Rivera Family

School Referral — Basic Needs & Supervision Concerns

Supervisor consult today
Client age
15
Utilities
Shut off
Medical appts
2 missed
Physical harm
None disclosed

Field supervisor note

RE: Rivera home visit — same-day plan

From: Dana Okonkwo, LCSW · Field Supervisor

To: MSW intern

No active abuse disclosure, but basic needs and supervision gaps are real. Complete Form 12A today and call me before 5pm. Do not share identifying details outside approved channels. See safety-assessment-policy.pdf §6.3.

Case file5
  • Supervisor & intake1
  • Visit & collateral3
  • Agency policy1

Field Supervisor Memo — Rivera Case