JustBeachyNurse, LPN 1 Article; 13,952 Posts Specializes in Complex pedi to LTC/SA & now a manager. Has 13 years experience. Nov 15, 2013 Is/Are the physician(s) all aware of the medical neglect/non-compliance? Clearly the extended family are non-qualified caregivers if the had no intention of giving the poor child his scheduled feeds. I know CPS is reluctant to pull complex kiddos as there often aren't qualified caregivers to accept an emergent removal. I did a home visit /parent education visit series earlier this year for my agency at the request of CPS. It was a complicated situation and while not a perfect home at least while I was there mom demonstrated knowledge & competency with medication importance, administration & safety though there were significant child safety concerns (child was consuming inappropriate foods for her complex needs, climbing on wall units & cabinets and that's only what I saw in my short home visits) All prescriptions appeared to be filled appropriately and timely (confirmed with pharmacy) and appointments maintained. This was 6 months ago, child discharged from our care. I got a call the other day from my agency asking if I had availability for shift work since I knew the case (it's an agency that does both traditional pedi home health ( intermittent visits) and PDN shift work) as the child & siblings was being removed by emergent court order as we spoke. The CPS solution was to find a foster family that could take all siblings and have 24hr PDN/CHHA care at foster home until a suitable, more permanent situation could be found. This situation is out of control and it seems mom is either delusional with her lack of compliance or beyond clueless. Unfortunately it seems there are not competent caregivers within the family either that urgent removal may be the only option at this time. I feel bad for the child.