Although the concept of Child Maltreatment Recurrence (CMR) is used in child welfare practice, there is little research that explores this topic and there are few interventions specifically designed to address this problem. This study explored several factors associated with CMR within a Child Welfare Agency. This case review study included only cases that had more than one incidence of child maltreatment (CM) between January 1, 2007 and December 31, 2008. This study found that the most common forms of CM are neglect and physical abuse. This study also found that neglect is the most repeatable form of CM. This study also found a significant ethnic difference in abuse and neglect referrals to Child Protective Services. This study did not support the finding that parental substance abuse is associated with child maltreatment. The findings indicate that neglect is a starting point of intervention development for CMR.