Without regard to economic circumstances, the following individuals are eligible for a CPS response: An alleged victim; An alleged maltreator; and Household and family members of the alleged victim. Alternative Response. Reports that are eligible for an alternative response include: A report of child neglect involving a disabled infant with a life-threatening condition from whom medically indicated treatment, as defined by 42 U.S.C.§5106g, has been withheld; and A report of child abuse or neglect that appears to pose a low risk of harm to a child. Investigation. A report that is not assigned for an alternative response shall be assigned for an investigation. Reports that are not eligible for an alternative response and must be investigated are: Reports of sexual abuse; Reports of Labor Trafficking; Reports of child abuse or neglect occurring in an out-of-home placement; Reports resulting in death, mental injury, or a serious physical injury; and Reports in which the alleged maltreator has: Been identified as responsible for child abuse or neglect in the previous 3 years; Had a report assigned for an alternative response within the previous 12 months; or Had two reports assigned for an alternative response within the previous 24 months. Reassignment. With a CPS supervisor’s approval, a report assigned for an alternative response may be reassigned at any time for an immediate investigation if: The case satisfies a criterion in §C of this regulation or fails to satisfy the criteria in §B of this regulation; A family is unable or has refused to participate in the alternative response assessment; or Other factors or circumstances indicate the family is inappropriate for an alternative response. With a CPS supervisor’s approval, a report assigned for an investigation may be reassigned for an alternative response at any time if: The case satisfies a criterion in §B of this regulation and does not satisfy the criteria in §C of this regulation; and Accepted services would address all issues of risk of child abuse or neglect and child safety. As required by COMAR 07.02.04.04E, if a parent, guardian, or custodian is unwilling to sign a statement acknowledging receipt of written information about CPS responses on the form prescribed by the Administration, the local department shall document the refusal and sign the form.