California state regulations are clear that a positive toxicology screen in and of itself, either prenatally or at the time of birth, does not indicate the need for a report to child protective services. Healthcare providers in Los Angeles County should complete this Newborn Risk Assessment (NRA) for substance-affected newborns developed by the LA County Department of Children and Family Services. Completing the NRA will help healthcare providers assess for additional risk factors posed by the infant/family, and determine if there is a need to consult and/or make a report to the Child Protection Hotline.

Visit supportingfamilies.lacounty.gov/plans-of-safe-care for more information and updates on Plans of Safe Care processes in LA County.