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cs-21 (REV04-07)

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;SOC"IAt. SN,RVICI.S
JEREMTAH W. (JAY) NtXON, GOVERNOR. BRTAN KtNKADE, DTRECTOR
CHILDREN'S DIVISION
rulie
44

1 N Newsteao

A Ha;:Lod,"..?itilffji:I

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December 13 2016

SIONYA MICHELLE HALEY


3916 N FLORISSANT AVE
APT 205
sT LOUIS MO 63107-2840
lncident Number . 20162600342
Dear SIONYA MICHELLE HALEY

TheChildren'sDivisionreceivedareportof chrldabuse/neglecton09il6i20l6 Thereportallegedconcernsof Neglect The


Divrsion's investigatron ntc the matter is now concluded

The Division's investtgat on has been completed under Sections 210110-210 165 RSMo and the Division has made a preliminary
finding of

Allegation : Neglect
Child : MICHAEL ANTHONY FULLILOVE
Alleged Perpetrator : SIONYA MICHELLE HALEY
Finding : Preponderance of the Evidence

The Division's preliminary finding of neglect by a Preponderance of Evidence was made after weighing all of the
evidence and based upon the following.

MICHAEL ANTHONY FULLILOVE was under the age of 18 at the time of the incrdent in that
Michael Fullilove was born on 1012012A09.
SIONYA MICHELLE HALEY was found to be responsible for care. custody and control of (Alleged Victrm Child)
at the time of the incident in that.
Michael Fullilove resided in the home with his mother located at 3916 North Florissant Ave Apt 205 Saint Louis
MO 63107
SiCi.lYA ivi |CHELLE HALE'/ faiied to provide ihe proper or irecessar-y suppoi'i, education as requireci by iaw,
nutrition or medical, surgical, or any other care necessary for the child's well-being in that:
Sionya Haley failed to provide the proper or necessary suppod, education as required by law, nutrition or
medical. surgical, or any other care necessary for the child's well-being in that, Michael Fullilove was admitted
to Cardinal Glennon Hospital on September2l ,2016 and diagnosed with malnutrition, suffering from anemia,
and had rickets. According to Dr. Faye Doerhoff Michael's hemoglobin level was low, his calcilrm was low,
blood count was low, and his red blood cells were enlarged According to Dr. Doerhoff the symptoms noted
above are all a result of malnourlshment
Allegation : Neglect
Child : MICHAEL ANTHONY FULLTLOVE
Alleged Perpetrator : MICHAEL A FULLTLOVE
Finding : Preponderance of the Evidence

3.

The Division's preliminary finding of neglect by a Preponderance of Evidence was made after weighing all of the
evidence and based upon the following:
1

MICHAEL ANTHONY FULLILOVE was under the age of 18 at the time of the incident in that:

23

Michaet Fultilove was born


on 10t20t2009.

*"" r*;;;responsibre rorcare, custody


and contrd or(Areged v,crim
chd) at
ilitll*?tr:Y,|.1i:?Ifi
love resided in the home with
his
father
located at 3916 Norrh Ftorissant Ayg
ff8i1];r:"
205 sa6nr ro.is
^c.

flfifA=5,i:!::l:3,",5i:ll',.'i?,':ll::11",::"^q:::r

ne.ce::ary support education


as reo,

l,:J#::,il:::.fl,:Tffi[ff?"::til{,ir+::ili::T:?,:tf5*;3:;x,:;.f:,.eq_.eo cr
H :: I ffi 1,'"1 I ."#ffi
l,"?i;? I !3, i }X' .,,
#::i,f {* ; i3,ffi ji"lFtfffj:"+?:','J;,',,'"1i^irii:??Tffi1fiit"
1""ff ii}#11!Fave
-, ;
was row, his calcium was iow,
Doerhorr Michael'i "

or""o ."rri*#t}: ;:ffi,T'[%ff;


[d:[iil::[:J#J:ainil':,ilil"#r[#
- thee symptoms; ;noted; above
Doerhoff
* "r",!'
are

:^::l::
Allegation : Neglect

th

sym

pto m

"i;

nemogrooin revet
were enlarged. According to Dr.
l,all a ;J:Xil
result 3ifl
of marnnrrrich*^^:"llt
: J;ff ir?,fl:X I

Ii

r'o

"

Chi|d : ETHERYAH SELENE HALEY

Alleged perpetrator: SiONyA


MTCHELLE HALEY
Finding : preponderance of the
Evidence

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a: ine trne of tne

3'

.:--

bv a Preponderance or Evidence
was made after weishing

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or the

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a 3'3::e'3 :-s::.:, a^:

rncrdeni,,nrt

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tr3-:: :. :.+;=: ...-- l-

fit3"Yr:ti'leyresidedinthehomewithhermothertocatedat3gl6NorthFrorissantAveApt

,:

2o5SaintLours

sloNYA MIcHELLE HALEY failed to provide


the prop:lolnecessary support, education
nutrition or medical, surgical, or any
as required by raw,
oiher."r" n"l"rlrry for

the child,s well-being in that:


Etheryah Haley was admitted to cardinai
cl"nnon
riorqilar-o1
September 14-,2o16and diagnosed
threatening malnutrition with complications-oi
rife
po-or
rtn"rvln ,i.o *rl,rut"r"ring frdm bonewith
nutrient deficiencies' severe anemia,
weakness,
rrypotnyrltis,i-',',lo* prateleis, oecrearJ
heart-function, and rung fruids
which all appear to be an indrcation
or crriiJ ior..
,"grect acctloffi'ti-Ji"r-ino" shaw.s
medicar affidavit.
Allegation : Neglect
"i
Chi|d ; ETHERYAH SELENE HALEY
Alleged Perpetrator : MICHAEL A FULLILOVE
Finding : preponderance of the Evidence

br*n

ll:"?:5fl,'fi:Jlffil
1

2
3

liii'fiis,};trect

bv a Preponderance or Evidence was


made after weishins ar or the

ETHERYAH SELENE HALEY was


under the age of 18 at the time of the
incident in that:
Etheryah Haley was born on 1111612013

il5mt5rt :Yhli::yfi il::,to'no to be responsible ror care, custody and contror or (Aresed Victim chird) at
Fthorrr:h

in the hon-'e with he. fathe'located


at 391e t.torlh Ftcrissanr Ave,e,pt 205
,qaint Louis
MICHAEL A FULLILovE farled to provide
the proper or necessary

;3%l;;i"le;'r'esided

support, education
nutrltion or medical, surgical, or any
other.rr" ,LlirJrry for the child,s well-berng rn as required by raw,
that:
Etheryah Haley was admitted to cardinal
Glennon
September lq,lolaand diagnosed with rife
threatening malnutrition with compticat
p"""i nr*iln etneryln arso was lurerering
nutrient deficiencies, severe anemia, "r. "r
from bone weakness,
r',vpotnvrl,oisill;; plateteis, oeCr"aseoieart function,
and tunq ftuids
be an indication or.niio iur." oi nlgr""t

ffiitrton

How do ,

.."o,Hili[:L;,.to

;;;;d,i,rfi;iiiror'sn"*:I'rlii""'i'r?ioruit

This is a preliminary finding' lf you are


the rrght to an independent re"view oi
lamqd the-alleged perpetratorand you disagreewith this decrsion vou have
tnrs oecision tr you"aJ,iol request a review
the 6nitoren,s Division wiri iist you
personresponsibleforchildabuseorneglect,intn"i""trrinJgir,t,
rfyouwishtorequestareviewyoumaychooseas a
wavs to have the decision"independenry
reviewe'd you arso have a rrsht to consurt
fi,1H'ir'i,[T3,ot]

r:ltii:?:1"*'',

1,

Administrative Review:

- lf no criminal charges have


been filed against you: You have sixty (60)
days from the date you receive this retter
to

see.-3.e'sa:':-:l,,sonsdeterminationthroughareviewbytheChildAbuseandNeglectReviewBoard.
- lf criminal Charges have been filed against you within 60 days of receipt of this letter: When charges have been

':malyfliec+,:^:"eccL'1 therequestforadministrativereviewshall bemadewithin60daysfromtheresolutionofthe


:^arces lf vc, -a,e <^s,,, edge of or believe that criminal charges are pending, you should notify the county office in
,,,ri r; -s :'e a ef,.l ce'petrator, you have the responsibility of filing a timely request for an administrative review.

-::' :

-:

r:
; : _, 'equest for admrnistrative review the decision will become final and your name will be entered
in the Cental Regisfy pursuant to Sections 21A.152 RSMo. and 13 CSR 35-31.025 Child Abuse and Neglect Review
Process. Your request fior review may be emailed to DSS.CD.ADMINREVIEW@DSS.MO.GOV or you may make a
requesl in *rfing to the Children's Division Central Office at P.O. Box 88 Jefferson City, MO 65103. The request should
indude yflrr reBons for disagreeing with the Division's determination and any new information you have which you
be{bye couH affect the deiermination. The Call/lncident Nlumber 20162600342 must be clearly written on your request.
OR

2- Elirect Judicial Review \Mthin thirty days after you receive notice of the Division's decision, you may waive
indeperdent review by the CANRB and instead file a petition in the circuit court for the de novo review of the Division's
decision. See Section 536,100 RSMo. However, if you choose to waive administraiive review and request direct judicial
review then the Division's decision will become final and the Division will immediately list your name in the Central
Registry pendrng the decision of the Court.
When does a preliminary finding become a final determination?
The preliminary flnding will become final if

'''lJ f,o nci re3-es: a- ain n slratve review ,option 1;within sixty (60) days. or
- -- a:- - strat've revrew r.option 1) and the finding is upheld by the Child Abuse/Neglect Review Board
lA\iB 3r
^ a- - -L ne'nl
^: s c:^e./,"se s!bstantiated by a court adjudication pursuant lo210.110 juvenile court actron or other court
act cn ,,,. ci -c.e d lre Division s finding!). or
- r ce ' ?r a pe:ii cn for direct judicial review (option 2)within thirty (30) days from the date that you received notice of
-

--j

ljJJ=:.

the D i' s or s Drel .t1tnary finding

r 13ry flnd ng becomes a final determination, the perpetrator's name will be entered in the Central Registry and will
remain there as prov ded for by law.

Orce the p'e

INFORMATION FOR ALL PARTIES

Will I get notice if the alleged perpetrator appeals the decision?


lf you are a child victim or the guardian of the child, you will be notified if the alleged perpetrator requests an appeal.
How do I request a review of any unsubstantiated findings?

You may ask the Dtvision to send a referral to review the decision to the Office of the Child Advocate for review, pursuant to
RSMo 210 145 Correspondence may be mailed to the Office of the Child Advocate at PO Box 809. Jefferson City. MO 65102, orthe
Offlce of the Child Advocate may be contacted tollfree at 1-866-457-2302
How do I request a copy of my report?
You, or your legal representatrve, have the right to review your record. However, the name or identity of the person who made the
report is confidential. lf the Division determines that providing the requested information presents a danger or safety concern, some
information may not be released. lnformation contained in the record will remain confidential and will noi be released to anyone
except as provided in Chapter 2'1 0 RSMo. There may be fees associaied with requesting a copy of your record and a portion of the
fee may be required before your record is released.
lf you wish to request a copy of your record, contact ASHLEY M LATIMORE at: (314) 877-2349 by phone or mail

Can a report be re-opened?


It is possible for the Division to reopen a report at the request of the alleged perpetrator, the alleged victim or the Office of the Child
Advocate lf the alleged victim is under the age of eighteen their parents, legal guardian or custodian can make this request. The
Division will only reopen a report if new, specific, and credible evidence is ontarneO that the Division's decision was based on fraud or
misrepresentation of material facts and would have been different if this information had been available. All requests to reopen a
report should be made as soon as possible and no longer than a year after the report is closed. Any person who makes a request
to
reopen a report based on facts which they know to be false or misleading or with the intent to harais the alleged victim or perpetrator
T.ay be heLd civilly or criminally liable. No investigation will be reopened wnite tne case is pending before a cdurt. See Section
210.152.3 RSMo.

Services for Families in Need

The Division provides a variety of services to families. lf it was determined that your family could benefit from services, Division
a
Worker will contact you soon to help arrange for those services.
CERTIFICATE OF MAILING
This letter of notification was mailed, postage paid,
this 13
day of 12
to
the named person(s) at the address shown.

2016

ASHLEY M LATIMORE
rirb Children's Services Worker

Relay Missouri
for hearing and speech impaired
1-800-735-2466 voice . 1-800-735-2966 text phone
An Equal Opportunity Employer, seryices provided on a nondisciminatory basis.

r \r

E o F \ rI

ss

o-t-RI'

:-t:#illlI

3Irt

""ir*rs#Ii'i"

\1O 6llr-' --]-t'


-i\I\T LOLlS' ResPondent

SN: XXX-XX-89'1

DOB: 01-06-1989

srryport**:"ff*rjffi#fiffi*

454-400 tuous 45i1?30;frsMo,

provides child support

criidtren):

D;te of Birth

E9
ilr"t*toH
"*N,C,,O,'

11-16-2013
10-20-2009

sELENE HALEY
ANTHONY FULLILOVE

2.

in Petitioner's custody'
The child(ren) is/are

3.Responderrtisthepresumedorlegalparerrtoftheabove.namedchild(ren)because:

ShegavebirthtoETHE}J*}ISELENEHALEYANDMICHAELANTHONY
210'819' RSMo'
FULLLOVE ' iection

CS-600 (Rev' 6-16)

\1O 88G0326 (G16)

Page 1

of5

r
--- :.-r:,.:-:--:

-! :e

-e,sa- pareni

of the above-named child(ren)

i : - ': - :, ' :'- -. -.- ::::::!


-:-. -:cS --; =Ja"fii:E tO \liSSOUn
i--".:.-:,-::-: ::,- --: ::. -:--: s-::t:: :c: :hg abovg-named
- :-:: : -: ::
--te 15fh dai'OleaCh
- --:-: '-- -. -: !-: ,=*:-:-----:, i.-,::.::-.-.t:-- ie a-a
6fflris Notice m both paties.

rrdh &
-rip
Medical Support

Pursuant to section 454.603,RSMo, Respondent should maintain or enroll the above-named


child(ren) in a health bmefit plan: 1) available through hislher employer, union or group
sffiliation that prorids senices to the alea r*'here the chitd(ren) reside; and 2) in which
t sfte is ahea{- molled m the least expmsive plm offered by the employer, union or group
efFlitrioe ifm o6milrb" molled-

If Respmdem enolls fre above-nemed child(ren) in a health benefit plan before &e entry
of the rydt ordr, (slhe should notify the FSD office at ttre addriss ud/ar telephonl
rumberpnoviddt the end of this Notice, as the child support obligation may change.

If

an order is entered Respondent may, with FSD approval, enroll the child(ren) in a health
benefit plan other than that provided by his/trer employer, union or group affiliation if it
offers comparable benefits. If Respondent wishes to obtain approval of a iomparable plan
prior to the entry of an order, (s)he must provide FSD with a sunmary of benefits foi ttre
employer/union/group affiliation plan(s) and for the alternate plan (s)he wants approved.

7.

Pursuant to section 454.4T3, RSMo, if an order is entered, Respondent and Petitioner are
required to notifr FSD of information on their location and identity, including their Social
Security numbers, residential addresses, mailing addresses, telephone numLers, driver's
license numbers and the names. addresses and telephone numbeis of their employers. If
sch infuatim chnngeq Reryondent and petitioner must notify FSD of the new
infm*im wiftin 30 days of any such change.

MO 886-0326 (6-16)

Page 2

of5

CS-600 (Rev. 6-16)

IF YOU DO NOT RESPO\D TO THIS \OTICE


RESPONDENT AND PETITIO\ER:
Respond to This Notice" belo.,r r rljthil li,r
FSD will enter an adminisrrarire order

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ImLr \ilU'llTCE

RESPO\DE\T T-\D PETTTIO\ER:


1.

If }'ou and the other parr)-agree to the obligations in this Notice,you and the other parr,lmust sign an order that establishes the agreed-upon obligations. Contact the FSD
office at
the address andlot
number provided ai the end-of this Notice if you want to sign
.telephone
an order that establishes the oblieations described in this \:otice.

If-rou do not agree nith the obligations in this \otice.\'ou ma)'requesl in rrriting. an
adminisrradve hearin_B regarding this -\oace nithin 2ti calendar dals oirhe datJrou
receir.e this -\orrce. The heanns u'i1l be conducted betbre an Lmpanial heanng
ottter.
appointed bi'the director of theb*p^.t-.nt of Social Senices. The heams
oltcer is an
attome!'iicensed to practice lau'in Nfissouri. If you do not ask for a heariniii-ithm
rhe l0
calendar days, an administrative order will be entLred based on the informatro"n
available.
To ask for an

administrative_ hearing, you must send a written request to FSD. In your


written request, you must include your-complete name, address, telephone
number, IV-D
case number (found on the first page of this Notice) and ihe reason
why you want a hearing.

processing
4fttl
the-time

your hearing request, the Division of Legal Services will notify you
about
and place of the hearing. If an administrative hJaring is held, the
hearing officer
$'i11 render a decision after (s)he reviews the evidence you,
theither party and FSD present.
':- * :--r:-,' -::.r: e,,:iel:e :ni cuest:--r. '.1.1r:re-iies as prorided for in ct apte.
536. RS\rIo.
- -l:, l:-,-::l
-:: -: :---I-: -l ---; -;jj-,-_: -''.:-, :, :l--::-S; 5:l: :-::-:-i l:e ::.:-:-:
:tr'i.-'*.n: :::1. .r;der ao r-it,hganons. o'ol,gau,--.,n-f a*. decn-bed rn the
-vrn.". oblr_*;;;;;
the heanng otacer determines_ appropriite based on the
pr;r.;;;^";
the hearing.
The decision will be filed with ihe court. If you disagree with
the administrative decision
-Circuit
and order, you may.qetition
appropriate
dourt for a judicial review following
Jh9
instructions provided in the administrative
decision and order.

.ri[*

Ifjh:

qar!1who requested the administrative hearing fails to appear for and participate in a
scheduied hearing, no hearing will be held. An adirinistrative
default decision and order
may be issued. There is no right to a petition for judicial
*ui.* if there is no hearing.

If you do not ask for a hearing within

the 20 calender days, the administrative order will


take effect immediately. TherJis no right to a petitiondr'judicial
review if there is no

hearing.

MO 88G0326 (6_16)

Page 4

of5

CS-600 (Rev. 6-16)

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