Children's Sanctuary, Inc

Foster Parent Rules and Medication Protocol

Children’s Sanctuary accepts youth regardless of race, color, religion, handicap, or national origin 

# INSTRUCTIONS: Read carefully.  If you do not understand something, ask your CSI licensing worker to explain. When you fully understand these rules, sign and date in the space provided and submit to your CSI licensing worker.  These Rules must be posted along with your state foster care license in a conspicuous area of your home.  The Medication Protocol should be posted near or in your locked medication cabinet.  These forms are available on line at
1 ABUSE AND NEGLECT PROTOCOL: All foster parents will be trained in the State Abuse/Neglect Protocol and the reporting of critical incidents.  You must report any incidents or allegations of neglect, abuse, serious injury, serious illness, or death of a child immediately to the local authorities, the local Child Protection Hotline, and the Children's Sanctuary office or on-call case manager. 

Important: Financial, sexual, or physical exploitation of a foster child, humiliation and retaliation are a violation of the child’s rights and will lead to removal of the child from the foster home and a report of abuse and neglect to the custodial agency and possibly law enforcement.

2 ALCOHOL/TOBACCO: It is illegal for children to possess or use alcohol or tobacco products.  Foster parents will not allow a foster child to use alcohol or tobacco.  Foster parents will not provide a foster child alcohol or tobacco.
  ALLOWANCES: Foster parents will provide an allowance for each child over age six.  The allowance will be paid from the foster parent's per diem.  Allowances are not to be based on a child’s behavior or willingness or ability to complete assigned chores.  With approval from the CSI case manager and public agency worker, a youth’s allowance may be withheld to pay for damages purposefully inflicted by the youth on another’s person or property to the extent of the damage.  A foster parent may require a child to bank at least 50% of the allowance.   With approval from the child's case manager or county worker, the foster parent may require a child to bank all of his allowance if the foster parent believes the child will use his allowance to purchase alcohol, tobacco products, or drugs.  Even children who have after school or summer jobs will received at least the minimum daily allowance.  Foster children will receive a minimum allowance of $1 per day or $7.00 per week.  A foster may choose to give the child a larger allowance, but the following minimum applies:  Youth age six and older: $1.00 per day or $7.00 per week. 

Important: When a child is in respite, the respite parent must give the child his or her allowance for each night the child is in the respite home.


CHILDREN'S SANCTUARY CASE MANAGER VISITS: The Children’s Sanctuary case manager will visit your home at least every two weeks and contact you via telephone once each week.  The Children’s Sanctuary case manager will visit your foster child away from the foster home, at least once a month.  Foster parents should report any problems with the child to the Children’s Sanctuary case manager.  A CSI case manager and supervisor are on-call 24 hours a day 7 days a week for emergencies. Report all problems affecting the child’s life as soon as possible.  Examples:

  • Problems at school, i.e., detention, suspensions expulsion, any problems where a child needs help.

  • Behavior problems at home or school, i.e., stealing, destroying property, violence towards self or others.

  • Unusual, bizarre behavior, or comments, i.e., hoarding food, hearing voices, inappropriate comments or gestures.

  • Serious incidents, i.e., violence, sexual acting out or assault, injury, hospitalization, or physical intervention. (Report immediately. Same as protocol for reporting abuse and neglect above.)

  • Changes in medical or mental health services and problems with providers.


CASA (Court Appointed Special Advocates), (GAL) Guardian Ad Litem), PUBLIC CUSTODIAL AGENCY WORKER or other agent appointed by the public custodial agency or court may visit the foster home, respite home, or any place housing or caring for the child, including a baby sitter’s home at anytime unannounced. They have the right to interview the child (children) and inspect every area of the home where the child lives or has access. 

Important: Foster parents are to be polite, courteous and accommodating to the custodial agency worker, CASA or GAL at all times.  Failure to cooperate with the custodial agency worker, CASA, or GAL may result in the removal of the foster child (children) from your care and endanger your foster care license or certification.
6 DAILY CARE: Foster parents provide supervision, structure, and age appropriate activities.  They inform the case manager each week of the child’s successes, failures, problems, and progress.  Foster parents may be required to keep a daily behavioral sheet and provide monthly written progress reports.
7 CLOTHING: The public placing agency or Children’s Sanctuary may provide a clothing voucher for a new placement. The voucher is for clothing, only.  If a voucher is used for anything other than clothing, the foster parent will have to reimburse the public placing agency or Children’s Sanctuary.

The foster family is responsible for providing clothing for a child during placement.  Buy your foster child clothes regularly.   This eliminates large expenditures and allows you to take advantage of sales.  Children's Sanctuary, Inc. requires you to spend $50 per month or $600 per year on new clothing for your foster child.  Please keep receipts as this may be audited by CSI or your state worker. 

8 DAYCARE CENTERS: Children's Sanctuary will not certify or license a foster home if the foster home is being used as a day care center.  If Children's Sanctuary determines that a foster parent is providing day care services in the foster home, the foster parent will be asked to discontinue the day care services immediately.  If the foster parent refuses, all foster children will be removed from the home and Children's Sanctuary will ask the state to close the foster home license.  

DISCIPLINE: Foster parents must establish clear rules, expectations and behavioral limits including logical and natural consequences for negative behavior.  In disciplining a child, follow these guidelines:  

  • Match the discipline to the behavior.

  • Discipline a child only when it is necessary and be consistent.  Do not impose discipline randomly.

  • Before imposing discipline consider what need the child is expressing by his or her behavior.



  • Corporal punishment.

  • Verbal abuse of any kind.

  • Denial or limiting of food, sleep, shelter, phone contact or visits with family, case manager, or caseworker.

  • Assignments of extreme physical exercise or work.

  • Forcing a child to assume painful or uncomfortable positions.

  • Excessive periods of grounding or isolation.

  • Confinement to a locked room or bed.

  • Mechanical restraints, i.e., handcuffs, restraint jackets, tape or rope.

  • Washing a child’s mouth out with soap.

Important: Financial, sexual, or physical exploitation of a foster child, humiliation and retaliation are a violation of the child’s rights and will lead to removal of the child from the foster home and a report of abuse and neglect to the custodial agency and possibly law enforcement.


FOSTER HOME CONDITION:  Your Children’s Sanctuary Case Manager will visit your home a minimum of every other week.  He or she will complete an environmental safety check of your home once a month. Your home must be clean and free of clutter and safe for children at all times.  You must have working smoke alarms on each floor and in the kitchen, and a certified fire extinguisher on each floor and in the kitchen, including the basement.  Exposed wiring, chipped paint, broken floors, damaged or leaky plumbing or ceilings, water in basements, improperly installed or malfunctioning furnaces, water heaters, or appliances may result in revocation of your foster home license. 

Bedrooms: Each foster child must have his or her own bed and a minimum of fifty (50) square feet of living area.  Opposite sexes are to have separate bedrooms.  Typically, no more than two children should occupy the same bedroom.  Foster children’s bedrooms are not to be in basements or attics even if these areas are finished.
12 INCIDENT REPORTS: Foster parents must complete an incident report if the foster child experiences any serious problems or presents any serious behavioral problems in the home, school, or public setting.  Your case manager will supply you with an incident report form.
13 INCLEMENT WEATHER: Dress your foster child properly for the weather.  If it is raining, the child should have a raincoat, umbrella, or the foster parent should transport the child to the bus stop or school.  Do not allow a child to walk or stand in the rain for any long period of time.  If weather is cold or snowing, the child needs to be dressed warmly.
14 INJURY OR HOSPITALIZATION: If the child is injured at home or school, involved in an accident, or hospitalized, you must report this to Children’s Sanctuary immediately.  The Children’s Sanctuary case manager will report the incident to the public placing agency.  Please complete an incident report as soon as possible and submit it to your Children’s Sanctuary case manager.
15 INDEPENDENT LIVING: Foster parents will provide independent living skills training to foster children 12 and older, i.e., cooking, cleaning, employment, managing a budget, social activities.  Foster Parents should keep a log of independent living activities.  Youth 14 and older will be assessed using the Ansell Casey Life Skills Assessment tool.  They will receive life skills training in the foster homes and at the Children's Sanctuary offices as indicated.
16 LOG: Foster parents should keep a daily log of interactions with the foster child.  Include behaviors, successes and failures, and independent living training when indicated.  Your case manager will give you the format for the log.  The log must be turned into your case manager every two weeks.
17 MEDICAL AND DENTAL RECORDS: Keep medical, immunization and dental records current.   The foster parent must obtain a physical, dental, and eye exam for the foster child within 21 days of placement and annually thereafter.
18 MEALS: Foster parents will ensure that each foster child receives three balanced, nutritious meals daily including special diets when required by a physician.  The foster child is included in all family meals.  He or she is not to be excluded or fed separately from the foster family and must receive the same food as the foster family.
19 OTHER ADULTS IN THE FOSTER HOME:  All adult relatives residing in a foster home including the foster parent’s adult children must undergo a complete background, criminal history, and fingerprint check.  If an adult relative moves into the foster home, the foster parent must contact the CSI case manager immediately.  Failure to do so may result in the removal of all foster children from the home and revocation of the foster parent’s license or certification.
20 PER DIEM:  The foster parent will receive a per diem (per day) rate for each foster child in his or her care.  The foster parent’s per diem rate is based on the care and treatment needs of the child as determined by Children’s Sanctuary.  One dollar per day of the per diem is designated for the child’s allowance (see allowances above).  If a foster parent feels that a higher per diem is needed to provide for the care of the child, he or she is to contact the CSI case manager.  The CSI case manager will review the request and submit the request with supporting documentation to the CSI Director of Financial Operations.  The Director of Financial Operations will review the information and determine if a higher per diem is justified.

Important: Foster parents are not to contact the custodial agency or the court to request a higher per diem rate.

21 PLACEMENTS FROM OTHER AGENCIES: All placements must go through Children’s Sanctuary, Inc. CSI foster parents are not to accept direct placements from other placing agencies including the County Department of Child Services. If a county or another agency calls you about a placement, please refer them to your regional Children’s Sanctuary office.

Important: This rule includes temporary respite and baby setting.

22 REQUEST TO REMOVE A CHILD FROM THE FOSTER HOME:  Children’s Sanctuary foster parents are expected to give Children’s Sanctuary, Inc. 30 days notice when they want a child removed from their home.   The only exceptions are family emergencies or if the child or foster family would be at risk of serious injury if the child remained n the home.

RESPITE: Each foster parent will have an alternative care plan for their foster child in case of emergencies.  CSI recommends foster parents take four days respite each month.  Emergency respite is available 24 hours, 7 days a week.  Call the on-call CSI case manager after hours and on weekends. Only licensed foster parents may provide overnight respite.  The CSI case manager and the custodial agency worker must approve any overnight respite.   The primary foster parent is not paid for a child while the child is in respite with another foster parent.

Give the respite parent all essential information about the child, including a copy of the Safety- Service Plan, dietary needs, medication (for extent of respite only), Medicaid card/ Number, name of child’s doctor and dentist, behaviors to expect and if, when, and with whom the child has visits.  Include place of visit, length, and if supervised or unsupervised.  The Respite parent will continue to give the child an allowance while the child is in respite.

Important: The CSI case manager and custodial agency caseworker must know where your foster child is at all times.  Do not place a child in respite without contacting your CSI case manager.  Except for emergencies, you must give the CSI Case Manager ten (10) days notice.  The CSI case manager will contact the county custodial agency worker for approval for the respite.


SAFETY: Do not allow children to walk or play in “unsafe” areas, i.e., walking to and from work during late hours.  The foster parent is responsible for seeing that the child has safe transportation.  When you accept custody of a child you promise to provide a nurturing and safe environment.  Please adhere to the following safety precautions:

  • Keep all hazardous chemicals securely locked in a cabinet or shed, especially flammables, i.e., gasoline, lighter fluid, paint thinner, charcoal starter, oil, matches, cigarette lighters, insecticides, weed killer.

  • Keep all poisons, insecticides, herbicides, etc. securely locked in a cabinet or shed.

  • Keep all household cleaning chemicals, i.e., bleach, ammonia, etc. out of reach of foster children.

  • Keep all medication in a securely locked cabinet (see Medication Protocol below).

  • Keep guns, knives, bows, etc. in a securely locked cabinet in your personal area of the house i.e., your bedroom or other area inaccessible to a foster child.  Keep weapons and ammunition locked in separate locations from each other (see weapons).

  • Keep any item that could be used to harm oneself or another away from foster children when not being used for the purpose for which it was made, i.e., kitchen knives, hammers, screwdrivers, hatchets, axes, shovels, hoes, exacto knives, box cutters, cue sticks, pool balls, baseball bats, baseballs and softballs, hockey sticks, etc.

  • Have your foster child wear a safety helmet and protective clothing when riding a bicycle, scooter, or skateboard.

  • Do not allow a foster child to operate any motorized equipment, including automobile, motorcycle, riding lawnmower, or motorized terrain vehicles of any sort, without written permission from the public agency caseworker, parent, and Children’s Sanctuary, Inc.

25 SCHOOL: Foster parents will ensure that foster children attend school daily.  If a child is ill or must miss school, i.e., for a counseling appointment, the foster parent will notify the school immediately.

School conferences:  Foster parents are expected to attend school conferences, to follow up on teachers’ notes, and see that the child complies with detentions.  Foster parents will provide transportation when necessary.  Fees for books, sports equipment, and school functions are the responsibility of the foster parents.

Important: Foster parents must have a designated emergency person available to get a child from school if the child is sick or hurt or suspended when the foster parent is unavailable.  The foster parent must designate a person who can care for the child until the foster parent is available.  Your case manager will give you a form to complete and return to Children's Sanctuary identifying your designated caregiver to contact in your absence.


SOCIAL, CULTURAL, EXTRACURRICULAR ACTIVITIES:  Children in foster care have the right to participate in age appropriate social and extracurricular activities, i.e., school sports and activities, church sports and activities, Boy Scouts, Girl Scouts, camps, band, Prom, dating, soccer.  The foster parent is responsible for assuring that the child is safe and protected when participating in activities outside the home.

In special cases overnight visits with friends may be allowed if certain conditions are met:

  • The foster parent knows the friend’s parents and approve of the visit.
  • The friend’s parents are willing, able, and capable of providing supervision of the children during the visit.
  • The visit is not an overnight visit between youth who are romantically involved, i.e., boyfriends or girlfriends.
  • The foster child does not have a medical or psychological condition that would place him or her, the friend, or the friend’s family at risk.
  • The foster parent has written approval from the Children’s Sanctuary Case Manager and the Custodial Agency Family Case Manager.  This documentation must be in place prior to the overnight visit.
  • The foster parent is not using the visit as a respite placement.  Respite must be approved in advance by the CSI case manager and the custodial agency worker.  Respite parents must be licensed/certified foster parents.
27 STEALING: Many children entering foster care have problems with stealing.  Keep valuables such as jewelry, money; car keys, and keys to desks, cabinets, or boxes where medication or valuables are kept, out of reach of foster children. Children Sanctuary is not responsible for losses in your home due to theft by a foster child.
28 TELEPHONE: Foster parents are responsible for the security of their telephones.  Children’s Sanctuary will not reimburse for charges resulting from a child making long distance calls on the foster parent’s telephone.

TRAINING: In accordance with Indiana and Ohio state regulations, foster parents must complete 20 to 30 hours of training every year.  Children’s Sanctuary will offer various training opportunities throughout the year.  Foster parents may attend other training available in the community with approval from Children’s Sanctuary.  To receive credit for training outside of Children’s Sanctuary, foster parents must obtain certificates of attendance noting title of training, date of training, name of trainer, and hours awarded, and submit copies to Children’s Sanctuary.

Important: Failure to complete state required annual training hours will jeopardize your license!

30 TRANSFERRING A LICENSE OR CERTIFICATION TO ANOTHER AGENCY:  A foster parent wishing to change to another agency must notify Children's Sanctuary, Inc. in writing that they want to close their license or certification with Children's Sanctuary, Inc. and open a license or certification with another agency.  Children's Sanctuary, Inc. will arrange with the other agency a date for closure of the CSI license and opening of the license with the other agency.
31 TRANSPORTATION: The foster parent must provide transportation to and from appointments, court and review hearings, visitations, school, work, and any training event, i.e., Independent Living Training, when necessary.  The cost of transportation is covered by the foster parent's per diem.  A foster parent may request reimbursement for trips over 50 miles one way.  Any reimbursement must be approved by the CSI Regional Director.

Important: Make sure your foster child is in your vehicle and buckled into his or her seat prior to departing.

32 TRAVEL: Out-of-state travel with your foster child requires approval from Children’s Sanctuary, Inc. and the child’s public placing agency worker.  Make requests at least two weeks prior to departure.
33 VISITATION: The public agency worker must approve visitations for the child with family and relatives.  The foster parents must adhere to court ordered visitation.  If for any reason a child can not make a scheduled visit, call your Children’s Sanctuary case manager immediately.  Foster parents will provide foster children with travel bags, satchels, or luggage for overnight visits with parents or relatives.

Important: Children are not to transport clothing, other than dirty clothing in plastic trash bags.  Use luggage and or overnight bags.  Never place a child’s medication in his or her luggage.  The child's medication must given to the parent, respite parent, or other responsible adult. 

34 WEAPONS:  All weapons will be kept out of the reach of foster children.  This includes bows, arrows, guns, and knives.  Guns and bows will be kept locked in a safe place.  Ammunition, i.e., bullets, cartridges, arrows will be locked in a separate place from the guns or bows.  Kitchen knives should be put away when not being used out of reach of children.  Do not leave knives in a wood block knife holder on the kitchen counter or any place accessible to children.

Foster Parent's Signature

Foster Parent A: ___________________________________________Date:______________________
Foster Parent B: ___________________________________________Date:______________________


Children's Sanctuary, Inc

Medication Protocol

Children’s Sanctuary accepts youth regardless of race, color, religion, handicap, or national origin 

Foster parents and CSI staff must follow this protocol at all times.  Failure to adhere to this protocol can result in endangerment of the foster child, as well as other children in the home.  Foster parents who fail to adhere to this protocol may lose their foster home license and be charged with neglect and/or abuse.

1 Medication, prescription and non-prescription, must be stored in a locked cabinet in a secure area. Failure to secure medication could cause injury or death of a child and result in civil or criminal prosecution of the foster parent.
2 No foster child is to have access to the medication cabinet.
3 No foster child is to be allowed to carry his or her medication.  The exception is  specific medication, i.e., an asthma inhaler, and only with the medical doctor's written permission.
4 All medication must be dispensed to the foster child by the foster parent, school nurse, or other responsible adult.
5 Medication must be dispensed according to the prescribed dosage.  The foster parent, nurse, or responsible adult must observe the child take the medication.  If you think a child is not swallowing the medication, dispense the medication in a glass of water.
6 If a child refuses to take his or her medication or tries to save medication by not swallowing it, report this immediately to the case manager and child's doctor.
7 If a child needs medication at school, the foster parent must give the required medication to the school nurse or teacher.  Only the school nurse or teacher can hold medication or dispense medication to the child.
8 When a foster child goes to respite or visits biological parents or relatives, his or her medication must be given to the respite parent or biological parent by the foster parent.  If a caseworker, CSI case manager, or other responsible adult delivers the child to respite or home visit, the foster parent is to give the child’s medication to that individual to deliver to the respite parent, biological parent, or relative.  The foster parent must send only the amount of medication the child will need while away from the foster home.  Note: a responsible adult must always control medication.  Never pack medication in a child’s luggage.
9 Foster parents must log all dispensed medication, including medication given at school, in respite, or on a home or relative visit.  Separate logs should be kept for prescription and non-prescription medication.  Children’s Sanctuary will furnish log forms to the foster home as needed.  If the foster parent runs out of log forms, the foster parent must keep the log on notepaper until he or she receives new forms.
10 The foster parent must obtain all prescribed medication from the pharmacy as soon as possible so the child can receive the medication according to the doctor’s instructions.  Refills must be secured one week before the medication runs out to avoid lapses in medication.  If a foster parent does not have the child’s current Medicaid Card, he or she is to purchase the medication and give Children’s Sanctuary the receipt for reimbursement.
11 Foster parents must attend all medication reviews.  The foster parent must be prepared to discuss any behavioral, emotional, or physical issues related to the medication.  If the foster parent cannot attend, he or she will notify the CSI case manager at least one week in advance.  Any concerns the foster parent may have about the medication and child’s reaction to the medication must be explained to the case manager prior to the review.
12 All medication must be maintained unless otherwise instructed by the child’s doctor or psychiatrist.  The foster parent must never “wean” a child off his or her medication or stop giving the child his or her prescribed medication unless instructed to do so by the child’s doctor or psychiatrist.
13 The foster parent must return any discontinued medication to the pharmacy or the Sheriff's Department.  Never discard medication by throwing it in the trash or flushing it down the toilet.
14 I have read, understand, and agree to follow the attached Foster Parent Rules and Responsibilities and Medication Protocol. I understand that failure to follow these guidelines may result in revocation of my foster home license or certification.

Foster Parent's Signature and Date

Foster Parent A: _______________________________________________Date:_____________________
Foster Parent B: _______________________________________________Date:_____________________

Copyright © 2002. Children's Sanctuary, Inc. All rights reserved.
Revised: August 26, 2010