

COMMISSIONER

John J. Specia, Jr.

Qwight Arnold Wolf

1940 2ND ST

HEMPSTEAD, TX 77445-7035

Mailing Date: 12/19/2012

Re: C?,se# 42554984; Notice of Findings of CPS investigaiiun

Dear Dwight Arnold Wolf:

The Department of Family and Protective Services (DFPS) has completed its investigation of alleged abuse or

neglect reported on 11/21/2012 involving one or more children in your family and made the following findings:

Alleged Perpetrator

White.Dorothy D

Wolf.Dwight A

White.Dorothy D

Alleged Type ofAbuse or

Neglect

Neglectful Supv.

Physical Abuse

Physical Abuse

Alleged Victim Finding

Atkins.Sudia A Ruled Out

Atkins.Sudia A Ruled Out

Lewis,Jaylen Ruled Out

This investigation is now closed and there will be no further agency involvement with your family unless we

receive another report ofabuse or neglect, which, bylaw, we would need toinvestigate.

How Findings are Determined.

o Afinding of "Ruled Out" means that, based on the available'information, it was reasonable to conclude

that the alleged abuse or neglect did not occur.

How Certain Types of Abuse or Neglect are Defined.

Neglectful Supv. includes the following acts or omissions bya person:

9 placing a child in or failing to remove a child from a situation that a reasonable person would realize

requires judgment or actions beyond the child's level of maturity, physical condition, or mental abilities and

that results in bodily injury ora substantial risk ofimmediate harm to the child; or • placing a child in or failing to remove the child from asituation in which the child would be exposed to a

substantial risk ofsexual conduct harmful tothe child; or '',_,,_ ' J4

6 placing a child in or failing to remove the child from a situation in which the child would be exposed to acts

br omissions that constitute abuse under Subdivision (1)(E), (F), (G), (H), or. (K) committed against another

•.••'.-child;-.-.-.-. _-.•'_: •••

Physica! Abuse Vincludes the following acts oromissions by a person:

s physical injury that results in substantial harm to the child, or the genuine threat of substantial harm from

physical injury to the child, including an injury that is at variance with the history or explanation given and

excluding anaccident orreasonable discipline by a parent, guardian, or managing or possessory

conservatorthat does not expose the child to a substantial risk of harm; or • failure to make a reasonable effort to prevent an action by another person that results in physical injury that

results in substantial harm to the child; or
Jhi\P * 4- Abstain-from the use of alcoholic beverages of any kind and further abstain from the use. of any .ffJ harmful substances, narcotic drugs, or other controlled substances in any form except as prescribed by a licensed physician forlegitimate medical purposes.

Jj u/ 1/ 5. Do not go on any premises where alcoholic beverages are served.

6. Participate in a program of electronic monitoring and comply with all rules and procedures ofthe

program andpayall costsassociated With the program.

/ \Jy, Submit to urinalysis at the direction of the community supervision officer for the purpose of

determining whether or not you are using or are under the influence of alcohol, narcotic drugs,

marijuana, or any other controlled substances, and pay all costs of such tests at the time they are

administered.

Do not enter into any agreement to act as an "informer" or special agent of any law enforcement

agency.

5 Have no contact, either directly or indirectly, or cause any communication with the victim or any

member of his/her household or family, furthermore you are prohibited from going within 200 yards

ofthe residence qr place ofemployment ofany ofthe witnesses in this case. NOfofifycf^'i^ CLr\i\or\t\Lfiaer±htj}qeo£ll

10. Pay a bond supervision fee of $50.00 per month to the Community Supervision and Corrections

Department. ;

/} <// y 11. Defendant shall report immediately to the Community Supervision and Corrections Department upon r ' his/her release from jail.

"I SWEAR & AFFIRM that 1 will appear before the JUDICIAL DISTRICT COURT at the

• County Courthouse in. the District Courtroom, on the ; day of

fid-jC

' . 20 . at . • . AM/ PM. or upon notice by this Court, orI agree to paytotheCourt thePrincipal

sum of $ l.QOiOOr> plus all necessary and reasonable expenses incurred in any arrest- for failure to

appear."

NOW, if die saidDefendant'shallwell and truly make'his/her personal appearance before saidCourt at the

time and place stated above, andthere remain from day today and term toterm, until discharged bydue course oflaw,

then and there to answerthe accusation and any all subsequentproceedings had relative tb the chargeagainsthim/her,

thenthis obligation shallbecomemilland void;otherwiseto remainin fullforceand effect.

WITNESS bvmv hand on this the ^? ^ ^ davof JUkJ^, ' ' ,20/^.

DEFENDANT'S SIGNATURE

SUBSCRIBED AND SWORN to before'rae on this the "2 *•( day of ^3 UA-<—. ,20_[3.-

The foregoing PERSONAL APPEARANCE BOND has been examined and approved onthis the

«JU/-^7 davof -JtiUG .20 /^

JAILSIGNATURE / TITLE/

The defendant has received acopy ofthese Conditions ofBond and they have been thoroughly reviewed and explained

and the defendant agrees toabide byaliconditions as. set forth by his/hersignature.below.

DEFENDANT COMMUNITY SUPERVISION OFFICER

200/100 698Z Zi9 9E6 "OH IYi I!*MW *1!UNI W 95 =90 H0R/EI03/W/M
STATE OFTEXAS r ' • TM ~„„ //// th ~ § INTHE 7/1 T" DISTRICT COURT

vs. • . •

Jk*fl£k/il£_ OF

l£L£lMl COUNTY, TX

A r, J £E^fNAL APPEALftm RQNn OFFENSE:^^^Z^Wf, CAUSE NO:

DEFENDANT _Via''at) j- Wo f~P

ATTORNEY:

DOB: JiMlmU PHONE:!!^?^^ «*__&-*£//,?_ HOT:ki^ ^Pg^ ^^ ^^^p

DRtVERSLICENSE: 140 3^^3- STATE:^

EMPLOYER: frl/R

EMPLOYER ADDRESS:

EMPLOYERPHONE:__ ___ •• SUPERVISOR: ___ .

NEAREST RELATIVE:.£bf-rV)lj \l>Ti\ £ ' . address: Vfl/ U)es:T f/zpsoj STe^£.T ~

RELATIONSHIP.,, U,/T£. PHONE:4 36^M2-fT^ j

LIST TWO OTHER PFRSONS WH_>WILLKNOW WHERE. * »OW TO LOCATF, vfm

^MUMZUL RELATIONSHIP: ttncc/

ADDRESS: Jl^g/te^M PHONE: j__5L_£__y___7_)

NAME: ^^ l<ht{L RELATIONSHIP: *jf o/>(g__. __ ADDRESS: {^ &45 phone: 977 %2£~?2£$

PLACE OF BIRTH:

KNOWALL^NBYTHESE^RESENTS,ThatI,T)l^hT )rifll f , as Principal, acknowledg, Bjgf to owe and be indebted to the .STATE OF TEXAS, COUNTY OF Tr\f\\\y ,|ie sum of

»)Pf),nX) -Dollars,-and in-addition thereto, Iam bound for the payment of all reasonable fe_ and

expenses that may be incurred by sheriffs or peace officers in re-arr«ting principal in the event the conditions ofthis

bond are violated. For the payment of which sum or suras, which are payable to the State of Texas, Ihereby bind

myself, myheirs, executors, andadministrators.

ISWEAR AND AFFIRM that while released on this personal appearance bond Iwill faithfully abide by the

contidions set forth below and Iunderstand-that aviolation or any ofthese or any other conditions as set forth by tins

Court, will result in revocation ofthis bond and my re-arrest

, BOND CONTJITTONS;

___ 1. /J I Report to the Community Supervision and Corrections department once each-weeW month as

directed bytheCommunity Supervision Officer.

____ 2.1 Commit no offense against the laws ofthe State ofTexas, any other State, or the United States. ..

_ 3. Observe acurfew and remain in your residence between the hours of PM and AM.

200/200 'i 6982 ZW 9£6 '°N XYi Uef *W *U"W1 IU £5:90 KOJl/EI0Z/»Z/Hnr
Texas Department of Family and Protective Service

COMMISSIONER r

John J. Specia, Jr. I

Dwight Arnold Wolf

1940 2ND ST

HEMPSTEAD, TX 77445-7035

Mailing Date: 12/19/2012

Re: Case# 42554984; Notice of Findings of CPS investigation

Dear Dwight Arnold Wolf :

The Department of Family and Protective Services (DFPS) has completed its investigation of alleged abuse or

neglect reported on 11/21/2012 involving one or more children in your family and made the following findings:

Alleged Perpetrator

White.Dorothy D

Wolf, Dwight A

White.Dorothy D

Alleged Type ofAbuse or

Neglect

Neglectful Supv.

Physical Abuse

Physical Abuse j

Alleged Victim Finding

Atkins.Sudia A Ruled Out

Atkins.Sudia A Ruled Out

Lewis.Jaylen Ruled Out

This investigation is now closed and there will be no further agency involvement with your family unless we

receive anotherreport of abuse or neglect, which, by law, we would need to investigate.

How Findings are Determined.

o Afinding of "Ruled Out" means that, based on the available information, it was reasonable to conclude

that the alleged abuse or neglect did not occur.

How Certain Types of Abuse or Neglect are Defined.

Neglectful Supv. includesthe following acts or omissions bya person:

©placing a child in or failing to remove a child from a situation that a reasonable person would realize

requires judgment or actions beyond the child's level of maturity, physical condition, or mental abilities and

Hhat results in bodily injury ora substantial risk ofimmediate harm to the child; or

« placing achild in or failing to remove ttie child from a situation in which the child would be exposed to a

substantial riskof sexual conduct harmful to the child; o^

e placing a child in or failing to remove the child from a situation in which the child would be exposed to acts

oromissions that constitute abuse under Subdivision (1)(E), (F), (G), (H), or(K) committed against another

.-'.child."--'. '•'•.V':

Physical Abused includes the following acts oromissions by a person:

©' physical injury that results n substantial harm to the chi'd, or +he genuine threat of substantial harm fVo.-o

-physical injury to the child, including an injury that is at variance with the history or explanation given and

excluding an accident orreasonable discipline by a parent, guardian, ormanaging or possessory

conservator that does not expose the child to a substantial risk of harm; or • failure tomake a reasonable effort to prevent an action by another person that results in physical injury that

results in substantial harm to the child; or
.-UKS^iX- •^r-*L>-*

i *• w

yjit *. ."t* ,? £ * g | g1i| ^ *Er .. ^.-y*«f)>-r- - JWa.-y..-^.-...,.^

Texas Department of Family and Protective Services

COMMISSIONER ••.

John J. Specia, Jr.' -,'•• -

• •V;'-;^. fer!.;:.,^..^..;-- '•.. . :u- . Dwight Arnold Wolf <.

1940.2ND^Tj„\uii7.J, .. . '"•

HEMPSfEAD;iTX:77445-7035.

MaijingDate^12/19/2012 ., . ...v,:.. . . •. ,.( ;yr... ^

Re:;!Case#s'4^"55^98^ -•.•—-;•.-.. -«-.-.,•• ,.-,.,

Dear,.Dwight Amold'.Wolf :'••••''.v.-7:A^?^r;''••"^- " ir"

..,•<•- .:?K"'/ ifv'- ••'•'•f'v'v '?-'TMi" •"'• ^/s1'';* '"";.-.f:.- * •-. ••\. -,:• • 'i'.•',•-..,.-. '-.-...•,--•'•.'• . ;

The Departmenfiof^^Family^andProtelcliye Services (DFPS) has completed jtsinvestigation ofalleged abuse or

neqlectreported on 11/21/2012;Involving ohe\or.more children in youf.'family.and made'the following findings:, ,

'.'''::S:;','!.:W? r'M'.'^-J'^v;'jwv;" k?";. a^*^.-v f^f't.'- •^;-'' •• -',<' •''.-•-*v-.-?j: ..^-.-'Vis;;**^'-j'••!*-*•» v.-• •--•;.-. "4.• ••,-- -

rAlleged-Rerpetra'tor^:

White Dorothy D

Wolf Dwight A

White Dorothy D

'Alleged7Typ0pf'Abuse or

•:''t;. t\}Neg'lect--V'''-''•'

Neglectful Supv

Physical Abuse

Physical Abuse

:; Alleged tVictim:,

Atkins Sudia A

Atkins Sudia A

Lewis Jaylen

:•<:' ••i&ifivkFindirig >&• ^V'.?ti

'i'^-^'V'-""-: :.-?.V- ••••.,-::

Ruled Out

Ruled Out

Ruled Out

This investigation is now closed and there will be no further agency involvement with your family unless we

receive another report of abuse or neglect, which, by law, we would need to investigate

How Findings are Determinedly ,. k.

H > ^

• /Afinding ott"Ruled Out" means-Mat,-base'd on the available information) itwas reasonable Jo conclude

_ / that the,alleged abuse""orneglect did not occur1 TV' ">' ""sL rf\•'!•< ," ' ' *\,j' M "*',]

How Certain Types of Abuse or Neqlect'are Defined.^. - ,

Neglectfu|ISupv.,!,inclucles thefollowing acts>or.pmissions by a persop ^ "» ~ ' ^

•^ • placing a child inV failing tojemove>a child from a situation that a reasonable person would realize* -^ ( , ^ , ;, , ^requires judgment or actions.b'eyond^the child's leyel of maturity, physical condition, or mental abilities and -' LS -V% £

't that results^jn bodily injury or a^ubstantial risk of immediate harm to the child, of' *% x? , ^\ ^ ; ^ ^ • placinga cKild in or failing to remove*the child from a situation in which the child would be^exposed'to a* >' * "-, ", vv

"f' "substantial risk of sexual conduct harmful to the child, op ? j. ( - ^ • placing a1"child in orfailing to remove the child from a situation in which the child would be exposed to acts

or omissions that constitute abuse under Subdivision (1)(E), (F), (G), (H), or (K) committed against another t r

Child". T^% t ' ^\ „' *' . r

Physical Abuse^sincludesthe following acts or omissions by a person

/* ,• physical injury that results in substantial harm to the child, or the genuine threatofsubstantial harm from "' " physical injury fo'the child, including an injury that isat variance with the history orexplanation given and - ^ i^

-1 ' fexcluding«an accident or reasonabledisciphne by a parent, guardian, or managing or possessoryvt , ' \ ,,Vi:

cbnsefvator'tnat,does hot expose'tfechild to,a substantialVisk ofharrn'or; "^ ^ '^^t,** ^^r.-* i/-eV3i.'4

""""'"'nf

;r-,'s?.V.--*-.r,v

S^.J--V

/TS:;-'''^V*'^^
/-

Request For Removal Of Role Information

Role Removal Unit, Y-960

Texas Department of Family and Protective Services (DFPS)

PO BOX 149030

AUSTIN TX 78714-9030 o #

For status inquiries please call 512-929-6470. Please allow sufficient time for mail delivery before seeking status.

An individual aHeged to have committed abuse or neglect of a child is entitled to request removal of information

from DFPS records concerning that person's role as an alleged perpetrator in an investigation conducted by CPS

if all of the allegations against that individual in that investigation are ruled out. To request removal of role

information relating tb the foiiowing investigation, you must completeand sign thisform and return it.to DFPS at

the above address within forty-five (45) days after the date on the accompanying letter. If your minor child was

the alleged perpetrator in this investigation, you may make this request on your child's behalf.

In Regard to the Investigation That is Subject to Role Removal

Date of Report Case Name Case Number

11/21/2012 White.Dorothy D 42554984

Specific Allegations that were investigated and "ruled out"

Alleged Perpetrator Name Type ofAbuse or Neglect Alleged Victim Name Disposition

Wolf, Dwight A Physical Abuse Atkins.Sudia A Ruled Out

To be completed by the person requesting removal of role information

Name Area Code and Telephone Number

MailingAddress (Street or P.O. Box, City, State, Zip)

Name of child if parent or guardian is making this request on behalf of a minor child

Important Information About Your Rights

Upon receipt of a properly submitted request for removal of role information, DFPS will initiate procedures to

remove information from department records about the alleged perpetrator's role in the abuse or neglect report

identified. Once this role information is removed from our records, IT WILL BE DESTROYED AND WILL NOT

BE AVAILABLE TO YOU. If, for any reason, you wish to prove that someone falseiy reported you for abuse or

neglects, our records wouiti no iongef refiect the fact that this repovt against you was made ana-ruled cut. '

NOTE: THE FACT THAT YOUR ROLE AS AN ALLEGED PERPETRATOR IN THIS PARTICULAR

INVESTIGATION HAS BEEN RULED OUT OR THAT YOU REQUEST REMOVAL OF THIS ROLE

INFORMATION DOES NOT PRECLUDE FURTHER INVOLVEMENT WITH YOUR FAMILY BY DFPS,

INCLUDING THE PROVISION OF SERVICES, COURT INVOLVEMENT, OR EVEN TERMINATION OF

PARENTAL RIGHTS.

Because this decision may have important consequences, you may wish to consult a private attorney for legal

advice as to whether you should request the above role information to be removed from DFPS records.

I have read the foregoing information about my rights and have made the decision to request that information

about my role as an alleged perpetrator in this investigation be removed from DFPS records.

Signature of person requesting removal of role information Date Signed
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