HIQA has found a lack of timely intervention in some cases where allegations of the physical abuse of children were made in the South Tipperary, Carlow and Kilkenny area.
An inspection of Tusla child protection services found 5 major non compliance out of 6 standards assessed in October and November last year.
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The report says there was no formal system in place to review a waiting list of 213 cases, resulting in children potentially being left at risk.
Many of the deficits found in the inspection had been identified by Tusla in 2016 but the report says no effective action had been taken to address them.
