Maryland Code § FL-5-705.5

Section FL-5-705.5
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(a) In this section, "Military Family Advocacy Program" means the program
established by the United States Department of Defense to address child abuse and
neglect and domestic abuse in military families.
(b) A local department that has a United States military installation located
within its jurisdiction shall enter into a memorandum of understanding with the
Military Family Advocacy Program at the local military installation.
(c) A memorandum of understanding under this section shall establish
procedures and protocols for:
(1) identifying an individual alleged to have committed abuse or
neglect as military personnel;
(2) reporting by a local department to a military family advocacy
program when an investigation implicating military personnel has been initiated;
and
(3) maintaining confidentiality requirements under State and
federal law.
§5-706. IN EFFECT
(a) (1) In this section, "alternative response" means a component of the
child protective services program that provides for a comprehensive assessment of:
(i) risk of harm to the child;
(ii) risk of subsequent child abuse or neglect;
(iii) family strengths and needs; and
(iv) the provision of or referral for necessary services.
(2) "Alternative response" does not include:
(i) an investigation; or

(ii) a formal determination as to whether child abuse or neglect
has occurred.
(b) Promptly after receiving a report of suspected abuse or neglect of a child
who lives in this State that is alleged to have occurred in this State, the local
department or the appropriate law enforcement agency, or both, if jointly agreed on,
shall make a thorough investigation of a report of suspected abuse or neglect to
protect the health, safety, and welfare of the child or children.
(c) Within 24 hours after receiving a report of suspected physical or sexual
abuse of a child who lives in this State that is alleged to have occurred in this State,
and within 5 days after receiving a report of suspected neglect or suspected mental
injury of a child who lives in this State that is alleged to have occurred in this State,
the local department or the appropriate law enforcement agency shall:
(1) see the child;
(2) attempt to have an on-site interview with the child's caretaker;
(3) decide on the safety of the child, wherever the child is, and of
other children in the household; and
(4) decide on the safety of other children in the care or custody of the
alleged abuser.
(d) The investigation under subsection (c) of this section shall include:
(1) a determination of the nature, extent, and cause of the abuse or
neglect, if any;
(2) if mental injury is suspected, an assessment by two of the
following:
(i) a licensed physician, as defined in § 14-101 of the Health
Occupations Article;
(ii) a licensed psychologist, as defined in § 18-101 of the
Health Occupations Article;
(iii) a licensed social worker, as defined in § 19-101 of the
Health Occupations Article; or
(iv) a clinical professional counselor licensed under Title 17 of
the Health Occupations Article; and

(3) if the suspected abuse or neglect is verified:
(i) a determination of the identity of the person or persons
responsible for the abuse or neglect;
(ii) a determination of the name, age, and condition of any
other child in the household;
(iii) an evaluation of the parents and the home environment;
(iv) a determination of any other pertinent facts or matters;
and
(v) a determination of any needed services.
(e) On request by the local department, the local State's Attorney shall
assist in an investigation under subsections (c) and (d) of this section.
(f) The local department, the appropriate law enforcement agencies, the
State's Attorney within each county and Baltimore City, the local department's office
responsible for child care regulation, the local health officer, and the local child
advocacy center shall enter into a written agreement that specifies standard
operating procedures for the investigation under subsections (c) and (d) of this section
and prosecution of reported cases of suspected abuse or neglect.
(g) (1) The agencies responsible for investigating reported cases of
suspected sexual abuse, including the local department, the appropriate law
enforcement agencies, and the local State's Attorney, shall implement a joint
investigation procedure for conducting joint investigations of sexual abuse under
subsections (c) and (d) of this section.
(2) The joint investigation procedure shall:
(i) include appropriate techniques for expediting validation of
sexual abuse complaints;
(ii) include investigation techniques designed to:
1. decrease the potential for physical harm to the child;
and
2. decrease any trauma experienced by the child in the
investigation and prosecution of the case;

(iii) establish an ongoing training program for personnel
involved in the investigation or prosecution of sexual abuse cases; and
(iv) include screening to determine whether a child is a victim
of sex trafficking.
(h) (1) To the extent possible, an investigation under subsections (c) and
(d) of this section shall be completed within 10 days after receipt of the first notice of
the suspected abuse or neglect by the local department or law enforcement agencies.
(2) An investigation under subsections (c) and (d) of this section that
is not completed within 30 days shall be completed within 60 days of receipt of the
first notice of the suspected abuse or neglect.
(i) Within 5 business days after completion of the investigation of suspected
abuse of a child who lives in this State that is alleged to have occurred in this State,
the local department and the appropriate law enforcement agency, if that agency
participated in the investigation, shall make a complete written report of its findings
to the local State's Attorney.
(j) Promptly after receiving a report of suspected abuse or neglect of a child
who lives in this State that is alleged to have occurred outside of this State, the local
department shall:
(1) forward the report to the appropriate agency outside of this State
that is authorized to receive and investigate reports of suspected abuse or neglect;
(2) cooperate to the extent requested with the out-of-state agency
investigating the report; and
(3) if determined appropriate by the local department:
(i) interview the child to assess whether the child is safe; and
(ii) provide services to the child and the child's family.
(k) Notwithstanding the provisions of this section, the Secretary may
implement an alternative response program for selected reports of abuse or neglect.
(l) (1) The Department shall convene a multidisciplinary alternative
response advisory council.
(2) The advisory council shall consist of the following members:

(i) the Secretary of Human Services, or the Secretary's
designee;
(ii) the Secretary of Health, or the Secretary's designee;
(iii) the State Superintendent of Schools, or the
Superintendent's designee;
(iv) a representative from the Maryland Disability Law Center;
(v) a representative from a child advocacy organization;
(vi) a representative from a community partner or a local
service provider;
(vii) a pediatrician with experience in diagnosing and treating
injuries related to abuse and neglect;
(viii) an attorney with experience representing children or
adults in abuse and neglect cases;
(ix) a representative from the Office of the Public Defender;
(x) a parent or guardian who has personal experience with the
child protective services system;
(xi) a child who has personal experience with the child
protective services system;
(xii) two representatives from local departments of social
services; and
(xiii) two representatives from local citizens review panels.
(3) The Secretary of Human Services or the Secretary's designee
shall be the chair of the advisory council.
(4) The advisory council shall advise the Department on:
(i) the development of the alternative response
implementation plan, which may include a pilot program;

(ii) oversight and monitoring of the alternative response
implementation plan;
(iii) consulting with local citizens review panels, local services
affiliates, and other local partners for feedback and recommendations on the
alternative response implementation plan;
(iv) defining the scope of the independent evaluation of the
implementation of the alternative response program; and
(v) defining the scope of the ongoing evaluation of the
alternative response program.
(m) Only a low risk report of abuse or neglect may be considered for an
alternative response.
(n) A report that is not assigned for an alternative response shall be
assigned for investigation in accordance with this section.
(o) The following reports of suspected abuse or neglect may not be assigned
for an alternative response:
(1) sexual abuse; and
(2) abuse or neglect:
(i) occurring in an out-of-home placement;
(ii) resulting in death or serious physical or mental injury;
(iii) if, in the previous 3 years, the individual suspected of abuse
or neglect has been identified as responsible for abuse or neglect as documented in
the records of the local department; or
(iv) if the individual suspected of abuse or neglect has had one
report assigned for an alternative response within the past 12 months or two reports
assigned for an alternative response within the past 24 months.
(p) A report assigned for an alternative response may be reassigned at any
time for an immediate investigation based on any of the following factors and
circumstances:
(1) a reassessment of the report or relevant facts;

(2) a determination that the case satisfies a criterion in subsection
(o) of this section; or
(3) a family's inability or refusal to participate in the alternative
response assessment.
(q) A report assigned for an investigation may be reassigned for an
alternative response at any time based on:
(1) a reassessment of the report or relevant facts that demonstrate
that the case meets the criteria for an alternative response;
(2) a determination that accepted services would address all issues
of risk of abuse or neglect and child safety; and
(3) approval by a caseworker supervisor.
(r) When a report is referred for an alternative response, the local
department shall:
(1) see the child and the child's parent or primary caretaker within
24 hours of receiving a report of physical abuse;
(2) see the child and the child's parent or primary caretaker within 5
days of receiving a report of neglect;
(3) attempt to have an on-site interview with the child's parent or
primary caretaker;
(4) evaluate the child's home environment;
(5) decide on the safety of the child, wherever the child is, and of
other children in the household;
(6) decide on the safety of other children in the care or custody of the
individual suspected of abuse or neglect;
(7) advise the appropriate law enforcement agency that the report
has been assigned for an alternative response, if the law enforcement agency made
the report of abuse or neglect;
(8) inform the individual suspected of child abuse or neglect of the
allegations made against the individual in a manner consistent with laws protecting
the rights of the person who made the report;

(9) complete an alternative response assessment within 60 days after
the receipt of the report;
(10) within 10 days after completing the alternative response
assessment, provide a written report to the family members who are participating in
the alternative response assessment as to whether and what services are necessary
to address:
(i) the safety of the child or other children in the household;
and
(ii) the risk of subsequent abuse or neglect; and
(11) consistent with the assessment and any safety or services plans:
(i) render any appropriate services in the best interests of the
child;
(ii) refer the family or child for additional services; or
(iii) as necessary for the safety of the child or other children in
the household, establish a plan to monitor the safety plan and the provision or
completion of appropriate services.
(s) The local department:
(1) shall:
(i) maintain complete records related to an alternative
response and services for 3 years after the report was received if there is no
subsequent child welfare involvement; and
(ii) expunge complete records related to an alternative
response and services if there is no subsequent child welfare involvement after 3
years;
(2) may not use or disclose records related to an alternative response
for purposes of responding to a request for background information for employment
or voluntary services; and
(3) shall protect from disclosure records related to an alternative
response in accordance with § 1-202 of the Human Services Article.

(t) The Department shall implement policies to ensure that if a local
department or the appropriate law enforcement agency fails to see a child in
accordance with the time frames established under subsection (c) of this section:
(1) the reason for the delay is documented in the child's case file; and
(2) a supervisor at the local department:
(i) is notified of the delay in order to support staff in making
initial contact with the child; and
(ii) reviews the documentation required under item (1) of this
subsection during the review of the final investigation report.
(u) (1) The Department shall prepare and issue a quarterly report
identifying investigations or reports that are not completed within the time frames
required by this section.
(2) The reports required under this subsection shall include an
explanation for each delay, compiled by the Department with input from the local
departments.
(3) On or before December 1, 2022, and each December 1 thereafter,
the Department shall, subject to § 2-1257 of the State Government Article, report to
the General Assembly on the progress of local departments in complying with the
time frames for conducting investigations and completing reports under this section.
§5-706. // EFFECTIVE SEPTEMBER 30, 2027 PER CHAPTER 200 OF 2022 //
(a) (1) In this section, "alternative response" means a component of the
child protective services program that provides for a comprehensive assessment of:
(i) risk of harm to the child;
(ii) risk of subsequent child abuse or neglect;
(iii) family strengths and needs; and
(iv) the provision of or referral for necessary services.
(2) "Alternative response" does not include:
(i) an investigation; or

(ii) a formal determination as to whether child abuse or neglect
has occurred.
(b) Promptly after receiving a report of suspected abuse or neglect of a child
who lives in this State that is alleged to have occurred in this State, the local
department or the appropriate law enforcement agency, or both, if jointly agreed on,
shall make a thorough investigation of a report of suspected abuse or neglect to
protect the health, safety, and welfare of the child or children.
(c) Within 24 hours after receiving a report of suspected physical or sexual
abuse of a child who lives in this State that is alleged to have occurred in this State,
and within 5 days after receiving a report of suspected neglect or suspected mental
injury of a child who lives in this State that is alleged to have occurred in this State,
the local department or the appropriate law enforcement agency shall:
(1) see the child;
(2) attempt to have an on-site interview with the child's caretaker;
(3) decide on the safety of the child, wherever the child is, and of
other children in the household; and
(4) decide on the safety of other children in the care or custody of the
alleged abuser.
(d) The investigation under subsection (c) of this section shall include:
(1) a determination of the nature, extent, and cause of the abuse or
neglect, if any;
(2) if mental injury is suspected, an assessment by two of the
following:
(i) a licensed physician, as defined in § 14-101 of the Health
Occupations Article;
(ii) a licensed psychologist, as defined in § 18-101 of the
Health Occupations Article;
(iii) a licensed social worker, as defined in § 19-101 of the
Health Occupations Article; or
(iv) a clinical professional counselor licensed under Title 17 of
the Health Occupations Article; and

(3) if the suspected abuse or neglect is verified:
(i) a determination of the identity of the person or persons
responsible for the abuse or neglect;
(ii) a determination of the name, age, and condition of any
other child in the household;
(iii) an evaluation of the parents and the home environment;
(iv) a determination of any other pertinent facts or matters;
and
(v) a determination of any needed services.
(e) On request by the local department, the local State's Attorney shall
assist in an investigation under subsections (c) and (d) of this section.
(f) The local department, the appropriate law enforcement agencies, the
State's Attorney within each county and Baltimore City, the local department's office
responsible for child care regulation, the local health officer, and the local child
advocacy center shall enter into a written agreement that specifies standard
operating procedures for the investigation under subsections (c) and (d) of this section
and prosecution of reported cases of suspected abuse or neglect.
(g) (1) The agencies responsible for investigating reported cases of
suspected sexual abuse, including the local department, the appropriate law
enforcement agencies, and the local State's Attorney, shall implement a joint
investigation procedure for conducting joint investigations of sexual abuse under
subsections (c) and (d) of this section.
(2) The joint investigation procedure shall:
(i) include appropriate techniques for expediting validation of
sexual abuse complaints;
(ii) include investigation techniques designed to:
1. decrease the potential for physical harm to the child;
and
2. decrease any trauma experienced by the child in the
investigation and prosecution of the case;

(iii) establish an ongoing training program for personnel
involved in the investigation or prosecution of sexual abuse cases; and
(iv) include screening to determine whether a child is a victim
of sex trafficking.
(h) (1) To the extent possible, an investigation under subsections (c) and
(d) of this section shall be completed within 10 days after receipt of the first notice of
the suspected abuse or neglect by the local department or law enforcement agencies.
(2) An investigation under subsections (c) and (d) of this section that
is not completed within 30 days shall be completed within 60 days of receipt of the
first notice of the suspected abuse or neglect.
(i) Within 5 business days after completion of the investigation of suspected
abuse of a child who lives in this State that is alleged to have occurred in this State,
the local department and the appropriate law enforcement agency, if that agency
participated in the investigation, shall make a complete written report of its findings
to the local State's Attorney.
(j) Promptly after receiving a report of suspected abuse or neglect of a child
who lives in this State that is alleged to have occurred outside of this State, the local
department shall:
(1) forward the report to the appropriate agency outside of this State
that is authorized to receive and investigate reports of suspected abuse or neglect;
(2) cooperate to the extent requested with the out-of-state agency
investigating the report; and
(3) if determined appropriate by the local department:
(i) interview the child to assess whether the child is safe; and
(ii) provide services to the child and the child's family.
(k) Notwithstanding the provisions of this section, the Secretary may
implement an alternative response program for selected reports of abuse or neglect.
(l) (1) The Department shall convene a multidisciplinary alternative
response advisory council.
(2) The advisory council shall consist of the following members:

(i) the Secretary of Human Services, or the Secretary's
designee;
(ii) the Secretary of Health, or the Secretary's designee;
(iii) the State Superintendent of Schools, or the
Superintendent's designee;
(iv) a representative from the Maryland Disability Law Center;
(v) a representative from a child advocacy organization;
(vi) a representative from a community partner or a local
service provider;
(vii) a pediatrician with experience in diagnosing and treating
injuries related to abuse and neglect;
(viii) an attorney with experience representing children or
adults in abuse and neglect cases;
(ix) a representative from the Office of the Public Defender;
(x) a parent or guardian who has personal experience with the
child protective services system;
(xi) a child who has personal experience with the child
protective services system;
(xii) two representatives from local departments of social
services; and
(xiii) two representatives from local citizens review panels.
(3) The Secretary of Human Services or the Secretary's designee
shall be the chair of the advisory council.
(4) The advisory council shall advise the Department on:
(i) the development of the alternative response
implementation plan, which may include a pilot program;

(ii) oversight and monitoring of the alternative response
implementation plan;
(iii) consulting with local citizens review panels, local services
affiliates, and other local partners for feedback and recommendations on the
alternative response implementation plan;
(iv) defining the scope of the independent evaluation of the
implementation of the alternative response program; and
(v) defining the scope of the ongoing evaluation of the
alternative response program.
(m) Only a low risk report of abuse or neglect may be considered for an
alternative response.
(n) A report that is not assigned for an alternative response shall be
assigned for investigation in accordance with this section.
(o) The following reports of suspected abuse or neglect may not be assigned
for an alternative response:
(1) sexual abuse; and
(2) abuse or neglect:
(i) occurring in an out-of-home placement;
(ii) resulting in death or serious physical or mental injury;
(iii) if, in the previous 3 years, the individual suspected of abuse
or neglect has been identified as responsible for abuse or neglect as documented in
the records of the local department; or
(iv) if the individual suspected of abuse or neglect has had one
report assigned for an alternative response within the past 12 months or two reports
assigned for an alternative response within the past 24 months.
(p) A report assigned for an alternative response may be reassigned at any
time for an immediate investigation based on any of the following factors and
circumstances:
(1) a reassessment of the report or relevant facts;

(2) a determination that the case satisfies a criterion in subsection
(o) of this section; or
(3) a family's inability or refusal to participate in the alternative
response assessment.
(q) A report assigned for an investigation may be reassigned for an
alternative response at any time based on:
(1) a reassessment of the report or relevant facts that demonstrate
that the case meets the criteria for an alternative response;
(2) a determination that accepted services would address all issues
of risk of abuse or neglect and child safety; and
(3) approval by a caseworker supervisor.
(r) When a report is referred for an alternative response, the local
department shall:
(1) see the child and the child's parent or primary caretaker within
24 hours of receiving a report of physical abuse;
(2) see the child and the child's parent or primary caretaker within 5
days of receiving a report of neglect;
(3) attempt to have an on-site interview with the child's parent or
primary caretaker;
(4) evaluate the child's home environment;
(5) decide on the safety of the child, wherever the child is, and of
other children in the household;
(6) decide on the safety of other children in the care or custody of the
individual suspected of abuse or neglect;
(7) advise the appropriate law enforcement agency that the report
has been assigned for an alternative response, if the law enforcement agency made
the report of abuse or neglect;
(8) inform the individual suspected of child abuse or neglect of the
allegations made against the individual in a manner consistent with laws protecting
the rights of the person who made the report;

(9) complete an alternative response assessment within 60 days after
the receipt of the report;
(10) within 10 days after completing the alternative response
assessment, provide a written report to the family members who are participating in
the alternative response assessment as to whether and what services are necessary
to address:
(i) the safety of the child or other children in the household;
and
(ii) the risk of subsequent abuse or neglect; and
(11) consistent with the assessment and any safety or services plans:
(i) render any appropriate services in the best interests of the
child;
(ii) refer the family or child for additional services; or
(iii) as necessary for the safety of the child or other children in
the household, establish a plan to monitor the safety plan and the provision or
completion of appropriate services.
(s) The local department:
(1) shall:
(i) maintain complete records related to an alternative
response and services for 3 years after the report was received if there is no
subsequent child welfare involvement; and
(ii) expunge complete records related to an alternative
response and services if there is no subsequent child welfare involvement after 3
years;
(2) may not use or disclose records related to an alternative response
for purposes of responding to a request for background information for employment
or voluntary services; and
(3) shall protect from disclosure records related to an alternative
response in accordance with § 1-202 of the Human Services Article.

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