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^xas Dept of Family

and Protective Services

Family Name

CHILD SAFETY EVALUATION AND PLAN

Plan for Immediate and Short-Term Child Safety

F2604-B000

January 2009

Page of

TASKS AND SERVIOES-List lOEi all tasks and services needed to provide for the child's immediate and short-term safety.

Family Task

4tMlTq*k x^A^y "ty^f*1

CPS/Other Service

C/S ^U£/4A^^C&n

Beginning and Eodirig Dates/and/orfrequency) /^ / Begnnafnaagd Ending Datea(arfd/or Fpeduency).

to 5l?aJJ>/o ^fyum<. Method of Evaluation Evaluatjpn ( J^p i r_i

**H*n

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

successfully. jccessfully. If the case is to be closed, case is to be closed, explayplain why.y. , * J I

zu

Signatures-By signing this form, the parents are agreeing to perform the tasks specified in this plan, and applying for Title IV-Aemergency assistance

to help cover the cost of CPS's services. Note: To function as an application for Title IV-A emergency assistance, this form 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 parentsmay requesta review ofthisplan at any time. They may also requestan administrative reviewer a fair hearing ifCPS denies,reduces, or

terminates any protective se^ices oremergency, assistance that they have requested<<jrnpes not act promptly ontheir request for services.

? -U.)3

Date y Date/s

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

COMMISSIONER

John J. Specia, Jr.

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 DwightArnold 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 beno further agency involvement with your family unless we

receive another report ofabuse or neglect, which, by law, wewould 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:

o 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 achild in or failing to remove the child from asituation in which the child would be exposed to a

substantia! riskof sexual conduct harmful to the child; or

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 abuseunder Subdivision (1)(E), (F), (G), (H), or (K) committed against another

child- . •;••;.,,;. '•'••••>v

Physical Abuse includes the following acts oromissions by a person:

» 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 orpossessory

conservator that 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 - *
h /\J y 4. Abstain-from the use of alcoholic beverages of any kind and further abstain from the use. of any . HJ harmful substances, narcotic drugs, orother controlled substances inany form except asprescribed by

a licensed physician forlegitimate medical purposes.

[J uj 1/ 5. Do not go on any premises where alcoholic beverages are served.

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

program andpay allcostsassociated With theprogram.

\U7. Submit to urinalysis at the direction of the community supervision officer for the purpose of

determining whether or not you are using or ate 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.

D hi y 8. Do not enter into any agreement to act as an "informer" or special agent of any law enforcement

U agency.

u/ v 9 Have no contact, either directiy '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 or place ofemployment ofany ofthe witnesses in this case. fJo doO'hiC^T^''^

J> \J_V__ 10. Pay abond supervision fee of $50.00 per month to the Community Supervision and Corrections

(r ' Department. ; v

jQ >// y 11. Defendant shall report immediately to the Community Supervision and Corrections Department upon f~ ' his/her release from jail.

.J ^12. T>.fe.oririr>K<Sh2M ncft; Ponv. Lrirlh 8r> 7.00 -£f• Qp

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

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

' . 20 . at .• . AM / PM or upon notice by this Court, or1agree to pay tothe Court the Principal

sum of Sl.QQiQOC) plus all necessary and reasonable expenses incurred in any arrest- for failure to

appear."

NOW, if the 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,

thenand thereto answer fee accusation andanyall subsequent proceedings had relative to the charge against him/her,

thenthisobligation shallbecome nullandvoid; otherwise to remain in fullforceandeffect.

WITNESS bvmv hand on this the o? ^ '^ day of \IUKJ(=i ' .20^

DEFENDANT'S SIGNATURE

SUBSCRIBED AND SWORN to before/me on this the 2 *"( day of <=3 UA<_.. ,20 1%.

The foregoing PERSONAL APPEARANCE BOND has been examined and approved on this the

=3<S-hh dav of JZf UG , 20.

JAILSIGNATURE / f ITLE/

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

and the defendant agrees toabide by aliconditions asset forth by his/her signature.below.

DEFENDANT : COMMUNITY SUPERVISION OFFICER

300/100 "d 698Z Zt9 9E6 "'K IVi . n*MW *1!U!J1 M 95 =90 N(Ml03/tZ/Hnr
STATE OF TEXAS

vs. •

IN THE HH

'OFFENSE:

NT Oluu

, EESSQNAl AJPPEArXnck ftfwn

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pfCAUSE NO:

DEFENDANT Vlc/i'df} /- ]/[fo' f~P

address: Jlll^_flfii_JslreiiL

DOB:M^imU PHONB:lia^l^n^^^^

H0T:kJ)5 WGT:«3£9

ATTORNEY: __

mDISTRICT COURT

OF

COUNTY, TX

HAIR:BlK

DRIVERS LICENSE:JJlOVfOQ->„_,„-7-yj mArvn

r~- ^ ' <^<7- I STATE: _LA PLACE OF BIRTH: _,

EMPLOYER: |\l/rA

EMPLOYER ADDRESS: ' '

EYES:Mo

EMPLOYERPHONE: SUPERVISOR:

NEAREST RELATIVE: Xfc^Tn | \fr) £ _^

address: Vfl/ LdexT T&otii <>T(?a£rr

RELATIONSHIP... U,&?. PHONE: 486'kM2jgjjj

NAME:^ /»^ RELATrONSHIP: J^^W

ADDRESS: //5f filZeV~Sk*-C*)

ADDRESS:

NAME: r^/b {s)pf-£

ILM bee.

HerYifig-fwd 7^a

PHONE: 179 &3S--?/<?/)

RELATIONSHIP: H^ Of-^S^. _

PHOMB-977 %2l-9&&$

. KNOWAU,MXNBYfHESEl>RESENTS,ThatI,'Pl^hT Ijfrlf . as Principal, acknowledge mjgf to owe and be indebted to the .STATE OF TEXAS, COUNTY OF TH^i-fry the sum 0f

WJ,QX> —Dollars; and in- addition thereto, Iam bound for the payment of all reasonable fees and

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

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

myself, myheirs, executors, andadministrators.

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

contidions set forth below and Iunderstand- that aviolation or any ofthe* or any other conditions as «st forth by this

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

, k I BOND CONDiTTONS:

_J/_1./J I Rq»rt to the Community Supervision and Corrections department once each -wo*/ month as

directed bytheCommunity Supervision Officer.

JL_ 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.

ZOO/ZOO 'i mi Zr9 9£6 n XVd I!*f *»D X^U!JI W iS:90 HOH/EIOZ/tZ/M
Texas Department of Family and Protective Services

COMMISSIONER

John J. Specia, Jr.

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

WhitejDorothy D

Alleged Type of Abuse or

Neglect

Neglectful Supv.

Physical Abuse

Physical Abuse I

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.

©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 by a person:

o 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 a situation in which the child would be exposed to a

'substantial risk ofsexual conduct harmful to the child; or- ./ t

» 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 Abuse includes thefollowing acts oromissions by a person:

e physical injury that results in substantial harm to the cl^d, or the genuine threat of substantial harm from

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

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

conservatorthat does not expose the child to a substantial riskof 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
^rf a- .V- .;,^if.*«A^j:

Texas Def>artment of. Family and Protective Services

COMMISSIONER '•.-'.

John J. Specia, Jr./"-.•"• •

Dwight Arnold Wolf :',

1940.2ND'.ST-:-„''jiit/.-v..

HEMPSTEAD, JX 77445-7035.

Mailing Date 12/19/2012

Re C?se# 42554984, Notice ot Finamgs of CPS investigation"

v * '

Dear Dwight Arnold Wolf

The Departmentof 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 yourfamily and made the following findings:,

t i< '- - i i\, .- -': :• ,-a'5: •tV -•'

Alleged Perpetrator^ Alleged-Type ofAbuse or

. Neglect

Alleged Victim „ Finding*;. ji"..v-UWhite Dorothy D Neglectful Supv Atkins Sudia A Ruled Out -

Wolf Dwight A Physical Abuse Atkins Sudia A Ruled Out

White Dorothy D Physical'Abuse Lewis Jaylen Ruled Out

This investigation is now clos'ed 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 aVe Determined.^ c

Neglectful Supv.'*includes the following acts'or omissions by a person

J • placing a child'in of failing tojemove a child from a situation that a reasonable person would realize* .- j " /« - requires judgment or actions., beyond the child's leyel of maturity, physical condition, or mental abilitiesandJf t% -^ «

"X that results*m bodily injury or a'substantial risk of immediate harm to the child, or ^ * \. »w ,. y. J< ? ' " "" ,•' placing a child in or failing to remove*the ch'ildfrom a situation In which the child would be"exposed toV""»»**« "' substantial risk of sexualrconduct harmful to the child, or .* „' <• , • placing a child inorfailing 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

child 4.' » « :

Physical AbuseAincludeslhe following acts or omissions bya person

. ' i * "•? '. V- ^' , - - J, ..

^ ,•.vphysicaljnjury that results in substantial harm to the child, or the genuine threat of substantial harm from "" ' physicafmjury tothe child, including an injury that isat variance with the history orexplanation given and

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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 t „

Forstatus inquiries please call 512-929-6470. Please allowsufficient 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 to the following investigation, you must complete and sign this form and return it.to DFPS at

the above address within forty-five (45) days after the date on the accompanying letter. Ifyour 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

Mailing Address (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 faiseiy reported you for abuse or

neglects, our records wouid no ionger reflect the fact that this repo t against you was made and-ruled out. -

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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