The CP report being screened-out even though it met screening guidelines was influenced by the agency's perception that the report was not credible and that the worker felt safe with the screening decision. 

In addition to this, the agency had a history of receiving these types of reports (diabetes related), which are difficult to screen due to the complexity of the disease process and the child's condition (they often lend themselves to alternative explanations) so external consultation occurs often with law enforcement (LE) in these cases. The LE agency was aware of the situation and never made a CP report or signed a hold for the children after their involvement (there is reliance on LE for initial safety assessment when they are involved) further dampening the credibility of the report.