I am on my phone so it's more difficult to format my posts.
I found these statements, taken from the PDF, telling. If it is in quotes it's from the PDF.
"No one in any program or agency was found to have had contact for the eight months between October 2014 and June 2015 when Bella’s body was discovered."
The PDF states that prior to this she was on track developmentally and received regular care. I thought she'd likely have been behind on vaccines. Bella WAS due for a visit when her body was found.
"A higher level of response to the 2012 and 2013 abuse and neglect reports was warranted by DCF.
Ms. Bond had previously lost custody of two older children and her parental rights were terminated by the court. Given this history and the current concern, DCF should have initiated an emergency investigation, rather than non-emergency investigation. A managerial review and legal consultation should have been conducted to determine whether Bella should have remained in her mother's care.
The risk assessments did not accurately reflect risk.
The DCF Risk Assessment tool is completed at the end of an investigation and, based on the information gathered during the investigation process, is meant to capture the degree of risk of abuse or neglect. In both 2012 and 2013, the investigators answered questions in ways that underestimated the risk to Bella. An accurate use of the risk assessment tool should have ranked the risk higher, which should have triggered a managerial review in 2012 and 2013 to discuss whether Bella should remain in her mother's care."
Like, understatements of the year here, folks.
"The lack of sufficient management structure contributed to the poor case judgment.
In 2010, the DCF Regional Offices were reduced from six to four and the director of area positions reduced from 29 to 15. After 2010, DCF area offices were combined with each director of areas supervising two offices. There were fewer regional clinical staff and due to attrition and reassignment, and there were fewer area program managers to provide close review of cases and clinical consultations. The number of families being overseen by the area offices reporting to the director where the Bond family case resided was approximately 1,800 during the 2012-2013 timeframe. These changes could have accounted for some of the problems identified in this report.
The OCA also searched past caseload reports for the area office in which the Bond family case was located. Monthly weighted caseloads during the August-December 2012 case ranged from 15.57 to 16.77 cases per social worker. During the June-September 2013 case, weighted caseloads were between 15.47-16.52 per worker. Weighted caseloads were under 17 for each of the months the Bond family case was open in 2012 and 2013. These findings indicate that high caseloads do not account for some of the issues identified in this report."
So what then, incompetence?