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
AND NEGLECT PROTOCOL:
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
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.
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.
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.
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
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.
at school, i.e., detention, suspensions expulsion, any problems where a
child needs help.
problems at home or school, i.e., stealing, destroying property, violence
towards self or others.
bizarre behavior, or comments, i.e., hoarding food, hearing voices,
inappropriate comments or gestures.
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.)
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.
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.
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.
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.
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.
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.
parents must establish clear rules, expectations and behavioral limits including
logical and natural consequences for negative behavior.
In disciplining a child, follow these guidelines:
the discipline to the behavior.
a child only when it is necessary and be consistent.
Do not impose discipline randomly.
imposing discipline consider what need the child is expressing by his or her
NEVER USE THE FOLLOWING FOR DISCIPLINE:
abuse of any kind.
or limiting of food, sleep, shelter, phone contact or visits with family,
case manager, or caseworker.
of extreme physical exercise or work.
a child to assume painful or uncomfortable positions.
periods of grounding or isolation.
to a locked room or bed.
restraints, i.e., handcuffs, restraint jackets, tape or rope.
a child’s mouth out with soap.
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.
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.
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.
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.
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.
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.
parents will provide independent living skills training to foster children 12
and older, i.e., cooking, cleaning, employment, managing a budget, social
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.
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.
AND DENTAL RECORDS:
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.
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.
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
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.
||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.
This rule includes temporary respite and baby setting.
REQUEST TO REMOVE A CHILD FROM THE FOSTER HOME:
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.
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
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
When you accept custody of a child you promise to provide a nurturing and
safe environment. Please
adhere to the following safety precautions:
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.
all poisons, insecticides, herbicides, etc. securely locked in a cabinet or
all household cleaning chemicals, i.e., bleach, ammonia, etc. out of reach
of foster children.
all medication in a securely locked cabinet (see Medication Protocol below).
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).
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.
your foster child wear a safety helmet and protective clothing when riding a
bicycle, scooter, or skateboard.
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.
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.
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.
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
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.
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.
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
annual training hours will jeopardize your license!
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.
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.
sure your foster child is in your vehicle and buckled into his or her
seat prior to departing.
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.
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.
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.
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
||Foster Parent A:
||Foster Parent B:
Children's Sanctuary, Inc
Children’s Sanctuary accepts
youth regardless of race, color, religion, handicap, or national origin
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.
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.
foster child is to have access to the medication cabinet.
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.
medication must be dispensed to the foster child by the foster parent,
school nurse, or other responsible adult.
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.
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
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.
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.
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
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.
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
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.
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.
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
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
Parent's Signature and Date
||Foster Parent A: _______________________________________________Date:_____________________
||Foster Parent B: