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CHILD'S NAME: CASE NUMBER: The child has been sexually abused, or t here is a substantial risk that the child will be sexual ly abused, as defined in subdivision (b) of section 11165.1 of the P enal Code, by his or her parent or guardi an or a member of the child's household. The parent or guardian has failed to protect the child adequate ly from sexual abuse and the parent or guardian knew or reasonably should have known that the child was in danger of sexual abuse. (State supporting facts concisely and number them d-1, d-2, d-3, etc.): Page of Welfare and Institutions Code, § 300; Cal. Rules of Court, rule 5.504 www.courtinfo.ca.gov SEXUAL ABUSE § 300(d) Form Adopted for Mandatory Use Judicial Council of California JV-123 [Rev. January 1, 2007] SEXUAL ABUSE § 300(d) JV-123

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