Effective - 28 Aug 2021, 4 histories
210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when — unaccompanied or homeless youth. — 1. When any physician, medical examiner, coroner, dentist, chiropractor, optometrist, podiatrist, resident, intern, nurse, hospital or clinic personnel that are engaged in the examination, care, treatment or research of persons, and any other health practitioner, psychologist, mental health professional, social worker, day care center worker or other child-care worker, juvenile officer, probation or parole officer, jail or detention center personnel, teacher, principal or other school official, minister as provided by section 352.400, peace officer or law enforcement official, volunteer or personnel of a community service program that offers support services for families in crisis to assist in the delegation of any powers regarding the care and custody of a child by a properly executed power of attorney pursuant to sections 475.600 to 475.604, or other person with responsibility for the care of children has reasonable cause to suspect that a child has been or may be subjected to abuse or neglect or observes a child being subjected to conditions or circumstances which would reasonably result in abuse or neglect, that person shall immediately report to the division in accordance with the provisions of sections 210.109 to 210.183. No internal investigation shall be initiated until such a report has been made. As used in this section, the term "abuse" is not limited to abuse inflicted by a person responsible for the child's care, custody and control as specified in section 210.110, but shall also include abuse inflicted by any other person.
2. If two or more members of a medical institution who are required to report jointly have knowledge of a known or suspected instance of child abuse or neglect, a single report may be made by a designated member of that medical team. Any member who has knowledge that the member designated to report has failed to do so shall thereafter immediately make the report. Nothing in this section, however, is meant to preclude any person from reporting abuse or neglect.
3. The reporting requirements under this section are individual, and no supervisor or administrator may impede or inhibit any reporting under this section. No person making a report under this section shall be subject to any sanction, including any adverse employment action, for making such report. Every employer shall ensure that any employee required to report pursuant to subsection 1 of this section has immediate and unrestricted access to communications technology necessary to make an immediate report and is temporarily relieved of other work duties for such time as is required to make any report required under subsection 1 of this section.
4. Notwithstanding any other provision of sections 210.109 to 210.183, any child who does not receive specified medical treatment by reason of the legitimate practice of the religious belief of the child's parents, guardian, or others legally responsible for the child, for that reason alone, shall not be found to be an abused or neglected child, and such parents, guardian or other persons legally responsible for the child shall not be entered into the central registry. However, the division may accept reports concerning such a child and may subsequently investigate or conduct a family assessment as a result of that report. Such an exception shall not limit the administrative or judicial authority of the state to ensure that medical services are provided to the child when the child's health requires it.
5. In addition to those persons and officials required to report actual or suspected abuse or neglect, any other person may report in accordance with sections 210.109 to 210.183 if such person has reasonable cause to suspect that a child has been or may be subjected to abuse or neglect or observes a child being subjected to conditions or circumstances which would reasonably result in abuse or neglect.
6. Any person or official required to report pursuant to this section, including employees of the division, who has probable cause to suspect that a child who is or may be under the age of eighteen, who is eligible to receive a certificate of live birth, has died shall report that fact to the appropriate medical examiner or coroner. If, upon review of the circumstances and medical information, the medical examiner or coroner determines that the child died of natural causes while under medical care for an established natural disease, the coroner, medical examiner or physician shall notify the division of the child's death and that the child's attending physician shall be signing the death certificate. In all other cases, the medical examiner or coroner shall accept the report for investigation, shall immediately notify the division of the child's death as required in section 58.452 and shall report the findings to the child fatality review panel established pursuant to section 210.192.
7. Any person or individual required to report may also report the suspicion of abuse or neglect to any law enforcement agency or juvenile office. Such report shall not, however, take the place of reporting to the division.
8. If an individual required to report suspected instances of abuse or neglect pursuant to this section has reason to believe that the victim of such abuse or neglect is a resident of another state or was injured as a result of an act which occurred in another state, the person required to report such abuse or neglect may, in lieu of reporting to the Missouri children's division, make such a report to the child protection agency of the other state with the authority to receive such reports pursuant to the laws of such other state. If such agency accepts the report, no report is required to be made, but may be made, to the children's division.
9. For the purposes of providing supportive services or verifying the status of a youth as unaccompanied or homeless for the purposes of accessing supportive services, the fact that a child is an unaccompanied youth as defined in 42 U.S.C. Section 11434a(6) is not, in and of itself, a sufficient basis for reporting child abuse or neglect, unless the child is under sixteen years of age or is an incapacitated person, as defined in section 475.010. Nothing in this subsection shall limit a mandated reporter from making a report under this section if the mandated reporter knows or has reasonable cause to suspect that an unaccompanied youth has been or may be a victim of abuse or neglect.
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(L. 1975 H.B. 578 § 2, A.L. 1980 S.B. 574, A.L. 1982 H.B. 1171, et al., A.L. 1991 H.B. 185, A.L. 1993 S.B. 253 merged with S.B. 394, A.L. 1994 S.B. 595, A.L. 1998 H.B. 1556, A.L. 2000 S.B. 757 & 602, A.L. 2002 S.B. 923, et al., A.L. 2003 H.B. 445, A.L. 2013 H.B. 505, A.L. 2014 H.B. 1299 Revision, A.L. 2018 S.B. 819, A.L. 2021 H.B. 432)
CROSS REFERENCE:
Child abuse, ministers duty to report, 352.400
(1986) It has been held that a violation of this section does not give rise to a private cause of action. Doe "A" v. Special School District of St. Louis County, 637 F.Supp. 1138 (E.D. Mo.).
Structure Missouri Revised Statutes
Title XII - Public Health and Welfare
Chapter 210 - Child Protection and Reformation
Section 210.004 - Law enforcement agencies, record of custody of child.
Section 210.027 - Direct payment recipients, child care providers — department's duties.
Section 210.030 - Blood tests of pregnant women.
Section 210.040 - Blood test results — confidential.
Section 210.050 - Reporting required.
Section 210.060 - Noncompliance a misdemeanor — penalty.
Section 210.070 - Prophylactic eye drops at birth — objection to, when.
Section 210.080 - Report of infant eye inflammation, by whom.
Section 210.100 - Violation a misdemeanor.
Section 210.108 - Dominic James Memorial Foster Care Reform Act, statutes involved.
Section 210.110 - Definitions.
Section 210.113 - Accreditation goal, when to be achieved.
Section 210.114 - Qualified immunity for private contractor, when — exceptions.
Section 210.116 - Sharing of information with child welfare agencies and law enforcement, when.
Section 210.117 - Child not reunited with parents or placed in a home, when.
Section 210.120 - Medical institution staff members, duties of.
Section 210.127 - Diligent search for biological parents required, when.
Section 210.130 - Oral reports, when and where made — contents of reports.
Section 210.135 - Immunity from liability, when — exception — preliminary evaluation required, when.
Section 210.140 - Privileged communication not recognized, exception.
Section 210.150 - Confidentiality of reports and records, exceptions — violations, penalty.
Section 210.165 - Penalty for violation.
Section 210.166 - Medical neglect of child, who may bring action — procedure.
Section 210.171 - Definitions.
Section 210.172 - Powers and duties of board.
Section 210.180 - Division employees to be trained.
Section 210.183 - Alleged perpetrator to be provided written description of investigation process.
Section 210.188 - Report to general assembly and governor, contents.
Section 210.194 - Rules, guidelines and protocols — confidentiality requirements.
Section 210.201 - Definitions.
Section 210.203 - Complaints against child care facilities, open records to be kept by department.
Section 210.231 - Department of elementary and secondary education may delegate powers.
Section 210.241 - Judicial review.
Section 210.256 - Violations, penalties — injunction, procedure.
Section 210.257 - Rules, procedure to adopt.
Section 210.278 - Exempt from licensure, when.
Section 210.481 - Definitions.
Section 210.484 - Residential care facilities license required.
Section 210.496 - Refusal to issue, suspension or revocation of licenses — grounds.
Section 210.501 - Application for licensure, form, contents.
Section 210.506 - Rules, procedure — promulgation, persons to be consulted.
Section 210.516 - Exceptions to license requirement — division may not require documentation.
Section 210.521 - Assistance for division in licensure of foster homes.
Section 210.531 - Violations or false statements, penalty.
Section 210.537 - County foster parent associations may be established, duties of division.
Section 210.539 - State health insurance, foster parents may purchase, when.
Section 210.543 - Specialized foster parents, training, fiscal incentives.
Section 210.545 - Respite care facilities for foster families — rules and regulations — procedure.
Section 210.564 - Citation of law — foster care bill of rights.
Section 210.566 - Foster parents' bill of rights.
Section 210.570 - Text of compact.
Section 210.580 - Compact binding, when.
Section 210.590 - Courts and agencies to cooperate to promote purposes of compact.
Section 210.620 - Compact enacted, text of compact.
Section 210.620 - Compact enacted, text of compact.
Section 210.625 - Financial responsibility for child, how fixed.
Section 210.625 - Financial responsibility for child, how fixed.
Section 210.630 - Definitions — governor's appointment of administrator authorized.
Section 210.635 - Placement authority of courts, retention of jurisdiction.
Section 210.635 - Placement authority of courts, retention of jurisdiction.
Section 210.640 - Placements from nonparty states, procedure for.
Section 210.640 - Placements from nonparty states, procedure for.
Section 210.650 - Contingent effective date.
Section 210.652 - Electronic exchanging of data and documents.
Section 210.680 - Rulemaking authority.
Section 210.761 - Right to testify at foster care hearings, qualifications, limitation.
Section 210.762 - Family support team meetings to be held, when — who may attend — form to be used.
Section 210.764 - Certain case records available for review by parents or guardians.
Section 210.790 - Foster parent standing for court proceedings.
Section 210.817 - Definitions.
Section 210.818 - Relationship not dependent on marriage.
Section 210.819 - Parent and child relationship, how established.
Section 210.822 - Presumption of paternity — rebuttal of presumption, standard of proof.
Section 210.828 - Statute of limitations, exception — notification form required, when.
Section 210.829 - Jurisdiction, venue, severance — effect of failure to join action for necessaries.
Section 210.830 - Parties — guardian ad litem, when appointed.
Section 210.834 - Blood tests — expert defined.
Section 210.836 - Evidence relating to paternity.
Section 210.838 - Pretrial recommendation — actions, effect of party's refusal to accept.
Section 210.841 - Judgment or order, contents — amount of support, presumption.
Section 210.844 - Applicability of certain statutes.
Section 210.845 - Modification of decree, when — procedure, burden.
Section 210.846 - Hearings and records, confidentiality — inspection allowed, when.
Section 210.848 - Action to declare mother and child relationship.
Section 210.849 - Birth records.
Section 210.850 - Uniformity of application and construction.
Section 210.851 - Citation of law.
Section 210.852 - Application to actions commenced prior to effective date.
Section 210.853 - Parenting plan in paternity actions.
Section 210.875 - Children's services commission study, purpose.
Section 210.877 - Courts and agencies to provide information.
Section 210.900 - Definitions.
Section 210.903 - Family care safety registry and access line established, contents.
Section 210.912 - Right to appeal, procedure.
Section 210.915 - Departmental collaboration on registry information — rulemaking authority.
Section 210.918 - Toll-free telephone service maintained for access to information.
Section 210.922 - Use of registry information by certain departments, when.
Section 210.924 - Rulemaking authority.
Section 210.927 - Annual report, when, contents.
Section 210.936 - Registry information deemed public record.
Section 210.1030 - Task force created, members, duties — termination date.
Section 210.1210 - Policy recommendations.
Section 210.1250 - Citation of law.
Section 210.1253 - Definitions.
Section 210.1259 - Director of facility to provide notice — facility registration — inapplicability.
Section 210.1262 - Notification, filing, contents.
Section 210.1263 - Background checks required, when.
Section 210.1265 - Fire, safety, health, and sanitation inspections, facility to comply.
Section 210.1268 - Operation without proper notification, court injunction, when.
Section 210.1280 - Facility compliance list to be maintained, contents.
Section 210.1283 - Failure to complete a background check, penalty.