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411 - self harm

RCA

L.T 123456 6th grade

Student L.T mentioned to IP that she doesnt want to be here anymore. She looks upset and is holding her arm. She mentioned that she cuts herself when she is alone.

Next steps: SS/SC will do fact finding. If admin/counselar are on campus we will contavt them, if not school police or Saraí will be contacted and student demographics will be gathered by SS/SC. SS/SC will update FS of new info.

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411- Self Harm

Adams

L.B, #111111, 5th grade

L.B informed IP about not wanting to be here anymore and that the student cuts themselves when they are alone. Student is currently holding their arm. IP called SS for support to maintain visual on student. SS pulled student to speak to them.

Next steps: Counselor was called for support and will update you

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411: self harm

Harvey

L.E, 678901, 5th grader

One of our IPs notified us that a student mentioned to her “ I don’t want to be here anymore. And sometimes I cut myself” and she looks upset and is holding her arm. We are with the student to ensure she is okay.

Next steps: we are currently looking for a counselor, and if we aren’t able to find one we will call school police. We will keep you updated.

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411 - Threat assessment

Monte Vista

L.J #12345, grade 4

During snack, student L.D shares with IP that she doesn’t want to be here anymore, and she sometimes cuts herself when she is alone. IP states she looks upset and is holder her arm.

Next steps: counselor has been contacted. She will conduct the threat assessment. SC notified parents, and notified school police.

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411: Suicide Ideation

Jackson

L.A. #000000, 5th

L.A. told IP that she didn’t want to be here anymore. She stated that she sometimes cuts herself when she is alone. IP informed SC that she was holding her arm. SC is checking in with L.A. and ensuring she is not left unattended.

Next Steps:

Counselor is off site so we will contact School Police for guidance. I will inform you of update from school police and begin a Timeline. Admin is on site and has been notified.

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411-crisis communication

King

LR-22222 5th grade

IP informed SS that student LR told her she has been cutting herself when she’s alone and said she doesn’t want to be here anymore student looks upset while holding her arm

Next steps counselors have left for the day I will call school police and keep you updated on what they inform me

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411: Head Injury

Harvey

J.A, 654321,4th grader

We had a student that got a head injury during wellness, play basketball .No visible bumps marks. Or bruises at the moment. The student has no dizziness or nausea. We applied some ice.

Next steps: we will be filling out an injury report, we will follow up parents shortly and will send out an ASCIP report shortly.

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411-head injury Monte vista

J.J. #888888 grade 2nd

J.j. Received a head injury while playing basketball. She bumped her head on another student’s shoulder, no signs of dizziness or confusion.

Next steps: SC gave student ice, notified parent, and ASCIP form filled out

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411- Student Injury

Diamond

J.D, 23456, 5th grade

During wellness while playing basketball, J.D bumped head to another students shoulder.

We checked on student, provided ice and rest. No dizziness, blurred vision, no headache and no nausea. Parents were informed and student remained with class.

Next steps: SC will complete ASCIP

Next steps:

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411: Student Head Injury

Jackson

J.A, #00000, 5th

Student was playing basketball and bumped her head on another student shoulder. We had her sit out and applied ice. No redness, dizziness, confusion, bump or pain.

Next steps:

Complete ascip report

Contact parents

IP will complete student injury notice form

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411-Student Injury

King

JD-#22222 3rd grade

JD was playing basketball and got hit in the head she is showing no signs of dizziness confusion or swelling

Next steps

SS will give her ice and monitor her and will reach out to parents and do an ascip

Next steps

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411- Monte Vista ; student D.D #12345, grade 4

At the beginning of program, Student D.D arrived to program with a large bruise on his arm. After site coordinator followed up with D.D about bruise, student D.D replied “my dad got mad and grabbed me hard.”

Next steps: gather student demographic, site coordinator places CPS phone call, also connects with school counselor.

Recomendation: SC will follow up with admin & field supervisor

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411: child abuse, RCA

Student D.A. (#12345) 5th grade came to program with a large bruise on his arm. His IP asked him where he got it. Student said dad grabbed him hard.

Next steps:

SS will print out demographics.

IP will make CPS call.

SS will gather witness statement from D.A.

SS/SC will Inform FS of CPS call made. Admin will be notified.

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411: CPS call

Lincoln

D.E, 123456, 3rd grade

I had a student that showed to program with a bruises on his arm, the staff asked what had happened to him and the student mentioned that his dad had grabbed his hard. I spoke to the staff and and the student, and we confirmed that it was true.

Next steps:  Ip is calling CPS and we provided the demographics of the student. Once we have more information we will keep you updated. We are working on a timeline

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Ex 1

411- CPS CALL

Adams

D.Z (#234567)

4th grade

IP informed SS about a comment student made about a bruise on arm due to parent grabbing the student hard. After fact finding SC has IP call CPS.

Next steps: will update when CPS call is complete

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411-CPS call

King

DR-65469

4th grade

IP SA told SS that DR told her his bruise on his arm is from his dad getting mad and grabbing his arm hard

Next steps

SS will have IP call Cps

Once we have an update I will text the update

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411: Child Abuse

Jackson

D.D #00000 3rd

IP let us know that D.D came to program with a bruise on his arm, IP Asked what happened, and D.D stated that “my dad got mad and grabbed me hard.”

Next steps:

SC will support IP to call CPS

Will update when call is done with the conclusion

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A student faints while in line to get snack and the nurse advises that an ambulance should be called.

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Lina tells a staff member: “I don’t want to be here anymore. Sometimes I cut myself when I’m alone.” She looks upset and is holding her arm.

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While playing basketball, Jasmine bumps her head on another player’s shoulder. She sits out for a few minutes, says, “I’m fine,” and shows no signs of dizziness, confusion, or pain.

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A student, Diego (age 9), comes to program with a large bruise on his arm. When asked gently what happened, he says, “My dad got mad and grabbed me hard.”