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## 7' ^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
lOEi TASKS AND SERVIOES-List 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

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

# 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. If case is to be closed, explay why.

jccessfully. the case is to be closed, plain 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 anytime. They may also requestan administrative reviewera fair hearing ifCPS denies, reduces, or terminates any protective se^ices oremergency, assistance that they have requested<<jrnpes not actpromptly 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 ofalleged abuse or neglect reported on 11/21/2012 involving one or more children in yourfamily 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 orneglect, which, by law, wewould need toinvestigate. How Findings are Determined. 

### o A finding 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 ofAbuse or Neglect are Defined. Neglectful Supv. includes the following acts or omissions bya person: 

### o placing achild in orfailing to remove achild from a situation that areasonable person would realize 

## requiresjudgmentor actions beyond the child's level ofmaturity, physical condition, or mental abilities and that results in bodily injury ora substantial risk ofimmediate harm to the child; or 

## • placing achild in orfailing 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 orfailing 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 ofsubstantial 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 ofharm; or 

### • failure tomake a reasonable, effort toprevent 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 atthe 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 ofhis/her household or family, furthermore you areprohibited from going within 200 yards of

the residence orplace ofemploymentof any of the 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/herrelease fromjail.



# .J ^12. T>.fe.oririr>K<Sh2M ncft; Ponv. Lrirlh 8 r> 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 Courtthe Principal sum of S l.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 said Court 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 hadrelative to thecharge 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 

### SUBSCRIBEDANDSWORNto before/meonthis the 2 *"( dayof <=3 UA<_.. ,20 1%.

The foregoing PERSONALAPPEARANCEBOND has been examined and approved on this the =3<S-hh dav of JZf UG ,20. JAILSIGNATURE / f ITLE/ The defendanthas received acopy of these Conditions of Bond and they have beenthoroughly reviewed and explained and the defendant agrees toabide by aliconditions asset forth byhis/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/HnrSTATE OF TEXAS

vs. • IN THE HH

'OFFENSE:

### NT Oluu , EESSQNAlAJPPEArXnck ftfwn 

### y^iuJ M66QU.lT 

## 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



### BlK HAIR: 

## DRIVERS LICENSE:JJlOVfOQ->„_,„-7-yj mArvn r~- ^ ' <^<7- I STATE: _LA PLACE OF BIRTH: _, 

## EMPLOYER: |\l/rA EMPLOYER ADDRESS: ' ' 

## Mo EYES:

EMPLOYERPHONE: SUPERVISOR: 

# NEARESTRELATIVE: Xfc^Tn | \fr) £ _^ address: Vfl/ LdexT T&otii <>T(?a£rr 

# RELATIONSHIP... U,&?. PHONE:486'kM2 jgjjj 

# 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 

# mjgfto owe andbe indebted tothe .STATE OF TEXAS, COUNTY OF TH^i-fry the sum 0f WJ,QX> —Dollars; and in-addition thereto, Iam bound for the payment ofall reasonable fees and expenses thatmay be incurred by sheriffs orpeace officers in re-arresting principal in the event the conditions ofthis 

## bond are violated. Forthe payment ofwhich sum orsums, which are payable to the State ofTexas. Ihereby bind myself, myheirs, executors, andadministrators. 

## ISWEARAMD AFFIRMthatwhilereleasedonthis personal appearance bond Iwill faithfully abidebythe 

## contidions setforth belowandIunderstand-thata violationoranyofthe* oranyotherconditions as «stforth bythis Court, will result inrevocation of this 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 Commitno offenseagainstthelaws oftheStateofTexas, anyotherState, ortheUnited States.
.

_ 3. Observe a curfeWandremain inyourresidencebetweenthehours 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 ofalleged 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 ofAbuse 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 yourfamily unless we receive another report ofabuse orneglect, which, bylaw, we would need toinvestigate. How Findings are Determined. 

### ©A finding 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 ofAbuse or Neglect are Defined. 

### Neglectful Supv. includes thefollowing acts oromissions by a person: 

### o placing achild in or failing to remove achild from a situation that areasonable person would realize 

## requiresjudgmentor actions beyond the child's level ofmaturity, physical condition, or mental abilities and that results in bodily injury ora substantial risk ofimmediate harm to the child; or 

## • placing achild in orfailing to remove the child from asituation in which the child would be exposed to a

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

### » placing a child in orfailing 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 ofsubstantial 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 orpossessory conservatorthat does notexpose the child to a substantial riskofharm; 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 DepartmentofFamily, 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 offailing tojemove a child from a situation that areasonable person would realize* .- j " /«

- 

### requiresjudgment or actions.,beyond the child's leyel ofmaturity, physical condition, or mental abilitiesandJf t% -^ « "X that results*m bodily injury or a'substantial risk ofimmediate harm to the child, or ^ * \. »w ,. y. J< ? ' " "" 

### ,•' placing achild in orfailing to remove*the ch'ildfrom a situationIn 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.' » « : PhysicalAbuseAincludeslhe following acts oromissions bya person

. ' i * "•? '. V- ^' , - - J, .. 

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

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### •**/?&

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# A-

- Request For Removal OfRole Information Role Removal Unit, Y-960 Texas Department of Family and Protective Services (DFPS) PO BOX 149030 AUSTIN TX 78714-9030 t „ 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 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 ofReport 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 Area Code and Telephone Number Name Mailing Address (Street or P.O. Box, City, State, Zip) Name ofchild ifparent or guardian is making this request on behalfofa 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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