Children's Sanctuary, Inc. 
TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

Program Policies on this website are complete and up-to-date.  Program Policies are reviewed and approved by the Children's Sanctuary Board of Directors in January of each year.  For actual revision dates see the CSI Policy Manual at each office site.

CATEGORIES: Agency-100. Finance-200. Risk Managment-300. Health and Safety-400. Personnel-500. Foster Care-600. Clients-700. Programs-800.

CLICK ON TITLE TO SEE POLICY
TITLE OF POLICY SECTION: CSI NUMBER AND OHIO NUMBER

ACCESS TO ADMINISTRATOR

100.01. OH: 5101-2-5-13(A)(29)

ADMISSIONS CRITERIA

700.01

ADOPTION AVAILABILITY

600.01 OH: 5101:2-5-13(A)(12)

ALLEGATIONS AGAINST FOSTER PARENTS

600.02 OH: 5101:2-5-13(A)(12)
ANNUAL BUDGET 200.01
APPROVAL OF APPLICANTS FOR FOSTER CARE AND ADOPTION 600.03 OH: 5101:2-5-13 (A)(4)
ASSESSMENT DOCUMENTATION 600.04 OH: 5101:2-5-13(A)(5)

AUDIT

200.02 OH: 5101:2-5-04(B)

BILLING FOR SERVICE

200.03

BOARD OF DIRECTORS

100.03

CLIENT CIVIL RIGHTS

700.02 OH: 5101:2-5-13 (A)(36)

CLIENT DISCHARGE

700.04 OH: 5101:2-5-13 (A)(28)

CLIENT FUNDS

700.03
CONFIDENTIALITY (STAFF, INTERNS, VOLUNTEERS) 500.01 OH: 5101:2-5-13(A) (31)
CONFIDENTIALITY (FOSTER PARENT) 600.05 OH: 5101:2-5-13(A) (31)

CONTRACTUAL RELATIONSHIPS

200.04

CRISIS COUNSELING

600.06 OH: 5105:2-5-13(A)(19)

CRITICAL INCIDENT

300.01

CULTURAL DIVERSITY IN THE FOSTER HOME

600.23

CULTURAL DIVERSITY IN THE WORKPLACE

500.07

DAY CARE CENTER IN A FOSTER HOME

600.07

DISCIPLINE AND BEHAVIOR INTERVENTION

700.05 OH 5101:2-5-13(A)(1). 5105:2-5-13(A)23

EMERGENCY PROCEDURES

400.01

EMERGENCY CONTACT( EMPLOYEE)

400.02

EMPLOYEE CONVICTIONS

500.02 OH: 5101:2-5-13(A)(26)(E), 5101:2-5-09

ENVIRONMENTAL HEALTH AND SAFETY INSPECTION

400.03

EVACUATION PLAN

400.04

EVALUATION OF ADMINISTRATOR

100.04 OH: 5101:2-5-08(A)(2)

GOOD CAUSE

600.08 OH: 5101:2-5-13 (A) (14)

GRIEVANCES (FOSTER PARENT)

600.09 OH: 5101:2-5-13(A)(9)

INCORPORATION

100.02 OH: 5101-2-5-08(C)

INDEPENDENT LIVING

700.06 OH: 5101:2-42-19

INFORMATION TECHNOLOGY

100.07

INSURANCE: FOSTER PARENTS

600.10 OH: 5101:2-13 (A)(12)

INSURANCE: AGENCY

300.02

INTERNAL CONTROL

200.05

JOB DESCRIPTIONS

500.03 OH: 5101:2-5-9(A)

LEGAL REPRESENTATION AND ADVOCACY

600.11 OH: 5101:2-5-13(A)(13)

MATCHING FOSTER FAMILY WITH FOSTER CHILD

600.12 OH: 5101:2-5-13(A)(17)

MEDICAL EMERGENCY

400.05

MEDICALLY FRAGILE FOSTER CARE

800.04 OH: 5101:2-5-13 (A) (15), 5101:2-5-37

MEPA COMPLAINT PROCEDURE

600.22 OH: 5101:2-15-13(A)(40);5101: 2-48-05 (A)(23)

MEPA STANDARDS OF CONDUCT

600.21 OH:5101:2-5-13 (A)(39); 5101: 2-48-05(A)(24)

MISSION STATEMENT

800.01 OH: 5101:2-5-02 (B)(2)

NOTIFICATION OF CHANGE  (CONVICTION OF YOUTH 12-18)

600.13 OH: 5101: 2-5-13 (a) (6), 5101:2-7-14)

ORGANIZATION OF THE AGENCY

100.05

ORGANIZATIONAL CHART: CSI

100.06

PAYMENT TO FOSTER PARENTS

600.14 OH: 5101:2-5-13 (A)(7)

PERSONNEL POLICIES

500.04 OH:5101:2-5-13 (A)(33)

POTENTIAL FOSTER CAREGIVERS (FOSTER PARENTS)

600.15 OH: 5101:2-5-13(A)(12

PROGRAM DESCRIPTION

800.02 OH: 5101:2-5-08 (1)

PROGRAM EVALUATION

800.05 OH: 5105:2-5-13(A)(18)

PROTOCOL FOR REPORTING ABUSE AND NEGLECT

300.07

RECORDS MAINTENANCE

300.03 OH: 5101:2-5-13 (A)(30)

RECRUITMENT (FOSTER PARENT)

600.16 OH 5101:2-5-13(A)(3)

REDRESS OF GRIEVANCE (CLIENT)

700.07

RELIGIOUS PARTICIPATION

700.08 OH: 5101-2-5-13 (A) (2)

RESEARCH PROJECTS

300.04 OH: 5101: 2-5-13 (A)(32)

RESPITE CARE

600.17 OH: 5101:2-5-13(A)(16)
REVIEW OF FINANCIAL STATEMENT 200.06
RISK HISTORY 300.05
SAFETY PLAN 700.09
SHARING HOME WITH ANOTHER AGENCY 600.18 OH: 5101:2-5-13(A)(10)
SOCIALIZATION AND EDUCATION 700.10 OH: 5101:2-5-13 (A)(2)
STAFF QUALIFICATIONS 500.05 OH: 5101:2-5-09(A) and 5101:2-5-09(C)
TRAINING: PRE-PLACEMENT AND IN-SERVICE 600.19
TRAINING OHIO: PRE-PLACEMENT AND IN-SERVICE OH: 5101:2-5-13 (A)(8); 5101:2-5-40(F)(4)
TRANSFER OF A FOSTER HOME TO ANOTHER AGENCY 600.02 OH 5101:2-5-13(A)(9) A)(10) (A)(11) 5101:2-5-31 
TRANSPORTING CLIENTS 300.06
TREATMENT FOSTER CARE 800.03 OH: 5101:2-5-13 (A) (15), 5101:2-5-36
VIOLENCE IN THE WORKPLACE 400.06
VOLUNTEERS AND COLLEGE INTERNS 500.06 OH: 5101:2-5-13(A)(35)
WEBSITE 100.06
WEBSITE PRIVACY POLICY 100.08

 

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: ACCESS TO ADMINISTRATOR
Standard: 100.01 OH: 5101-2-5-13(A)(29)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for administrative response to problems, serious incidents, and emergencies.
Purpose:

 

To provide a clear understanding of the Children’s Sanctuary foster care program’s 24-hour administrative response system.
Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following procedures will be adhered to unless otherwise specified by the Executive Director. 

Administrative response will be available Monday through Friday from 8:30 AM to 4:30 PM according to the normal chain of command.

After hours, weekends, and holidays, CSI on-call staff will be available via pager.  The on-call staff and pager number will be given to all foster parents.  The pager numbers for all staff, including the Regional Director, will be available on the office answering machine after hours.  The Regional Director and the Executive director may also be accessed via pager after hours and on weekends. 

If additional assistance is needed, on-call staff will contact the Regional Director.  If the Regional Director is unavailable, on-call staff will contact the Executive Director.  If the Regional Director and Executive Director are unavailable, on-call staff will contact the assigned administrative management delegate. 

The Regional Director will be notified immediately of any allegation of abuse or neglect of a child in the CSI foster care program.  

Documentation regarding any emergency or serious incident will be sent to Regional Director as soon as possible. 

The CSI Executive Director will be notified in the event of third party involvement in any serious incident, if a client is seriously injured, if a client develops a serious medical condition, and if law enforcement or the media are involved or likely to become involved.

Children's Sanctuary, Inc.  

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: INCORPORATION
Standard: 100.02 OH: 5101-2-5-08(C)
Approved: 01-01-2009
Effective: Cecil R. Geary, Executive Director. 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will be incorporated as a not-for-profit organization.
Purpose:

 

To maintain corporate status as a not-for-profit organization.
Procedure:

 

 

CSI will continue to be incorporation annually as a not-for-profit organization.  CSI will obtain and maintain a certificate of existence as an incorporated not-for-profit entity in each state in which it operates.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: BOARD OF DIRECTORS: ESTABLISHMENT AND FUNCTION
Standard: Standard: 100.03
Approved: Cecil R. Geary, Executive Director and
Effective: 01-01-2009
   
Policy:

 

Children’s Sanctuary, Inc. will establish an effective procedure for maintaining a governing Board of Directors.
Purpose:

 

To insure Children’s Sanctuary, Inc. (CSI), programs, policies, and finances are approved and monitored by a voluntary Board of Directors.
Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ESTABLISHMENT OF THE BOARD OF DIRECTORS

I. BYLAWS

There is hereby created a Board of Directors to be known as the Children's Sanctuary, Inc. Board of Directors. The Board shall be comprised of seven or more volunteers from the community who are interested in the welfare of troubled children and families. 

The Children’s Sanctuary Board shall meet every third month at a pre-determined location to review and approve programs, policies, procedures, budgets, expenditures and the general operation of the agency. The announcement the upcoming board meeting will be published in the local newspaper at least one week prior to the meeting.  Children’s Sanctuary board meetings are open to the public.

II. NOT-FOR-PROFIT STATEMENT

Children’s Sanctuary, Inc. is a not-for-profit child-placing agency.  The primary function of the organization is to provide therapeutic foster care and case management services to neglected, abused, and emotionally disturbed children.  In providing these services, the organization operates according to the following guidelines:

Children’s Sanctuary, Inc. is organized exclusively for charitable and educational purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under section 501 (c) (3) of the Internal Revenue Code, or corresponding section of any future tax code.

No part of the net earnings of Children's Sanctuary, Inc. shall insure to the benefit of, or be distributed to its members, trustees, officers, or other private persons.  The organization shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in the purpose clause hereof.  No substantial part of the activities of Children’s Sanctuary, Inc. shall be the carrying on of propaganda, or otherwise attempting to, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of any candidate for public office.  The organization shall not engage in activities not permitted for an organization exempt from federal income tax under section 501(c) (3) of the internal Revenue Code, or corresponding section of any future federal tax code.  The organization shall not engage in activities not permitted for an organization, contributions to which are deductible under section 170 (c) (2) of the Internal Revenue Code, or corresponding section of any future federal tax code.

Upon the dissolution of Children’s Sanctuary, Inc., assets shall be distributed for one or more exempt purposes within the meaning of section 501 (c) (3) of the Internal Revenue Code, or corresponding section of any future federal tax code. Or its assets shall be distributed to the federal, state, or local government, for a public purpose.  Any such assets not disposed of shall be disposed of by the Court of Common Pleas of the county in which the principal office of the organization is then located. Said assets shall be disposed exclusively for such purposes or to such organization or organizations, as said Court shall determine, which are organized and operated exclusively for such purposes.

III. THE BOARD

The Board of Directors shall review, make recommendations, and approve all areas concerning programs and policies as they relate to the general care and treatment of the children placed in Sanctuary foster homes.  The Board is the authority for ensuring compliance with the requirements of the public agency’s administrative regulation and federal, state and local law. 

The Board shall approve the mission statement delineating the purpose, objective, and scope of services to be provided and approve an intake policy specifying type of child to be accepted in care.

The Board shall recruit and appoint the Executive Director.  The Board shall obtain a complete background and criminal history check of the Executive Director prior to his or her appointment and annually thereafter.  The Board shall assist the Executive Director in communicating both physical and program needs to the community.

The Board shall review the agency’s policies and programs and the Executive Director annually.  It shall randomly inspect several foster homes at a time when the children are present and make written recommendations to the Executive Director.  This inspection and any recommendations will be noted in the minutes of the next scheduled Board meeting.

The Board shall review and approve the annual budget, and expenditures from surplus revenue and unspecified donation funds.

IV. VOTING

Voting shall be by simple majority. Any majority constitutes a quorum.  The President or Acting President will have one vote and a casting vote when the meeting is equally divided on any question.

V. DUTIES OF OFFICERS

Each officer and member shall serve a term of two years commencing on January 1 of each year and shall serve until his or her successor is appointed or he or she is re-appointed.

PRESIDENT: The President shall preside at all meetings of the Board.  The President shall have, besides one ordinary vote, a casting vote when the meeting is equally divided on any question.  In the absence of the President, another board member will be chosen by a consensus of the members present, to act as President. 

The President shall notify the public agency responsible for licensing and monitoring the private placing agency when there is a change in the directorship of the agency.

VICE PRESIDENT OR ACTING PRESIDENT: The First or Second Vice President will serve in the absence of the President, or an Acting President shall be chosen by a consensus of the members present and serve in the absence of the President or Vice Presidents.

SECRETARY/TREASURER: The Secretary/Treasurer shall keep a written record of all the proceedings and accounts of the Board.  The Secretary/ Treasurer shall have charge of such papers and documents as shall be entrusted to him or her by the President.  At each meeting the Secretary/Treasurer shall present for approval or correction, the minutes of the previous meeting and a report of finances.  The Secretary shall prepare an annual report to be presented to the Board and the Executive Director.

VI. COMMITTEES

The President may appoint committees to assist and advise the Executive Director on policies, programming, fund raising, and public relations.

NOMINATING COMMITTEE: The President shall appoint a nominating committee annually to review the membership. The committee shall present names of prospective members to the Board and the Executive Director.  The committee shall prepare a slate of officers to be presented to the Board for approval in January of each year. Elections will be held every two years, or as needed, to fill vacancies.

VIII. ORIENTATION OF NEW BOARD MEMBERS

On notification of Board membership, a new member will receive an orientation of Children's Sanctuary, Inc. and his or her duties as a Board member by the President of the Board and the Executive Director.  This orientation will take place within thirty (30) days following the appointment and will be noted in the minutes of the next Board meeting.  This orientation will include a tour of the administrative offices, several foster homes, a review of policies and programs, and a description of Board organization and responsibilities.

IX. EXECUTIVE DIRECTOR

The Executive Director is appointed by the Board of Directors to serve as the chief administrator of Children's Sanctuary, Inc. The Executive Director is responsible for the care and protection of the foster children, hiring, training, and supervision of social workers and support staff, and for the efficient management of the financial and physical resources of the agency.  The Executive Director serves as a non-voting member of the Board of Directors and answers to the Board of Directors for the management and operation of Children's Sanctuary, Inc.  The Executive Director or designate attends all Board meetings and keeps Board members informed in all aspects of the operation and needs of the agency.  The Executive Director submits any changes in programs or budgets to the Board of Directors for approval.

X. DISTRIBUTION OF ASSETS ON DISSOLUTION OR LIQUIDATION

Children's Sanctuary, Inc. is a not-for-profit social services agency and, as such, has no shareholders.  The Board of Directors is a voluntary governing body formed to uphold the public trust by monitoring the general operation, maintaining the mission, vision, focus and objectives of the agency, assisting with public relations and fund-raising, and serving as an appellant body for clients and the public.  In the event of cessation of operation, the Board of Directors will oversee the distribution and liquidation of all assets, including funds, buildings, and equipment, and payment of all outstanding debts or claims.  Any remaining funds or assets will be disposed according to paragraph C, Section II above.

XI. CONFLICT OF INTEREST (Based on Govt. Ethics Code Act 11/18/97)

Board Members shall not :

Use their position as a Children’s Sanctuary Board Member to obtain private gain, employment, or advantage for themselves, a relative, or an entity in which they have a present or potential financial interest.

Disclose or use confidential information related to the operation of Children’s Sanctuary, Inc. that is not generally available to the public for their own or another person’s financial benefit.

Disclose or use confidential information including medical information regarding a foster child, foster parent, staff member, or other client of Children’s Sanctuary, Inc.

Participate or influence transactions if they know that a relative, friend, or associate has a substantial financial interest in them.

Use Children’s Sanctuary, Inc. funds, time, or equipment for personal gain.

Participate in, vote on, influence or attempt to influence an official decision if they or the business they are associated with, have a financial interest or can potentially benefit from the matter, unless the interest or benefit is incidental to their position or would normally accrue to them in their profession or occupation.

Participate in any matter which will affect the financial interests of an individual or organization with which they are negotiating future employment.

Authorize or request another person on their behalf to perform an act prohibited by the Children’s Sanctuary Board By-laws conflict of interest provision.

The above Conflict of Interest provision is based on the Government Ethics Code – Conflict of Interest: www.opacnmi.com/ethics_conflict.html.  This is not the complete code, but that part of the code that substantially relates to the Children’s Sanctuary, Inc. Board of Directors.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: EVALUATION OF THE AGENCY ADMINISTRATOR
Standard: Standard: 100.4 OH: 5101:2-5-08(A)(2)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

Children’s Sanctuary, Inc. (CSI) foster care program will establish an effective procedure for its governing body, the Children's Sanctuary Board of Directors, to evaluated annually the agency administrator.
Purpose:

 

To insure the Children’s Sanctuary Executive Director receives a written performance evaluation from the Board of Directors or their  designee annually.
Procedure:

 

 

The Children's Sanctuary Board of Directors or designee will review the performance of the Executive Director annually and provide the Executive Director with a written evaluation of his or her performance.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: ORGANIZATION OF THE AGENCY
Standard: Standard: 100.09
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2008
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to the organization of agency and program.
Purpose:

 

To provide a brief description of the organization of Children’s Sanctuary, Inc.   (See Organizational Chart).
Procedure:

 

 

 

 

 

 

 

Children’s Sanctuary, Inc. operates its foster care program in Indiana and Ohio through a management agreement with Res-Care, Inc.  The Res-Care Division of Persons with Disabilities and its designated employees are responsible for the day to day operation of Children’s Sanctuary programs.  The Children’s Sanctuary, Inc. Executive Director maintains management authority over the foster care program.  The Children’s Sanctuary Board of Directors maintains overall authority and responsibility for the program. 

The Organizational Charts represents the flow of responsibility throughout the agency.  CSI provides case management coverage and access to an administrator 7 days a week, 24 hours a day.  When a case manager (foster care social worker) is off work, another case manager (foster care social worker) is assigned to provide backup.  The Executive Director, Program Director, Clinical Director or his or her delegate is available at all times to clients, foster parents, and other interested parties.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: ORGANIZATIONAL CHARTS
Standard: Standard: 100.06, 100.07, 100.08
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009
   
Policy: Charts are on file in CSI Offices, Fort Wayne, Indiana and Ironton, Ohio.
Purpose: N/A
Procedure: N/A

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

INFORMATION TECHNOLOGY

Standard:

Standard: 100.09

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009
   
Policy:

 

 

Children’s Sanctuary, Inc. in accordance with the management agreement with Res-Care, Inc., will establish an effective procedure for the use of Res Care, Inc. Information Technology System to support the agency’s information management and performance improvement activities.

Purpose:

 

To utilize Res-Care’s Information Technology Department and to insure according to the needs of the agency and its clients:

Procedure:

 

 

 

 

 

  • The agency has appropriate hardware and software to support and maintain its information management systems.

  • The security and confidentiality of the system.

  • The system is protected from computer viruses.

  • The agency has a backup system, on-site and off-site.

  • The agency has technological assistance when needed.

  • The agency has an in-place information recovery system in case of computer malfunction, power outage, or other disaster situation.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

WEBSITE

Standard:

Standard: 100.10

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009
   
Policy:

 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy for the development and maintenance of an internet website.  This website will contain information about CSI programs, services, outcomes, finances, employment, and other information for use by clients, stakeholders, and the general public.

Purpose:

 

To provide clients, stakeholders, and the general public current information about the agency twenty-four hours a day, seven days a week.

Procedure:

 

 

 

 

 

 

 

 

 

 

Children's Sanctuary will develop and maintain a website on the world wide web that can be accessed by anyone seeking information about the agency. The website will contain the agency’s history, mission, and a description of programs.  It will contain information on placement, foster parenting, per diem rates, program outcomes, critical incidents, and demographics information on placements, discharges, and diversity of clients, foster parents, and staff. Children’s Sanctuary will publish the board bylaws, current board membership, the annual financial report, and the agency’s current strategic plan.  Job openings, office locations, and information for anyone wishing to make donations to the agency will also be available on the website. 

  • The Children’s Sanctuary web address will be www.childrenssanctuary.org. 

  • The website will be for the purpose of public information. 

  • The Executive Director or his or her delegate will maintain the website. 

  • The website will be accessible 24/7 and kept up-to-date at all times. 

  • No confidential information will be posted on the CSI website. 

  • Access to editing will be password protected. 

  • The web host is Addr.com, URL: www.addr.com.

  • Email address: support @addr.com.  Telephone: 877.233.7266.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

WEBSITE PRIVACY POLICY

Standard:

Standard: 100.11

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009
   
Policy:

 

 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy to protect the privacy of anyone visiting its website: www.childrenssanctuary.org including the families and children for whom the agency provides services, foster parents, public agency clients, employees, board members, and others visiting the CSI website for information about the agency.

Purpose:

 

 

 

 

 

 

 

 

 

 

The Children’s Sanctuary, Inc. Privacy Policy covers the treatment of personally identifiable information displayed on the CSI website and any personally identifiable information received via email, regular mail, or telephone. 

This CSI website will contain information about CSI programs, services, outcomes, finances, employment, and other information for use by clients, stakeholders, and the general public.

The Children’s Sanctuary, Inc. website provides the community information about CSI programs, outcomes, foster parenting, financial stability and planning.

 The CSI Website Provides Information:

  • To public placing agencies regarding services and referral of clients.

  • To families and individuals interested in becoming foster parents

  • To individuals interested in employment opportunities with the agency.

  • To prospective donors wishing to make gifts to Children’s Sanctuary, Inc.

Procedure:

 

 

 

 

 

 

 

Children’s Sanctuary, Inc. assures all who visit its website that any information disclosed to the agency via email, telephone, or application will be treated as absolutely confidential and will not be disclosed to anyone outside of CSI. 

No confidential or personal information on any individual or organization will appear on this website without the expressed permission of the individual or organization. 

Warning! Other similar agencies may be linked to the CSI website. 

This privacy policy applies solely to Children’s Sanctuary, Inc.  CSI is not responsible for the privacy practices of other sites.  CSI encourages users to read the privacy statements of any website they visit that collects personally identifiable information.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

ANNUAL BUDGET

Standard:

Standard: 200.01

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) foster care program will establish an effective procedure for preparation, approval, and maintenance of the annual budget.

Purpose:

 

To insure Children’s Sanctuary, Inc. maintains financial responsibility and solvency.

Procedure:

 

 

 

 

 

 

 

 

 

Children's Sanctuary, Inc will work with Res-Care, Inc to prepare and maintain an annual budget.  In September of each year, the Executive Director and the Director of Operations will prepare the annual budget.  Budget information will be entered into Res-Care's Oracle program.  Once completed, Res-Care will review the preliminary budget and make recommendations for changes.  This process will take 60 days.  The Executive Director and Director of Operations will work with Res-Care's financial department to make final adjustments to the budget.  In November of each year, the completed budget will be submitted to the Res-Care Board of Directors for approval.  Once the Res-Care Board approves the budget, it is submitted to the Children's Sanctuary Board for review and approval.  Children's Sanctuary's budget process will include the CSI Executive Director, the CSI Director of Operations, the Res-Care Regional Director, and Res-Care's Regional financial person with input from the CSI regional directors.

Note: Per management agreement, Res-Care Inc and its Board of Directors will have final approval of the annual budget.  The CSI Board of Directors will have final approval over expenditures from CSI surplus and non-specific donation funds.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

ANNUAL AUDIT

Standard:

Standard: 200.02 OH: 5101:2-5-04(B)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc., (CSI) foster care program will establish an effective procedure for acquiring an independent annual audit of its financial position.

Purpose:

 

To insure all Children’s Sanctuary financial statements and accounting practices are inspected annually.

Procedure:

 

 

 

Children’s Sanctuary will engage an established licensed auditing firm to conduct an independent audit of its financial practices and position at the end of each fiscal year.  The auditor’s report will be available to all agencies doing business and the general public.  The resulting financial statement will also be available on the company’s website: www.childrenssanctuary.org.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

BILLING FOR SERVICES

Standard:

Standard: 200.03

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc., (CSI) foster care program will establish an effective procedure for billing for services provided by the agency

Purpose:

 

To insure all Children’s Sanctuary maintains financial responsibility and solvency

Procedure:

 

 

 

 

 

Children’s Sanctuary, Inc will prepare a bill for each county within 30 days of a client's placement in foster care. This bill will be submitted by the first working day of each month.  Billing will be in accordance with per diem rates for services as established by the CSI Executive Director. The established rate will be listed on the CSI admissions agreement.  This agreement must be signed by the public custodial agency.  Some state custodial agencies establish leveled rates for each client.  CSI will recognize and adhere to leveled rates as established by the state custodial agency. 

Billing will be reviewed, approved, and submitted by the CSI Director of Operations or delegate.  Each quarter, the CSI Director of Operations or delegate will review the billing log for accuracy. Corrections will be made as necessary.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CONTRACTUAL RELATIONSHIPS

Standard:

Standard: 200.04

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for financial internal controls.

Purpose:

 

To insure Children’s Sanctuary maintains financial responsibility and solvency.

Procedure:

 

 

 

 

 

Children’s Sanctuary, Inc will maintain internal control practices over petty cash and purchasing.  Petty cash transactions and purchasing less than fifty dollars will go through the Administrative Assistant with approval from the Director of Operations.   Any purchase over fifty dollars requires approval from the Director of Operations.  Purchases over five hundred dollars requires approval from the Executive Director. 

The Executive Director will oversee all transactions conducted by the Director of Operations. This includes receiving of cash, checks, and distribution of funds. The Director of Operations will prepare a Deposit Detail/Check Detail report and submit to the Executive Director for review each month.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

INTERNAL CONTROL

Standard:

Standard: 200.05

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for financial internal controls.

Purpose:

 

To insure Children’s Sanctuary maintains financial responsibility and solvency.

Procedure:

 

 

 

 

 

Children’s Sanctuary, Inc will maintain internal control practices over petty cash and purchasing.  Petty cash transactions and purchasing less than fifty dollars will go through the Administrative Assistant with approval from the Director of Operations.   Any purchase over fifty dollars requires approval from the Director of Operations.  Purchases over five hundred dollars requires approval from the Executive Director. 

The Executive Director will oversee all transactions conducted by the Director of Operations. This includes receiving of cash, checks, and distribution of funds. The Director of Operations will prepare a Deposit Detail/Check Detail report and submit to the Executive Director for review each month.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

REVIEW OF FINANCIAL STATEMENT

Standard:

Standard: 200.06

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) foster care program will establish an effective procedure for review of financial statements.

Purpose:

 

To insure Children’s Sanctuary maintains financial responsibility and solvency.

Procedure:

 

 

 

 

 

Children’s Sanctuary, Inc will review indirect and direct costs each month.  A report is generated by Res-Care, Inc and submitted to Children’s Sanctuary for review and analysis. The analysis will explain any differentiation from CSI's approved budget. 

A monthly conference call between the CSI Director of Financial Operations, the Res-Care Regional Finance Department, and the CSI Executive Director as needed, will examine the past month's expenditures and any variation from the approved budget.  When necessary, journal entries will be made for corrections and spending may be modified.  This process will ensure that Children’s Sanctuary, Inc operates in accordance with its approved budget.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CRITICAL INCIDENTS

Standard:

STANDARD: 300.01  Attachments: CSI Incident Report Form, Res-Care Incident Report Form,  Safety Committee Review Form

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for identifying, reporting, tracking, reviewing, and analyzing critical Incidents.

Purpose:

 

 

To assure critical incidents are accurately identified and reported to the appropriate staff and authorities.  To assure that all incidents are reviewed quarterly and preventive strategies and program improvements are developed including additional staff and foster parent training when indicated.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Children's Sanctuary foster parents (caregivers) will identify and report critical incidents involving clients in placement to the appropriate state authorities, CSI and Res-Care. Staff will be trained in recognizing and reporting critical incidents at orientation and annually thereafter.  Foster caregivers will be train in recognizing and reporting critical incidents during pre-service training and annually thereafter.  Staff and foster parents will be trained in the state protocol for identifying and reporting incidents abuse and neglect.

  • Critical incidents will be reported immediately to local child protective services, the public custodial agency, the CSI Regional Director, the CSI Executive Director, and the Res-Care  via hotline.  A written report will be submitted to all of the above within 24 hours (see critical incident report forms).

  • Staff and foster parents will follow the state protocol for reporting critical incidents to the state especially incidents of abuse and neglect of a client.

  • The written report will describe the incident in detail, action taken, and follow-up my administrative staff.

  • Each region will develop a Safety Committee to review all incidents at least four times a year. To decrease the number of future incidents, the Safety Committee will review incidents and make recommendations for improvements including staff and foster parent training when indicated.  The tracking and review of critical incidents will be included in the quarterly Quality Control Initiatives report and the annual outcome report.

The following is a list of critical incidents that will be reported to Child Protective Services and/or the child's public agency worker, Res-Care, and the CSI Executive Director:

  • Any act that endangers a client’s emotional wellbeing

  • Any act that endangers a client’s physical wellbeing

  • Incidents involving the use of, or exposure to, a bio-hazardous substance or material.

  • Incidents involving the use of a weapon, i.e. club, knife, gun, bow, etc.

  • Client attempts suicide

  • Client buys or sells or attempts to buy or sell a controlled substance

  • Client is abused by an adult

  • Client is hospitalized

  • Client is injured

  • Client is involved in an accident

  • Client is involved in sexual activity

  • Client is neglected by an adult

  • Client is physically assaulted

  • Client is physically held

  • Client is seriously ill

  • Client is sexually assaulted

  • Client overdoses on medication

  • Client physically assaults another

  • Client receives incorrect medication

  • Client runs away

  • Client sexually assaults another

  • Client threatens suicide

  • Client uses a controlled substance

  • Death of a client

  • Client elopes with another person.

  • Client contracts a communicable disease

  • Client is exposed to hazardous materials

  • Client is exposed to a communicable disease

  • Client is involved in a homicide

  • Environmental disaster: flood, storm damage, tornado, serious, power failure.  Environmental disasters should be reported to Res-Care and the CSI Executive Director.   Report to local child protective services and the public custodial agency worker if a child in care is injured or placed at risk as a result of the problem.

Critical incidents will be reported to the custodial agency's hotline, Res-Care's critical incident hotline (800.866.0860, ext 5777) and the Children's Sanctuary Executive Director (800.792.9581).  The Children's Sanctuary Critical Incident Report Form and the Res-Care Consumer Critical Incident Report Form will be completed and emailed within 24 hours to the following:

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

INSURANCE: PROPERTY AND LIABILITY

Standard:

Standard: 300.02 (Also see 600.10)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for property and liability Insurance.

Purpose:

To insure all Children’s Sanctuary offices maintains financial responsibility and solvency.

Procedure:

 

 

 

 

 

Children’s Sanctuary, Inc and Res-Care, Inc will provide insurance to protect all assets. 

Liability coverage will be provided to protect and defend personnel, volunteers, board members, and foster parents against reasonable and unreasonable claims resulting from events for which the organization may or may not be responsible. 

Property insurance will cover offices, equipment, vehicles, and property liability. 

Children’s Sanctuary, Inc and Res-Care will review the insurance coverage annually to ensure the organization maintains enough property and liability coverage to protect personnel, board members, foster parents, and company assets.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

RECORDS MAINTENANCE: STORAGE, ACCESS, DISPOSAL

Standard:

Standard: 300.03 OH: 5101:2-5-13 (A)(30)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure to ensure that all client clinical records, foster parent records, personnel records and administrative records are maintained in a central, secured area at the Children’s Sanctuary office.

Purpose:

To implement a procedure to ensure storage of and regulated access to CSI client and foster parent files personnel files, financial records and administrative files.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

CSI will follow these security procedures for client and foster parent files:

  1. All CSI files and records will be maintained in locked cabinets.  CSI staff will have access and control over confidential information. Others who may have access to records or specific information include the client, the custodial parent's or legal guardian, auditing, licensing, or accrediting personnel, and those persons for whom the agency has obtained a signed consent for release of information.  Anyone reviewing client or foster parent records other than CSI staff must complete the File Access Log (see attached Access Logs). 

  2. Upon discharge, all client information will be transferred to an inactive client record status.  All inactive client records will be maintained in a locked area.

  3. Written, specific release of information shall be obtained from the client or his authorized legal guardian and the custodial agency whenever external agencies or parties request information from client records.

  4. Authorized Releases of Information shall only involve material produced through services of CSI and will not be extended as an umbrella release to include reports in the files from other sources.

  5. All inactive client and foster parent records will be maintained for five years in Indiana, Ohio, and Kentucky; and three years in North Carolina from the discharge date, or date of foster home closing.

  6. Within 30 days following the fifth anniversary of a file becoming inactive, the inactive record will be destroyed by burning or by processing through a mechanical paper shredder.

All CSI Personnel records, financial record, and administrative records will also be maintained in locked cabinets in the CSI offices.  Administrative CSI staff will have access and control over these files due to the confidential information they contain.

CSI Personnel records, financial records, and administrative records are not destroyed.  They continue to be maintained in boxes in a locked storage room at the CSI office.

CSI will follow these security procedures for personnel, financial, and administrative record

  1. Personnel Files:  Original files are kept in the Ft. Wayne Human Resources Office in locked files.  Only access is by HR Supervisor, HR Director, Executive Director and Payroll backup.  Closed files are kept in a locked room and never destroyed.

  2. Administrative & Financial: All files are kept in the Fort Wayne office in licked files, locked room for closed files.  Only access is by Executive Director, Director of Financial Operations, Account Assistant.  Have never been destroyed.
     

  3. Board Minutes:  Kept in a separate folder on the computer and also hard copy. Never destroyed.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

RESEARCH PROJECTS: HUMAN

Standard:

Standard: 300.04 OH: 5101: 2-5-13 (A)(32)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to the use of clients and client information for research, fund raising, and publicity activities.

Purpose:

 

To ensure that any CSI human research project, fund raising event, or other publicity activity shall not include any child without written permission from the child’s parent, legal guardian, and custodial agency.

Procedure:

 

 

 

 

Prior to any CSI human research project, fund raising event, or publicity activity, the agency will obtain written consents from the parent or legal guardian and the custodial agency. 

This written consent shall be maintained in the child’s case record. 

Prior to requesting consent, the agency shall take into account the child’s age and level of functioning to determine the appropriateness of the child’s participation.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

RISK HISTORY AND SAFETY PLAN

Standard:

Standard: 300.05

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

 

Children’s Sanctuary, Inc. (CSI) will a establish an effective policy for obtaining a Risk History of each referred client from the custodial agency and sharing this information with the prospective foster parent (caregiver) prior to placement.  In addition, Children's Sanctuary will prepare a Safety/Service Plan, based on the client's Risk History prior too, or within seven (7)days of the client's placement in the foster home.

Purpose:

 

 

To obtain initial background information to insure that the public agency worker, CSI treatment personnel, and the foster parent are aware of a client’s immediate needs and past/risk history, including medical, psychological and behavior issues.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The CSI case manager will develop a Safety/Service Plan based on the client’s needs as indicated on the Risk/History Checklist within seven (7) days of placement.  The Safety/Service Plan will address the client’s risk/history, medical and psychological needs, and behavioral interventions.   This plan must be approved and signed by the public agency worker, the CSI Treatment Director, the CSI Case Manager, and the foster parent).   The signers must agree to enforce the Safety/Service Plan.  The CSI Case Manager and the foster parents have primary responsibility for seeing that the plan is adhered too at all times while the foster child is in the foster home. The CSI Case Manager will maintain weekly (daily if necessary) contact with the foster home and note any problems with the Safety/Service Plan in his or her case notes, treatment plans, and monthly progress reports.  Any serious problem that may place the client, another child, or the foster family at risk will be brought to the attention of the Treatment Director and public agency worker.  The CSI Case Manager will have the responsibility and authority to immediately move the client to a respite placement if remaining in the foster home will place the client, the foster family, or other children in the home at risk.

If a child has a history of sexual acting out, violence, or delinquent behavior, the Safety/Service Plan will be completed and reviewed by the public agency worker, the CSI Treatment Director, the CSI Case Manager, and the foster parent) prior to placement of the child in the foster home.

If a client is placed in respite or changes foster homes, a copy of the Safety Service Plan will be given to the new foster parent.  The foster parent) must read and sign the plan prior to placement of the client.

CSI will not place a child in a foster home, if any child, including the child being placed, will be at risk as a result of this placement.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

TRANSPORTING CLIENTS

Standard:

Standard: 300.06

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for the transportation of clients by foster parents, staff, or other designated drivers.

Purpose:

 

To ensure clients are transported to and from school, activities, court, counseling, medical, or other required appointments safely by foster parents, staff, or other approved individuals.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

CSI foster parents, case managers, or other approved individual will transport a child to and from court, school, and visits, counseling or medical appointments.  CSI case managers will  provide transport when the foster parent or other approved party is unavailable.

Safety seats and booster seats will be used for small children in accordance with state law.  Each office will have at least two safety seats and booster seats available for use.

As standard practice, a CSI case manager or staff member will not transport a teenage client of the opposite sex unless accompanied by another adult, i.e., case manager or foster parent, of the same sex as the client.  The exception to this standard is when a client needs immediate transportation and an adult of the same sex as the client is unavailable to either provide the transport or accompany the staff member providing the transport.  In all cases involving transportation of a client, staff will adhere to the following protocol:

  • CSI staff will provide required transportation for clients when the foster parent or other approved party is unable to do so

  • Only staff with good driving records in accordance with Res-Care policy will transport clients

  • When transporting a teenage client of the opposite sex, the transporting staff member will be accompanied by an adult of the same sex as the client whenever possible

  • CSI staff will not make any personal stops when transporting a client. The transportation log will be completed noting the date, destination, time of departure, time of arrival, name of client, and name of staff. 

Important: The foster parent or staff member transporting the client will ascertain that the client is in the vehicle with seat belt attached prior to departure to and from each destination.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

PROTOCOL FOR REPORTING ABUSE AND NEGLECT

Standard:

Standard: 300.07

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish a procedure for staff and foster caregivers reporting suspected incidents of abuse and/or neglect of a child.

Purpose:

 

To insure Children’s Sanctuary, Inc. standards and state regulations are followed by staff and foster caregivers when reporting suspected abuse and/or neglect of a child in care.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROTOCOL FOR REPORTING ABUSE AND NEGLECT

Allegations of abuse or neglect of a child by a parent, relative, foster parent, CSI staff member, another child, or unknown person or persons is serious.  Steps must be taken immediately to protect the child and the allegation must be investigated as soon as possible.

Allegations of abuse or neglect will be reported immediately to the county or state Child Protective Services by the person who observed or is informed of the alleged neglect or abuse.  If the report is made after normal working hours and the county does not have a hotline, the person reporting the allegation must call the County Sheriff’s Department.  The person reporting the allegation will document the date, time, and to whom the allegation was reported. 

The person who observes or is informed of an incident of abuse or neglect will report the allegation to the Children’s Sanctuary, Inc. Executive Director or delegate and to the Res-Care Critical Incident Hotline (see CSI Critical Incident Policy 300.01). 

The person who observes or is informed of an incident of abuse or neglect will complete the Children’s Sanctuary, Inc. Critical Incident Report Form and the Res-Care Critical Incident Report Form.  Within 24 hours, both reports will be submitted to the CSI Executive Director or delegate.  The Res-Care report will be faxed to Res-Care (see Critical Incident Policy 300.01: Res-Care Incident reporting instructions). 

The Children’s Sanctuary foster care social worker will inform the child’s public custodial agency worker as soon possible of the incident.

If the alleged abuse or neglect occurs in a foster home, the child may be removed from the home and placed in respite until the incident can be investigated.  The CSI foster care social worker will inform the child’s public custodial agency worker of the move as soon as possible. 

When the alleged abuse or neglect is sexual or physical in nature, the child will be removed from the home immediately, receive a medical examination and medical care if needed, and be placed in respite care until the incident is investigated. 

The child’s Children’s Sanctuary foster care social worker will contact county or state Child Protective Services and the child’s public custodial agency worker on the first working day after reporting the incident to determine if the incident was correctly reported and what additional measures should be taken to protect the child and assist with the investigation. 

If abuse or neglect is substantiated on a foster parent, all foster children will be immediately removed from the foster home.   Children’s Sanctuary will no longer use this home and will request the state to close the home’s license. 

If a staff member is accused of abuse or neglect of a child, the incident will be reported immediately to county or state Child Protective Services and the child’s public custodial agency worker.  The staff member may be suspended until the incident is investigated.  If substantiated, the employee may be suspended and/or terminated depending on the seriousness of the abuse or neglect.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

EMERGENCY PROCEDURES

Standard:

Standard: 400.01

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for maintaining readiness in the case of emergencies regarding the welfare of the clients and staff.  All staff will be trained in procedures for the following emergencies annually.  This will be documented in each staff member’s file.

Purpose:

 

To insure that staff responds appropriately to emergency situations such as fires, natural disaster, bomb threats, and power failures.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire: Children’s Sanctuary offices will have clearly marked exits and a fire escape plan.  The plan will be posted in plain sight of staff and visitors.  Children’s Sanctuary will hold emergency drills and reviews of policy at least twice each year.  The safety officer will keep a log of emergency drills. 

Children’s Sanctuary staff will receive annual fire safety training, including a fire drill twice a year. Fire escape plans will be posted throughout the building. A fire extinguisher will be located on each level. Staff will be trained in the use of fire extinguishers.

If the fire alarm sounds or emergency lights start flashing, staff and visitors will exit the building according to the posted evacuation plan.  Staff will assist visitors in evacuating the building.  The delegated safety officer will notify other offices in the building of the fire emergency.   Employees will meet at a designated place outside the building and not re-enter the building until the director or safety officer announces "all clear".  If this is a real fire emergency, The Director or designate will call 911.  Fire Emergencies will be reported to the Executive Director and called into the Res-Care hotline.

Instructions for Staff, Clients, and Visitors:

Evacuate the building according to posted evacuation route.

Walk calmly and orderly to the exit or, if upstairs, to the stairwell.

Do not use elevators during a fire emergency or drill.

Once outside the building, proceed to the designated gathering area.

Your supervisor will take a head count.  If this is a fire emergency and someone is still in the building, report this immediately to rescue personnel.

Do not enter the building until the safety officer announces all clear.

Safety officers will assist in evacuating the building and:

Ensure all areas are evacuated and doors closed but not locked.

Ensure that restrooms are evacuated

Help or get help for handicapped, injured, or incapacitated personnel.

Natural Disasters: In the event of a natural disaster, i.e.: flooding, tornado, hurricane, earthquake, etc, employees would follow the directions from the Emergency Broadcast System. Employees will remain in the building until the proper authorities say it is safe. Once safe, a designated employee will inform the Executive Director of the disaster and the Res-Care hotline. 

Each office will complete annual safety drills for natural disasters.  Each office will maintain a safety kit containing water, food, flashlights, batteries, battery-operated radios, and a first aid kit. All employees will know how to access the safety kits. All employees will be trained in first aid and CPR.

Bomb Threat: If someone calls or reports a bomb threat, the employee taking the call will be attentive to the caller and take notes if possible (see attached Bomb Threat Report Form). As soon as possible, call the police or 911 and report the bomb threat.  Report the incident immediate to the Executive Director or delegate.  The Executive Director or delegate will instruct all staff and customers to immediately evacuate the building.  The Executive Director or delegate will notify all offices in the building of the emergency and instruct all individuals in these offices to evacuate the building.  Once everyone has been made aware of the emergency the Executive Director or delegate will leave the building and proceed to the designated meeting area outside the building.  Employees are not to re-enter the building until cleared by authorities. 

Once the emergency is over, the Regional Director, or person who received the call, will call the Executive Director and Res-Care hotline and report the incident.

Power Failure: In the event of a power failure, the Executive Director, Regional Director, or delegate will first determine the cause of the power failure.  If the problem can not be determined or is due to a general power outage, employees will remain on the job until instructed to do otherwise. 

Once out of the building, the Executive Director, Regional Director, or delegate will notify the local Power Company of the situation.  As indicated, the Regional Director or delegate will notify the Executive Director.  The Executive Director will determine if any other parties should be notified.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

EMERGENCY CONTACT

Standard:

Standard: 400.02

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

Children’s Sanctuary, Inc. (CSI) foster care program will establish an effective procedure for maintaining contact information on its employees that can be accessed immediately in case of an emergency, i.e., medical problem, injury, auto accident, etc.

Purpose:

To insure the availability of contact information in case of an emergency involving a Children’s Sanctuary staff member.

Procedure:

CSI staff members will complete the information form from the Human Resources Department.  This information will be kept in a card file in the medical cabinet to be used in case of an emergency involving the staff member.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

ENVIRONMENTAL HEALTH AND SAFETY INSPECTION

Standard:

Standard: 400.03

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for maintaining the organization’s health and safety practices through inspections of the internal and external physical environment of all offices owned or leased by the agency.

Purpose:

To assure accessible, safe, clean environments at Children's Sanctuary offices.

Procedure:

 

 

 

 

 

 

The designated CSI safety officers at each Children's Sanctuary site will inspect the offices daily for any repair needs or safety hazards.  The building maintenance person or the fire marshal will complete the annual inspection. 

The safety officer and/or building maintenance and fire marshal will provide a written report when and if repairs or changes are needed to insure a safe and functional work environment.  The report will identify the areas and location of inspection, date, and the name of the person who conducted the inspection. The report will note compliance deficiencies and areas needing improvement. Areas out of compliance or needing improvement will be immediately addressed.  The inspection record will be kept on file in the office of the Executive Director. 

If a critical problem or hazardous condition exist, it will be corrected immediately.  For a non-critical problem, an action plan will follow within thirty days.  All non-critical areas noted in the plan of correction must be corrected within six months.  The action plan will assign responsibilities, accountability, and target dates for the correction.  There will be a follow-up report to management to ensure implementation of the action plan.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

EVACUATION PLAN

Standard:

Standard: 400.04

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for maintaining the organization’s health and safety practices during an evacuation of the building.

Purpose:

 

To help personnel to internalize current health and safety requirements into everyday practice during an evacuation of the building.

Procedure:

 

 

 

 

In the event that employees need to evacuate the building, regardless of the type of the emergency all employees must remain calm. Evacuation plans will be posted on each level of the building.  Evacuation routes will be clearly marked.  The Executive Director, Regional Director, or delegate will be responsible for bringing the sign in sheet to the designated meeting area outside the building to ensure all persons are accounted for.  Employees that have clients in their care will ensure the clients' safety during the evacuation process and will be responsible for staying with them until their foster parent or guardian is able to assume responsibility.  A designated employee will be assigned to notify the proper authorities of the reason for the evacuation.  All employees are to remain at the designated area until released by the proper authorities. A designated employee will notify the Executive Director and the Res-Care hotline.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

MEDICAL EMERGENCY

Standard:

Standard: 400.05

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for maintaining the organization’s health and safety practices during a medical emergency.

Purpose:

To help personnel to internalize current health and safety requirements into everyday practice during a medical emergency.

Procedure:

Each location will complete a medical emergency drill each year. 

In the event of medical emergency, employees will assess the situation, call for help and then administer care.  All CSI employees will be trained in first aid and CPR.  Each location will have a First Aid Kit, CPR and Blood Borne Pathogens Kit.  All staff will know how to access these kits. These kits will be reviewed for supplies on a monthly basis. In the case the medical emergency is an employee, there is a list of emergency telephone contacts with hospital preference in a designated place.  In case of medical emergency with a client, staff will follow this procedure:
  • Assess situation.
  • Call 911 or the local emergency hotline.
  • Administer first aid and/or CPR as necessary.
  • Keep patient as comfortable as possible until medical help arrives.
  • Report incident to local CPS hotline.
  • Report incident to the client's foster parents.

  • Report incident to client's parents if indicated.

  • Report incident to the CSI Executive Director.

  • Report incident to the Res-Care hotline.

  • Complete and fax CSI and Res-Care Incident Reports.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

VIOLENCE IN THE WORKPLACE

Standard:

Standard: 400.06 (Also See Res-Care Policy:  6.17)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for maintaining the organization’s health and safety practices in the event workplace violence.

Purpose:

 

To help personnel to maintain and utilize the current health and safety practices in the event of workplace violence.

Procedure:

 

 

In the event of a violent or threatening situation, employees are to remain calm. Employees are trained in Crisis Intervention.  Each location will complete a yearly drill. If the employee is unable to resolve the situation then a designated employee will notify the proper authorities.  Once the situation is under control a designated employee will notify the Executive Director and the Res-Care hotline.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CONFIDENTIALITY

Standard:

Standard: 500.01 OH: 5101:2-5-13(A) (31)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for guarding confidentiality of a client and the client’s family.

Purpose:

To assure the confidentiality of information concerning a client and the client’s family.

Procedure:

 

 

 

 

 

 

 

 

 

 

All Children’s Sanctuary staff and foster caregivers will sign a confidentiality statement agreeing to protect the confidentiality of clients and client families.  Children’s Sanctuary will obtain a written, signed release from the custodial agency, and/or parent or guardian before sharing information concerning a child or a child’s family with other relevant, involved parties. 

The written, signed release will state the specific information to be released and for what purpose this information will be used. 

The written release of information may be time limited per request of the legal guardian or custodial agency or it will be valid until the child is discharged from the Children’s Sanctuary Therapeutic Foster Care Program. 

Information concerning a child or a child’s family will be released only to approved persons.  Any exception is a breach of confidentiality. 

In the event of a child’s death, Children’s Sanctuary will cooperate with the local and/or state Child Fatality Review Board and release any requested information on the child and involved parties to the Child Fatality Review Board. 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

EMPLOYEE CONVICTIONS

Standard:

Standard: 500.02  OH: 5101:2-5-13(A)(26)(E), 5101:2-5-09

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

 

Children’s Sanctuary, Inc. (CSI) will establish a policy regarding employees convicted of violations of the law according to rules stated in the Ohio Administrative Code.  Due to the nature of the management agreement between Children’s Sanctuary, Inc. and Res Care, Inc. the following policy has been reviewed and approved by the Children’s Sanctuary, Inc. Board of Directors.

Purpose:

 

To allow Res Care, Inc. to provide human resources support and personnel policies for Children’s Sanctuary, Inc. and its employees.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Children’s Sanctuary, Inc. will use the Human Resource Policies of Res-Care, Inc. as it relates to personnel working in the CSI foster care program.

Subject : Employees Convicted of Violations of the Law.  Res-Care: Policy Number 6.9.  Effective Date: 3/11/97 (see Res-Care Human Resources Manual).  The policy corresponds to Ohio Standard 5101:2-5-13(A)(26)(E).

CSI and Res-Care employees working in the CSI foster care program must adhere to the following procedures and to ODHS rule 5101: 2-5-13 (A)(26)(E):

An employee must notify his or her immediate supervisor within 24 hours if charged with a criminal offense.  The supervisor is responsible for informing the administrators of Res-Care and Children’s Sanctuary.

Failure of an employee to notify his or her supervisor within 24 hours of a criminal charge or conviction of a criminal offence will result in the employee’s immediate dismissal.  This includes offenses listed in rule 5101:2-5-09 of the Ohio Administrative Code and codes and regulation in states in which Children's Sanctuary is licensed.

If charges brought against an employee result in a conviction, the employee must notify his or her immediate supervisor within 24 hours. Failure to do so will result in an employee’s immediate dismissal.

Conviction of any crime listed in state rules governing individuals working with children or in 5101:2-5-09 of the Ohio Administrative Code will result in an employee’s immediate dismissal.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

JOB DESCRIPTIONS (See attached Job Descriptions)

Standard:

Standard: 500.03 OH: 5101:2-5-9(A)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for providing employees with a description of requirements and responsibilities prior to employment.

Purpose:

To assure that all employees have a description of job requirements and responsibilities.

Procedure:

 

 

 

 

 

 

 

 

 

Children’s Sanctuary, Inc. positions and job descriptions: 

  • Executive Director

  • Clinical Director

  • Treatment Director

  • Family Therapist

  • Regional Program Director

  • Home Resource Coordinator

  • Foster Care Social Worker

  • Director of Quality Assurance

  • Director of Financial Operations

  • Personnel Director

  • Administrative Assistant

Training: Initial and ongoing training for all staff regarding person and family centered services, prevention of work place violence and cultural competency will be provided annually with opportunities for training each quarter.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

PERSONNEL POLICIES (See Res-Care Human Resources Manual)

Standard:

Standard: 500.04 OH:5101:2-5-13 (A)(33)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

The Children’s Sanctuary, Inc. (CSI) Board of Directors in accordance with the management agreement with Res-Care, Inc. will establish an effective procedure for the use of Res Care, Inc. personnel policies for all Res Care employees managing Children’s Sanctuary foster care programs.

Purpose:

 

 

 

 

To insure that all persons employed to operate and manage the Children’s Sanctuary foster care programs are provided personnel policies and procedures.

To allow Res-Care, Inc. to employ and manage all staff in the CSI foster care programs in accordance with its management agreement with Children’s Sanctuary, Inc. and to insure that all Children’s Sanctuary employees are provided with personnel policies and procedures.

Procedure:

 

 

 

 

All employees of the Children's Sanctuary are employees of Res-Care, Inc.  In accordance with its management agreement with Children’s Sanctuary, Inc., Res-Care, Inc. Human Resource Policies will apply to all Res-Care employees managing the Children’s Sanctuary, Inc. foster care programs in Indiana and Ohio.  This includes recruitment, hiring, termination, benefits, promotions, demotion.  CSI will use Res-Care Personnel Policies for all personnel actions.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

STAFF QUALIFICATIONS (See Job Descriptions)

Standard:

Standard: 500.05 OH: 5101:2-5-09(A) and 5101:2-5-09(C)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to staff qualifications.

Purpose:

Children’s Sanctuary will employ professional staff members who possess the appropriate education, licenses, and credentials for each designated position within the foster care program.

Procedure:

STAFF QUALIFICATIONS

he Executive Director will possess a minimum of a graduated degree in Social Work (MSW) and other qualifications and experience as determined by the governing body (see Job Descriptions:500.03). 

The Clinical Director and/or Treatment Director will possess a minimum of a graduated degree in a Social work or related field, five years professional experience working with troubled children and their families, and any additional licensing requirements of the state in which they practice.  Each office will have a minimum of one Treatment Director who supervises the foster homes and foster care social work staff. 

The Foster Care Social Worker and/or Case Manager will have an undergraduate degree in Social Work or related field and two years experience with a child-placing agency. 

All Professional Staff will possess the credentials and experience required by state mandate and Children’s Sanctuary, Inc.  Where state regulation requires a license or certification, the professional staff member will furnish Children’s Sanctuary, Inc. with a copy of the current license or certification.  The employee is responsible for keeping the required license or certification current.

EMPLOYMENT REQUIREMENTS

All CSI employees will undergo a criminal history check prior to hire and annually thereafter.  CSI will provide the prospective employee a list of disqualifying offenses and inform him or her d that a conviction for any listed offense will bar him or her from employment with CSI.

Prospective CSI employees will be required to have at least three (3) written and/or verbal references prior to being considered for employment.

All CSI employees will be provided with written job descriptions specific for the position applied for prior to accepting a position.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

VOLUNTEERS AND COLLEGE INTERNS

Standard:

Standard: 500.06 OH: 5101:2-5-13(A)(35)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for utilization of volunteers and interns.

Purpose:

To clarify and specify the CSI foster care program’s use of volunteers and college interns.

Procedure:

INTERNS: College or university students preparing for a degree in social work or a related field will be considered for internships with Children's Sanctuary as indicated by their academic program and approved by their college or university. The CSI Treatment Director or Clinical Director will monitor and supervise all interns.  The student intern will be provided a structured learning experience in accordance with his or her academic requirements.  This learning experience may include working directly with the children in care, their families, and the foster families.  All Interns working with Children's Sanctuary will complete the new employee application and orientation that will include a complete background and criminal history review, FBI finger print check, and any other required checks in accordance with CSI employment policies and the state's regulatory requirements for persons working with children and families.

VOLUNTEERS: Children's Sanctuary does not use volunteers to work directly with foster children and families.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CULTURAL DIVERSITY IN THE WORKPLACE

Standard:

Standard 500.07

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. will establish an effective procedure to demonstrate respect and value of cultural diversity in the workplace including respect and equitable treatment for all regardless of cultural or ethnic differences.

Purpose:

 

To maintain a climate of respect and value in the workplace for cultural and ethnic diversity.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

Children’s Sanctuary, Inc. recognizes that employees have different backgrounds, values, needs, and styles. Employees have differences in gender, age, ethnicity, socio-economic status, and cultural backgrounds. They may differ in terms of education, personality, and family responsibilities.  Respecting and valuing differences improves the workplace for employees and enhances the overall performance of a team.

Children’s Sanctuary, Inc. and its management personnel will set an example by role modeling value and respect for diversity. CSI management will value the unique perspectives and knowledge that each employee brings to the workplace and show appreciation for, listen to, express interest in, support, reward, and recognize all employees regardless of cultural or ethnic differences.

Children’s Sanctuary, Inc. will

  • Treat all employees with respect and dignity.

  • Make judgments based on equity and merit.

  • Make observations about personal, unique talents.

  • Identify, address and ensure unfair barriers do not inhibit employees.

  • Provide an environment free from discrimination and harassment.

Provide, and participate in, cultural diversity training annually for staff and foster parents.

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

NOTIFYING CAREGIVER OR RECOMMENDING AGENCY THAT A CHILD IS AVAILABLE FOR ADOPTION

Standard:

Standard: 600.01 OH: 5101:2-5-13(A)(12)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) foster care program will establish an effective procedure for notifying and assisting its foster parents whenever a foster child placed in their home becomes available for adoption.

Purpose:

 

To insure all Children’s Sanctuary foster parents are informed regarding adoption notification and availability for adoption of foster children placed in their home.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

The recommending and/or custodial agency contacts the Children’s Sanctuary foster care program when a child from the custodial agency becomes available for adoption.

Upon notification from the custodial agency, Children’s Sanctuary will inform the foster caregiver of the adoption process should a foster child placed with the foster caregiver become available for adoption.  If the foster caregiver is interested in adoption, this will be reported to the custodial agency.

If the foster caregiver is eligible to adopt the foster child and chooses to do so, Children’s Sanctuary will assist the foster caregiver and all involved agencies throughout the adoption process.

Children’s Sanctuary will assist the custodial agency and the foster caregiver in the adoption process as requested by the custodial agency, and within the guidelines and the requirements contained in Rules 5101:2-48-11, 5101:2-48-11.1 and 5101:2-48-16 of the Ohio Administrative Code.

 

 

 

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

ALLEGATIONS AGAINST FOSTER PARENTS

Standard:

Standard: 600.02 OH: 5101:2-5-13(A)(12)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for foster parent - client separation during investigations.

Purpose:

 

This procedure will outline the steps for protecting the rights of foster parents and the safety of clients when allegations of abuse are made.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

Note: Any allegation against a foster parent will be treated with the utmost confidentiality.

  1. Allegations may be received by CSI from a client or other source.

  2. The Case Manager, Treatment Director, or Regional Director will immediately report the allegation to the appropriate child protective services agency in the county where the alleged offense occurred, and to the client’s home agency.

  3. The Treatment Director and Regional Director may conduct an internal investigation with prior authorization from the child protective services agency and the CSI Executive Director.  The internal investigation will be completed on a Foster Home Internal Rule/Policy Investigation Form and contain a recommendation regarding any licensing action that should be taken.

  4. The Regional Director will provide a summary to the foster home stating the findings, conclusions, and any anticipated action regarding the foster home, i.e., corrective action plan or formal closing of home.

  5. Pending the final outcome of the investigation, decisions will be made by the Regional and Executive Director regarding the status of the home with CSI.  Any allegation made against a foster parent may result in the foster child being placed in respite pending completion of the investigation.  The decision to place the child back in the home will be by mutual agreement of the Executive Director, Regional Director, Case Manager and the custodial agency.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

APPROVAL OF APPLICANTS FOR FOSTER CARE AND ADOPTION

Standard:

Standard: 600.03 OH: 5101:2-5-13 (A)(4)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish a policy for assisting foster families interested in adoption.

Purpose:

 

To define the Children’s Sanctuary role in assisting approved foster families interested in pursuing adoptive placements.

Procedure:

 

 

 

 

 

Children’s Sanctuary is licensed to provide foster care services.  Children’s Sanctuary is approved to provide adoption services in Indiana.  Children's Sanctuary is not approved to provide adoption services in Ohio except for specific services to assist a foster family in adopting a foster child.  Any such services must be approved by the state licensing agency and the child's custodial agency.  

If a prospective foster family desires to become a foster family and an adoptive family, Children’s Sanctuary will assist the family in locating a local private or public agency to assist in the adoption process.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

ASSESSMENT DOCUMENTATION

Standard:

Standard: 600.04 OH: 5101:2-5-13(A)(5)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to documentation required for foster family certification.

Purpose:

 

To establish clear procedures for the completion of assessment of initial applications for foster family certification.

Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Children’s Sanctuary will schedule and conduct all required or indicated home visits, interviews and investigations as are deemed necessary to facilitate the documented completion of the required state public placing agency home study process in the assessment of initial applications for foster home certification.  Children’s Sanctuary requires that foster parent applicants provide the following:

  • Completion of the JFS 01691 “Application for Child Placement.

  • Verification of a valid driver’s license of each member of the home that will be transporting foster children (Provider must be 21 to transport a child).

  • Verification of auto liability insurance on any vehicle in which a foster child will be transported.

  • A Release of Information to facilitate police checks signed by all residents in the home over the age of I8 and witnessed by a CSI staff member.

  • Background checks of prospective foster parents including, but not be limited to, a local, county, and state limited criminal history check, a complete FBI criminal records finger print check where required by state regulation, a personal and/or professional reference check, and a county Child Protective Services records check.

Children’s Sanctuary requires that each foster parent applicant sign a confidentiality statement to insure protections of the rights and privacy of all children and families in care.

The Children’s Sanctuary program requires that each foster parent applicant complete a standardized Foster Parent Questionnaire.

OHIO: Applicants must be a legal resident of the United States and reside in the state of Ohio. A search by name, date of birth and Social Security number through SACWIS/Central Registry System will be completed on each adult household member to determined suitability.

INDIANA: Applicants must be a legal resident of the United States and reside in the state of Indiana   A search by name, date of birth and Social Security number through USIS will be completed on each adult household member to determined suitability.

Applicant must provide 3 unrelated references in Ohio (4 in Indiana), and additional references if the applicant was previously certified as a foster caregiver or provided care and supervision of children. 

OHIO: Completion of the JFS 01348 “Safety Audit” of the foster home is required.

INDIANA: Completion of the Environmental Checklist .

The Children’s Sanctuary foster care program requires that each parent applicant complete 36 hours (30 in Indiana) of orientation and pre-service foster parent training.  In addition to pre-service foster parent training, foster parents must complete 8 hours of training in First Aid and CPR prior to being certified.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CONFIDENTIALITY (Foster Caregivers)

Standard:

Standard: 600.05 OH: 5101:2-5-13(A)(31)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for guarding confidentiality of a client and the client’s family.

Purpose:

To assure the confidentiality of information concerning a client and the client’s family.

Procedure:

 

 

 

 

 

 

 

 

 

All Children’s Sanctuary, Inc. staff, interns, volunteers and foster caregivers will sign a confidentiality statement agreeing to protect the confidentiality of clients and client families.  Children’s Sanctuary will obtain a written, signed release from the custodial agency, and/or parent or guardian before sharing information concerning a child or a child’s family with other relevant, involved parties. 

The written, signed release will state the specific information to be released and for what purpose this information will be used. 

The written release of information may be time limited per request of the legal guardian or custodial agency or it will be valid until the child is discharged from the Children’s Sanctuary Therapeutic Foster Care Program. 

Information concerning a child or a child’s family will be released only to approved persons.  Any exception is a breach of confidentiality.

In the event of a child’s death, Children’s Sanctuary will cooperate with the local and/or state Child Fatality Review Board and release any requested information on the child and involved parties to the Child Fatality Review Board.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

SPECIALIZED PROGRAMS ACCESS TO CRISIS COUNSELING

Standard:

Standard: 600.06 OH: 5105:2-5-13(A)(19)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for assuring all foster children and all foster caregivers and their families affiliated with the Children’s Sanctuary therapeutic foster care program will have access to crisis counseling for issues or problems caused by a specific incident related to a child receiving treatment within the caregiver’s home including the death or hospitalization of a child.

Purpose:

 

To provide crisis counseling for children and foster caregivers and their families for critical incidents and problems related to a foster child receiving care and treatment in the foster home.

Procedure:

 

 

 

 

 

 

 

 

 

 

A Children’s Sanctuary foster care social worker and supervisor will be available 24 hours 7 day a week to foster children and foster caregivers and their families for crisis intervention.  Critical incidents such as neglect, abuse, hospitalization, or the death of a child in care, will be reported immediately to the county and/or state Child Protective Services Hotline and other county or state authorities as required by regulation or code.  

Children’s Sanctuary will maintain professional staff trained in crisis intervention within reasonable travel time to the foster home.  In a crisis situation, a CSI foster care social worker or supervisor will go immediately to the home to assist the child and foster family. 

The Children’s Sanctuary Treatment Director will provide ongoing crisis counseling to the foster child and the foster family as needed due to a serious incident or crisis situation related to the child’s placement in the foster home. 

If the Children’s Sanctuary Treatment Director is unable to provide the appropriate counseling or therapy to a foster child or foster family, Children’s Sanctuary will seek a counselor or therapist in the community to provide services to the foster child or foster family.  Children’s Sanctuary will obtain approval from the public placing (custodial) agency prior to obtaining counseling in the community for the foster child.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

DAY CARE CENTERS IN A FOSTER HOME

Standard: Standard: 600.07
Approved: Robert Hernandez, Executive Director
Effective: 01-01-2010 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy and guidelines regarding the operation of a day care center in a foster home.

Purpose: To establish guidelines to address day care operations in a foster home.
Procedure:

 

 

 

 

 

  1. Children's Sanctuary, Inc. will consider placement of a foster child in a foster home if a Day Care Center is being operated in the foster home on a case by case basis.  Children's Sanctuary, Inc. will consider recommending for licensure or certification as a foster home any prospective foster home that is operating or plans to operate a Day Care Center within the home.
  2. If a foster parent (caregiver) operates a Day Care Center in the foster home or is employed by a Day Care Center in the community, the foster child is not to have any unsupervised contact with the Day Care Center children.
  3. Children’s Sanctuary, Inc. is not to be held responsible for any incident that occurs as a result of a foster parent disregarding or violating this policy.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

GOOD CAUSE

Standard: Standard: 600.08 OH: 5101:2-5-13 (A) (14)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:  
 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for “Good Cause” for foster parents who fail to complete their required continued training hours in accordance Children’s Sanctuary policies.

Purpose:  
 

 

To make provisions for foster parents to be re-certified when situations occur, through no fault of their own, that may inhibit their ability to obtain the required annual training hours prior to the expiration of their current license.
Procedure:  
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prior to the expiration of the foster parent's license or certification, Children’s Sanctuary will review the training hours to see if the foster parent is in compliance with the standards for re-certification (re-licensing).

In situations where the foster parent has not completed the required hours, consideration may be given to the foster parent to show “Good Cause” why he or she was not able to meet the required hours.  “Good Cause” would be considered under the following circumstances:

  1. Documented illness that prevented foster parent from attending training
  2. A critical family crisis.
  3. Lack of accessible training programs.
  4. Other circumstances CSI deems to be a “Good Cause”.
  5. If a foster caregiver has served in active duty outside of Ohio with a branch of the armed forces of the United States for more than thirty days in the preceding two year period, foster caregiver has served in active duty as a member of the Ohio organized militia, as defined in section 5923.01 of the Revised Code, which includes the Ohio national guard, the Ohio naval militia and the Ohio military reserve, for more than thirty days in the preceding two-year period and that active duty relates to either an emergency in or outside of Ohio or to military duty in or outside of Ohio.

If any of the above situations occur, Children’s Sanctuary will meet with the foster parent to discuss what problems occurred to prevent the foster parent from getting the required training hours.  CSI will work with foster parent to develop a plan of correction to complete the required number of training hours.  CSI will establish a time frame with the foster parent to complete required training hours. 

Important: CSI foster parents in Indiana must complete 20 hours in-service each year or they will be placed on probation.  There is on exception to this rule.

The additional time for a caregiver who has served in active duty shall be one month for each month the caregiver was on active duty.  Any required training that is not met at the end of a foster caregiver's certification period applying the preceding sentence shall be waived by the agency.  When a waiver of training is approved by an agency under this paragraph, the required training for the next certification period shall be the same as for any other caregiver operating a foster home of the type for which the foster caregiver is certified.  The agency shall document any such extension of time in the foster caregiver's record.

Once the plan of correction has been established, the completion of the remaining training hours will be closely monitored Children’s Sanctuary.

If the foster parent does not complete the remaining required training hours within the designated time frame, Children’s Sanctuary will notify the foster parent of the non-compliance.  CSI will give the foster parent) the opportunity to voluntarily withdraw their certification (license) or CSI will report the situation to the public placing agency (state licensing or certification entity) and begin the process to request the revocation of the foster parent's license.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

FOSTER PARENT GRIEVANCES

Standard: Standard: 600.09 OH: 5101:2-5-13(A)(9)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish a effective procedure for foster parent complaints and grievances.

Purpose: To establish a formal procedure for foster parents to file a complaint or grievance.
Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This CSI grievance procedure is designed to prevent conflicts between the agency and its foster parents (caregivers).  Conflicts occur and may lead to a parent filing a grievance. 

A grievance is defined as a disagreement between an individual and the program.  A grievance usually deals with an interpretation of program policies and procedures that are governed by applicable state regulations. 

Filing a grievance is not a rationale for revocation of certification, denial of re-certification, or negative consideration of an application to provide foster care. 

Failure to follow the grievance procedure in order and in a timely manner may be grounds for invalidation of the grievance.  A foster parent or applicant may withdraw a grievance at any point in the grievance process.

Grievance Procedure Step 1:

  1. The parent who has a potential grievance should arrange a meeting with the Regional Director to discuss the problem and try to come to some resolution that is satisfactory to all parties. The parent must request the meeting in writing.  A copy of the request for the meeting will be submitted to the Executive Director or designee.

  2. The Regional Director receiving the request must schedule a meeting with the parent. The Regional Director must notify the parent of the scheduling of the meeting in writing. A copy of the notice will be submitted to the Executive Director or designee.

  3. If the grievance involves staff members other than the Regional Director, the initial discussion will be with the Regional Director.  After hearing the parent) concern, the Regional Director may wish to consult with or involve other staff members in the discussion and resolution.

  4. The Regional Director will document the results of the meeting.  Copies of this documentation will be submitted to the Executive Director.

Grievance Procedure Step 2:

  1. If a foster parent is not satisfied with the results obtained in Step One, he or she may file a formal grievance.  The formal grievance must be filed within 14 days of the above meeting.  The foster parent must submit a formal grievance in writing to the Executive Director.

  2. The Executive Director or designee will notify the Regional Director, in writing, that a formal grievance has been filed and request a written response from the Regional Director.

  3. Upon receipt of the Regional Director’s written response, the Executive Director or designee will conduct a fact-finding investigation and generate a report.  In the course of the investigation the Executive Director or designee will interview the parent) filing the grievance, the Regional Director, and all individuals who may be able to provide pertinent information. The report generated by the Executive Director or designee must include the parent’s reason for filing the grievance, the redress sought by the parent, the Regional Director’s response, and recommendation for resolving the grievance.

  4. The Executive Director or designee will review all information and seek counsel from other appropriate agency employees if necessary.

  5. The Executive Director or designee will meet with the parent to discuss the results. This meeting will be held within 14 days of receipt of the grievance. The results will be in writing.  All involved parties will be informed of the results in writing.

Grievance Procedure Step 3:

  1. If the foster parent) is not satisfied, he or she may notify the President of the CSI Board of Directors or designee, in writing, of his or her desire for the CSI Board to review the grievance.

  2. The Executive Director or designee will immediately refer all materials concerning the grievance to the President of the Board of Directors.

  3. The CSI Board will review all pertinent materials, interview involved parties as necessary, and render a decision on the grievance. The President of the Board will notify the parent and all other parties involved, in writing of the Boards decision. The Board of Directors’ decision is final.

  4. The foster parent grievance policy includes a method of review by the highest administrative officer of the agency within 30 calendar days of filing the grievance.

Variances: The Executive Director or designee may allow variances in the steps outlined in situations where both parties involved agree.  Such variances must be defined in writing and signed by both parties.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

LIABILITY INSURANCE AND COMPENSATION FOR FOSTER CAREGIVERS

Standard: Standard: 600.10 OH: 5101:2-13 (A)(12)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to liability insurance for foster caregivers (foster parents) for damages done by children placed in foster care.
Purpose:

 

To provide a policy on liability insurance and compensation for damages done by children placed in foster care that will be explained to potential foster caregivers during initial orientation.
Procedure:

 

 

 

Foster parents must obtain insurance to cover any damages done to person or property by a foster child placed in their home.  Children’s Sanctuary, Inc. may not be held liable or responsible for any damages done to person or property by a foster child placed in the foster home. 

Foster parents (caregivers) must carry homeowners or renters insurance and auto liability insurance.  Insurance coverage must be current at all times.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

LEGAL REPRESENTATION AND ADVOCACY

Standard: Standard: 600.11 OH: 5101:2-5-13(A)(13)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to the advocacy, legal representation, legal fees, counseling or legal advocacy for foster caregivers (foster parents) for matters directly related to the proper performance of their roles.
Purpose:

 

To provide a policy on advocacy and legal representation, legal fees, counseling or legal advocacy for foster caregivers for matters directly related to the proper performance of their roles that will be explained to potential foster care givers during initial orientation.
Procedure:

 

 

 

 

 

 

 

 

Advocacy: CSI will provide case management services, support, and guidance to its contractual foster parents (foster caregivers).  The CSI case manager will attend all court hearings with the foster parent and advocate for the foster parent’s rights within the parameters of the state’s foster care regulations.

Adoption: In cases where the foster parent wishes to adopt the foster child, CSI will follow the state regulations and guidelines in advocating for and representing the foster parent’s interests.  CSI will cooperate fully with the state public custodial agency in providing assistance and guidance to the foster parent throughout the adoption process.

Legal Representation: CSI will individually review all requests for legal representation and legal fees for foster caregivers.  Children’s Sanctuary, Inc. will provide assistance in legal representation or legal fees for any matter approved by the Children’s Sanctuary, Inc. Executive Director.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

MATCHING SPECIALIZED FOSTER CAREGIVERS (PARENTS WITH CHILDREN

Standard: Standard: 600.12 OH: 5101:2-5-13(A)(17)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy: Children’s Sanctuary will establish an effective procedure for matching children with specialized foster caregivers that ensures consideration of the child’s needs, the capabilities of the specialized foster caregiver, and family-centered, neighborhood-based practices.
Purpose: To assure that each child is matched with a foster caregiver that will provide optimum care that meets the child’s needs for care and treatment in a nurturing family-centered, neighborhood based setting.
Procedure:  
  The Children’s Sanctuary Treatment Director and foster care social work staff will review available foster families to find the most appropriate match for each child referred for placement.  Children’s Sanctuary will match the child with a family that can serve his or her specific emotional, physical, and academic needs.

Criteria for matching a child with a foster caregiver and community:

  • The foster caregiver is capable of providing optimum care and treatment for the child according to the child’s physical, behavioral, and emotional needs.
  • The school system is able and willing to provide for the child’s special and specific educational needs.
  • Community resources are available for the child’s recreational, medical, and mental health needs.
  • The neighborhood is receptive to and can nurture the child’s cultural needs and identity.

In some cases, Children’s Sanctuary may decide to place more than 2 children with exceptional needs in a treatment foster home. Such justification would include the need to place a sibling group together, or the abilities of a particular treatment family match the needs of the special or exceptional needs of a particular child.  When this occurs it shall be documented in the child's case record and in the treatment foster home record. If more than two children with exceptional needs are placed in a treatment foster home, all agencies holding custody of any other children  placed in the home shall be notified by the treatment foster care program within seventy-two hours of placement.

When possible, Children’s Sanctuary will arrange a pre-placement visit for the child with the prospective family to give the child and family a chance to get to know each other.  Depending on the presenting problems, placement may occur after one or more visits. The length of time before placement depends on the emotional stability of the child, his or her readiness for placement, and the needs of the public placing agency.  In an emergency, Children’s Sanctuary will try to locate a family who will take a child immediately.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

NOTIFICATION OF CHANGES IN A FOSTER HOME INCLUDING NOTIFICATION OF CONVICTION OF 12 TO 18 YEAR OLDS (Attachment: Appendix A, OH: 5101:2-7-14)

Standard: Standard: 600.13 OH: 5101: 2-5-13 (a) (6)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure requiring a foster caregiver or prospective foster caregiver to notify the agency of any changes in the foster home that impacts the family or foster child, i.e. additional person in the home, medical treatment for illness or injury of a foster child, AWOL of a foster child, death of a foster child, death of another household member or impending divorce of the foster parents. 

The foster caregiver or prospective caregiver will also be required to notify the r in writing within twenty-four hours if a resident of the foster caregiver's home is at least twelve years of age, but less than eighteen years of age, and has been convicted of or pleaded guilty to any of the offenses listed in appendix A (Offenses Attached), or has been adjudicated to be a delinquent child for committing an act that if committed by an adult would have constituted such a violation. The notification is also required for any conviction or adjudication of delinquency resulting from a violation of an existing or former law of this state, any other state, or the United States that is substantially equivalent to any of the offenses listed in appendix A to this rule. If the recommending agency learns that a foster caregiver has failed to comply with this paragraph, it shall notify ODJFS and ODJFS shall revoke the foster caregiver's certification to operate a foster home.
Purpose:  
  To clarify the CSI foster care program’s policy for reporting any change in the foster home including the reporting of the conviction of a juvenile, age 12 to 18 residing in CSI foster home or prospective foster home who has committed one of the offenses listed in Appendix A of rule 5101:2-7-14 of the Ohio Job and Family Services Administrative Code.
Procedure:  
  A CSI foster caregiver shall notify the agency in writing prior to allowing any person to reside for more that two weeks in the foster home.

A CSI foster caregiver shall notify the recommending agency within one hour in any of the following circumstances involving a foster child:

  1. A serious injury or illness involving medical treatment of a foster child.
  2. The death of a foster child.
  3. Unauthorized absence of a foster child from the home.
  4. Removal of a foster child from the home by any person or agency other than the placing agency, or attempts at such removal.
  5. Any involvement of a foster child with law enforcement authorities.

A CSI foster caregiver shall notify the recommending agency within twenty-four hours or the next working day when any fire requiring the services of a fire department occurs within the home.

A CSI foster caregiver shall notify the recommending agency and any agency which has placed a foster child in the foster home within twenty-four hours when the foster home becomes uninhabitable for any reason.

A CSI foster caregiver shall notify the recommending agency within twenty-four hours or the next working day of any of the other following circumstances:

  1. Any impending change in the marital status of the foster caregiver or in the household occupancy of the home.
  2. Any serious illness or death in the household.

A CSI foster caregiver shall inform the recommending agency at least four weeks prior to a planned move of the foster caregiver.

A CSI foster caregiver shall notify the recommending agency within twenty-four hours of any change of any criminal offense brought against the caregiver or any resident of his or her home. If the charges result in a conviction, the foster caregiver shall notify the recommending agency within twenty-four hours of the conviction. Failure to notify the agency in either of these circumstances shall result in the Ohio Department of Job and Family Services (ODJFS) seeking an order to revoke the caregiver’s certification to operate a foster home.  In Indiana, CSI will recommend revocation of the foster home license.

Pursuant to section 5103.0319 of Revised Code, a CSI foster caregiver shall also notify the recommending agency in writing within twenty-four hours if a resident of the foster caregiver’s home is at least twelve years of age, but less than eighteen years of age, and has been convicted of or pleaded guilty to any of the offenses listed in appendix A of this rule, or has been adjudicated to be a delinquent child for committing an act that if committed by an adult would have constituted such a violation. The notification is also required for any conviction or adjudication of delinquency resulting from a violation of an existing or former law of this state, any other state, or the United States that is substantially equivalent to any of the offenses listed in Appendix A of this rule. If the recommending agency learns that a foster caregiver has failed to comply with this paragraph, it shall notify ODJFS and ODJFS shall revoke the foster caregiver’s certification to operate a foster home.

 

Appendix A OAC 5101:2-7-14
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFENSES LISTED IN PARAGRAPH (I) OF RULE 5101:2-7-14

OF THE ADMINISTRATIVE CODE

OFFENSES AGAINST ANIMALS

R.C. 959.13-- Cruelty to animals

HOMICIDE

R.C. 2903.01-- Aggravated murder

R.C. 2903.02-- Murder

R.C. 2903.03-- Voluntary manslaughter

R.C. 2903.04-- Involuntary manslaughter

ASSAULT

R.C. 2903.11-- Felonious assault

R.C. 2903.12-- Aggravated assault

R.C. 2903.15-- Permitting child abuse

R.C. 2903.13-- Assault

R.C. 2903.16-- Failing to provide for a functionally impaired person

MENACING

R.C. 2903.21-- Aggravated menacing

R.C. 2903.211-- Menacing by stalking

R.C. 2903.22-- Menacing

PATIENT ABUSE AND NEGLECT

R.C. 2903.34-- Patient abuse, neglect

KIDNAPPING AND RELATED ISSUES

R.C. 2905.01-- Kidnapping

R.C. 2905.02-- Abduction

R.C. 2905.04-- Child stealing (as this law existed prior to July 1, 1996)

R.C. 2905.05-- Criminal child enticement

SEX OFFENSES

R.C. 2907.02-- Rape

R.C. 2907.03-- Sexual battery

R.C. 2907.04-- Corruption of a minor Unlawful sexual conduct with a minor

R.C. 2907.05-- Gross sexual imposition

R.C. 2907.06-- Sexual imposition

R.C. 2907.07-- Importuning

R.C. 2907.08-- Voyeurism

R.C. 2907.09-- Public indecency

R.C. 2907.12-- Felonious sexual penetration (as this former section of law existed)

R.C. 2907.21-- Compelling prostitution

R.C. 2907.22-- Promoting prostitution

R.C. 2907.23-- Procuring

R.C. 2907.25-- Prostitution

R.C. 2907.31-- Disseminating matter harmful to juveniles

R.C. 2907.32-- Pandering obscenity

R.C. 2907.321-- Pandering obscenity involving a minor

R.C. 2907.322-- Pandering sexually oriented matter involving a minor

R.C. 2907.323-- Illegal use of a minor in nudity-oriented material or performance

ARSON

R.C. 2909.02-- Aggravated arson

R.C. 2909.03-- Arson

R.C. 2909.22-- Soliciting or providing support for act of terrorism

R.C. 2909.23-- Making terroristic threat

R.C. 2909.24-- Terrorism

ROBBERY AND BURGLARY

R.C. 2911.01-- Aggravated robbery

R.C. 2911.02-- Robbery

R.C. 2911.11-- Aggravated burglary

R.C. 2911.12-- Burglary

THEFT AND FRAUD

R.C. 2913.49--Identity Fraud

OFFENSES AGAINST THE PUBLIC PEACE

R.C. 2917.01--Inciting to violence

R.C. 2917.02-- Aggravated riot

OFFENSES AGAINST THE FAMILY

R.C. 2919.12-- Unlawful abortion

R.C. 2919.22-- Endangering children

R.C. 2919.23-- Interference with custody (that would have been a violation of R.C. 2905.04 as it existed prior to July 1, 1996 if violation had been committed prior to that date)

R.C. 2919.24-- Contributing to unruliness or delinquency of a child

R.C. 2919.25-- Domestic violence

WEAPONS CONTROL

R.C. 2923.12-- Carrying a concealed weapon

R.C. 2923.13-- Having a weapon while under disability

R.C. 2923.161-- Improperly discharging a firearm at or into a habitation or school

DRUG OFFENSES

R.C. 2925.02 -- Corrupting another with drugs

R.C. 2925.03 -- Trafficking in drugs

R.C. 2925.04 -- Illegal manufacture of drugs or cultivation of marijuana

R.C. 2925.05 -- Funding of drug or marihuana marijuana trafficking

R.C. 2925.06 -- Illegal administration or distribution of anabolic steroids

R.C. 2925.11 -- Possession of drugs or marijuana that is not a minor drug possession offense

OTHER

R.C. 2927.12-- Ethnic intimidation

R.C. 3716.11 -- Placing harmful objects in food or confection

R.C. 4511.19-- Operating vehicle under the influence of alcohol or drugs – OVI or OVUAC

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

PAYMENT TO FOSTER CAREGIVERS (FOSTER PARENTS)

Standard: Standard: 600.14 OH: 5101:2-5-13 (A)(7)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:  
  Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to foster parent reimbursement.
Purpose:  
  To establish and implement procedures for the reimbursement of foster parents.
Procedure:  
  A foster parent contract will be executed between Children’s Sanctuary, Inc. and the foster parent in a certified home prior to the placement of any foster children in that home.  The contract will detail the agreed upon per diem rate, the process for record keeping, and timeline for invoicing.  Children’s Sanctuary will establish a payment schedule with the foster parent.

A foster parent will be reimbursed on a per diem basis for the care and supervision of each child placed with the foster parent.  The per diem rate is defined in the Foster Parent Contract.  The contract will be reviewed with the foster parent prior to the placement of a child.  If public custodial agency changes the per diem rate it pays the agency, the per diem paid to the foster parent will be adjusted accordingly and a new contract will be issued. The CSI financial office must approve all contracts and agreements.

When a child is placed in respite, the respite parents will receive the same daily rate as the regular foster parents.

Routine transportation of a foster child is the responsibility of the foster parent and is covered by the foster care per diem.  If a foster parent transports a child over 50 miles one way, the foster parent may be reimbursed at the rate of 25 cents per mile for each additional mile beyond the 50 mile limit if one of the following conditions apply:

  • Child must be transported for counseling, court, or administrative hearing.

  • Child must be transported for a medical reason: doctor or hospital visit.

  • Child must be transported to school (public transportation unavailable)

  • Non-routine travel requested by CSI or the placing agency.

The Director of Financial Operations must approve payment for transport in advance. 

Children’s Sanctuary shall make stipend payments to foster caregivers to compensate them for their cost of attending training sessions.  Such stipend payments must be made to the foster caregiver within sixty calendar days of the completion of the training event.  Training stipend payments may not be held or otherwise deferred pending reimbursement by the Ohio department of job and family services (ODJFS).  The stipend rate paid shall be ten dollars per foster caregiver per training hour successfully completed within a training session that is a minimum of one training hour in duration.  Stipend payments shall be rendered for fractional hours in increments of not less than one-quarter hour.

OHIO ONLY: Children’s Sanctuary shall make stipend payments to foster caregivers to compensate them for their cost of attending training sessions.  Such stipend payments must be made to the foster caregiver within sixty calendar days of the completion of the training event.  Training stipend payments may not be held or otherwise deferred pending reimbursement by the Ohio department of job and family services (ODJFS).  The stipend rate paid shall be ten dollars per foster caregiver per training hour successfully completed within a training session that is a minimum of one training hour in duration.  Stipend payments shall be rendered for fractional hours in increments of not less than one-quarter hour.  Pre-Placement training will be a lump sum payment and shall be equivalent to ten dollars per training hour multiplied by the minimum required training hours and will be deferred until certification. Continuing training will be paid at ten dollars per training hour completed, within a training session that is a minimum of one hour, and will be paid within 60 days of completion of the training event.

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

POTENTIAL FOSTER CAREGIVERS (FOSTER PARENTS)

Standard: Standard: 600.15 OH: 5101:2-5-13(A)(12
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy: Children’s Sanctuary, Inc. (CSI) will establish policies for potential foster parents.
Purpose:

 

This procedure outlines and describes potential foster parents, general requirements, training, and supervision.
Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To inform potential foster parents of the requirements and expectations for parenting neglected and abused children with varying degrees of emotional, behavioral, and medical problems.

DESCRIPTION: Foster parents are singles or couples trained to care for children with mild to serious emotional, behavioral, and medical problems. They must be mature individuals who are capable of exercising and exercise good judgment in the care of children.  Foster parents are licensed or certified by the state to provide foster care to children and adolescents.

Foster parents provide room, board, behavior management, guidance, emotional support, public school education, academic help; social and cultural activities, love, and safety to the foster child.  They treat each foster child as an integral part of their family.

Children’s Sanctuary foster parents work with the treatment team in developing the treatment plan and progress reports.  They attend court and review hearings, and school conferences.  They provide transportation for the child to school, counseling appointments, medical and dental appointments, visitation, and recreational activities.  Foster parents work with the biological parent when indicated to assist with reunification.

TRAINING: Foster parents complete 30 (Indiana) and to 36 hours (Ohio) of pre-service training.  They receive training in Therapeutic Crisis Intervention, Universal Precautions, First Aid, and CPR prior to licensing or certification.  Foster parents receive additional training specific to the needs of each child placed in their care.  Foster parents complete a minimum of 20 hours (Indiana) and 30 hours (Ohio) in-service training annually.

BACKGROUND CHECKS: Children’s Sanctuary foster parents undergo extensive background checks including criminal history, sex and violent crime registry in accordance with state regulations, and a minimum of four references.

SUPERVISION: Foster parents work under the direction of the Case Manager and Clinical Director.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

FOSTER CAREGIVER (FOSTER PARENT) RECRUITMENT

Standard: Standard: 600.16 OH 5101:2-5-13(A)(3)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary Inc. (CSI) will establish an effective procedure relating to foster home recruitment.
Purpose:

 

To establish priorities for foster home recruitment to insure the availability and access of appropriate treatment resources to meet the physical, emotional, cultural and ethnic backgrounds of children referred to the CSI foster care program.
Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The CSI program will recruit foster parents who demonstrate the following:
  • A sincere desire to provide a nurturing environment for children in the need of care.
  • A willingness to participate in all phases of the certification process in a timely, cooperative, and candid manner.
  • A willingness to work cooperatively with CSI program staff as a member of the care and treatment team to facilitate and insure delivery of quality services to each foster child.
  • A willingness and ability to address the physical, developmental, emotional, cultural, racial, and ethnic needs of foster children, ages 0 to 21, who require varying levels of care due to being displaced by circumstance, catastrophe, disability or behavior.  Note: Children’s Sanctuary is not the custodial agency. Generally information regarding the children served will be placed in recruitment materials.  Child specific information will not be disseminated by CSI, but by the custodial agency. The Race, Color and Natural Origin of the children we currently and previously have served are Caucasian, African American, bi-racial, Indian, Appalachian, and Hispanic.
  • A willingness and ability to provide an environmental climate of respect, preservation, and enrichment of the cultural and ethnic heritage of minority foster children.

Children’s Sanctuary will recruit foster parents throughout the year.  CSI will recruit families in Ohio and Indiana and maintain offices within reasonable proximity to its foster homes and the areas designated as “recruitment areas”.

In Ohio, Children’s Sanctuary will recruit foster families in Lawrence, Scioto, Gallia, Jackson, Pike, Clermont and Megis, and Montgomery Counties.  In Indiana, Children’s Sanctuary will recruit families statewide.

General information regarding the agency and the children served will be provided through the following:

  • CSI will use printed visual and audio media and recruitment bonuses in designated service delivery areas to facilitate this process.  In Ohio and Indiana, this includes flyers, yard signs, church bulletins, newspaper ads, the CSI website, and radio and television announcements when possible.
  • CSI will utilize service and civic organizations, county agencies, and community message centers to recruit potential applicants, particularly when necessitated by the demographics or isolation of a designated geographic area.  In Ohio, CSI has foster parent appreciation day, a block party and will secure a spot at the county fairs in Lawrence and Scioto Counties.  In Indiana CSI collaborates with other agencies in sponsoring an annual banquet.
  • Public speaking engagements and opportunities to speak in open community forums will be utilized by CSI to increase efforts to recruit potential applicants from audiences and to reach other potential applicants through word of mouth.   These engagements are scheduled as they come available and vary from year to year.

Children’s Sanctuary will ensure accessibility to the application process by providing the name of a contact person, a toll free number that is accessible 24 hours a day, and a physical address.

Children’s Sanctuary will provide pre-service training, including training specific to the needs of the child.  Children’s Sanctuary will maintain flexible training hours, especially pre-service training, so all individuals interested foster parent certification will be able to attend the training.   Applicants may also attend pre-service training at other agencies, including the Regional Training Centers.  Contact information will be provided to those applicants who wish to utilize other training sites.

Children’s Sanctuary staff will be required to participate in ongoing training to increase their knowledge and skills in working with diverse cultural, racial, ethnic and economic communities. CSI will provide staff with opportunities to participate in training that addresses linguistic barriers as needed. In the event CSI encounters a linguistic barrier, including the hearing impaired, arrangements will be made to seek an interpreter through Ohio University South Campus or Marshall University.

Children’s Sanctuary continually recruits, certifies, and trains foster parents from diverse ethnic, racial, and cultural backgrounds to ensure availability of services to all children in need of care.  In Ohio, recruitment efforts in the Ironton, and South Point areas ensures CSI is recruiting in areas of diversity.  The Children’s Sanctuary assessment is designed to prepare all families to parent children with diverse histories, needs and situations.

Children’s Sanctuary will implement procedures for a timely search for foster parents, including interagency efforts, and providing that such procedures ensure that placement of a child in an appropriate home is not delayed by the search for a same race or ethnic placement.  The treatment team, consisting of the CSI Treatment Director and two or more CSI case managers will utilize all information regarding the child received from the custodial agency, to determine the most appropriate foster home for the child.  The team will target foster homes that can and will accept a child based on the foster families’ identified placing characteristics and the needs of the child.  The staff will contact the identified foster families to see if placement in their home is an option.  If so, the CSI Treatment Director or delegate will present the targeted families to the custodial agency for the final decision for placement.

Children’s Sanctuary will develop strategies for dealing with linguistic barriers, including hearing impairments.  Community agencies that provide services to the hearing impaired will be utilized by Children’s Sanctuary when needed.  See “E” above for specific information on services to be utilized.

Geographic location will be used when it is in the child’s and biological family’s best interest for the child to remain in his or her school district and in closer proximity to the biological family.

Children’s Sanctuary recruitment activities and materials comply with MEPA – and Title VI, the Indian Child Welfare Act of 1978, 25 U.S.C.A. 1901, et seq., as amended, and the Adoption and Safe Families Act of 1997.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

RESPITE CARE: Treatment Placements and Medically Fragile Placements.

Standard: Standard: 600.17 OH: 5101:2-5-13(A)(16)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for providing access to both planned, unplanned, and crisis respite care for children in its treatment foster care program and medically fragile foster care program.
Purpose:

 

To assure that children and foster families have access to both planned, unplanned, and crisis respite care.
Procedure:

 

 

 

 

 

 

 

 

 

 

 

 

 

Respite care is the temporary care of a foster child by another foster parent, to give the primary parent a break, either planned, unplanned, or due to a crisis situation.  The executive director or his or her designee must approve utilization of respite care.  The designated individual for each regional program is the regional director and/or the on-call case manager.  

CSI foster caregivers (foster parents) provide respite care for other Children’s Sanctuary foster caregivers.  CSI foster parents are encouraged to take four days respite each month. Respite is available to foster parents and children 24 hours a day 7 days a week for emergencies or other crisis situations. 

CSI uses state licensed/certified foster homes for respite. Only foster parents certified as therapeutic (treatment) foster caregivers will provide respite for special needs children.  Only foster parents certified as medically fragile foster caregivers will provide respite for medically fragile children. 

Prior to each occasion of respite care, CSI will provide the respite care provider, in writing, the child’s education and health information and a summary of the child' service plan and any information required to be shared with a foster caregiver by rule 5101:2-42-90 of the Administrative Code. For the medically fragile child, CSI will provide the respite parent any nursing treatment plan containing the physician’s orders.  Documentation that this information was provided by CSI to the respite care provider will be maintained in the child’s case record.

For each occasion of respite care, the respite care provider will provide a written report of the child’s stay in respite care to the CSI case manager and the specialized foster caregiver.

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

FOSTER HOME SHARING WITH ANOTHER AGENCY

Standard: Standard: 600.18 OH: 5101:2-5-13(A)(10)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:

 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy and guidelines for the sharing a foster home with another agency.
Purpose: To establish guideline for the sharing a foster home with another agency.
Procedure:

 

 

 

Prior to an agency sharing a family foster home that has been recommended for certification by the CSI foster care program, the agency shall obtain a written signed statement from the CSI foster care program. The statement should identify how the home is to be used and that it meets with the approval of all affected parties.  The CSI foster care program shall provide written notification to any other agencies currently using the home.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

PRE-PLACEMENT AND CONTINUING TRAINING: Traditional Foster Family Homes, Treatment Foster Family homes and Medically Fragile Foster Family Homes (includes training curriculums for Indiana and Ohio).

Standard: Standard: 600.19
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
   
Policy:  

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for providing family foster home, treatment foster home, and medically fragile foster home foster parents (caregivers) orientation, pre-service training, and ongoing training in the best practices of caring for children with special, and/or medical needs.  This policy, pre-placement, and continuing training program is approved by the Children’s Sanctuary Executive Director.
Purpose:  

 

The primary goal of Children’s Sanctuary’s pre-placement training program is to prepare individuals and families to make informed decisions about providing foster care for non-special needs children, special needs children and medically fragile children.  These decisions are based on the capability and willingness of the individual or family to continue to develop the skills to fulfill the role of foster caregiver. 

The secondary goal of Children’s Sanctuary’s continuing training program is to help foster caregivers of non-special needs, special needs, and medically fragile foster children to continue to develop their skills and acquire new skills and knowledge. 

The foster caregiver that continues to learn and grow will make competent decisions and provide the best possible care and treatment for the child.  He or she will work effectively with Children’s Sanctuary, the public (custodial) agency, the courts, the schools, the birth parents, and other involved individuals or agencies in the community. These partnerships will add to a foster child’s sense of stability and permanence.
Procedure:  

 

Children’s Sanctuary will provide a training program that includes pre-placement training and continuing training for prospective and current foster caregivers.  The training curriculum will target foster caregivers that want to be certified, or continue to be certified, as foster caregivers for the non-special needs child, the special needs child, and the medically fragile child.  Note: CSI staff or professionals in the community who are approved or certified will provide all training listed below.

Pre-Placement Training – Indiana 30 hours, Ohio 36 hours in the Institute of Human Services Program for Foster Care, Kinship Care, and Adoption (FAKT.).  In addition, foster caregivers will receive 30 hours training in Cornell University Therapeutic Crisis Intervention (T.C.I.)

Indiana and Ohio: CSI foster caregivers will receive training in First Aid, Infant, child, and adult CPR, Universal Precautions, and the state’s abuse/neglect protocol.  Foster caregivers working with children with specific disabilities, i.e. Autism, cerebral palsy, or a medically fragile child will receive 12 or more hours training specific to the needs of the child.

The programs listed above are established, nationally accepted training curriculums for foster caregivers, kinship caregivers, adoptive parents, and child care workers who care for children with a variety of emotional and behavioral problems.  Certified trainers will conduct all training.

Continuing Training: Children’s Sanctuary will provide a minimum of 30 hours continuing training for its foster caregivers annually in Ohio and 20 hours in Indiana.  Specific classes will be based on an annual assessment of each foster caregiver’s general and specific needs.  Core classes will be offered as required by Children’s Sanctuary and Ohio regulation 5101:2-5-33, and other applicable regulations in Indiana.  Twice a year Children’s Sanctuary will provide a 10-hour refresher course in Therapeutic Crisis Intervention (T.C.I.) in Indiana, Ohio.  Twice a year Children’s Sanctuary will provide First Aid, CPR, and Universal Precautions training to maintain the foster caregiver’s certification current at all times.  When required by regulation or school district, CSI foster caregivers will receive surrogate parent training from an education professional licensed or certified to provide such training.  A foster caregiver caring for the special needs, disabled, or medically fragile child will receive ongoing training specific to the needs of the child.

Children’s Sanctuary sponsored training will be held at the CSI office.  CPR, First Aid, Universal Precautions and TCI classes will occur every six months.  Classes may be held at other locations depending on the size of the class.  Foster caregivers (foster parents) will be informed by letter and given directions.

Development and Evaluation of Training: The Executive Director, Regional Director, and Home Resource Coordinator is responsible for developing, organizing and monitoring all training program in accordance with the needs of the children, foster caregivers, and state guidelines.  Foster caregivers will be evaluated at the beginning and conclusion of training to assess their knowledge, grasp of principles, and successful completion of the course.  The CSI Home Resource Coordinator will notify the recommending agency or the foster caregiver’s agency of the successful completion of the course.

Selection of Trainers: Children’s Sanctuary will employ a full time trainer to provide training to foster caregivers.  The CSI trainer will possess a combination of academic credentials and experience to provide training to foster caregivers (see Job Description-Home Resource Coordinator).  Children’s Sanctuary trainers will be certified by the organization responsible for the specific training course, i.e., The Institute of Human Services Program for Foster Care, Kinship Care, and Adoption, the Model Approach to Partnerships in Parenting (MAPPS), Cornell University Therapeutic Crisis Intervention (TCI), Safe Crisis Management Intervention (SCMI), and the American Red Cross First Aid, CPR, and Universal Precautions.

Selection of Trainers: Children’s Sanctuary will employ a full time trainer to provide training to foster caregivers.  The CSI trainer will possess a combination of academic credentials and experience to provide training to foster caregivers (see Job Description-Home Resource Coordinator).  Children’s Sanctuary trainers will be certified by the organization responsible for the specific training course, i.e., The Institute of Human Services Program for Foster Care, Kinship Care, and Adoption, the Model Approach to Partnerships in Parenting (MAPPS), Cornell University Therapeutic Crisis Intervention (TCI), Safe Crisis Management Intervention (SCMI), and the American Red Cross First Aid, CPR, and Universal Precautions.

Trainers From Other Agencies: The Children’s Sanctuary Executive Director, Regional Director, and CSI trainer must approve all courses provided by trainers from other agencies to its foster caregivers.  Trainers from other agencies must provide documentation to CSI of academic and professional credentials and experience prior to providing training to CSI foster caregivers.  The CSI Executive Director, Regional Director, and Trainer are responsible for evaluating each trainer’s credentials. The Children’s Sanctuary Executive Director approves all training.  A record including subject, date, training hours, trainer’s name, credentials and experienced will be kept in a training file in the CSI office.

Evaluation of Trainers: The CSI Executive Director or Regional Director evaluates the CSI Trainer annually.  CSI will evaluate the Trainer’s performance and competency based on supervisor observation, foster caregiver surveys, and completion of job requirements, including personal annual on-going training.

Evaluation of a Trainer from another Agency: Foster caregivers will complete a survey at the end of each training course evaluating the trainer and the training.   These evaluations will be kept in the training file at the CSI office and will be used by the Executive Director, Regional Director, Trainer, and training team members to evaluate the trainer and effectiveness of the training.

Notifying Agencies and Foster Caregivers of Upcoming Training: Children’s Sanctuary will maintain a calendar of training opportunities available from CSI and in the community.  This calendar will be sent to foster caregivers each month. CSI will post upcoming training on its website, www.childrenssanctuary.org, and in the local newspaper whenever possible.  CSI will also notify its foster caregivers by letter or telephone of upcoming training events, especially mandatory re-certification training such as TCI, CPR, First Aid, and Universal Precautions.

Foster caregivers from other agencies may attend any CSI sponsored training.  Those interested in attending courses at CSI will be asked to RSVP to maintain appropriate class size.  All CSI sponsored training will be offered free of charge except for certain material costs, i.e., training manuals.

Maintenance of Training Records: A record of each training course, including subject, hours, date, trainer, trainer’s credentials, and attendance will be kept at the CSI office.  The CSI trainer will use the attendance log to track training by course to determine needs and interests.  A record of each CSI foster caregiver’s training, including the dates of the training, course title, hours completed, and trainer will be kept in the foster caregiver’s file at the Children’s Sanctuary office.

Foster Caregivers from Other Agencies: The CSI Trainer will provide foster caregivers affiliated with other agencies with the course title, curriculum outline, hours completed, and a training certificate when the foster caregiver successfully completes the course.  CSI will send copies of these documents to the foster caregiver’s referring agency or agency with which the foster caregiver is affiliated.

Evaluation of Training: Training courses and trainer effectiveness are evaluated after each training session and on completion of the training by the attending foster caregivers. A group discussion will occur at the completion of training to assess the degree of new knowledge and effectiveness of the course.  Documentation of the group discussion for each training event will be kept in the training file at the CSI office.  In addition, foster caregivers will complete an anonymous survey assessing the course and trainer after each session and at the conclusion of the training curriculum.  These surveys will be kept in the training file at the CSI office.

A written evaluation of the effectiveness of each training course and the overall effectiveness of the training program will be prepared every two years by a Children’s Sanctuary Training Team.  The Training Team will be comprised of the CSI Regional Director, Trainer, Case Manager, and at least one CSI Foster Caregiver.  Training files for each course, foster caregiver surveys, foster caregivers’ needs assessments, CSI foster care social workers surveys, and surveys from other agencies that referred foster caregivers to CSI training will be used.  The evaluation with recommendations will be submitted to the Executive Director for approval.  The evaluation will be available to foster caregivers, other foster care agencies, and county and state public custodial agencies.  The CSI Training Team will use the evaluation as a tool for planning future pre-placement and continuing training.

Overview of CSI Training Plan:

  1. Orientation and Pre-service Training
  2. Red Cross First Aid and CPR
  3. Child specific training
  4. Monthly in-service classes for on-going training requirements
  5. In-home foster parent training and Video and workbook training

Orientation and Pre-placement Training Description:

  1. Orientation:  All prospective foster caregivers will have an orientation about the CSI program, including agency policies and procedures, agency and foster caregiver responsibilities, state policies, procedures, and requirements for certification of foster caregivers, and the state’s abuse/neglect protocol.
  2. CSI foster caregivers will complete at least 30 to 36 hours of pre-service training to meet CSI and state requirements.  The training will be divided into 4 and 6 hour sessions.  Training will be held at the Children’s Sanctuary office.
  3. Foster caregivers complete 5 to 30 hours TCI training per state requirements.
  4. Foster caregivers will be trained in First Aid, Infant, Child, and Adult CPR, and Universal Precautions.  Foster caregivers will receive an additional 12 hours training specific to the child’s needs prior to receiving the child in their home. The Children’s Sanctuary Executive Director has approved the following training programs and curriculums for foster caregiver pre-service and in-service training.  Children’s Sanctuary employs trainers certified in the specific training program to conduct the following training programs and curriculums.

OUTLINE OF PRE-PLACEMENT TRAINING PROGRAM 

INSTITUTE OF HUMAN SERVICES: FOSTER CARE, KINSHIP CARE AND ADOPTION (FAKT). INDIANA – 30 HOURS. OHIO – 36 HOURS

FAKT: SESSION I. (5 hours)

  • Overview of Foster Care, Kinship Care and Adoption
  • Goals of Pre-service Training 
  • Introduction to the World of Child Welfare
  • Program Information
  • Policies, Procedures, Responsibilities
  • Legal Rights and Responsibilities of Foster Caregivers
  • Preparing for, receiving, and working with the adjudicated delinquent who has committed violent acts
  • Information the foster care provider should have prior to accepting a delinquent child who has committed violent acts into foster care
  • Pubic Placing Agency Requirements for Certifying Foster Caregivers, i.e., Ohio Department of Jobs and Families rules, regulations, and procedures for certifying foster caregivers
  • Community Health and Social Services Available to Children and Their Families.

FAKT: SESSION II. (3 hours)

  • Welcome and Introductions
  • Child Welfare System Overview
  • Presentation of Terms and Definitions
  • Agency Goals and Purpose for Service
  • History of Foster Care and Adoption: Application Activity
  • The Importance of Team Approach: Overview of Team Building
  • Understanding the Case Manager’s Perspective
  • Exploring the Advantages and Disadvantages
  • Wrap up Activity

FAKT: SESSION III. (3 hours)

  • Characteristics of Families
  • Definitions of Maltreatment
  • Exercise: Characteristics of Maltreating Families
  • Exercise: Forced Choice
  • Contributing Factors to Child Maltreatment
  • Video Clip: “Silent Scare”
  • Physical and Behavioral Indicators of Abuse and Neglect
  • The Role of the Substitute Caregiver in Preventing Abuse and Neglect

FAKT: SESSION IV. (3 hours)

  • Introduction to Child Development
  • What is Development?
  • The Four Developmental Domains
  • Typical Development by Age Group
  • The Impact of Physical Abuse, Sexual Abuse, Emotional Abuse, Neglect, and Substance Abuse on human Development.

FAKT: SESSION V. (2.8 hours)

  • Introduction to Attachment and Separation
  • A Brief Look at Attachment
  • About Separation: Plant Exercise, Guided Imagery, & Video
  • Understanding the Grieving/Adjustment Process
  • Minimizing the Trauma of Separation
  • Introduction to Life Books and Family Books

FAKT: SESSION VI. (3 hours)

  • Discipline: “What’s Wrong With This Picture"
  • What Exactly is Discipline?
  • Reasons for Children’s Misbehavior
  • Types of Interventions:
  • Positively Rewarding Desired Behaviors
  • Unpleasant Consequences for Undesirable Behavior
  • Potential Negative Consequences of Physical Punishment
  • Fitting the Strategy to the Child: Revisiting Eddy’s Case

FAKT: SESSION VII. (3 hours)

  • Defining Culture: The Circle Exercise
  • Values
  • Applying Culture to Substitute Care.  Avoiding Common Pitfalls
  • Exercise: Cups and Beads

FAKT: SESSION VIII. (3.16 hours)

  • Introduction
  • Exploring Our Own Issues
  • The Loss Experienced by Families with Children in Care
  • Substance Abuse Issues Among Primary Parents
  • A Continuum of Contact
  • Will the Real Birth Parent Please Stand Up

FAKT: SESSION IX. (3 hours)

  • Welcome and Overview of Training
  • Facts, Definitions, and Dynamics
  • Sexual Abuse Knowledge Survey
  • What is Sexual Abuse?
  • Developing Insight into Caring for Children Who Have Been Sexually Abused
  • Walk Around Flip Chart Exercise
  • Trauma Associated with Sexual Abuse
  • Female Victims of Sexual Abuse
  • Male Victims of Sexual Abuse
  • Difficulties Caring for Sexually Abused Children
  • Characteristics of Caregivers
  • Video: “Scared Silent”
  • Closing and Evaluation

FAKT: SESSION X. (2.75 hours)

  • Stresses Faced by All Families
  • Coping Mechanisms
  • Unique Stresses of Being a Foster, Adoptive, or Kinship Parent
  • Preventing a Family Crisis
  • Owning Your Own Solution
  • Special Situations and Recurring Themes
  • The Phenomenon of “Splitting”
  • Birth Order Consideration for All the Children
  • The Place of Third Party Investigations
  • Communicable and Sexually Transmitted Diseases
  • Creating a Survival Plan

FAKT: SESSION XI. (2.5 hours)

  • Permanency Planning: Do Adopted Children Face Any Special Issues?
  • What are the Issue and Triggers?
  • The Impact of Adoption Issues on Child Development
  • The Real World: An Adopted Person’s Perspective

FAKT: SESSION XII. (3 hours)

  • Permanency Planning: Issues for Adoptive Parents
  • Talking About Adoption
  • Strategies to Help Parents Deal With Adoption Issues
  • Post Adoption Services: When and How?

FAKT: SESSION XIII. (1 hour)

  • Permanency Planning: Reunification
  • The Biological Family and Youth as Part of the Treatment Team
  • The Role of the Foster Caregiver in Reunification

FAKT: SESSION XIV. (2 hours)

  • Independent Living: Issues Confronting the Youth Preparing for Independence
  • CSI’s Independent Living Skills Program
  • CSI’s Transitional Living Program

FAKT: SESSION XV. (1 hour)

  • Information to be shared with the foster caregiver when a child who has been adjudicated a delinquent for the commission of certain violent crimes is placed in a foster home in accordance with Section 2151.62 of the revised code.

 THERAPEUTIC CRISIS INTERVENTION FOR FAMILY CAREGIVERS (30 HOURS)

TCI. SESSION 1. (3 hours)

  • Introductions
  • Crisis Vignettes
  • Stress Model of Crisis (A Typical Crisis)
  • Assessing the Situation
  • Highlight topics. Questions and Answers

TCI. SESSION 2. (3.15 hours)

  • The Importance of Self-Awareness: What Am I Feeling Now?
  • Adults as Role Models
  • The Importance of Knowing the Child
  • Needs and Behavior: What does the child feel, need, want?
  • Highlight topics. Questions and Answers

TCI. SESSION 3. (3.15 hours)

  • Awareness of the Environment: How is It Affecting the Child
  • Limit Setting
  • Choices and Consequences
  • Agency Policies and Procedures
  • Highlight topics. Questions and Answers
  • TCI. SESSION 4. (3 hours)
  • Intervention Approaches Questionnaire
  • Intervention Approaches: How do I Best Respond?
  • The Care Team
  • Highlight topics. Questions and Answers

TCI. SESSION 5. (3.25 hours)

  • Dealing with Our Own Anger: What Am I Feeling Now?
  • Nonverbal Communication
  • Encouraging and Eliciting Techniques
  • Reflecting Techniques
  • Practicing Active Listening
  • Highlight topics. Questions and Answers

TCI. SESSION 6. (3 hours)

  • Attention and Planned Ignoring
  • Power and the Crisis Cycle
  • Revenge and Building Relationships
  • Avoiding Failure and Giving Encouragement
  • Highlight topics. Questions and Answers

TCI. SESSION 7. (3.15 hours)

  • Behavior Management Techniques
  • Practicing Behavior Management Techniques
  • The Life Space Interview
  • Practicing the Life Space Interview
  • Highlight topics. Questions and Answers

TCI. SESSION 8. (3.25 hours)

  • Nonverbal Crisis Communication
  • I ASSIST
  • The LSI After I ASSIST
  • Highlight topics. Questions and Answers

TCI. SESSION 9. (3 hours)

  • Temper Tantrums
  • Adapting the LSI for Preschoolers
  • Closing Session

FOSTER CAREGIVER NEEDS ASSESSMENT AND CONTINUING TRAINING

Children’s Sanctuary Ohio foster caregivers will receive thirty (30) hours of continuing training each year or 60 hours over the two year period of their license or certification.  Indiana foster caregivers will receive 20 hours in-service training annually.   Training may be based on the topics listed below and a written assessment based on each foster caregiver’s quarterly evaluations and an annual survey of each foster caregiver’s “felt needs”.  The assessment will be both general and individualized.  The annual assessment and a list of training topics and hours completed will be kept in the foster caregiver’s permanent file at the Children’s Sanctuary office.

PROPOSED CONTINUED TRAINING TOPICS

  • Parent’s and Foster Caregivers as Part Child Protection Teams ( 2 hours)
  • The Dynamics of Child Abuse And Neglect  (2 hours)
  • Recognizing and Preventing Child Abuse and Neglect (2 hours)
  • The Effect of Child Abuse and Neglect on Child Development (2 hours)
  • Placement, Separation and Attachment (4 hours)
  • Behavior Management Techniques (2 hours)
  •  Foster Caregivers’ Working With Children’s Families (2 hours)
  • Effects of Foster Care on Children’s Families (2 hours)
  • Caring for Children Who Have Been Sexually Abused (12 hours)
  • Cultural Competency (2 hours)
  • Substance Abuse and Dependency (4 hours)
  • Symptoms of Mental Illness and Learning Disorders (2 hours)
  • Developmentally Appropriate Activities for Children (2 hours)

INDEPENDENT LIVING TRAINING

Preparing the Adolescent for Independent Living: Training is for the prospective foster caregiver who will be providing care for a youth expected to remain in foster care until the youth’s eighteenth birthday).  Training is pursuant to Rule 5101:2-42-19 of the Ohio Administrative Code and Indiana rules pertaining to Independent Living Skills training of youth in foster care (Training is ongoing).

Independent Living Training for Foster Caregivers: All CSI foster parents receive ongoing training in teaching independent living skills.

Independent Living Training for Youth: All CSI youth, 14 and older will receive ongoing independent living training. The youth’s independent living progress is reported in the monthly progress report to the public (custodial) agency.

OTHER CONTINUING TRAINING

(TCI) Therapeutic Crisis Intervention: We offer two 10-hour refresher courses annually.

Special Training: Foster caregivers receive ongoing training specific to the needs of the treatment (therapeutic needs) child placed in their home.

Medical Fragile Child: Children’s Sanctuary, Inc. will contract for training specific to the child’s condition from a health care provider, i.e., doctor, registered nurse, or hospital.

First Aid, infant, child, adult CPR, and Universal Precautions (required to be completed prior to expiration): CSI offers two First Aid, CPR, and Universal Precautions classes each year from American Red Cross certified trainers.

Evaluation: Foster caregivers competencies in training areas are evaluated through trainer observation and written and physical skills testing.  Evaluations are kept in the foster caregiver’s file at the CSI office.  Foster caregivers may participate in and receive credit for training in additional topics related to working with children in foster care and adoption that are not listed above.

Training Qualifications: Children’s Sanctuary’s professional staff are certified trainers in  (I.H.S.) The Institute of Human Services Foster Parent, Kinship, and Adoption training program, (T.C.I.) Therapeutic Crisis Intervention, and First Aid, CPR, and Universal Precautions.

Additional training may be contracted through other agencies, The American Red Cross, medical professionals, and local hospitals.  CSI staff and guest speakers provide monthly training at support group meetings.  Other training is available through workshops sponsored by local, state, and national mental health and social service organizations.

TRAINING AND TRAINERS

FAKT: Institute of Human Services Foster, Adoption, Kinship Training Program

Trainers: Lisa Martin, MS. Marty McClure, BS. Todd Hunnicutt, BS. Michael Thomas, LMFT.  Mari Lyn Yoder, LSW. Jo Chumney, MFT. Ron Gfell, MS. Barbara Kelscheimer.

MAPPS: Model Approach to Partnerships in Parenting 

Trainers:  Josephine Chumney, MFT, Lisa Martin, MS.

PRYDE: Presley Ridge Youth Development Extension Program, A Competency Based Training, Certification and Treatment model for Therapeutic Foster Parents

Trainers:  Josephine Chumney, MFT.

TCI: Therapeutic Crisis Intervention for Family Caregivers, Cornell University

Trainers: Michael Thomas, MS.  Todd Hunnicutt, BS., Lisa Martin, MS.  Mark Potter, BS.

SCMI: Safe Crisis Management Intervention

Trainers: Josephine Chumney, MFT.

First Aid; Infant, Child, Adult CPR; Universal Precautions

Trainers: Josephine Chumney, MFT. Lisa Martin, MS. Michael Thomas, MS.

Children’s Sanctuary will also use the American Red Cross for CPR, First Aid, and Universal Precautions training.

TYPICAL TRAINING BUDGET FOR FOSTER CAREGIVERS

Background and Criminal History Checks.....................................................$1,600

Manuals and Books for Continuing Training.......................................................500

Travel..............................................................................................................................300

Other Training Supplies...........................................................................................1000

Room Rental.................................................................................................................400

Snacks............................................................................................................................700

Staff Lodging................................................................................................................900

Staff Meals.....................................................................................................................400

Trainer Costs..............................................................................................................3600

Training Manuals: FAKTS.........................................................................................500

Training Manuals: TCI................................................................................................500

Total........................................................................................................................$10,400

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

TRANSFER OF A FOSTER HOME TO ANOTHER AGENCY

Standard: Standard: 600.20.  OH 5101:2-5-13(A)(9), 5101:2-5-13(A)(10), 5101:2-5-13(A)(11) 5101:2-5-31 
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
  Children’s Sanctuary, Inc. (CSI) will establish an effective policy and guidelines for the transfer of a CSI foster home to another agency.
Purpose:  
  To establish guideline for the transfer of a foster home.
Procedure: 1  
 

Children’s Sanctuary will transfer a currently certified foster home to another agency, a  PCSA,or to a PCPA or PNA certified by ODJFS to recommend foster homes of the same type.  A foster caregiver certified to operate a specialized foster home may transfer to an agency that does not operate a specialized foster home program, if the caregiver agrees that upon execution of the transfer, the foster home designation will be identified as a family foster home.

When CSI receives a written request from a foster caregiver (who has been certified with CSI for a minimum of one year, or meets the exception requirements) expressing the desire to transfer from CSI, a release of information form will be completed. Upon receipt of the transfer request from the receiving agency, CSI shall inform the receiving agency of any decision to not place any more children in the foster caregiver’s home, including the reasons why this decision was made. The receiving agency shall consider the request and make a decision whether it wishes to proceed further with an assessment to determine whether to accept the transfer. If the receiving agency still wishes to proceed with exploring the transfer request, the receiving agency shall notify the sending agency in writing.  A foster caregiver shall not initiate more than one transfer request during a certification period and only to one agency at a time.

Prior to sending the records to the receiving agency, CSI shall obtain a signed release of information authorization from the foster caregiver authorizing the release of information to the receiving agency.  The release of information may be obtained by, either agency or the foster caregiver.

Within 15 working days of receipt of the signed release of information and any applicable copying fee, CSI shall send a complete copy of the foster home records (excluding references and criminal records checks) to the receiving agency.  The records shall be sent by certified mail, return receipt requested or hand delivered by agency staff.  If the records are hand delivered, CSI shall be provided with a receipt showing the date the records were delivered to the receiving agency.  The receiving agency shall document the date of receipt of the records. The record information to be transferred includes:  the most recent home study, home study updates, training records, fire inspection reports, safety audits and medical reports, all complaint or rule noncompliance investigations, and any applicable corrective action plans.

The CSI shall notify the receiving agency of the nature of any outstanding complaint or rule noncompliance investigations and any corrective action plans that have not been fully implemented.

CSI may charge the receiving agency  twenty-five (25) cents per page.  No additional fee may be charged to any party.  If a fee is charged for copying the records, the records shall not be sent until the fee is paid.

While the transfer request is pending, the CSI shall continue to work with the foster caregiver as it does with all other foster caregivers associated with the agency and shall continue to provide the caregiver with notification of training events needed according to the foster caregiver’s written needs assessment and continuing training plan.  CSI shall allow the foster caregiver to attend any such events and shall continue to meet with the caregiver regarding the care of any child placed in the home.

CSI shall not remove a child(ren) from a foster caregiver’s home solely because the caregiver has requested a transfer.

The receiving agency shall review the foster caregiver’s foster home records and any other information received from the CSI to make an informed decision whether the agency wishes to proceed with the transfer request. The receiving agency shall contact staff from the CSI and the foster caregiver(s) to ascertain the reasons why the request is being made, to determine if there are foster children in the home and to identify the agency with custody of the child(ren).

Once a record has been sent to the receiving agency, they have 60 days to review the file and make a complete the review and make a regarding the transfer within 60 days after the receipt of the records.  If the transfer review cannot be completed within 60 days, the assessor shall document in the foster home records the reasons why the review cannot be completed within 60 days.

If the receiving agency accepts the transfer, they will complete a JFS 1334 form and CSI will sign off to attest that a copy of the complete foster home record was sent.

INDIANA ONLY: Children’s Sanctuary, Inc. Indiana will not close a foster care license for the purpose of transfer to another agency if Children’s Sanctuary, Inc. has a child in placement in the home.  If a foster parent wishes to transfer to another agency and they have no foster children from CSI at the time of the request, Children’s Sanctuary will arrange with the other agency a date for closing the home’s license so the other agency can open the new foster home license on the same date.

Procedure: 2  
  Children’s Sanctuary shall accept a transfer of a foster home from another agency only if the foster caregiver has been certified with the sending agency for a minimum of one year.  An exception shall be made in the case of a foster caregiver who has relocated to another county not served by the foster caregiver’s recommending agency or if the foster caregiver’s recommending agency ceases to recommend foster homes for certification to ODJFS.  Before accepting the transfer of a foster home, the Children’s Sanctuary shall contact the sending agency in writing to notify the sending agency that such a request has been received and to request a complete copy of the caregiver’s foster home records (excluding personal references and criminal records checks).  The sending agency has 15 working days to send a complete of the foster home record, excluding the criminal background checks and references.

Upon receipt of the foster caregiver’s records, the CSI shall assign an assessor to review the information received and conduct an assessment of the transfer request. CSI assessor shall contact staff from the sending agency and the foster caregiver(s) to ascertain the reasons why the request is being made, to determine if there are foster children in the home and to identify the agency with custody of the child(ren).  CSI shall accept the copy of the foster caregiver’s records only from the sending agency.  CSI shall not accept a copy of the records from the foster caregiver.

The CSI assessor shall review the foster caregiver’s foster home records and any other information received from the sending agency to make an informed decision whether the agency wishes to proceed with the transfer request. The assessor shall complete the review and make a recommendation to the CSI staff regarding the transfer within 60 days after the receipt of the records.  If the transfer review cannot be completed within 60 days, the assessor shall document in the foster home records the reasons why the review cannot be completed within 60 days.

The CSI assessor shall make at least one visit to the foster home and conduct a face-to-face meeting with each foster caregiver and all household members. The CSI assessor shall not recommend acceptance of the transfer unless the assessor is satisfied that any outstanding complaints or rule noncompliance investigations are not material to the request to transfer the home and the safety of any children who are or may be placed in the home.

All transfer review activities shall be documented in the receiving agency’s foster home records.

CSI shall not approve the transfer request until the following information has been received and approved by the agency:

  1. Three new personal references for the foster caregivers from three persons who are unrelated to the caregiver and who do not live with the caregiver.

  2. A new criminal records check has been obtained, reviewed and approved by the assessor for all persons subject to a criminal records check residing in the home.
  3. A new safety audit of the foster home has been conducted to verify that the home meets all current safety requirements for foster homes.
  4. Documentation of the assessor’s decision to recommend the approval of the transfer request and the reasons for the decision.

The agency shall send written notification to the sending agency and foster caregiver of the receiving agency’s decision within 5 working days of the decision.

The CSI assessor shall maintain all information sent by the original recommending agency as well as any information gathered in the transfer review process and the assessor’s written recommendation as a part of the CSI’s foster caregiver records.

If CSI does not approve the transfer request, they shall still maintain a copy of the records received from the sending agency and the assessor’s written recommendation to reject the transfer request shall be maintained by the agency for at least two years.

Prior to accepting a transfer, CSI agency shall ensure that the custodial agency of any child currently placed in the home agrees to the transfer. If the custodial agency does not agree to the transfer while a child in its custody is placed in the home, the transfer shall not take place until the child is no longer placed in the home. A child shall not be removed from a caregiver’s home solely because the caregiver seeks to transfer his/her foster home certificate to another agency.

CSI is not required to accept a transfer of a foster home from another agency. The approval or rejection of a transfer request rests solely with the CSI, subject to the approval of ODJFS and creates no right of appeal pursuant to Chapter 119 of the Revised Code for any party to the transfer request.

Once CSI decides to accept the transfer shall make a recommendation to ODJFS to transfer the foster home to the agency by submitting a JFS 01334 “Notification of Transfer of a Foster Home” (rev. 9/2006)

Once a transfer is complete, CSI shall provide an orientation to the foster caregiver of the agency’s policies and procedures for foster caregivers prior to or not later than thirty calendar days after a transfer request has been processed by ODJFS.

The sending and receiving agencies may seek an agreement to determine which agency (sending or receiving) will conduct the recertification review, if a transfer of a foster home is pending within the ninety days immediately prior to the expiration of the certificate.

The foster home’s recommending agency shall be responsible for conducting the recertification review and recommendation, if there is no agreement between the sending and receiving agencies.

Upon receipt of a signed release of information form, the agency shall release a copy of a foster care home study to an adoption agency when the foster caregiver is being considered as an adoptive parent.

 

INDIANA ONLY: Children’s Sanctuary, Inc. Indiana will not close a foster care license for the purpose of transfer to another agency if Children’s Sanctuary, Inc. has a child in placement in the home.  If a foster parent wishes to transfer to another agency and they have no foster children from CSI at the time of the request, Children’s Sanctuary will arrange with the other agency a date for closing the home’s license so the other agency can open the new foster home license on the same date.

 

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

MEPA Standards of Conduct: Employee and Contractor/Provider Compliance with The Multi-Ethnic Placement Act and Title VI of the Civil Rights Act of 1964

Standard: Standard:  600.21.  OH:5101:2-5-13 (A)(39); 5101: 2-48-05(A)(24).  Attachments: Non-discrimination Requirements for Foster Care and Adoptive Placements.  MEPA  Bi-Annual comprehensive Self-Assessment Report
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
  Children’s Sanctuary Inc. (CSI) has established the following Standards of Conduct concerning the performance of employees and contractor/providers related to compliance with the Multi-ethnic Placement Act of 1994 as amended by section 1808 of the Small Business Job Protection Act of 1996, 42 U.S.C. 622 (b)(9), 71(a)(18), 674(d) and 1996 (b) (MEPA) and Title VI of the Civil Rights Act of 1964, 42 U.S.C. 2000d, et seq (Title VI), as they apply to foster care processes. (Foster caregiver and foster parent are used interchangeably below). This standard applies to all CSI programs and specifically to CSI Ohio.
Purpose:  
  These Standards of Conduct prohibit policies, procedures or actions which serve to:
  • Deny any person the opportunity to become a foster caregiver on the basis of race, color, or national origin (RCNO) of the prospective foster caregiver and/or prospective child being considered for placement with the foster caregiver.
  • Delay or deny any placement of a child in foster care on the basis of the race, color, or national origin of the foster caregiver with whom the child is being placed.

CSI will not require an ongoing, foster care worker or contractor to justify a proposed placement for the reason that the race, color, or national origin of the child is different from that of the family whom the worker is proposing as the child’s foster caregiver parent.

Procedure:  

 

ENFORCEMENT REQUIREMENTS

For contractor/providers performing any contracted services (i.e.: therapy, physiological, janitorial, med, dental or vision etc.) these enforcement requirements shall include discipline in accordance with the contractor/provider’s personnel policy and may include contract termination. 

Enforcement requirements for contractor/provider subcontractors shall include corrective action in accordance with the contractor/provider’s contract with the subcontractor and may include contract termination.   This may include, but is not limited to, termination of the contract.

These enforcement requirements are applied in accordance with applicable employment law.  CSI does not contract services with individuals as it relates to conducting homestudies or placement activities.  All contract services by CSI are for service providers, as noted in the first paragraph under “Enforcement Requirements.”

If any employee of CSI engages in discriminatory acts or practices involving race, color or national origin in the foster care process, CSI will follow the personnel handbook as it pertains to discipline.  Discipline my include, but is not limited to, written reprimand, suspension or termination of employment.

CORRECTIVE ACTION PLAN

Children’s Sanctuary shall provide for the submission of a corrective action plan when an investigation conducted by ODJFS, pursuant to rule 5101:2-33-03 of the Administrative Code, results in a finding that an agency employee or contractor/provider engaged in discriminatory acts, policies, or practices.  If the findings involve discriminatory act, policy, or practice by a contractor/provider or subcontractor, Children’s Sanctuary shall develop the corrective action plan in collaboration with the contractor/provider or in collaboration with the contractor/provider and subcontractor.

The corrective action plan shall:

  • In the event an investigation conducted by ODJFS results in a finding that an agency employee or contract employee of CSI has engaged in discriminatory acts, practices or policies, CSI will submit a corrective action plan to ODJFS.
  • Address how Children’s Sanctuary will prevent further violations by that employee or contractor/provider or subcontractor.
  • Be submitted to ODJFS within thirty (30) days of notification of the findings of the investigation.

Children’s Sanctuary shall provide a copy of these Standards of Conduct to each employee or contractor/provider who is:

  • Engaged in placement of children into foster care.
  • Engaged in the recruitment, assessment, approval, or selection of foster homes and foster caregivers.
  • Engaged in the therapeutic treatment of foster children.

Employees or contractor/providers shall receive a copy of the written Standards of Conduct no later than October 14, 2005.  If these Standards of Conduct are revised, employees and contractor/providers shall receive a copy of the revised Standards of Conduct within thirty (30) days of the completion of any revisions.  New employees or contractor/providers shall receive a copy of the written Standards of Conduct within thirty (30) days of their hire date or the effective date of their contract.  Children’s Sanctuary and contractor/providers shall ensure that these Standards of Conduct are provided to their employees and subcontractors.  Written notice of the procedures for  any complaints of discrimination in the foster care or adoption process that involve RCNO shall be provided to all foster caregivers certified or in the process of certification within thirty days of the effective date of OAC 5101:2-48-05(A)(20), 5101:2-5-13(A)(40), and 5101:2-33-03.

 

Ohio Department of Job and Family Services 

Non-discrimination Requirements for Foster Care and Adoptive Placements This form is used in compliance with the Ohio Administrative Code rules 5101:2-48-05 and 5101:2-5-13. 

The Multiethnic Placement Act of 1994, 42 U.S.C> 622(b)(9), 671(a)(18), 674(d) and 1996(b) (hereinafter “MEPA”) and Title VI of the Civil Rights Act of 1964, 42 U.S>C> 2000d, et seq as it applies to the foster care and adoption process (hereinafter “Title VI”), are designed to decrease the children wait for foster care and adoption placement, prevent discrimination in the placement of children, and aid in the identification and recruitment of foster and adoptive families who can meet each child’s needs.  It prohibits any agency using federal funds from denying any person the opportunity to become an adoptive parent or foster caregiver o the basis of race, color or national origin of that person, or of the child involved and from delaying or denying the placement of a child for adoption or foster care on the basis of race, color or national origin of the adoptive parent or parents, of the foster caregiver or caregivers, or the child involved. 

Under MEPA and Title VI, no agency may routinely consider a race, color or national origin as a factor in assessing the needs or best interests of children.  In each case, the only consideration shall be the child’s individual needs and the ability of the prospective foster caregiver or adoptive parent to meet those needs.  Only the most compelling reasons may serve to justify consideration of race, color or national origin as part of a placement decision.  Such reasons emerge only in the unique and individual circumstances of each child and each prospective foster caregiver or adoptive parent.  In those exceptional circumstances when race, color or national origin need to be taken into account in a placement decision, such consideration must be narrowly tailored to advance the child’s interest.  Even when the facts of a particular case allow consideration related to race, color or national origin, this consideration shall not be the sole determining factor in the placement decision. 

The following actions by a PCSA, PCPA, or PNA are permitted under MEPA and Title VI:

  • Asking About and honoring any choice made by prospective adoptive parents or prospective foster caregivers regarding what race, color or national origin of child the prospective adoptive parents or prospective foster caregivers will accept.

  • Honoring the decision of a child over 12 years of age to not consent to an adoption when that decision has been approved by a court pursuant to section 3107.06 of the Revised Code.

  • Providing Information and resources about adopting a child of another a race, color or national origin to prospective adoptive parents or prospective foster caregivers who request such information and making known to all families that such information and resource are available.

  • Considering the request of a birth parent(s) to place the child with a relative or non-relative identified by name.

  • Considering race, color or national origin as a possible factor in the placement decision when compelling reasons serve to justify that race, color or national origin needs to be a factor in the placement decision.  Even when the facts of a particular case allow consideration related to race, color or national origin, this consideration shall not be the sole determining factor in the placement decision

  • Discussing the special cultural and physical needs of children of different races, ethnicities, and national origins as part of the training which is required of all persons who seek to become eligible to be adoptive parents or foster caregivers.
  • Documenting verbal comments, verbatim, or documenting in detail any other indication made by a prospective adoptive family member or prospective foster caregiver family member living in the household reflecting a negative perspective regarding the race, color or  national  origin of a child for whom they have expressed an interest an interest in adopting and indicating whether those comments were made before or after completion of cultural  diversity training which is required for all prospective adoptive or foster care applicants.

The following are examples of actions prohibited under MEPA and Title VI

Using the race, color or national origin of a prospective adoptive parent or foster caregiver to differentiate between adoptive placements for a child, unless an individualized assessment has been completed.

Honoring the request of a birth parent(s) to place a child with a prospective adoptive parent or prospective foster caregiver of a specific race, color or national origin, unless the birth parent(s) identifies a relative or non-relative by name and that person is found to meet all relevant state child welfare protection standards, unless the agency determines that the placement is not in the best interests of the child.

Requiring a prospective adoptive family or a prospective foster caregiver to prepare or accept a transracial adoption or foster care plan.

Using “culture” or “ethnicity” as a proxy for race, color or national origin.

Delaying or denying placement of a child based upon the geographical location of the neighborhood of the prospective adoptive family or a prospective foster caregiver whenever geography is being used as a proxy for the racial composition of the neighborhood, the demographics of the neighborhood the presence or lack of presence of a significant number of persons of a particular race, color, or national origin In the neighborhood or any similar purpose.

Requiring extra scrutiny, additional training, or greater cultural awareness of individuals who are prospective adoptive parents or foster caregivers of children of a different race, color or national origin than required of other prospective adoptive parents or foster caregivers.

Relying upon general or stereotypical assumptions about needs of children of a particular race, color or national or origin.

Relying upon general or stereotypical assumptions about the ability of prospective adoptive parents or prospective foster caregivers of a particular race, color or national origin to care for or nurture the sense of identity of a child or national origin.

“Steering” prospective adoptive parents or foster caregivers away from parenting a child of another race, color, or national origin.  “Steering” is any activity that attempts to discourage prospective adoptive parents or prospective foster caregivers from parenting a child of a particular race, color or national origin.

JFS 01611 (2/2005)

 

OHIO DEPARTMENT OF JOB AND FAMILY SERVICES 

MEPA Bi-Annual Comprehensive Self-Assessment Report 

The following MEPA self assessment tool should be used,  in compliance with 5101:2-48-05  of the  Administrative  Code, to review your agency’s written policies and individuals policies with whom your agency contracts for foster care or adoption services.

Please attach your response to this form:

  1. Describe how your agency implemented your recruitment plan during in the previous SFY.  Indicate your diligent efforts to recruit foster and adoptive parents that reflect the diverse population of children in foster care in the state?

  2. Describe how your agency keeps track of inquires and their disposition.  Does the log (or alternative method) indicate that follow-up occurred with each caller and are equally timely for all callers?  Does the log show an under representation of applicants from any specific racially identifiable area?  If so, does your agency have a strategy for dealing with this issue?  Please provide a copy of the medium through which information is tracked.

  3. List the number individuals who inquired, applied and/or who are prospective adoptive parents enrolled or who have completed pre-service orientation during the calendar year by their race and ethnicity.

  4. Describe how all inquirers are given information on the characteristics of all children who are in foster care within the county and state waiting to be adopted?

  5. If applicants for foster care or adoptive parenting are screened prior to orientation or training, what screening criteria are used and for what purpose?  How does your agency ensure that these criteria are in compliance with MEPA, e.g. that additional steps are not required for persons expressing interest in transracial foster or adoptive parenting?

  6. How are home studies assigned?  Is there any prioritization as to which families get studied first?  If so, what are the criteria for this prioritization?  How does your agency ensure that the prioritization does not violate MEPA, e.g. that persons interested in trans-racial adoptions are neither singled out nor listed as low priority or that same race resources are not routinely considered as a strength and/or given preferential treatment?

  7. During the assessment and preparation stage, if the agency solicits prospective parents’ preferences regarding the characteristics of the foster children who they would feel comfortable fostering or adopting, describe how the agency ensures the process is consistent for all prospective foster and adoptive parent and does not doffer for families who are interested in fostering or adopting children of different race, color, or national origin?

  8. How does the agency manage concerns regarding trans-racial placements (such as caregiver’s negative verbatim comments)?

  9. Are MEPA requirements integrated into training curriculum for foster and adoptive parents, new and current staff in all areas of the agency?

  10. Does curriculum accurately address current laws in the following areas:  the purpose for MEPA, prohibited activities and rights of foster and adoptive parents, diligent recruitment requirements and penalties for violation?

  11. How are the pools of prospective adoptive and available foster parents maintained?  How  does your agency ensure that this is in compliance with MEPA, e.g., that the applicant pools are not separated by race, color or national origin?

  12. Does your agency use standardized tool format to assess the needs of foster children?  If yes, please attach.  If no, how does your agency evaluate the needs of each foster child?  How does your agency ensure that the assessment process is in compliance with MEPA, e.g., that here is not a routine assessment of the racial needs of foster children?  Are each foster child’s needs properly documented in the CSI, case notes and the JFS 01616?

  13. What are the procedures used to locate/select potential, appropriate families for a particular child?  What factors are taken into consideration when making the final selection among the appropriate families?  How does your agency ensure that the selection process is in compliance with MEPA, e.g., that race, color, or national origin is not routinely considered in the selection and placement decision?

  14. According to your agency’s selection and placement policies and practices, under what circumstances would it be appropriate to consider the race, color, or national origin of the child or the foster or adoptive parent?  How does your agency ensure that such circumstances are in compliance with MEPA, e.g., that when race is a factor in this decision, that it is based on the individualized needs of a particular child as documented in the case record.

  15. Who is your designated MEPA monitor?  What process exists to allow staff and interested Parties to report potential MEPA violations?

  16. Does your agency perform internal monitoring to ensure hits compliance with MEPA?  If so, describe the monitoring process used to ensure your agency’s compliance with MEPA.  Has your agency developed any instruments to conduct these monitoring activities?

  17. Does your agency monitor the contractors/vendors for compliance with MEPA?  If so, how often?

  18. Please specify your proposed plans for continued compliance with MEPA in new/upcoming bi-annual.

JFS 01668 (9/2003)

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

MEPA COMPLAINT PROCEDURE FOR ALLEGED DISCRIMINATORY ACTS INVOLVING RACE, COLOR OR NATIONAL ORIGIN

Standard:

Standard:  600.22 OH: 5101:2-15-13(A)(40);5101: 2-48-05 (A)(23).  CSI and Ohio Discrimination Complaint Forms are available at all Children's Sanctuary offices.

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:

 

 

Children’s Sanctuary Inc. (CSI), a private, not-for-profit, non-custodial agency approved to recommend family foster homes, treatment foster homes and medically fragile foster homes for certification, shall provide a written notice of the procedure for any complaint of discrimination in the foster care process that involves race, color, or national origin (RCNO) to all individuals inquiring about or applying to be a foster caregiver (foster parent).  Such notice shall be provided within seven (7) days of the individual’s first contact with the agency.  This standard applies to all CSI programs and specifically to CSI Ohio.

Purpose:

 

 

Any individual may file a complaint alleging a discriminatory act, policy, or practice involving race, color, or national origin (RCNO) in the foster care process of with CSI or the Ohio Department of Job and Family Services (ODJFS) In Indiana, reports should be made to Department of Child Services DCS).  Any person, including but not limited to an employee or a former employee of Children’s Sanctuary, Inc. or a member of a family which has sought to become a foster caregiver, may file a complaint alleging that he or she was intimidated, threatened, coerced, discriminated against or otherwise retaliated against in some way by Children’s Sanctuary or by ODJFS because he or she has made a complaint, testified, assisted, or participated in any manner in an investigation, proceeding, or hearing in connection with an allegation that Children’s Sanctuary or ODJFS engaged in discriminating acts, policies, or practices as it applies to the foster care process.

Procedure:  
 

The individual filing a complaint shall use the ODJFS 02333 “Discrimination Compliant Form.” (See attached).  The complaint shall be filed within two (2) years from the date of the occurrence of the alleged discriminatory act, or two years from the date upon which the complainant learned or should have known of a discriminatory act, policy, or practice.  The complaint may be filed with any licensed agency or the ODJFS. 

Nothing in this policy shall prohibit an individual from filing a complaint with the United States Department of Health and Human Services or the Office for Civil Rights alleging discrimination that involves RCNO in the foster care or adoption process of an agency or ODJFS. 

When a complaint alleging discrimination involving RCNO in the foster care process is received by an agency, the agency shall forward the complaint to ODJFS (in Indiana DCS) within three (3) working days of date of receipt of the compliant.  ODJFS, the department shall notify the agency that is the subject of the compliant within three working days of the receipt of the compliant.

ODJFS shall conduct an investigation of the complaint.  The agency that is the subject of the compliant shall not initiate, conduct, or run concurrent investigations surrounding the complaint or take any further action regarding the complainant or the subject of the complaint until the issuance of the final investigation report by ODJFS unless approved by ODJFS. 

The agency that is the subject of the complaint shall cooperate fully with ODJFS during the course of the investigation and shall submit any information requested by ODJFS not later than fourteen (14) days from the date of the request unless otherwise agreed upon.

No person who has filed a complaint alleging a discriminatory act, policy, or practice involving RCNO in the foster care process of an agency, or who has testified, assisted, or participated in any manner in the investigation of the compliant, shall be intimidated, threatened, coerced, or retaliated against any employee or contractor of the agency or ODJFS. 

Children’s Sanctuary shall provide a written notice of the procedures for filing a complaint of discrimination in the foster care process that involve RCNO within thirty (30) days of the effective date of this policy to all CSI foster caregivers and prospective foster caregivers who are in the process of certification, and to all individuals who have approved foster caregivers home-studies or who are participating in the foster care home-study process on the effective date of this rule.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CULTURAL DIVERSITY IN THE FOSTER HOME

Standard:

Standard 600.23

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. will establish an effective procedure for demonstrating respect and value of cultural diversity in its foster homes and among its foster parents (foster caregivers) including respect and equitable treatment for all regardless of cultural or ethnic differences.

Purpose:

 

 

To maintain a climate of respect and value in the foster care program for cultural and ethnic diversity.

   
Procedure:  
 

Children’s Sanctuary, Inc. recognizes that foster caregivers and foster children have different backgrounds, values, needs, and styles. Foster caregivers and foster children have differences in gender, age, ethnicity, socio-economic status, and cultural backgrounds. They may differ in terms of education, personality, and family responsibilities.  Respecting and valuing differences improves the foster care experience for foster caregivers and foster children and enhances the overall sense of acceptance and value for foster caregivers and foster children.

Children’s Sanctuary, Inc. staff and foster parents will set an example by role modeling value and respect for diversity. CSI staff and foster caregivers will value the unique perspectives and knowledge that each foster caregiver and foster child brings to the agency.  CSI staff and foster caregivers will show appreciation for, listen to, express interest in, support, reward, and recognize all foster caregivers and foster children regardless of cultural or ethnic differences.

Children’s Sanctuary, Inc. staff and foster caregivers will

  • Treat all foster caregiver with respect and dignity.

  • Treat all foster children with respect and dignity.

  • Make judgments based on equity and merit.

  • Make observations about personal, unique talents.

  • Identify, address and ensure unfair barriers do no inhibit foster caregivers or foster children.

  • Provide an environment free from discrimination and harassment.

  • Provide, and participate in, cultural diversity training annually for staff and foster caregivers.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

ADMISSIONS CRITERIA

Standard:

Standard: 700.01

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for admitting clients into its therapeutic foster care program.  The case management team is responsible for determining eligibility for admission.  The Treatment Director will make the final decision on admission.

Purpose:

 

 

To ensure that all clients referred to the Children's Sanctuary Therapeutic Foster Care program are treated equally in regards to admission.

   
Procedure:  
 

Criteria for Admission

Children’s Sanctuary will accept youth, birth to age 18 of either gender, regardless of race, color, religion, handicap, or national origin.  The CSI treatment staff will match each youth with the most appropriate foster caregiver.  The CSI Treatment Team includes the CSI Treatment Director, case management staff, and the custodial agency worker.  The Treatment Director or his or her delegate will make the final decision on placement.  This decision will be communicated in a manner that is understandable to the child being placed in foster care, his or her bio-parents, the foster parent and the public custodial agency worker.  If an appropriate match can not be found, CSI will assist the public custodial agency in finding another placement for the youth.  CSI does not maintain a waiting list. The order of placement is first come first serve, and depends on the availability of a foster caregiver with the training and experience that best matches the youth's needs.

Youth Served by Children's Sanctuary:
  • The neglected or abused child who requires temporary out-of-home or a pre-adoptive placement.
  • The neglected and abused child who cannot be placed in traditional foster care because of his or her degree of emotional and behavioral problems.
  • Children being released from, or, at risk of, institutional placement.
  • Older youth who are hard to place in traditional foster care.
  • Teen mothers with children
  • Physically and mentally handicapped children: Attention Deficit/Hyper-Active, Autistic, learning disabled, mild retardation, cerebral palsy or other physical disabilities that can be managed in a therapeutic foster home.
  • Crack babies, premature babies, children with serious physical injuries, children who require trachea tubes, intestinal tubes, heart monitors, apnea monitors, oxygen, in-home nursing, and numerous trips to the doctor.

Criteria for Denial of Admission

Some children, because of the degree emotional and behavioral problems or past criminal involvement may not be appropriate for foster care.

Youth Not Served by Children’s Sanctuary:

  • The drug or alcohol dependent youth who needs hospital detoxification and in-patient treatment.

  • The youth, who has committed homicide, attempted homicide, rape, and/or assault with a deadly weapon, or assault that caused serious injury or death. 

  • The child's whose medical condition requires in-patient hospital care. Children's Sanctuary will consider the child once medical problems are stabilized, the doctor releases the child from the hospital, and an appropriately trained medical needs family can be found who can provide for the child's medical needs.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CLIENT CIVIL RIGHTS. ADVOCACY FOR CLIENT AND BIO-FAMILY

Standard:

Standard: 700.02.  OH: 5101:2-5-13 (A)(36)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for protecting a Client’s Civil Rights.  This policy includes, but is not limited to, the protection of the client from financial, sexual, physical exploitation, humiliation and retaliation.

Purpose:

 

 

Children’s Sanctuary will protect the basic rights for all children placed in its foster care program. 

Each human being, irrespective of age, intellectual or emotional abilities, social, ethnic, or economic background or status, has certain basic human rights.  Children’s Sanctuary shall articulate, affirm, and guard these basic rights to the fullest extent.  Children’s Sanctuary employees and foster parents shall be advised regarding children’s rights prior to commencing employment or fostering and shall ascribe to these standards at all times. 

On placement, each child will receive a copy of his or her rights and the Children’s Sanctuary case manager will explain the rights to the child.  The CSI case manager will review the client’s rights with the child annually thereafter.  This will be indicated in the case manager’s case notes.

   
Procedure:  
 

Children’s Sanctuary affirms the following basic rights for all children:

  • Each child’s civil rights will be protected at all times.

  • Each child will be protected against humiliation, retaliation, and financial, physical and/or sexual exploitation.

  • Each child shall have the right to visitors, privacy, freedom of thought, conscience, mail and telephone communication and other rights afforded to all citizens.  Any exception to this right must be documented and approved in writing by the referring agency.

  • Each child shall have access to food, housing, clothing, appropriate education, medical care, sleep and rehabilitative services.

  • Each child shall have the right to refuse non-emergency medical treatment that conflicts with the child’s religious beliefs unless nullified in writing by the guardian.

  • Each child shall have access to work, and enrollment and participation in programs of education, training, social development, and recreation.

  • Each child has the right to appropriate, reasonable adult support and guidance including assignment of an adult to serve as an advocate.

  • Each child has the right to a comprehensive written plan of care and treatment and to be an active participant in the treatment planning process.

  • Each child has the right to legal counsel and consultation with parent(s), spouse or guardian and other qualified agencies and institutions.  Each child has the right to confer with these persons or representatives in private, at reasonable hours.

  • Each child’s has the right to confidentiality of records and treatment information.  Each child has the right to review his or her personal records.  CSI staff or foster parents will not share a child’s private records or disseminate information about the child except as required by the custodial agency for the medical, psychiatric and educational needs of the child.  The child’s records or personal information can only be released to an outside agency or individual by a signed release from the custodial agency or by a court order.

  • Children’s Sanctuary will assure that each child’s (client’s) basic rights are protected at all times.  CSI will advocate for the best interests of the child and for the child’s family when appropriate.  CSI case managers will attend all court hearings with child and his family unless contraindicated by the custodial agency or the court.  CSI will advocate for the child with the schools and the community to insure the child receives the full benefit of the educational system and other resources in the community.  CSI will assist in coordinating a child’s adoption when appropriate according to the child’s needs, the custodial agency’s requirements and state regulatory guidelines.

  • Each child shall have the right to his own money and personal property in accordance with the child’s service or case plan.

  • Each child shall have the right to live in clean, safe surroundings.

  • Each child shall have the right to learn appropriate responsibilities for himself and others.

Corporal punishment, seclusion, mechanical restraints, verbal abuse, physical abuse, and sexual exploitation are prohibited.  Corporal punishment, verbal abuse, physical abuse, and sexual exploitation include, but are not limited to the following:

  • Acts of physical violence against a child.

  • Acts which unduly restrict the treatment or care of a child.

  • Acts which violate or threaten the humane treatment of a child.

  • Denial or limiting food or a meal as a form discipline.

  • NOTE: A child may be physically held by trained personnel to prevent injury to the child or others in accordance with the state’s accepted policies and protocols for physical hold.

  • A child’s religious preference shall be respected, including the right to choose if he/she participates in any religious activity.

  • Each child will be provided a written set of rules for the foster home and a verbal explanation of expectations and expected responses.

No child shall be retained in the Children’s Sanctuary, Inc. program for:

  • Punitive purposes

  • Support and maintenance of the program.

  • Without full recourse to equal protections of the law accorded to all citizens.

Promotional, experimental, investigative research is not permitted without full understanding and consent from the client, the legal guardian, the custodial agency, and authorization from the Children’s Sanctuary Board of Directors.

Redress of Grievance

  • A copy of these rights will be furnished to the child, parent, or legal custodian upon placement.  The child, parent, or legal custodian has a right to redress of grievance if they feel a foster parent or agency personnel have violated the child’s rights.  Complaints are registered with the Regional Director.

  • The Regional Director determines what action if any should be taken.  If the complainant is not satisfied with the decision, he or she may appeal to the Executive Director.  If a further appeal is necessary, it may be made to the public agency caseworker or court.

  • The right of grievance extends only to violation of the child’s rights.  If a parent or legal custodian believes his or her rights have been violated, he or she should appeal to the public agency caseworker or the court, as these agencies provide the extent and limitation of the parent’s or legal custodian’s rights.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CLIENT FUNDS

Standard: Standard: 700.03
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for managing client funds.

Purpose:

 

 

To provide guidelines to assist the foster parent and client in protecting the client's money and to teach the client how to manage his or her finances.

Procedure:

 

 

Allowances

Children's Sanctuary foster parents will provide each foster child over age six with an allowance according to the following minimum: age 6 to 10: 50 cents per day; age 11 to 18: $1 per day.  Allowances will not be based on a child’s behavior or his or her willingness or ability to complete assigned chores.  A youth’s allowance may be withheld to pay for damages purposefully inflicted by the youth on another’s person or property if approved by the child's state worker and CSI case manager. 

The CSI foster parent may require a child to bank a portion of his or her allowance.  The foster parent may require the child to bank all of the allowance if the he or she believes the child will use the allowance to purchase alcohol, tobacco products, or drugs.

Budgets

The foster parent will help each child develop a budget appropriate to his or her age.

Bank Accounts

The foster parent will help each child over six set up a savings account.  The foster parent will encourage the child to deposit 50% of the allowance into savings.  The foster child must have permission from the parent to withdraw money from the savings account.  The foster parent may have his or her name on the account to discourage the child from withdrawing money from the account without permission.   The child will receive all of his or her savings when he or she is discharged from the program.

Employed Clients

Youth, 14 and older, may maintain a part time job as long as it does not interfere with the youth’s education or treatment.  The foster parent will encourage the youth to deposit 50% of his or her earnings in a savings account.

Self –Sufficiency

Youth in the self-sufficiency scattered site housing program will receive a set amount of program money to help them with their daily living expenses.  The youth will receive only what he or she will need for food, rent, utilities, and transportation.  Unused program money will be kept in a special account for the youth to be paid to the youth upon graduation from the program.   In some cases unused program money may be used to pay for the client's rent or other unpaid bills.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

CLIENT DISCHARGE

Standard:

Standard: 700.04 OH: 5101:2-5-13 (A)(28)

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure to ensure clients reside in the least restrictive environment.  CSI will accomplished this through systematic discharge planning.  Discharge planning will reflect increasing levels of specificity as the child’s long range needs become more apparent.

Purpose:

 

 

CSI will view a client’s placement as a means toward an end.  In order to accomplish successful transitions from one program to another or to community life, considerable planning and preparation must take place.  CSI will play an important advocacy role in ensuring that the benefits derived by the client from participation in the program are not negated or reversed through lack of sufficient support during transitional periods.  Ongoing discharge planning for each client will be an essential component of the CSI program of care and treatment.

   
Procedure:  
 

Discharge planning will be incorporated when possible in the Initial treatment plan and subsequent treatment reviews.  The treatment team may consider:

  • Identification of a placement

  • Community resources to provide support for clients and their families

Whenever possible, a pre-discharge conference will be held to ensure that the child and family are prepared for the successful transition into placement.  The CSI Treatment Director will request the parent, guardian, or custodian, the child, and the treatment team will attend the conference.

Whenever possible, Children's Sanctuary will arrange for the child to have one or more pre-placements visits prior to discharge.  These visits should be arranged by, or with permission from, the public custodial agency.

The agency shall prepare a written discharge summary within 30 days following the date of discharge.  A copy will be provided to the custody provider.  This summary will include the following:

  • Rational for Placement

  • Discharge Diagnosis

  • Discharge Medications

  • Placement History

  • Family History

  • Developmental History

  • Medical

  • Legal

  • Molestation History

  • Alcohol/Substance Abuse

  • Psycho/Social History

  • Overview of Placement

  • Rationale for Discharge

  • Recommendations

  • The address the client was discharged to

The treatment team will receive and review major incident reports of each child throughout the placement.

The treatment team will meet regularly to review each child’s progress.  All critical incidents will be reviewed and discussed as they occur.  When it is determined that a child’s needs are no longer being met, and/or can not be met in the foster care program, a recommendation will be made to the custodial agency that alternative placement arrangements need to be made for the child.

The program director and the executive director must approve any recommendation for emergency discharge.

The treatment team will assist the custodial agency in determining the appropriate after care plan for special circumstances arid emergency discharges, as well as assist with securing an appropriate placement for the child.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

DISCIPLINE AND BEHAVIOR INTERVENTION

Standard:

Standard: 700.05 OH 5101:2-5-13(A)(1). 5105:2-5-13(A)23

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to the discipline of foster children, including appropriate and therapeutic intervention when a child is behaving in a manner that is dangerous to self or others.

Purpose:

 

 

To establish clear directives and guidelines for foster parents and staff in the use of appropriate discipline for foster children including appropriate, therapeutic and effectively intervention when a child is behaving in manner that is dangerous to his or her self or others. Children’s Sanctuary staff and foster parents will use state recognized and approved behavior intervention and de-escalation techniques.

Procedure 1:  
 

A CSI treatment foster caregiver shall treat each foster child with kindness, consistency, and respect.

A CSI treatment foster parent shall provide humane, instructive discipline appropriate to the age and level of functioning of each foster child.

  • Each foster child will be provided a written set of rules for the foster home with a verbal explanation, appropriate to the age and functioning level of the child.  The child shall be informed of the parents’ expectations and acceptable responses to meet the expectations prior to any disciplinary action for violating a rule.  The rules and expectations shall be explained in a manner that is age appropriate for the child’s level of functioning.

  • Disciplinary methods shall stress praise and encouragement for desired behavior rather than punishment.

  • Timeout techniques in accordance with the CSI foster care procedural statement on timeouts shall be utilized to intervene in negative foster child behaviors.

  • A foster child shall not be punished for actions over which he has no control.

  • A foster child shall not be punished for bedwetting or in the course of toilet training activities.

A CSI foster caregiver or staff member shall not subject a foster child to physical punishment, seclusion, mechanical hold, verbal or physical abuse, swearing, and/or sexual exploitation. A foster caregiver shall not discriminate in providing care and supervision to foster children on the basis of race, sex, religion, color, or cultural heritage national origin.  The foster parent shall not threaten the child with physical violence or removal from the foster home.

A CSI foster caregiver or staff CSI member shall not use any of the following punishments:

  • Acts of physical violence against a foster child such as hitting, spanking, paddling, punching, shaking, biting, hair pulling, pinching or rough handling of any sort.

  • Acts that require a foster child to perform physically strenuous work or exercise as punishment.

  • Acts which unduly restrict the treatment or care of a foster child such as forcing the child to take an uncomfortable position, i.e., squatting, bending, or requiring a foster child to repeat physical movements as a means of punishment.

  • Acts that unduly restrict the treatment plan or care of a foster child.

  • Denial of social or casework services, medical treatment or educational services.

  • Denial of visitation or communication with child’s family as a means of punishment.

  • Denial of the foster child’s right to communicate with designated advocates, legal council, parents, spouse or guardian, or qualified agencies or institutions, in private within the family foster home at reasonable times desired by the foster child.

  • Denial of social or recreational activities for excessive or prolonged periods of time (defined by the agency as more than fourteen days).

  • Denial of meals.

  • Denial of sleep.

  • Denial of shelter, clothing, bedding or restroom facilities.

A treatment parent shall utilize techniques of passive hold only in extreme situations.  Hold is justified only when it is necessary to protect the foster child or others from injury.

  • Any physical intervention shall be in accordance with and governed by the techniques and procedures set forth in CSI therapeutic foster care program’s procedural statement on passive hold.

  • Only CSI staff or foster parents who have successfully completed Therapeutic Crisis Intervention (TCI) or Safe Crisis Management (SCM) training may use physical intervention.  Only TCI or SCM approved physical intervention techniques will be used.

  • A treatment parent shall use the least restrictive physical intervention necessary to control a situation.

  • Treatment parents shall not utilize a full face down prone hold.  They will be trained in less intrusive techniques, i.e., hug holds and sitting baskets.

  • The treatment parent must notify the case manager immediately to report any physical intervention.

  • The treatment parent must submit a signed, detailed written report of any physical intervention to the case manager within 24 hours.

  • The recommending agency shall be notified by the caregiver immediately following the use of physical restraint. A detailed written report of the incident shall be submitted by the caregiver to the recommending agency within twenty-four hours following the use of physical restraint. CSI agency shall notify the pubic placing agency (if different) immediately upon receipt of the detailed written report from the caregiver. A copy of the written report shall be placed in the foster child’s record and in the foster caregiver’s record.

  • The CSI treatment parent shall not use any form of chemical or mechanical holds on foster children.

Any act of omission or commission by a treatment foster parent or any member of the treatment foster home that results in the injury, illness, abuse, neglect, exploitation, or death of a foster child shall be grounds for the denial or revocation of a family foster home certification.  The incident will be reported to the appropriate legal authorities.

A CSI foster parent cannot discriminate in the provision of care and supervision of foster children on the basis of race, sex, religion, or cultural heritage.

CSI Foster parents are required to have an annual review in acceptable methods of hold.

CSI Foster parents are required to treat each foster child with kindness, consistency, and respect.

CSI Foster parents shall ensure that each foster child placed in the treatment home, whom is not capable of meeting their own personal hygiene needs, is clean and groomed daily. Clothing and footwear shall be clean, well fitting, seasonal and appropriate to the child’s age and sex.  Foster children capable of meeting their own personal hygiene needs shall be provided with adequate personal toiletry supplies appropriate to the child’s age, sex, race and national origin.  Foster parents shall provide each foster child instruction on good habits of personal care, hygiene, and grooming appropriate to the child’s age, sex, race, national origin, and training needs.

Procedure 2:  
 

Children’s Sanctuary’s will train staff and foster parents to appropriately intervene with a child who is behaving in a manner that is dangerous to the child, one's self or another.  Foster parents will receive training in behavioral intervention and discipline in Institute of Human Services Program for Foster Care, Kinship Care, and Adoption (FAKT) pre-service training for foster and adoptive parents. In addition, staff and foster parents will receive 10 hours training in Cornell University Therapeutic Crisis Intervention (TCI) verbal and non-verbal intervention techniques, excluding physical intervention.  Staff and foster parents will receive ongoing in-service training in behavior management and an annual refresher course in TCI.  Foster parents and/or staff will only use TCI and state approved physical intervention techniques. 

The Children’s Sanctuary Treatment Director and the child’s assigned Treatment Team will determine and approve the use of behavior intervention techniques specific to each child’s needs.  A licensed medical practitioner must approve the type of behavior intervention to be used with a medically fragile child or a child with disabilities.  Specific behavior intervention techniques for each child will be included in the child’s Treatment (Service) Plan. 

Any act of omission or commission by a CSI foster caregiver or other member of the household which results in the death, injury, illness, abuse, neglect or exploitation of a foster child, shall be grounds for the denial or revocation of a foster home certificate. This may be a recommendation of the agency supervising a foster home or the Ohio Department of Job and Family Services. 

The purpose of Children’s Sanctuary behavior intervention techniques will be to help the child regain control in a manner that will enhance his or her emotional growth.  The objective will be to help the child learn effective ways of coping with internal and external stress, and to develop internal controls over his or her actions.

Children’s Sanctuary will not use nor allow to be used, by its staff or foster parents, the following interventions or punishments:

  • Mechanical Holds: handcuffs, shackles, hold jackets, hold blankets, tape or rope.

  • Chemical Holds: Except for psychotropic medication prescribed by the child’s medical doctor, and only in the prescribed dosage.

  • Confinement to a locked Room, Closet, or Basement

  • Confinement to a Bed: unless ordered by child’s doctor due to illness.

  • Corporal Punishment: Spanking, slapping, hitting a child with any object.

  • Threatening a Child with Removal from the Home or Loss of Placement

  • Forcing a Child to Eat or Drink as Punishment, i.e., forcing a child to drink or eat catsup, hot sauce, or items of food.

  • Washing a Child’s Mouth Out with Soap or other chemical.

  • Verbal Abuse: name calling, obscenity, profanity directed at the child.  Any hurtful comments about the child’s person, family, or intelligence.

  • Denial or limiting of Basic Needs: food, sleep, shelter, and medical care.

  • Locking a Child Out of the Home

  • Denial or Limiting of Phone Contact or Visits: with family, case manager, public (custodial) worker, or others approved in the child’s treatment plan.

  • Assignments of Extreme Physical Exercise or Work: forcing a child to run laps, do pushups, or other extreme exercises or work as punishment.

  • Making a child to assume painful or uncomfortable positions, i.e., standing on tiptoe, one leg, standing or sitting in one place more than 15 minutes.

  • Excessive Periods of Grounding: usually one week is sufficient for teenagers.  Any grounding or restriction lasting over two weeks is counter-productive.  Grounding is not recommended for children under ten except on a very temporary basis, i.e., no TV until homework is completed.

Children’s Sanctuary Acceptable Techniques for Behavior Invention

  • Ignoring:  CSI staff or foster parents may chose to ignore certain aggravating or attention seeking behaviors that are not disruptive or dangerous to the child, others, or property.  Examples are nagging, talking loudly, making negative comments, and emotional outbursts that may be annoying, but not dangerous to the child, others, or property.  CSI staff and foster parents will be trained to avoid power struggles with a child.

  • Verbal Intervention: The CSI foster parent or staff member will verbally redirect negative behavior in a calm but firm manner.  Staff and foster parents will be trained to be aware of and to redirect negative behaviors before the child loses control.  Foster parents and staff will be trained in reflective and active listening techniques to help them understand the behavior before reacting to it and to help the child talk out the problem before acting out.

  • Time Out: The CSI foster parent or staff member will ask a child to sit quietly on a chair or sofa until the child recovers his or her composure. The child may be allowed to draw a picture, read a favorite book, or write in a journal.  A child will not be asked to sit for more than 15 minutes.  The rule is one minute for each year of age, but not more than 15 minutes.

  • Time Out in One’s Room: A CSI staff member or foster parent will ask a child to go to his or her room until he or she regains composure.  The staff member or foster parent will visually check on the child every 10 minutes to see that he or she is OK.

  • Taking a Walk: A CSI staff member or foster parent will encourage the child to take a short walk to calm down.  The child will be instructed to stay on the property or in the vicinity of the home.  If the child is gone for more than 15 minutes, the staff member or foster parent will do a visual check on the child to determine his or her whereabouts.

  • Therapeutic Physical Hold: Only escort techniques, no physical hold except as specified above.  If a CSI foster parent physically holds, the Children’s Sanctuary Executive Director, Rescare, and the public (custodial) agency worker will be notified immediately of the incident and the hold.  A written incident report will follow within 12 hours.  If there are any injuries to the child or adults following a physical intervention, a licensed medical doctor will examine the involved child and adults to determine the extent of, and prescribe treatment for, the injuries.  If the child has sustained any injuries as a result of the hold, this will immediately be reported to the local Child Protective Services Hotline and the public (custodial) agency worker.

Physical Hold will not be used by a staff member or foster parent to controlled the child's out of control behavior if:

  • He or she is the only staff member or foster parent present

  • The child is a medically fragile child.

  • The child is a child with disabilities (except for holding techniques approved by the child's physician)

  • The child is in a public place

  • The child is a pregnant teenager

  • The CSI staff member or foster parent does not feel physically capable or comfortable with the physical intervention technique.

  • The child is purposely trying to get the CSI staff or foster parents to hold him or her as a way of getting attention or possible sexual gratification.

  • Children’s Sanctuary staff or foster parents will avoid holding a child of the opposite sex except in extreme cases to protect the child or another’s safety.  At least one adult of the same sex as the child must be involved in and supervise the hold.

  • Children’s Sanctuary staff or foster parents will not attempt to physically intervene with a child who is threatening them or others with a deadly weapon such as a knife, gun or other item capable of causing serious injury or death.  The staff members or foster parents will immediately call the police.

Use the following interventions rather than physical hold:

  • Use verbal controls to calm the child down.

  • Call the Children’s Sanctuary case manager, treatment director, or child’s therapist for assistance

  • Ignore the behavior unless doing so would place the child or another at serious risk for injury.

  • Call the local police.  Do this only when the child’s behavior is so out of control that he or she is dangerous to his or her self or others, or the child has a deadly weapon.

Children with Disabilities

The treatment team and a licensed medical practitioner will approve the type of behavior interventions to be used with children with disabilities.  A licensed medical physician must approve in writing the type and extent of any physical intervention to be used with a child with disabilities.  Physical intervention will not be used with medically fragile children.

Authorization and Approvals

Cornell University Therapeutic Crisis Intervention is a nationally recognized program and training curriculums  Children Sanctuary’s TCI trainers are bachelors and masters level mental health workers certified to train the above curriculums.

Physical hold will be used only when approved by the state and public placing (custodial) agency and only when the child is in the act of hurting his or her self or another and only when other behavior intervention techniques have failed.  Only staff and/or foster parents trained in state approved physical hold techniques will physically hold a child for the purpose of behavior control.

The Executive Director is responsible for approving and monitoring the use of all behavior intervention methods including physical hold.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

INDEPENDENT LIVING

Standard:

Standard: 700.06 OH: 5101:2-42-19

Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for providing independent living assessment and training for all adolescents age 12 and older residing in its foster home. 

Children’s Sanctuary staff and foster parents will be trained and prepared with the appropriate knowledge and skills to understand and address the issues confronting adolescents preparing for independent living. Training will be coordinated with the independent living program.

Purpose:

 

 

To assure that all youth, 12 and older, residing in CSI foster homes are properly assessed and receive ongoing independent living skills training throughout the foster care placement.

To assure that foster parents are adequately trained to provide ongoing instruction in independent living skills to youth in their care.

   
Procedure:  
 

Children’s Sanctuary will provide an Independent Living Plan for each child age 12 and older (14 in Indiana) which will include the following:

  • Educational Goals

  • Income Maintenance

  • Vocational Goal Achievement

  • Knowledge of how to secure adequate housing

  • Daily Living Skills

  • Interpersonal Skills

The Independent Living Plan will be developed in partnership with the youth and included in the youth’s treatment plan.  The youth’s independent living progress will be documented in the youth’s progress report and submitted to the public placing agency and court. 

Children Sanctuary will provide assessments and a program of ongoing training for each youth in the six identified areas listed above.  Assessment and training will be noted in the youth’s progress report. 

Children’s Sanctuary foster parents will provide independent living skills training to each eligible youth within the foster home.  Foster parents will participate with the youth in the Children’s Sanctuary sponsored independent living training program.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

REDRESS OF GRIEVANCE (Client)

Standard: Standard: 700.07
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy redress of grievance for clients and their bio-families.

Purpose:

 

 

To establish a procedure for clients and their bio-families to file a formal grievance with CSI when they believe their rights have been violated by a CSI employee or foster parent.

Procedure:  
  A copy of the child’s (client’s) civil rights will be furnished to the child, parent, or legal custodian upon placement.  The child, parent, or legal custodian has a right to redress of grievance if they feel a foster parent or agency personnel have violated the child’s rights.  Complaints will be in writing and registered with the Regional Director.

The Regional Director will determine what action if any should be taken.  If the complainant is not satisfied with the decision, he or she may appeal to the Executive Director.  If a further appeal is necessary, the complainant may appeal to the public custodial agency caseworker or court.

The right of grievance extends only to violation of the child’s rights.  If a parent or legal custodian believes his or her rights have been violated, he or she should appeal to the public agency caseworker or the court, as these agencies provide the extent and limitation of the parent’s or legal custodian’s rights.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

RELIGIOUS PARTICIPATION

Standard: Standard: 700.08 OH: 5101-2-5-13 (A) (2)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy that recognizes and respects the religion of all CSI clients.

Purpose:

 

  To establish guidelines for staff and foster parents to insure that the religious backgrounds of foster children are respected and incorporated in their treatment.
Procedure:  
  Every foster child will have the right to enjoy freedom of thought, conscience, and religion.

CSI foster parents will permit a child to practice the chosen religious faith of the child or his or her parents, unless it is determined and documented in the child’s case plan by the custodial agency that it is not in the child’s best interest.  CSI and its foster parents will not subject nor allow a foster child to be subjected to any form of religious coercion.

The CSI foster care program and foster parents will not encourage or allow the baptism of a child or submit a child to any religious procedures without consent of the child, the child’s parent, guardian, and the custodial agency.

The CSI program will not require a foster child to receive non-emergency medical treatment, if such treatment conflicts with the child’s religious or cultural beliefs, without written consent of the parent, guardian, or legal custodian.

When a child in foster care requires emergency medical treatment, and such treatment conflicts with the religious beliefs of the child, parent, guardian or legal custodian, CSI will immediately transport or arrange for transportation of the foster child to a medical facility.  CSI will contact the custodial public placing agency or individual that placed the child.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

SAFETY PLAN (See Risk History Checklist and Safety/Service Plan)

Standard: Standard: 700.09
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective policy for the preparation of a Safety/Service Plan, based on the attached Risk/History Checklist prior to, or within seven days of placement.

Purpose:

 

 

To establish an emergency plan for the client, foster parent, and Children’s Sanctuary case manager to insure that the public agency worker, Children’s Sanctuary treatment personnel, and the foster parent(s) are aware of the client’s immediate needs and past/risk history, including medical, psychological and behavior issues.

Procedure:  
  The CSI case manager will develop a Safety/Service Plan based on the client’s needs as indicated on the Risk/History Checklist within seven (7) days of placement.  The Safety/Service Plan will address the client’s risk/history, medical and psychological needs, and behavioral interventions.   This plan must be approved and signed by the public agency worker, the CSI Treatment Director, the CSI Case Manager, and the foster parent(s).   The signers must agree to enforce the Safety/Service Plan.  The CSI Case Manager and the foster parents have primary responsibility for seeing that the plan is adhered too at all times while the foster child is in the foster home. The CSI Case Manager will maintain weekly (daily if necessary) contact with the foster home and note any problems with the Safety/Service Plan in his or her case notes, treatment plans, and monthly progress reports.  Any serious problem that may place the client, another child, or the foster family at risk will be brought to the attention of the Treatment Director and public agency worker.  The CSI Case Manager will have the responsibility and authority to immediately move the client to a respite placement if remaining in the foster home will place the client, the foster family, or other children in the home at risk.

If a child has a history of sexual acting out, violence, or delinquent behavior, the Safety/Service Plan will be completed and reviewed by the public agency worker, the CSI Treatment Director, the CSI Case Manager, and the foster parent(s) prior to placement of the child in the foster home. 

If a client is placed in respite or changes foster homes, a copy of the Safety Service Plan will be given to the new foster parent.  The foster parent(s) must read and sign the plan prior to placement of the client.

Children’s Sanctuary will not place a child in a foster home, if any child, including the child being placed, will be at risk as a result of this placement.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

SOCIALIZATION AND EDUCATION

Standard: Standard: 700.10 OH: 5101:2-5-13 (A)(2)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure to insure children in out-of-home placement receive optimum opportunities to participate in appropriate social and educational activities.

Purpose:

 

 

To establish guidelines for foster parents to insure that foster children in their care are provided with appropriate opportunities to participate in social and educational activities.

Procedure:  
  The CSI foster care program and foster parents will allow privileges and assign responsibilities to a foster child similar to those which would be assigned to a family member of the foster caregiver who is of similar age and level of functioning.

The CSI foster care program and foster parents will make arrangements with the placing agency for each school age foster child to attend a school that complies with the minimum standards as prescribed by the state board of education.  CSI will ensure that the foster child attends school in accordance with the child care agreement. A foster caregiver that provides homes schooling for a foster child shall do so only with the approval of the child’s custodial agency. Any home schooling program used by a foster caregiver shall be approved by the public school district in which the caregiver resides.

Children’s Sanctuary does not allow its foster parents to home school foster children.  All children placed in the CSI foster care program must attend accredited public schools.  A CSI foster child may attend an accredited private school with approval from the custodial agency.

The CSI foster care program and foster parents will encourage a foster child to participate in community, school, recreational, and cultural activities that are age appropriate for the age and functioning level of the child.  The foster parent will, as is necessary and reasonable, arrange appropriate transportation for the foster child to such activities.

The CSI Foster Care program and foster parents will, as appropriate, teach a foster child tasks and skill required for living in the community.

A foster caregiver shall permit a foster child to practice the chosen religious faith of the foster child or his parents, unless it is determined and documented in he child’s case plan by the custodial agency that it is not in the child’s best interest and shall not subject a foster child to any form of religious or coercion.

A foster child shall not be baptized or submitted to any religious procedures without prior consent of the child according to their age and functioning level and prior approval of the foster child’s parent, guardian, or custodian.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

MISSION STATEMENT

Standard: Standard: 800.01 OH: 5101:2-5-02 (B)(2)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure relating to the vision, mission, and goal of its therapeutic foster care program.

Purpose:

 

 

To provide a brief introduction of the mission of Children’s Sanctuary, Inc.

Procedure:  
 

Our Vision is a program that provides our clients and the communities we serve a holistic treatment program that includes the biological family, the foster parents, teachers, caseworker, and others significant persons, and focuses on the emotional, social, medical, and academic needs of the special needs child. 

Our Mission is to provide care, treatment, and case management for the special needs child in a safe, nurturing foster home with trained therapeutic foster parents. 

Our Values:

  • Every child deserves a safe, permanent home with a nurturing, caring family.

  • Every child should be treated with dignity and understanding.

  • Every child is an individual with human rights and legal rights.

  • Every child has a right to participate in the development of his/her treatment plan.

  • Reunification with the biological family should be the primary goal for a child.

  •  If reunification is not possible, than an adoptive home must be found for the child.

Our Goal is stability and permanence for the child, either through reuniting the child with the biological family, adoption, or, in some cases, emancipation.

Children’s Sanctuary serves children with social or emotional difficulties.  CSI will assist these children in developing productive behaviors and life skills that will benefit them throughout their lives.  By looking at the child’s environment, we can make structural changes in the child’s surroundings that will allow the child to alter destructive patterns.

Children’s Sanctuary will offer an array of services that will allow the youth we serve to live in a supportive and safe environment.  Our goal is to effect life long change not only in a child’s behavior, but also in his or her worldview.  In changing this view, we change the future.

The Mission statement will be reviewed periodically by the Executive Director, Treatment staff, and Board of Directors in light of the changing needs of the children and families we serve.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

PROGRAM DESCRIPTION

Standard: Standard: 800.02 OH: 5101:2-5-08 (1)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure describing its programs.

Purpose:

 

 

To provide a general overview of the programming offered by CSI.

Procedure:  
 

Foster Care Network: CSI is a network of foster homes whose goal is for each child to reside in a nurturing and supportive environment that provides the necessary encouragement and opportunity to maximize physical, emotional, and educational development. 

Model: The CSI model provides treatment in the foster home setting through services delivered primarily by the treatment foster parents. Twenty-four hour on call crisis intervention is available and delivered as needed to treatment foster parents, foster children and families. The CSI foster care program is open to individuals from birth to 21. 

Clinical: Therapeutic treatment is based on the child’s individual diagnosis and is provided for each child in the program. The case manager plays a key role in the life of the child from the first day of admission. The case manager facilitates, monitors, and coordinates the child’s case plan, treatment, and care.  He or she provides adult relationships, role modeling, and a system of child advocacy.

Recreation: Recreation is an integral part of the treatment of each individual within the CSI program. Each child is encouraged to join community activities, sports, and clubs. On an individual basis, the program may provide recreational aides to provide fun and age appropriate activities for the child.  The program hosts activities such as picnics to allow the children to interact with each other and provide fellowship opportunities for the foster parents.

Training: The CSI program offers ongoing training to staff and foster parents.  Updating and equipping foster parents with the knowledge they need allows them to improve their skills and become better foster parents for the child. 

Respite: CSI provides respite services to all foster parents in the program.  Respite allows the foster parents to take time off while giving the child and foster parents a well-deserved break from each other.  Respite is planned, but it can be used in a crisis to allow a parent or child to calm down.

ADMINISTRATION

Experience in Providing Treatment for Children

Children’ Sanctuary, Inc. (CSI) is a 501-C-3 not-for-profit, IV-E approved treatment foster care agency based in Fort Wayne, Indiana with offices in Terre Haute, Indiana and Ironton, Ohio.  Children’s Sanctuary is licensed by the Indiana Family and Social Service Administration and the Ohio Department of Job and Family Services.  Founded in 1995, the agency provides therapeutic foster care in state licensed or certified foster homes, case management, counseling, family reunification, and transitional living services for special needs children and their families.  Since February 1996, Children’s Sanctuary has provided therapeutic foster care services for more than 1200 abused, neglected children with serious emotional, behavioral, or medical problems.

Children’s Sanctuary, Inc. is a member of the Indiana Association of Residential Child-Care Agencies (IARCCA), the Ohio Association of Child Caring Agencies (OACCA), and The Foster Family Treatment Association (FFTA).  Children's Sanctuary, Inc. is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).

Risk Management: Deficiencies and Litigation

Risk Management is an integral part of the operation of Children’s Sanctuary, Inc. At the top of our priorities are client safety and employee safety.  Employees and foster parents undergo extensive background checks including criminal history and driving records. Employees and foster parents are trained in policies, procedures, and timelines for reporting accidents, illness, abuse or neglect of a client, critical incidents involving clients and/or staff.  They are trained in accident prevention, and crisis intervention. 

Children’s Sanctuary, Inc. maintains best practices in finance and administration and complies fully with The Fair Labor Standards Act, Workmen’s Compensation requirements, and the Health Insurance Portability and Accountability Act.
  • Deficiencies: None. Children’s Sanctuary, Inc. holds up-to-date child placing licenses and contracts in Indiana and Ohio.  The Indiana Division of Family and Children and the Ohio Department of Job and Family Services review CSI’s programs, standards, and policies annually for compliance with state rules and regulations.
  • Litigation: Children’s Sanctuary, Inc. carries liability insurance on its Directors and Officers, treatment staff and property.  Staff and foster parents must show proof of auto insurance and maintain safe driving records.

Qualifications and Oversight

Qualifications and Experience of Agency: Cecil R. Geary is the founder, CEO, and Executive Director of Children’s Sanctuary, Inc.  He is a master’s level social worker with twenty-eight years experience managing programs for children and adolescents.  Children’s Sanctuary maintains a Regional Director at each of its sites.  The Regional Director has a graduate in Social Work or a related field and two or more years of experience with a placing agency.  The Treatment (Clinical) Director has a graduate degree in Social Work or a related field and five years clinical experience working with families and children.  Children’s Sanctuary foster care social workers have graduate or undergraduate degrees in social work or a related field and two or more years experience with a placing agency.  A voluntary board of directors maintains community oversight of all Children’s Sanctuary programs and services.

Financial Stability of the Agency: Children’s Sanctuary maintains surplus revenue to sustain the operation at optimum levels while awaiting per-diem payments from county and state agencies. The aging cycle on receivables is 60 days. Children’s Sanctuary receives additional funding through donations and from Res-Care, Inc.  Children’s Sanctuary undergoes a financial audit each year from an independent auditing firm.

The Board of Directors reviews and approves all programs and policies of Children's Sanctuary, Inc. and the care and treatment of the children placed in Sanctuary foster homes.  The Board reviews and approves the annual budget and expenditures from surplus revenue and unspecified donation funds. The Board assists the Executive Director in communicating fiscal and program needs to the community.  The Board is comprised of volunteers from the community without regard to race, color, religion, sex, age, national origin, disability, veteran status or political affiliation who have a wide range of skills and abilities and are representative of the population of the population served by the agency.

  • The Board is composed of seven or more members.
  • The Board meets quarterly or more often as needed.
  • The Board maintains written documentation of each meeting.
  • The Board Is the main authority for ensuring compliance with the requirements of the public agency’s administrative regulation and federal, state and local law.
  • The Board recruits and appoints the Executive Director. (Per management agreement with Res-Care, Inc. this responsibility is delegated to Res-Care, Inc.  The Board must approve the appointment.)
  • The Board or its designee obtains a complete background and criminal history check of the Executive Director prior to his or her appointment and annually thereafter.
  • The board approves the mission statement delineating the purpose, objective, and scope of services to be provided.
  • The Board approves Intake policy specifying type of child to be accepted for care.

The Executive Director is responsible to the Board for the management of the agency including recruitment, training, and supervision of qualified staff. The Executive Director is responsible for the child-placing agency and its affiliates pursuant to the child-placing facility’s written policy.  The Executive Director is responsible for developing and overseeing programs, policies, and reviewing the program and policies annually.  The Executive Director oversees fund raising activities and public relations.   He or she is available to the staff, clients, and stakeholders. 

The Executive Director reports to the Board of Directors at each quarterly meeting.  He or she evaluates program services, addresses measurable goals, staff training, and incident reports.  The Board approves the criteria and process of the evaluation.  If the Executive Director is not available, a designated staff person is responsible for the day-to-day operation of the child-placing program. 

Minimum Qualification: The Executive Director has a graduate degree in Social Work and a minimum of five years work experience as an administrator of a human services program.

The Regional Program Director is responsible to the Executive Director for the management of the agency’s regional programs.  The Regional Director works with the Treatment Director in providing supervision, support, and training to the recruiter/trainers, foster care social work staff, and foster parents. The Regional Director works with the Recruiter/Trainer, Treatment Director and foster care social work staff to develop, monitor, and evaluate therapeutic foster parents and the therapeutic foster care program in his or her region.

The Regional Director is responsible for quality assurance in his or her region. The Regional Director works with the Treatment Director and foster care social workers to monitor the program’s effectiveness in the care and treatment of children and families with a variety of social, psychological and medical needs.  The Regional Director communicates frequently with the public placing agency to assure that optimum services are provided to the child and his or her family in accordance with the public agency’s case plan and expectations.  He or she participates in meetings with public agency representatives, biological parents, foster parents, foster children, and other interested parties and agencies to assess the ongoing needs and expected outcomes of children in out-of-home placement.  The Regional Director attends board meetings and provides feedback on service delivery, quality, and needs to the Executive Director and the Board of Directors. The Regional Director provides the Executive Director, the Board of Directors, public placing agencies and other interested parties a quarterly service review of the program in his or her region.

Minimum Qualifications: The Regional Director has a graduated degree in Social Work, Sociology, Psychology, Counseling, or a related mental health field and two years professional experience working with troubled children and families.  He or she may have an undergraduate degree in Social Work, Sociology, Psychology, Counseling, or a related mental health field and five years professional experience working with troubled children and families.

The (Clinical)Treatment Director: The Treatment Director is responsible to the Executive Director and Regional Director for the overall mental health program of the agency.  This includes supervision of therapeutic foster parents and foster care social workers in the delivery of services to foster children.  He or she provides individual treatment planning for each foster child and ongoing staffing with a treatment team.  

As the chief clinician for the agency, the Treatment Director makes mental health recommendations for client children and their families.  The Treatment Director provides individual or family therapy as needed or recommends treatment with a therapist in the community.  The Treatment Director provides monthly, quarterly, and six-month reviews of each child’s treatment to the placing agency and other concerned parties as indicated in the child’s treatment plan. 

Minimum Qualifications: The Treatment Director has a graduated degree in Social Work, Psychology, Sociology, or a related behavioral health field and five or more years experience in the mental health treatment of troubled children and their families.

The Home Resource Coordinator is responsible to the Regional Director and Executive Director for recruitment, training, and retention of qualified foster parents.  He or she is responsible for assuring that all treatment staff and foster parents maintain up-to-date training and knowledge in all aspects of working with troubled children and their families. He or she recruits foster parents and provides pre-service training according to each state’s approved training curriculum.  He or she provides or recruits trainers in the community to provide in-service training for foster parents and case management staff.

Minimum Qualifications: The Home Resource Coordinator has a graduate degree in Social Work, Sociology, Psychology, Counseling, or related human services field and two years experience working with troubled children and their families.  An undergraduate degree in a human service related field and five years experience working with troubled children and their families may be considered in lieu of a graduate degree.

The Family Therapist is responsible for individual therapy, family therapy, and group therapy with children, parents, and foster parents.  He or she will make initial assessments and develop treatment plans according to the needs of the client and family.  He or she is responsible for record keeping in accordance with Medicaid requirements.  The Family Therapist must be able to work collaboratively with foster care social workers, the Department of Child Services and other professionals in the community. 

The Family Therapist responds therapeutically to the needs of the client and family.  He or she has a broad-based knowledge of treatment modalities and the application of these modalities.  He or she is creative, pragmatic, assertive, and capable of acting independently.

Minimum Qualifications:  The Family Therapist has a Master’s Degree in Social Work, Counseling, or related human services field and is licensed or  eligible for licensing by the Health Professions Bureau.  he or she has two or more years experience working with children and families in a clinical setting.

The Director of Training and Quality Assurance assists the Executive Director in assuring and maintaining quality across all aspects of the agency in including treatment and administration.  He or she conducts Best in Class and Best Practices Reviews and gathers data for outcomes and demographic information for continued feedback and assessment of the agency's programs and policies.  He or she provides training to staff as needed to maintain quality assurance in accordance with Children's Sanctuary and Res-Care standards. The Director of Training and Quality Assurance assists the Executive director in preparing for, and maintaining Accreditation from a nationally recognized accrediting body, i.e. CARF, COA, JCAHO.

MINIMUM QUALIFICATIONS:  The Director of Training and Quality Assurance has a graduate degree in Business, Business Administration, Management, Quality Assurance, or other business or social service related field and two or more years professional experience in quality assurance and technical writing with a social services or mental health agency.

The Foster Care Social Worker is responsible to the Regional Director and the Treatment Director. CSI social workers provide casework, counseling, and guidance to children and their families and supervision, guidance and support to foster families.  They work closely with the Treatment Director and public placing agency caseworker to maximize each child’s treatment.  They help develop treatment plans and participate in treatment meetings.  They help the child adjust to placement and the external environment.  They assist in reunification, aftercare, and adoption.  They attend all court and review hearings and submit monthly progress reports to the public placing agency.  The social worker is the liaison and advocate for the foster child with the schools, public placing agency, court, and health and social services.  

CSI social workers carry maximum caseloads of 15 children.  They maintain weekly contact with the child and foster family and visit each child and foster family two or more times each month.  The visit the child away from the foster home one or more times a month.  A Case Manager and a Supervisor are on-call 24 hours, seven days a week for emergencies.

Minimum Qualifications: The Foster Care Social Worker has a graduate degree in Social Work, Sociology, Psychology, or related human services field and two years experience working with troubled children and their families.  An undergraduate degree in a human service field and five years experience may be considered in lieu of a graduate degree.

The Director of Financial Operations is responsible to the Executive Director for all business aspects of the agency.  As the senior accountant for the agency, the Director of Operations oversees accounts, payable and receivable and prepares agency financial reports for the Executive Director, the Board of Directors, the federal IV-E program, and other funding sources. The Director of Financial Operations helps prepare and maintain the annual budget.  He or she works cooperatively with independent auditors, the state, and other financial agencies reviewing Children’s Sanctuary, Inc. financial records. 

As the chief human resources person, the Director of Financial Operations provides guidance to the Executive Director, the Personnel Director, and Regional Directors in personnel actions, i.e., recruitment, promotion, termination, grievance, insurance, retirement, and staff training related to policies and responsibilities.

Minimum Qualifications: The Director of Financial Operations has an undergraduate degree in Business, Business Administration, or Management.  He or she has two years accounting experience and understands modern accounting principles. An associate’s degree and five years professional experience may be considered in lieu of the degree requirement.

The Human Resources Manager manages the agency’s home office, human resources, and provides supervision and guidance to office personnel at regional locations.  The HR Manager monitors labor hours, prepares payroll, and works cooperatively payroll department and Human Resource Department at Res-Care, Inc.  He or she assists the Director of Financial Operations in all areas related to human resources. 

The HR Manager provides provides marketing and public relations support for the agency.  He or she develops and prepares promotional items, i.e., brochures, pamphlets, newsletters, and advertisements. He or she promotes the agency’s programs at conferences and other public events. He or she prepares news releases and represents the agency to the public and the media.  The HR Manager cooperatively with the Public Relations Department at Res-Care, Inc. 

Minimum Qualifications: The Human Resources Manager has an undergraduate degree in Business, Human Resources, Journalism, Communication, Public Relations, or a related field and two years professional experience.  Two years of undergraduate study at a college or university and five years professional experience may be considered in lieu of the degree.

The Administrative Assistant works under the direction of the Personnel Director or the Regional Director.  He or she provides clerical support and record maintenance for all aspects of the program.  He or she answers and directs telephone inquiries, greets and directs visitors, and assist in public relations activities.  

Minimum Requirements: The Administrative Assistant has a high school diploma or equivalent. He or she has two years experience in business, office procedures, and accounting.  He or she has computer, clerical, communication, and writing skills.

Staff Training and Background Checks

Children’s Sanctuary staff receive two weeks of orientation and training when hired, and 30 hours in-service training annually. They undergo extensive reference, criminal history, and sex and violent crime registry checks prior to employment according to each state’s regulations.

The Therapeutic Foster Parent works under the direction of the Treatment Director and the Foster Care Social Worker.  Foster parents are singles or couples trained to care for children with mild to serious emotional, behavioral, and medical problems.  The Therapeutic Foster Parent cares for one or two special needs children. The foster parent provides the child with nurturing, behavior management,, public school education, academic help; social and cultural activities, independent living training, safety, and room and board.  Foster parents who work with medically fragile children are trained in medical and nursing procedures specific to the child’s needs. 

CSI foster parents treat each foster child as an integral part of the family. The foster child accompanies the family on trips to cultural and historical places, concerts, museums, amusement parks, and vacations.  CSI foster parents work with the treatment team to develop a treatment plan that addresses the child’s behavioral, social, emotional, academic needs and permanency plan.  The CSI Foster Parent attends court and review hearings, school conferences, and is the chief advocate for the child. He or she provides transportation for the child to school, counseling appointments, medical and dental appointments, visitation, and recreational activities.  The CSI Foster Parent works with the biological parent when indicated in the treatment plan to assist with reunification. 

Minimum Requirements: Therapeutic Foster Parents are licensed or certified by the state in which they reside to provide foster care services for children and adolescents.  Foster parents must be of good character and model appropriate, positive behavior at all times.  Foster parents complete 36 hours of the state approved pre-service training curriculum, a self-study, and a home study.  They receive additional training in Therapeutic Crisis Intervention, Universal Precautions, First Aid, and CPR prior to licensing or certification.  Foster parents receive additional training specific to the needs of each child placed in their care. Therapeutic Foster Parents complete 30 hours in-service training annually.  Children’s Sanctuary evaluates its foster homes monthly.

Background/Criminal History: Children’s Sanctuary foster parents undergo extensive background checks including references, criminal history, and sex and violent crime registry in accordance with state regulations.

PROGRAM DESIGN

Our Vision: Children’s Sanctuary, Inc. strives to provide the child and family, a holistic treatment program that includes the child, biological family, foster family, teachers, public agency workers, and other significant individuals in the child’s life.  We aspire to focus on the emotional, social, medical, and academic needs of the child.

Our Mission: Children’s Sanctuary, Inc. will provide care, treatment, and case management for the special needs child in a safe, nurturing home environment with trained therapeutic foster parents.  We will exert every effort to provide the best care and treatment for the child in the least restrictive environment.  We will work with the court, the public placing agency, the child, the foster parents, and the child’s biological parents, to re-unite the child with his or her family as soon as possible.

Our Goal is stability and permanence for the child, either through reuniting the child with the biological family, adoption, or self-sufficiency.

Our Values:

  • Every child deserves a safe, permanent home with a nurturing, caring family

  • Every child should be treated with dignity and understanding

  • Every child is an individual with human rights and legal rights

  • Every child has a right to participate in his or her treatment planning

  • Reunification with the biological family should be the primary goal for a child.

  • Adoption when reunification is not possible

Therapeutic Foster Care is the care and treatment in a single family home of the neglected, abused child with serious emotional, behavioral, or medical problems.  The Children’s Sanctuary therapeutic foster care program provides intensive case management services, i.e., weekly contacts with the child and foster family, by-weekly visits to the foster home, counseling, reunification and family preservation.

Respite Care refers to the temporary care of a foster child by another foster parent, to give the primary parent a break. CSI foster parents are encouraged to take four days respite each month.  Emergency respite is available for foster parents at all times.  CSI only uses state licensed/certified foster homes for respite.

Counseling.  Children’s Sanctuary uses a reality oriented family systems approach to counseling. The Treatment Director and Case Manager work with the child, the foster family, and biological family to resolve issues of abuse and neglect, behavior, and thinking. Children who require intensive intervention for serious emotional, medical or education problems are matched with qualified specialists in the community with approval from the public placing agency.  When a child is referred to an outside agency for counseling or psychotherapy, the counselor or therapist contracted for services must meet the minimum academic and professional requirements of the a Treatment Director (see above).  A service agreement with the outside agency specifying services rendered and qualifications of the therapist providing services is kept in the child’s file.

Transportation.  Foster parents and case managers provide transportation for foster children.  They provide transportation to and from counseling, medical appointments, visitation, court and other required events in the foster child’s daily life.  Foster parents and case managers are required to have a valid driver’s license and adequate liability auto insurance.

Youth Served by Children’s Sanctuary, Inc. and Criteria for Placement

 

Children’s Sanctuary, Inc. accepts the following youth, birth to age 18, regardless of race, color, religion, handicap, or national origin.  CSI does not maintain a waiting list.  The order of placement is "first come, first serve" and depends on the availability of a foster parent with the training and experience that best matches the youth's needs.  The CSI treatment team will match each child with the most appropriate foster parent   The CSI Treatment Team includes the Treatment Director, case management staff, and the custodial agency worker.  The Treatment Director or his or her delegate makes the final decision on placement.  If an appropriate match is not found, Children's Sanctuary, Inc. will assist the public custodial agency in finding the best possible placement for the youth.

  • The neglected/abused, child who requires temporary or a pre-adoptive placement.
  • The neglected and abused child who cannot be placed in traditional foster care because of his or her degree of emotional and behavioral problems.
  • Children who are being released from, or, are at risk of, institutional placement.
  • Older youth who are hard to place in traditional foster care.
  • Teenage mothers with children.
  • Physically and mentally handicapped children: Attention Deficit/Hyper-Active, Autistic, learning disabled, mild retardation, cerebral palsy or other physical disabilities that can be managed in a therapeutic foster home.
  • Crack babies, premature babies, children with serious physical injuries, children who require trachea tubes, intestinal tubes, heart monitors, apnea monitors, oxygen, in-home nursing care and numerous trips to the doctor or hospital

Youth Not Served by Children’s Sanctuary, Inc.

Some youth, because of the degree of emotional and behavioral problems, or past criminal involvement, may not be appropriate for foster care.

  • Drug or alcohol dependent youth who needs hospital detoxification and treatment

  • The youth who has committed homicide, attempted homicide, rape, assault with a deadly weapon, or physical assault that caused serious injury or death of another.

  • The child's whose medical condition requires long-term in-patient hospital care.  Children's Sanctuary will consider the child once medical problems are stabilized, the doctor releases the child from the hospital, and an appropriately trained medical needs family can be found who can provide the child's medical needs.

Other Services Provided by Children’s Sanctuary, Inc.

  • Individual, family and group counseling.

  • Supervised visitation when required by the public placing agency or court.

  • Independent living skills training for children 14 and older.

  • Ninety days aftercare when required by public placing agency or court.

  • A Self Sufficiency program in scattered site housing for youth 18 to 21.

PROGRAM INTEGRATION

Referral and Matching

When a child is referred to Children’s Sanctuary, Inc., .the Treatment Director and social work staff review available foster families for an appropriate match.  CSI matches the child with a family that can best serve his or her specific emotional, physical, and academic needs.  When possible, a pre-placement visit is arranged for the child with the prospective family.  Placement may occur immediately or after several visits depending on the emotional stability of the child, his or her readiness for placement, and the availability of a CSI Foster Family that can best serve the child’s presenting needs.

Treatment Plan

A Treatment Team, composed of the CSI Treatment Director, CSI Foster Care Social Worker, public agency caseworker, foster parents, child’s counselor, teacher, and bio-parents when indicated, meets before or immediately after placement.  A pre-treatment plan is prepared at this meeting.  The team prepares the formal Treatment Plan within 21 days of placement.  The Plan includes the child’s social history, psychological, educational, and social needs, short and long term goals, and interventions.  It includes the behavior management plan and services to be provided to the bio-family. 

The treatment team reviews the treatment plan every three months.  Each revision of the treatment plan reviews the child’s, (and the family’s if indicated), overall progress, service needs, and readiness for reunification.  The revised treatment plan identifies new goals, treatment interventions, and level changes in areas using a level system.

Progress Report

The CSI Foster Care Social worker submits a progress report to the custodial agency each month.  The report summarizes the placement, academic, psychological, social progress, and continuing needs.  It includes visitation notes, family involvement, critical incidents and progress in meeting goals and objectives.  It recommends new goals, objectives and interventions as needed.  The report includes an independent living report for youth ages 14 and older.  In areas using a level system, the report recommends an appropriate level assignment. The report may include assessment tools such as the Achenbach Child Behavioral Checklist and the (GAF) Global Assessment of Functioning.

Independent Living

Children’s Sanctuary foster children, age 12 and older, receive independent living training throughout their stay in foster care.  Children’s Sanctuary offers a self-sufficiency program in scattered site housing for youth 18 to 21.

Discharge Summary

The Case Manager prepares a discharge and outcomes report within 10 days of a child’s leaving placement.

Medical, Dental, Eye Exams

A foster child receives a physical, dental, and eye exam at placement and annually thereafter.

Client Files: Each file includes:

  • Application for Admission
  • Admissions Agreement (varies from state to state)
  • Placement Order (Court)
  • Authorization for medical care, mental health care, and release of information

  • Immunization records

  • Current physical examination and any ongoing medical care or problems.

  • Current dental examination and any ongoing dental care or problems

  • Current eye examination and any ongoing eye care or problems.

  • Treatment Plan and revised Treatment Plans

  • Treatment Plan and revised Treatment Plans

  • Progress Reports, includes visitation and independent living reports as indicated.

  • Psychological and/or psychiatric evaluations

  • Psychological or psychiatric consultations

  • Record of case manager’s visits with child, foster family, and bio-family

  • Any legal documents pertaining to the child

  • Written agreements with relatives or other agencies

  • Record of movement or other placements of child while in care

  • GAF – Global Assessment of Functioning scores when indicated.

  • Outcomes Measures when indicated

  • Discharge Summary if child has been discharged

PROGRAM ADAPTABILITY AND FLEXIBILITY

On-Call Assistance and Crisis Intervention

Children’s Sanctuary provides a 24/7 on-call social worker and supervisor for its foster children and foster families.  In the event a child must temporarily be removed from a foster home, short term or long term, Children’s Sanctuary maintains licensed therapeutic foster families who accept emergency and temporary respite placements.  All movements are reported to and approved by the public agency caseworker.

Dealing with Potentially Explosive Situations

Children’s Sanctuary social work staff and foster parents are trained in crisis intervention.  Foster parents are taught in pre-service and in-service training how to intervene and diffuse potentially explosive situations.  CSI social workers and foster parents are trained in therapeutic Crisis Intervention by a certified trainer for safely intervening and diffusing potentially dangerous situations, especially when a child is in danger of hurting himself or others.

Linkages to Community Resources

Children’s Sanctuary Inc. works with local child care agencies, state child care organizations, and national organizations to gather statistical information, obtain, plan, and provide training opportunities for staff and to assess and improve the treatment of children in out-of-home placement.

Case managers and foster parents assist children and biological parents in utilizing community resources such as after school programs, YMCA, YWCA, Boys Club, Girls Club, Scouts, GED preparation, employment preparation, drug and alcohol counseling, programs for non-violence, and physical and sexual abuse victims and offenders programs.

TRAINING AND DEVELOPMENT

Pre-Service Training

Therapeutic Foster Parents: Indiana and Ohio foster parents receive 30 to 36 hours of The Institute of Human Services (IHS) training for foster/adoptive parents, and 10 hours of crisis intervention.  Certified CSI trainers and trainers in the community provide all training.  CSI foster parents receive First Aid, CPR, and Universal Precautions training and training in the state abuse/neglect protocol.  Foster parents working with seriously disturbed children or children with medical problems receive additional training specific to the needs of the child.  Depending on the seriousness of the medical problem, a medically fragile child will be placed with a foster parent who is licensed practical nurse or registered nurse.

In-Service Training: Foster Parents: Foster parents receive 30 hours annually in-service training.  They receive 16 to 22 hours training annually through support group meetings and in-house training and 8 to 16 hours from related training in the community.  They may receive additional training by attending local and state sponsored seminars.

In-Service Training: Staff: CSI staff members receive 30 hours training each year through attendance at conferences and seminars available from local, state and national behavioral health care agencies, child care organizations, and colleges and universities.

Qualifications: CSI staff members are trainers in the Model Approach to Partnerships in Parenting, (MAPPS), The Institute of Human Services (IHS) foster parent and adoption training program, Therapeutic Crisis Intervention (TCI), First Aid, CPR, and Universal Precautions.  Additional training is contracted through other childcare agencies, The American Red Cross, and local hospitals.  Treatment staff and guest speakers provide monthly training at support group meetings.  Other training is available through workshops sponsored by state and national child welfare organizations.

Specific Training and Trainers

  • IHS (FAKT): Institute of Human Services Foster, Adoption, Kinship Training Program.  Trainers: Todd Hunnicutt, BS. Michael Thomas, MS. Lisa Martin, MS.  Marty McClure, BS.  Jo Chumney, MS. Barbara Kelscheimer,

  • MAPPS: Model Approach to Partnerships in Parenting.  Trainers:  Josephine Chumney, MS. Lisa Martin, MS.

  • PRYDE: Presley Ridge Youth Development Extension Program, a competency based training, certification and treatment model for therapeutic foster parents. Trainers:  Josephine Chumney, MS.

  • TCI: Cornell University Therapeutic Crisis Intervention.  Trainers: Michael Thomas, MS.  Todd Hunnicutt, BA. Lisa Martin, MS.  Mark Potter, BS.

  • First Aid, CPR, Universal Precautions, Special Medical Needs.  Trainers: Josephine Chumney, BS. Michael Thomas, MA. Todd Brown, BS. CSI also uses the American Red Cross.  For a medical fragile child, training is contracted from a health care provider, i.e., hospital, doctor, or register nurse.

Sample In-Service training topics available to foster parents and staff

  • Discipline and behavior intervention  

  • Working with the Autistic child

  • Working with victims of sex abuse

  • Working with sexual perpetrators

  • Breaking the chain of abuse and neglect

  • Anger management

  • Substance abuse

  • Control and use of psychotropic medication

  • Teamwork

  • Working with the courts and state and county agencies

  • Building social skills and self-esteem in children

  • Working with biological families

  • Training Youth in Independent Living Skills

PROGRAM EVALUATION

Children’s Sanctuary, Inc. conducts monthly safety checks and quarterly reviews of its foster homes and foster parents.  The Quarterly Quality Assurance and Best in Class report evaluate services provided by the agency and its foster parents, and administrative and financial practices.  Foster parent files, children’s files, personnel files, and financial records are reviewed for compliance with agency, state, and federal policies and regulations.  The agency is surveyed annually by the state licensing office for compliance with state regulations and guidelines.  The agency undergoes an accreditation survey every three years.  The agency is accredit by the Commission on Accreditation of Rehabilitation Facilities (CARF).   

Children’s Sanctuary, Inc. reviews its program every six months for outcomes of children placed with, and released from, the agency.  Satisfaction surveys are sent twice a year to public placing agencies, foster children, foster parents, and bio-parents.

Children’s Sanctuary, Inc. publishes its Annual Outcomes Report in January of each year on its website www.childrenssanctuary.org

Model:  The evaluation is descriptive, based on data collected from the historical logs, client records, internal and external inspections, and satisfaction surveys.  Demographic data is collected on placements and discharges by county, critical incidents, and age, sex, and ethnicity.

Methodology: The agency keeps an up-to-date log of all children placed with the agency and uses a coding system to describe the disposition of all movements of children while in placement.  Data is quantified to determine the percentage of positive and negative outcomes for children released from placement.  Positive outcomes are reunification, adoption, relative placement, and emancipation.  Negative outcomes are disruptions such as runaway, alleged abuse or neglect in a foster home, or placement in a more restrictive environment.  Information included in the evaluation is the average length of time children remain in care.

The agency reviews its accessibility plan, risk management, and financial practices quarterly..

Tools

  • Best in Class Survey

  • Best Practices in Finance and Administration

  • Satisfaction Surveys, i.e. Clients, State Workers, Bio-Parents, Foster parents

  • Treatment Plans, Progress Reports, Discharge Summaries

  • Global Assessment of Functioning scores

  • Other outcome measures when applicable

  • The historical log of all children placed with the agency.

  • Staff, client, and foster parent files

  • Evaluations of staff, foster parents, and foster homes.

  • Critical Incident Reports

  • The Accessibility Plan

  • The Risk Management Plan

FINANCIAL

Services supported by per diem include intensive case management, counseling for the child and biological family, supervised visitation, transportation, supervision, training and support of the foster parents, room and board in a single family home, clothing as needed, educational needs and equipment, reunification and aftercare services.  Children 14 and older receive Independent living skills training throughout their placement.  Per diem payments come from state or county departments of social services and private donations.  Children’s Sanctuary is IV-E approved.  The foster family receives 50% or more of the per diem for the care of the child.

Per Diem rates for 2007 and 2008: Infant $40 to $50. Non-Special Needs - $67, Special Needs - $77.  Therapeutic needs - $87, Medical Needs – $107.  Mother with child – $127.

Basis for Rates

  • Infant 1.  Non-special Needs infant, birth to 2 years old.

  • Infant 2. Non-special Needs infant, 3 to 5.

  • Non-special Needs: Child, age 6 to 12 with no significant behavioral or emotional problems.

  • Special Needs: Child, age 13 to 17.  May have mild to moderate behavioral or emotional problems.

  • Therapeutic Needs: Child with severe behavioral or emotional problems.:

  • Medical Needs: Crack babies, autistic children and children with serious medical or emotional problems, injuries, or handicaps that require intensive care, treatment and monitoring.  The category includes children with life threatening problems or illnesses, children with trachea tubes, intestinal tubes, or other medical equipment, and the child who’s emotional or medical problems require additional training, monitoring, and numerous visits to the doctor or hospital.

  • Teenage mother or father with child.  Youth provides some care for child under the guidance of the foster parent.

Breakdown of Basic Foster Family Compensation

  • Daily Base Rate..............................................................................................$22.00    

  • Daily Clothing Allowance...............................................................................$05.00

  • Daily Recreation Allowance...........................................................................$02.00

  • Daily Transportation Allowance.....................................................................$03.00

  • Daily Supportive Services..............................................................................$03.00

  • Total...............................................................................................................$35.00

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

TREATMENT FOSTER CARE

Standard: Standard: 800.03 OH: 5101:2-5-13 (A) (15), 5101:2-5-36
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. will establish an effective procedure for the operation of a therapeutic (treatment) foster care program for children with special needs.

Purpose:

 

 

To describe Children’s Sanctuary’s therapeutic (treatment) foster care program for children with special needs i.e. neglected, abused child with moderate to serious emotional and behavioral problems.

Procedure:  
 

Therapeutic (Treatment) Foster Care Staffing: Children’s Sanctuary’s foster care social work staff will provide intensive case management services to the child and foster family including documented contact either by telephone or face to face visit a minimum of four times per month (five times for five week months) with the child and the foster caregiver as follows: 

  • Telephone or visit, weekly, at least one of the foster parents of each child on the case manager's caseload. 

  • Visit at least one of the foster parents face-to-face a minimum of two times a month wiat least one visit being in the foster home.

  • Visit the foster child face-to-face a minimum of two times a month with at least one visit in the foster home and one visit outside the foster home without the foster parent(s) present. 

  • These are minimal standards.  More frequent contacts will be provided for a child or foster family needing additional support and therapeutic intervention. 

Foster care social workers will provide counseling, reunification, and family preservation for the child and bio-parents when indicated in the treatment plan.  CSI foster care social workers carry maximum caseloads of twelve special needs children.

Treatment Director: The Treatment Director is the chief clinical person on staff.  He or she will supervise foster homes and foster care social work staff.  He or she will oversee the preparation and implementation of each child's treatment plan.  He or she will attend treatment team meetings and advise and approve treatment plans and revisions to treatment plans.  The Treatment Director, or his or her delegate, will visit each foster home at least once a month and complete a written supervision report.  The Treatment Director will supervise a maximum of six foster care social workers.

Treatment Team: On acceptance into the program, each child will be assigned a treatment team.  The team will include the child’s foster care social worker, the CSI treatment director, the public (custodial) agency worker, the foster parents, other involved parties, (counselors, doctors, school officials as indicated in the case plan), the child, and the child’s biological parents, guardian, or other relatives when indicated in the case plan.  The assigned foster care social worker, under the supervision of the treatment director, will lead the team in developing a plan of treatment for the child and child’s family.  The CSI treatment director will oversee the treatment meeting and approve the treatment plan.  Once approved by the team, the treatment plan will be implemented.  The treatment team will meet monthly to assess progress.  Treatment team members will be notified two weeks in advance of each treatment team meeting and invited to participate.  Documentation of the invitation will be maintained in the child’s record.

Treatment Plan: The treatment team will meet prior to or immediately upon placement and prepare a pre-treatment plan within 7 days of placement.  The treatment team will prepare a formal treatment plan within 21 days of placement including the following:

  • An interpretive summary based on assessment data used to develop the Treatment Plan

  • Social History

  • Assessment of psychological needs

  • Assessment of medical needs

  • Assessment of educational needs

  • Assessment of social needs

  • Assessment of family needs if indicated by public agency case plan

  • Short and long term goals, interventions, and other rehabilitative services to meet the above identified needs for the child and child’s family.

  • The methodology for obtaining goals, interventions, rehabilitative services, and how this is to be evaluated.

  • A behavior management plan

  • The child’s projected length of stay in the therapeutic foster care program

  • The criteria for the child to meet to be reunified with his biological family or guardian, or the projected post-treatment setting into which the child will be placed upon attainment of the treatment goals, i.e., adoption, transitional living, emancipation.

  • Services to be provided or arranged for the child after discharge from the treatment foster care program.

  • How the child’s permanency plan for family reunification, adoption, independent living, or a planned permanent living arrangement, as specified in the custodial agency’s case plan, will be attained.

  • An individualized respite plan in accordance with agency respite policy  (See respite policy)

Revision of the Treatment Plan: The treatment plan will be reviewed and revised every 90 days. The treatment plan may be revised more often depending on the changing needs of the child.  Each revision will review the child’s case plan), goal progress, service needs, and readiness for reunification or other permanency plan.  The revised treatment plan will identify ongoing needs, new goals and interventions, and method for achieving goals and interventions, including how this will be measured.

On-Call Staff: A Children’s Sanctuary professional staff member, i.e., foster care social worker, treatment director, regional director, will be on call 24 hours 7 days a week for foster caregivers and foster children.  A Children’s Sanctuary administrator will be available Monday through Friday and by pager in the evenings and on weekends.

Policy Manual: Treatment foster caregivers will be provided a manual, upon certification, containing all policies, procedures, and other information related to Children’s Sanctuary Therapeutic Foster Care Program.

Implementation and Coordination of Services: Children’s Sanctuary will immediately implement those aspects identified in the treatment (service) plan as its responsibility.  Children’s Sanctuary will coordinate with the agency holding custody (i.e., the public placing agency) of the child in treatment foster care or the child’s parents or guardian for the provision of all rehabilitative services and other necessary interventions contained in the child’s treatment plan and revisions thereto.

Discharge Summary: The foster care social worker will prepare a written discharge summary no earlier than 10 days prior to or later than 10 days after a child leaves placement.  A copy of the discharged summary will be maintained in the child’s record.  Children’s Sanctuary will provide a copy of the discharge summary to the custodial agency.  Note: If the child is placed in respite care, a discharge summary is not necessary, provided the child returns to the original foster home at the end of the respite.  The discharge summary will include:

  • Reason for discharge

  • A summary of the child’s adjustment, progress, and results of placement

  • A summary of the medical, dental, optical, and therapeutic services provided to the child and any ongoing medical, dental, optical or therapeutic needs.

  • The name, official title, or relationship of the person to whom the child was released and the new location or address of the child.

  • Any recommendations for ongoing treatment, including identification of service providers whenever possible.

  • A letter to the state worker, parent and/or guardian requesting regular follow-up information on the discharged client.

Disclosure of Information to Treatment Foster Caregiver: Children's Sanctuary will disclose to the treatment foster caregiver all information available to the agency, and all additional information as it becomes available, about the child and his or her family.  Documentation of the receipt of this information and any updated information will be maintained in the treatment foster caregiver’s record and in the child’s case record.

Licensure of Professional Staff: Children’s Sanctuary will assure that all professional staff members are appropriately licensed according to state licensing requirements.  Children’s Sanctuary’s professional treatment staff and any contractual professional staff will demonstrate to the agency that the training required for professional licensure will be in topics appropriate to treatment foster care.

Annual Treatment Staff Training: Children’s Sanctuary treatment staff will participate in an ongoing staff development program under the supervision of the regional or program director.  A record of each staff member's participation in training will be maintained in the personnel file.  Annual training hours for staff will be based on agency requirements and requirements of the state licensing entity.

Policy Manual for Professional Staff: Children’s Sanctuary will provide professional treatment staff a manual of all CSI policies and procedures relevant to the treatment foster care program at the beginning of their employment.

Support Groups: Children’s Sanctuary will provide support groups meetings for its foster parents.  Children’s Sanctuary will also encourage its foster parents to attend other formal or informal support group meetings in the community organized for the purpose of supporting foster caregivers

Counseling. The treatment director and foster care social worker will work with the child, foster family and biological family to resolve issues of abuse and neglect, behavior and thinking problems. Children’s Sanctuary will use a reality oriented family systems approach to counseling.  Children needing intensive intervention for serious emotional, medical or education problems may be matched with qualified specialists in the community with approval from the public placing (custodial) agency.  When a child is referred to an outside agency for services, the contracted social services worker must be meet the must meet the minimum academic and professional requirements required by the public custodial agency and state regulatory agencies or boards.

Medical, Dental, Eye Exams: Each child in Children's sanctuary Foster Care will receive a physical, dental, and eye exam annually or more often if needed.  Each entering the Children’s Sanctuary Program will be scheduled for a physical, dental and eye examination within ten days of placement.

Progress Report: The CSI Foster Care Social Worker will review the child’s progress each month and submit a monthly progress report to the public placing (custodial) agency.  The report will summarize the child’s progress and continuing needs. The report will include visitation notes, family involvement, critical incidents, progress in meeting goals and objectives and recommend new goals, objectives, and interventions.  In areas using a level system, the report may recommend an appropriate level assignment.  If the child is 14 or older, the report will include the child’s independent living training progress.  The report may also include assessment tools such as the Achenbach Child Behavioral Checklist and (GAF) Global Assessment of Functioning or other required state forms.

Treatment) Foster Parent (Caregiver): The therapeutic foster parent works under the direction of the Children’s Sanctuary foster care social worker case manager, treatment director, and public placing (custodial) agency caseworker.

Therapeutic foster parents are singles or couples trained to care for children with mild to serious emotional and behavioral problems. 

The therapeutic foster parent will provide each foster child room, board, behavior management, guidance, emotional support, public school education, academic help; social and cultural activities, independent living training, love, and safety in a nurturing home environment. 

The therapeutic (treatment) foster parent will treat each foster child with dignity and respect.  Each child will be an integral part of the foster caregiver’s immediate family. The foster child will accompany the family on trips to cultural and historical places, concerts, museums, amusement parks, and vacations with approval from the public placing (custodial) agency.

Minimum Requirements for the Therapeutic Foster Parent: Therapeutic Foster Parents are licensed or certified by the state in which they reside to provide foster care services for children and adolescents.  Foster parents must be of good character and model appropriate, positive behavior at all times. 

Experience: A therapeutic foster parent will have at least two years experience as a certified foster caregiver.  Two years experience as a teacher, childcare worker, nurse, or other human service field working with troubled children and families may be considered in lieu of the above requirement.  The successful parenting of one’s own children who do not have special, exceptional, or intensive needs, will not be the sole criteria for determining equivalent experience required by this policy This rule does not apply to foster caregivers certified prior to April 1, 2003.

Pre-Service Training: Therapeutic foster parents will complete 36 hours of a state approved pre-service training curriculum, a self-study, a home study, and an extensive background and criminal history check.  Foster parents receive additional training in Therapeutic Crisis Intervention (TCI), or SCMI, Universal Precautions, First Aid, and adult, child and infant CPR prior to licensing or certification.  Children’s Sanctuary American Red Cross certified trainers maintain foster parent and staff certifications current at all times.

In-Service Training: Therapeutic foster parents complete 60 hours in-service training in a recertification period.  Children’s Sanctuary evaluates each therapeutic foster home monthly and quarterly. Foster parents may receive additional training specific to the needs of each child placed in their care.

Treatment Team Participation: The therapeutic foster parent is a member of and will participate in all treatment team meetings.  He or she will work with the team to develop and implement the treatment plan for the special needs child.  The foster parent will implement the prescribed treatment plan and each revised treatment plan as part of his or her foster caregiver responsibilities.

Number of Special Needs Children in a Treatment Home: Children’s Sanctuary will not place more than two children with special or exceptional needs in a treatment foster home.  Children’s Sanctuary will not allow a treatment foster home to provide care for more than five children when two of the children have special or exceptional needs.  The only exception is when the public placing (custodial) agency desires to place a sibling group together.  CSI will have written approval from the public placing agency for the placement of special needs siblings when this exceeds the maximum number of special needs children allowed in the home. 

Children’s Sanctuary will notify each custodial agency that has a foster child placed in the home within 72 hours of a special needs placement. The need and rationale for such placement will be documented in the child’s case record and in the foster home record.  No child placed in a foster home prior to or on the effective date of this rule shall be moved to another placement solely to meet this requirement. 

Professional Staff Consultations and Visits with Foster Parents: The Children’s Sanctuary case manager will have weekly consultation and face to face contact at least every two weeks with each treatment foster home serving a child with special or exceptional needs.  This consultation and face to face visit will be with at least one member of each treatment foster caregiver couple or co-parents.  One or more face to face contacts each month will take place in the treatment foster home. 

Professional Staff Consultations and Visits with the Foster Child: The Children’s Sanctuary foster care social worker will have weekly consultation and face to face contact at least every two weeks with each special needs or exceptional needs child placed in a treatment foster home.  At least one face to face contact each month will take place in the treatment foster home.  In addition, CSI will require its foster care social workers to have at least one face to face visit with the child each month away from the foster home.Foster Home Records: The therapeutic foster parent will maintain a file on each foster child placed in his or her home.  The file will contain a written record of the child’s behavior and progress towards achieving treatment goals as identified in the treatment (service) plan for each foster child placed in the treatment foster home.  The written record will be maintained current and kept in the manner prescribed by the Children’s Sanctuary therapeutic foster care program.  The foster parent will keep copies of physical, dental, and eye exams, Medicaid card, treatment plan, and progress reports, and other records pertaining to the placement and care of the child.

Implementation of Treatment (Service) Plan in the Foster Home: Under the direction of the assigned Children’s Sanctuary foster care social worker (treatment team leader), the foster parent (caregiver) will assume primary responsibility for implementing the in-home treatment strategies specified in the child’s treatment plan and any revisions thereto.

Child Advocacy: The therapeutic foster parent will be the chief advocate for the special needs child. He or she will provide transportation for the child to school, counseling appointments, medical and dental appointments, visitation, and recreational activities. The foster parent will attend all court hearings, review hearings, and school conferences for the special needs child

Independent Living: The Therapeutic foster parent will provide in-home independent living skills training for foster children 12 and older (14 and older in Indiana and Ohio).  The foster parent will attend the agency’s independent living training with the foster child. 

Foster Parent Responsibilities to the Biological Parent(s): The therapeutic foster parent will work cooperatively with the family of the child according to the child’s treatment plan and case plan. 

Additional Responsibilities: Children Sanctuary therapeutic foster parents will perform any additional written responsibilities and duties established by Children’s Sanctuary and the public (custodial) agency. 

Foster Parent Responsibilities to the Treatment Team: The Children’s Sanctuary therapeutic foster parent will attend and participate in the treatment team meetings for each child placed in his or her home.  If the treatment foster home certificate is in the name of a couple or co-parents, only one caregiver is required to attend the treatment team meetings unless otherwise specified by Children’s Sanctuary or the public placing (custodial) agency.

Medication Control: Children’s Sanctuary will inform treatment foster caregiver of the potential dangers and side effects of prescription and non-prescription medication for children placed in their home.  The treatment foster parent will keep all medication in a locked cabinet, box, or other secure place.  The foster child will not have access to the foster home’s medication cabinet.  All medication will be dispensed by the foster caregiver.  A child will not be allowed to carry medication of any kind without special permission from the doctor.  The foster parent or other responsible adult such as a teacher or school nurse will give the child the correct dose and observe the child take the medication. The foster parent will maintain a written log of all dispensed medication in accordance with Children’s Sanctuary Therapeutic Foster Care policies.  The case manager will check the medication control in the foster home and the medication log each month.  Copies of the medication dispensed to the foster child will be kept in the child’s file at the Children’s Sanctuary office.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE: MEDICALLY FRAGILE FOSTER CARE
Standard: Standard: 800.04 OH: 5101:2-5-13 (A) (15), 5101:2-5-37
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for the operation of a Medically Fragile Foster Care Program for children with mild to severe medical needs and conditions (See Profile of Youth Served below).

Purpose:

 

 

To describe Children’s Sanctuary’s therapeutic (treatment) foster care program for children with medical needs and conditions.

Procedure:  
 

Medically Fragile Foster Care Staffing: Children’s Sanctuary’s professional social work staff will provide intensive case management services, i.e., weekly contacts with the child and foster family, by-weekly visits to the foster home, and counseling, reunification and family preservation for the child and biological parents as indicated in the treatment plan. 

The CSI Foster Care Social Worker will provide leadership to the treatment team.   CSI Foster Care Social Workers carry caseloads of no more than twelve (12) medically fragile children.  In treatment and implementation of treatment of a child in foster care, a treatment director will supervise the foster care social worker.  The CSI Treatment Director is the chief clinical person on staff.  He will attend treatment team meetings and advise and approve treatment plans and revisions to treatment plans.  He will provide guidance and supervision of the therapeutic treatment program and the implementation of the program in the foster homes.  A treatment director will supervise no more than six (6) foster care social workers.

Treatment Team: On acceptance into the program, each child will be assigned a treatment team.  The team will include the child’s assigned CSI foster care social worker, the CSI treatment director, the public (custodial) agency caseworker, a physician, registered nurse or licensed nurse practitioner, the foster parents, other involved parties, (i.e., counselors, doctors, or school officials), the child if indicated in the case plan, the child’s biological parents, guardian or other relatives when indicated in the case plan.  The foster care social worker will lead the team in developing a plan of treatment.  A physician, registered nurse, or licensed nurse practitioner will supervise the medical aspects of the child’s treatment (service) plan. The CSI treatment director will oversee the treatment meeting and approve the treatment plan.  The treatment team will meet monthly to assess progress.  Treatment team members will be notified two weeks in advance of each team meeting.  Documentation of the invitation will be maintained in the child’s record.

Treatment Plan: The treatment team will meet prior to or immediately upon placement and prepare a pre-treatment plan.  The treatment team will prepare a formal treatment plan within 21 days of placement including the following:

  • Social History
  • Assessment of psychological needs
  • Assessment of medical needs and plan for ongoing treatment.
  • A nursing treatment plan signed by a licensed physician.  The plan will list the child’s nursing needs and any special instruction for administering the medications and any potential side effects.  Note: The nursing treatment plan will be reviewed and approved no less often than every 60 days.
  • Assessment of educational needs
  • Assessment of social needs
  • Assessment of family needs as indicated by public agency case plan
  • Short and long term goals, interventions, and other rehabilitative services to meet the above identified needs for the child and child’s family.
  • The methodology for obtaining goals, interventions, rehabilitative services, and how this is to be measured and evaluated.
  • A behavior management plan if indicated by the case plan.
  • The child’s projected length of stay in the medically fragile program
  • The criteria to be met for the child’s reunification with his parent(s)/family or guardian, or the projected post-treatment setting into which the child will be placed upon attainment of the treatment goals.
  • Aftercare services to be provided or arranged.
  • How the child’s permanency plan for family reunification, adoption, independent living, or other permanent living arrangement, as specified in the custodial agency’s case plan, will be attained.
  • An individualized respite plan in accordance with agency respite policy  (See respite policy)

Revision of the Treatment Plan: The treatment plan will be reviewed and revised every 60 days by the treatment team. Depending on the changing needs of the child, the treatment plan may be reviewed and revised more often.  A physician, registered nurse or licensed nurse practitioner must approve any revision to the treatment (service) plan.  The CSI Treatment Director must approve the revised treatment plan.  

The treatment plan will review in light of the child’s (and family’s if indicated in the case plan) overall progress, service needs, and readiness for reunification or other permanency plan.  The revised treatment plan will identify ongoing needs, new goals, interventions, and method for achieving goals and interventions including how this will be measured and evaluated.  In states or counties using a level system for medically fragile children, the revised treatment plan may recommend level changes.

On-Call Staff: A Children’s Sanctuary professional staff member, i.e., foster care social worker, treatment director, will be on call 24 hours, 7 days a week, for treatment foster parents (caregivers) and their foster children.  A Children’s Sanctuary administrator is also available Monday through Friday and by pager in the evenings and on weekends.  See Administrative Response Policy.

Policy Manual: Children’s Sanctuary will provide the medically fragile foster caregiver a manual containing all policies, procedures, and other information related to the CSI Therapeutic and Medically Fragile Foster Care Program.

Implementation and Coordination of Services: Children’s Sanctuary will immediately implement those aspects identified in the treatment (service) plan as its responsibility.  Children’s Sanctuary will coordinate with the agency holding custody (i.e., the public placing agency) of the medically fragile child or the child’s parents or guardian for the provision of all rehabilitative services and other necessary interventions contained in the child’s treatment plan and revisions thereto.

Discharge Summary: The CSI Foster Care Social Worker will prepare a written discharge summary no earlier than 30 days prior to or later than 30 days after a child leaves placement.  A copy of the discharged summary will be maintained in the child’s record.  Children’s Sanctuary will provide a copy of the discharge summary to the custodial agency (public placing agency) that placed the child. Note: If the child is placed in respite care, a discharge summary is not necessary provided the child returns to the original foster home at the end of the respite.  The discharge summary will include:

  • Reason for discharge
  • A summary of the child’s adjustment, progress, and results of placement
  • A brief summary of medical, dental, optical, and therapeutic services which were provided to the child.
  • The name and official title or relationship of the person to whom the child was released
  • The new location or address of the child
  • Any recommendations for ongoing treatment, including identification of service providers whenever possible.

Disclosure of Information to Treatment Foster Parent (Caregiver): At the time of a child’s placement in the medically fragile foster home, and whenever additional information becomes available, Children's Sanctuary will disclose to the medically fragile foster caregiver all information available to the agency about the child and child’s family pursuant to rule 5101:2-42-90 of the Ohio Administrative Code.  Children’s Sanctuary will provide the foster caregiver written step by step instructions for each skilled procedure required to be performed for each medically fragile child placed in the home.  Children’s Sanctuary will maintain documentation of the receipt of this information in the treatment foster caregiver’s record and in the child’s case record.

Licensure of Professional Staff: Children’s Sanctuary will assure that all professional staff members are appropriately licensed according to state licensing requirements.  Children’s Sanctuary’s professional treatment staff and any contractual professional staff must demonstrate to the agency that the training required for professional licensure will be in topics appropriate to medically fragile foster care.

Annual Staff Training: All CSI treatment staff will be appropriately licensed and complete at least 15 hours training annually in specific issues addressing the needs of medically fragile children and the mission of the agency.

Policy Manual for Professional Staff: Children’s Sanctuary will provide all professional treatment staff a manual containing all CSI policies and procedures relevant to the treatment foster care and medically fragile foster care program at the beginning of their employment.

Support Groups: Children’s Sanctuary will provide support groups meetings for its foster parents.  Children’s Sanctuary will also encourage its foster parents to attend other formal or informal support group meetings in the community organized for the purpose of supporting foster caregivers.

Counseling. The treatment director and foster care social worker will work with the child, foster family and biological family to resolve issues of abuse and neglect, behavior and thinking problems. Children’s Sanctuary uses a reality oriented family systems approach to counseling.  Children needing intensive intervention for serious emotional, medical or education problems will be matched with qualified specialists in the community with approval from the public placing (custodial) agency.  When a child is referred to an outside agency for counseling or psychotherapy, the counselor or therapist contracted for services must meet the minimum academic and professional requirements of a Children’s Sanctuary treatment director (see job requirements). A service agreement with the outside agency specifying services rendered and qualifications of the therapist will be kept in the child’s file.

Medical, Dental, Eye Exams: Each child entering the Children’s Sanctuary Therapeutic Foster care program will receive a physical, dental, and eye examination within ten days of placement and annually thereafter.

Progress Report: The CSI Foster Care Social Worker will review the child’s progress each month and submit a monthly progress report to the public placing (custodial) agency.  The report will summarize the child’s progress and continuing needs. The report will include visitation notes, family involvement, critical incidents, progress in meeting goals and objectives and recommend new goals, objectives, and interventions.  In areas using a level system, the report may recommend an appropriate level assignment.  If the child is 14 or older, the report will include the child’s independent living training progress.  The report may also include assessment tools such as the Achenbach Child Behavioral Checklist and (GAF) Global Assessment of Functioning.

Medically Fragile Foster Parent (Caregiver): The medically fragile foster caregiver works under the direction of the foster care social worker, treatment director, child’s physician, registered nurse or licensed nurse practitioner.  CSI medically fragile foster caregivers are singles or couples trained to care for children with mild to serious medical problems, behavior problems, and emotional problems.  The medically fragile foster caregiver will provide each foster child room, board, home nursing care, behavior management, guidance, emotional support, public school education, academic help; social and cultural activities, independent living training, love, and safety in a nurturing home environment.  The medically fragile foster caregiver will treat each medically fragile child with dignity and respect.  Each child will be accepted as an integral part of the caregiver’s immediate family. The child will accompany the family on trips to cultural and historical places, concerts, museums, amusement parks, and vacations with approval from the public placing (custodial) agency.

Minimum Requirements for the Therapeutic Foster Parent: Therapeutic Foster Parents are licensed or certified by the state in which they reside to provide foster care services for children and adolescents.  Foster parents must be of good character and model appropriate, positive behavior at all times. 

Experience: A Children’s Sanctuary medically fragile foster caregiver shall have at least two years of experience caring for medically fragile children or the equivalent medically fragile child care experience, education or training as determined by the recommending agency. A license as a nurse practitioner, register nurse, or other nursing experience with medically fragile children may be considered in lieu of the above requirement.

A treatment foster caregiver, medically fragile caregiver, initially certified after 8-21-08 shall meet at least one of the following requirements:

  1. A minimum of 365 days of caring for a foster child in placement as a certified foster caregiver

  2. A minimum of 60 hours of training in a classroom setting that complies with the following: Training shall be completed within 24 months prior to the date of application for initial certification as a specialized foster caregiver.

  3. For a certified caregiver the training shall be completed within 24 months of the certified caregiver’s written intent to upgrade their certification if the caregiver does not meet the requirements of having a minimum of 365 days of caring for a foster child in placement as a certified caregiver.

  4. The training shall relate to children with special or exceptional needs as defined in rule 5101:2-47-18 of the OAC.

  5. A minimum of 5 years cumulative experience caring for a child in the home of the foster caregiver or applicant on a daily basis.

  6. A minimum of 1 year of cumulative experience caring for a child who has special or exceptional needs as defined by rule  5101:2-47-18 of the OAC.

Pre-Service Training: All Children’s Sanctuary treatment and medically fragile foster caregivers will complete 36 hours of a state approved pre-service training curriculum, a self-study, a home study, and an extensive background and criminal history check. Foster caregivers receive additional training in Therapeutic Crisis Intervention (TCI), Universal Precautions, First Aid, and adult, child and infant CPR prior to licensing or certification. Medically fragile foster caregivers receive at least ten hours training specific to the needs of the medically fragile child.  Children’s Sanctuary American Red Cross certified trainers maintain foster parent and staff certifications current at all times. 

In-Service Training: All Children’s Sanctuary treatment and medically fragile foster caregivers will complete 60 hours in-service training every 2 years. Foster parents will receive additional training specific to the needs of each child placed in their care.

Treatment Team Participation: The Children’s Sanctuary medically fragile foster caregiver is a member of and will participate in all treatment team meetings.  He or she will work with the team to develop and implement the treatment plan for the medically fragile child.

The CSI medically fragile foster caregiver will implement the prescribed treatment plan and every revision thereof as part of his or her responsibilities.

Number of Medically Fragile Children in a Treatment Home: Children’s Sanctuary will not place more than two medically fragile children in a foster home.  Children’s Sanctuary will not allow a medically fragile foster caregiver to provide care for more than five children when two of the children are medically fragile. The only exception is when the public placing (custodial) agency desires to place a sibling group together.  Children Sanctuary will have written approval from the public placing (custodial) agency for the placement of siblings when this exceeds the maximum number of medically fragile or other children allowed in the home under this rule.

Children’s Sanctuary will notify any custodial agency that has a child placed in the home within seventy-two hours if more than two medically fragile children are placed in the home. The need and rationale for such placement will be documented in the child’s case record and in the foster home record.

Note: No child placed in a foster home prior to or on the effective date of this rule shall be moved to another placement solely to meet this requirement.

Professional Staff Consultations and Visits with Foster Parents: The CSI Foster Care Social Worker will have weekly consultation and face to face contact at least every two weeks with each foster home serving a medically fragile child.  This consultation and face to face visit will be with at least one member of each treatment foster caregiver couple or co-parents.  One or more face to face contacts each month will take place in the foster home. 

Professional Staff Consultations and Visits with the Foster Child: The CSI Foster Care Social Worker will have weekly consultation and face to face contact at least every two weeks with each medically fragile child.  At least one face to face contact each month will take place in the foster home. 

Foster Home Records: The Children’s Sanctuary medically fragile foster caregiver will maintain a file on each medically fragile child placed in his or her home.  The file will contain a written record of the child’s emotional response to treatment and progress towards achieving the treatment goals as identified in the child’s treatment (service) plan.  The written record will include signed documents of treatment provided by any health care professional, as well as records of any hospitalizations and hospital emergency room or urgent medical care visits.  All documentation will be maintained current and kept in a file cabinet in the foster caregiver’s home.  The foster caregiver will keep copies of physical, dental, and eye exams, Medicaid card, treatment plan, and progress reports, medication logs and other records. 

Implementation of Treatment (Service) Plan in the Foster Home: Under the direction of the assigned Children’s Sanctuary Foster Care Social Worker (team leader), the medically fragile caregiver will assume primary responsibility for implementing the in-home treatment strategies specified in the child’s treatment plan and any revisions thereto. 

Foster Caregiver Responsibilities to the Biological Parent(s): The medically fragile foster caregiver will work cooperatively with the family of the child according to the child’s treatment plan and case plan.

Additional Responsibilities: Children Sanctuary medically fragile foster caregivers will perform any additional written responsibilities and duties established by Children’s Sanctuary.

Foster Caregiver Responsibilities to the Treatment Team: The Children’s Sanctuary medically fragile foster caregiver will attend and participate in the treatment team meetings for each medically fragile child placed in his or her home.  If the medically fragile foster home certificate is in the name of a couple or co-parents, only one caregiver is required to attend the treatment team meetings unless otherwise specified by Children’s Sanctuary or the public placing (custodial) agency.

Child Advocacy: The medically fragile foster caregiver will be the chief advocate for the medically fragile child. He or she will provide transportation for the child to school, counseling appointments, medical and dental appointments, visitation, and recreational activities. The foster parent will attend all court hearings, review hearings, and school conferences for the special needs child.

Independent Living: The medically fragile foster caregiver, when appropriate and noted in the treatment plan will provide in-home independent living skills training for medically fragile foster children 14 and older.  He or she will attend all agency sponsored independent living training with the medically fragile child.

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

 
TITLE:

PROGRAM EVALUATION

Standard: Standard: 800.05 OH: 5105:2-5-13(A)(18)
Approved: Cecil R. Geary, Executive Director
Effective: 01-01-2009 
Policy:  
 

Children’s Sanctuary will establish an effective procedure for evaluating its therapeutic foster care program

Purpose:

 

 

To provide for six month and annual evaluation of the CSI therapeutic foster care program to insure a delivery of services that meets the needs of children, their families, the foster caregivers, and the public placing (custodial) agency.

Procedure:  
 

The Children’s Sanctuary program undergoes a Quality Control Initiative Review twice a year. The QCI evaluates quantity and quality of services provided by foster parents and staff.  Foster parent files and children’s files are reviewed for compliance with state requirements. Foster home are evaluated for compliance with state and CSI requirements.  The report generates statistical information and charts.  The evaluation is designed to protect the confidentiality of children, bio-families, foster parents, and staff.

Children’s Sanctuary conducts a six-month satisfaction survey with children, the foster parents, and the public placing (custodial) agency in June and December.  The survey is conducted anonymously to assure objectivity and confidentiality.

Res-Care, Inc. conducts an annual employee satisfaction survey through an independent agency.

Children’s Sanctuary reviews its program annually for outcomes of children placed with, and released from, the agency over the past year.  Children’s Sanctuary’s primary mission is to provide a safe, nurturing, therapeutic environment for the neglected, abused and/or medically fragile child. The ultimate goal for each child is reunification with the biological family, adoption, or emancipation.  The annual review addresses the question, “are we doing what say we are doing?”

Evaluation Tools

  • Evaluations of staff, foster parents, and foster homes
  • Satisfaction Surveys: child, foster parents, caseworker, bio-family 
  • Best in Class and Best Practices evaluation tools
  • Staff and foster parent files
  • Treatment plans, progress reports and discharge summaries
  • The historical log of all children placed with the agency
  • GAF scores and/or other outcome measures when applicable

Results are available to the public on our website: www.childrenssanctuary.org

 

 

CSI Organizational Chart - 100.06

 

 

 

 

 

 

Children's Sanctuary, Inc. 

TREATMENT FOSTER CARE PROGRAM: OPERATIONAL PROCEDURE MANUAL

TITLE:

OHIO: PRE-PLACEMENT AND CONTINUING TRAINING: Traditional Foster Family Homes, Treatment Foster Family homes (includes training curriculums for Ohio).

Standard:

Standard: 600.19 OH: 5101:2-5-13 (A)(8); 5101:2-5-40(F)(4)

Approved:

Cecil R. Geary, Executive Director

Effective:

01-01-2009

 

 

Policy:

 

 

Children’s Sanctuary, Inc. (CSI) will establish an effective procedure for providing family foster home, treatment foster home, and medically fragile foster home foster parents (caregivers) orientation, pre-service training, and ongoing training in the best practices of caring for children with special, and/or medical needs.  This policy, pre-placement, and continuing training program is approved by the Children’s Sanctuary Executive Director.

Purpose:

 

 

The primary goal of Children’s Sanctuary’s pre-placement training program is to prepare individuals and families to make informed decisions about providing foster care for non-special needs children, special needs children and medically fragile children.  These decisions are based on the capability and willingness of the individual or family to continue to develop the skills to fulfill the role of foster caregiver. 

The secondary goal of Children’s Sanctuary’s continuing training program is to help foster caregivers of non-special needs, special needs, and medically fragile foster children to continue to develop their skills and acquire new skills and knowledge. 

The foster caregiver that continues to learn and grow will make competent decisions and provide the best possible care and treatment for the child.  He or she will work effectively with Children’s Sanctuary, the public (custodial) agency, the courts, the schools, the birth parents, and other involved individuals or agencies in the community. These partnerships will add to a foster child’s sense of stability and permanence.

Procedure:

 

 

Children’s Sanctuary will provide a training program that includes pre-placement training and continuing training for prospective and current foster caregivers.  The training curriculum will target foster caregivers that want to be certified, or continue to be certified, as foster caregivers for the non-special needs child and special needs child.  Note: CSI staff or professionals in the community who are approved or certified will provide all training listed below.

Pre-Placement Training –Ohio foster caregivers will complete 36 hours of training, which includes 24 hours of training from IHS Pre-Service curriculum and 6 hours training in Therapeutic Crisis Intervention.  CSI foster caregivers will receive 6 training in First Aid, Infant, child, and adult CPR, Universal Precautions, and the state’s abuse/neglect protocol.  If needed, additional training will be required pertaining to  issues specific to the types of children placed in the type of specialized foster home the person seeks to operate. The programs listed above are established, nationally accepted training curriculums for foster caregivers, kinship caregivers, adoptive parents, and child care workers who care for children with a variety of emotional and behavioral problems.  Certified trainers will conduct all training.

Continuing Training: Children’s Sanctuary will provide a minimum of 60 hours continuing training for its foster caregivers every 2 years in Ohio. The continuing training program shall be in accordance with the foster caregiver's written needs assessment and continuing training plan and shall include additional issues specific to the types of children placed in the type of specialized foster home for which the caregiver is certified. Such training shall also include continuous maintenance of certification in a first aid training program and a child and adult cardiopulmonary resuscitation (CPR) CPR certification training program such as those training programs offered by the American red cross, the American heart association,   Twice a year Children’s Sanctuary will provide a 6 hour refresher course in Therapeutic Crisis Intervention (T.C.I.) in Ohio.

Children’s Sanctuary sponsored training will be held at the CSI office.  CPR, First Aid, Universal Precautions and TCI classes will occur every six months.  Classes may be held at other locations depending on the size of the class.  Foster caregivers (foster parents) will be informed by letter and given directions.

Development and Evaluation of Training: The Executive Director, Regional Director, and Home Resource Coordinator is responsible for developing, organizing and monitoring all training program in accordance with the needs of the children, foster caregivers, and state guidelines.  Foster caregivers will be evaluated at the beginning and conclusion of training to assess their knowledge, grasp of principles, and successful completion of the course.  The CSI Home Resource Coordinator will notify the recommending agency or the foster caregiver’s agency of the successful completion of the course.

Selection of Trainers: Children’s Sanctuary will employ a full time trainer to provide training to foster caregivers.  The CSI trainer will possess a combination of academic credentials and experience to provide training to foster caregivers (see Job Description-Home Resource Coordinator).  Children’s Sanctuary trainers will be certified by the organization responsible for the specific training course, i.e., The Institute of Human Services Program for Foster Care, Kinship Care, and Adoption, Cornell University Therapeutic Crisis Intervention (TCI), and the American Red Cross and American Heart Association First Aid, CPR, and Universal Precautions.

Trainers From Other Agencies: The Children’s Sanctuary Executive Director, Regional Director, and CSI trainer must approve all courses provided by trainers from other agencies to its foster caregivers.  Trainers from other agencies must provide documentation to CSI of academic and professional credentials and experience prior to providing training to CSI foster caregivers.  The CSI Executive Director, Regional Director, and Trainer are responsible for evaluating each trainer’s credentials. The Children’s Sanctuary Executive Director approves all training.  A record including subject, date, training hours, trainer’s name, credentials and experienced will be kept in a training file in the CSI office.

Evaluation of Trainers: The CSI Executive Director or Regional Director evaluates the CSI Trainer annually.  CSI will evaluate the Trainer’s performance and competency based on supervisor observation, foster caregiver surveys, and completion of job requirements, including personal annual on-going training.

Evaluation of a Trainer from another Agency: Foster caregivers will complete a survey at the end of each training course evaluating the trainer and the training.   These evaluations will be kept in the training file at the CSI office and will be used by the Executive Director, Regional Director, Trainer, and training team members to evaluate the trainer and effectiveness of the training.

Notifying Agencies and Foster Caregivers of Upcoming Training: Children’s Sanctuary will maintain a calendar of training opportunities available from CSI and in the community.  This calendar will be sent to foster caregivers each month. CSI will post upcoming training on its website, www.childrenssanctuary.org, and in the local newspaper whenever possible.  CSI will also notify its foster caregivers by letter or telephone of upcoming training events, especially mandatory re-certification training such as TCI, CPR, First Aid, and Universal Precautions.

Foster caregivers from other agencies may attend any CSI sponsored training.  Those interested in attending courses at CSI will be asked to RSVP to maintain appropriate class size.  All CSI sponsored training will be offered free of charge except for certain material costs, i.e., training manuals.

Maintenance of Training Records: A record of each training course, including subject, hours, date, trainer, trainer’s credentials, and attendance will be kept at the CSI office.  The CSI trainer will use the attendance log to track training by course to determine needs and interests.  A record of each CSI foster caregiver’s training, including the dates of the training, course title, hours completed, and trainer will be kept in the foster caregiver’s file at the Children’s Sanctuary office.

Foster Caregivers from Other Agencies: The CSI Trainer will provide foster caregivers affiliated with other agencies with the course title, curriculum outline, hours completed, and a training certificate when the foster caregiver successfully completes the course.  CSI will send copies of these documents to the foster caregiver’s referring agency or agency with which the foster caregiver is affiliated.

Evaluation of Training: Training courses and trainer effectiveness are evaluated after each training session and on completion of the training by the attending foster caregivers. A group discussion will occur at the completion of training to assess the degree of new knowledge and effectiveness of the course.  Documentation of the group discussion for each training event will be kept in the training file at the CSI office.  In addition, foster caregivers will complete an anonymous survey assessing the course and trainer after each session and at the conclusion of the training curriculum.  These surveys will be kept in the training file at the CSI office.

A written evaluation of the effectiveness of each training course and the overall effectiveness of the training program will be prepared every two years by a Children’s Sanctuary Training Team.  The Training Team will be comprised of the CSI Regional Director, Trainer, Case Manager, and at least one CSI Foster Caregiver.  Training files for each course, foster caregiver surveys, foster caregivers’ needs assessments, CSI foster care social workers surveys, and surveys from other agencies that referred foster caregivers to CSI training will be used.  The evaluation with recommendations will be submitted to the Executive Director for approval.  The evaluation will be available to foster caregivers, other foster care agencies, and county and state public custodial agencies.  The CSI Training Team will use the evaluation as a tool for planning future pre-placement and continuing training.

Overview of CSI Training Plan:

  1. Orientation and Pre-service Training
  2. Red Cross & American Heart Association First Aid and CPR
  3. Child specific training
  4. Monthly in-service classes for on-going training requirements
  5. In-home foster parent training
  6. Video, on line classes and workbook training

Orientation and Pre-placement Training Description:

  1. Orientation:  All prospective foster caregivers will have an orientation about the CSI program, including agency policies and procedures, agency and foster caregiver responsibilities, state policies, procedures, and requirements for certification of foster caregivers, and the state’s abuse/neglect protocol.
  2. CSI foster caregivers will complete at least 36 hours of pre-service training to meet CSI and state requirements.  The training will be divided into 3 and 6 hour sessions.  Training will be held at the Children’s Sanctuary office.
  3. Foster caregivers complete 6 hours TCI training.
  4. Foster caregivers will be trained in First Aid, Infant, Child, and Adult CPR, and Universal Precautions.  Foster caregivers will also receive additional training specific to the child’s needs prior to receiving the child in their home. The Children’s Sanctuary Executive Director has approved the following training programs and curriculums for foster caregiver pre-service and in-service training.  Children’s Sanctuary employs trainers certified in the specific training program to conduct the following training programs and curriculums.

OUTLINE OF PRE-PLACEMENT TRAINING PROGRAM 

INSTITUTE OF HUMAN SERVICES: FOSTER CARE, KINSHIP CARE AND ADOPTION 

SESSION I. (3 hours)

*       Overview of Foster Care, Kinship Care and Adoption

*       Goals of Pre-service Training 

*       Policies, Procedures, Responsibilities

*       Specific Program Information

*       The legal rights and responsibilities of foster caregivers

*       ODJFS requirements for certifying foster homes

*        

SESSION II. (3 hours)

*       Welcome and Introductions

*       Child Welfare System Overview

*       Presentation of Terms and Definitions

*       Agency Goals and Purpose for Service

*       History of Foster Care and Adoption: Application Activity

*       The Importance of Team Approach: Overview of Team Building

*       Understanding the Case Manager’s Perspective

*       Exploring the Advantages and Disadvantages

*       Wrap up Activity

SESSION III. (3 hours)

*       Definitions of Child Abuse and Neglect

*       Contributing Factors to Child Abuse and Neglect

*       Video Clip: “Silent Scare”

*       Indicators of Abuse and Neglect

*       The Four Developmental Domains

*       The Impact of Abuse and Neglect on Child Development

*       Preparation of Independent Living

SESSION IV. (3 hours)

*       Introduction to Attachment and Separation

*       A Brief Look at Attachment

*       About Separation: Plant Exercise, Guided Imagery, & Video

*       Understanding the Grieving/Adjustment Process

*       Minimizing the Trauma of Separation

*       Introduction to Life Books and Family Books

*        

SESSION V. (3 hours)

*       Discipline: “What’s Wrong With This Picture"

*       What Exactly is Discipline?

*       Reasons for Children’s Misbehavior

*       Types of Interventions:

*       Fitting the Strategy to the Child

*       Revisiting Eddy’s Case

*        

SESSION VI. (3 hours)

*          Defining Culture: The Circle Exercise

*          Values

*          Applying Culture to Substitute Care.  Avoiding Common Pitfalls

*          Exercise: Cups and Beads

 SESSION VII. (3 hours)

*       Introduction

*       Exploring Our Own Issues

*       The Loss Experienced by Families with Children in Care

*       Substance Abuse Issues Among Primary Parents

*       A Continuum of Care

*       Will the Real Birth Parent Please Stand Up

SESSION VIII. (3 hours)

*       Stresses Faced by All Families

*       Coping Mechanisms

*       Unique Stresses of Being a Foster, Adoptive, or Kinship Parent

*       Preventing a Family Crisis

*       Owning Your Own Solution

*       Special Situations and Recurring Themes

*       The Phenomenon of “Splitting”

*       The Place of Third Party Investigations

*       Communicable and Sexually Transmitted Diseases

*       Information to be shared with the foster caregiver when a child who has been adjudicated a delinquent for the commission of certain violent crimes is placed in a foster home in accordance with Section 2151.62 of the revised code.

 

THERAPEUTIC CRISIS INTERVENTION FOR FAMILY CAREGIVERS (6 HOURS)

Session One- 30 Minutes

Introduction- 5 minutes

Crisis Vignettes-10 minutes

Stress Model of Crisis-10 minutes

Assessing the Situation-5 minutes

 

Session Two-60 Minutes

The Importance of Self-Awareness-15minutes

Adults as Role Models-15 minutes

Knowing the Child-15 minutes

Childs Needs and Behavior-15 minutes

 

Session Three-60 Minutes

Awareness of the Environment-10 minutes

Limit Setting-20 minutes

Choices and Consequences-20 minutes

Agency Policies and Procedures-10 minutes

 

Session Four-60 Minutes

Intervention Approaches Questionnaire-20 minutes

How Do I Best Respond-30 minutes

The Care Team-10 minutes

 

Session Five-45 Minutes

Dealing with our Own Anger-15 minutes

Nonverbal Communication-10 minutes

Encouraging and Eliciting Techniques-15 minutes   

Reflecting Techniques-5 minutes

 

Session Six-30 Minutes

Attention and Planned Ignoring- 15 minutes

Power and the Crisis Cycle-15 minutes

 

Session Seven-75 Minutes

Behavior Management-20 minutes

Behavior Management Techniques-25 minutes

Life Space-10 minutes

Nonverbal Crisis Communication- 10 minutes

I ASSIST-10 minutes

FOSTER CAREGIVER NEEDS ASSESSMENT AND CONTINUING TRAINING

Children’s Sanctuary Ohio foster caregivers will receive 60 hours of continuing training over the two year period of their license or certification.  The continuing training program shall be in accordance with the caregiver's written needs assessment and continuing training plan and shall include, if applicable, the trainings listed below, and also additional training specific to the types of children placed in the type of specialized foster home for which the caregiver is certified.

PROPOSED CONTINUED TRAINING TOPICS

*       Parent’s and Foster Caregivers as Part Child Protection Teams ( 2 hours)

*       The Dynamics of Child Abuse And Neglect  (2 hours)

*       Recognizing and Preventing Child Abuse and Neglect (2 hours)

*       The Effect of Child Abuse and Neglect on Child Development (2 hours)

*       Placement, Separation and Attachment (4 hours)

*       Behavior Management Techniques (2 hours)

*        Foster Caregivers’ Working With Children’s Families (2 hours)

*       Effects of Foster Care on Children’s Families (2 hours)

*       Caring for Children Who Have Been Sexually Abused (12 hours)

*       Cultural Competency (2 hours)

*       Substance Abuse and Dependency (4 hours)

*       Symptoms of Mental Illness and Learning Disorders (2 hours)

*       Developmentally Appropriate Activities for Children (2 hours)

INDEPENDENT LIVING TRAINING

Preparing the Adolescent for Independent Living: Training is for the prospective foster caregiver who will be providing care for a youth expected to remain in foster care until the youth’s eighteenth birthday).  Training is pursuant to Rule 5101:2-42-19 of the Ohio Administrative Code and Indiana rules pertaining to Independent Living Skills training of youth in foster care (Training is ongoing).

Independent Living Training for Foster Caregivers: All CSI foster parents receive ongoing training in teaching independent living skills.

Independent Living Training for Youth: All CSI youth, 14 and older will receive ongoing independent living training. The youth’s independent living progress is reported in the monthly progress report to the public (custodial) agency.

OTHER CONTINUING TRAINING

Children’s Sanctuary will also accept continuing training that is completed outside of a classroom where a trainer is not present on an individualized basis.  Such training shall be consistent with the agency's written needs assessment and continuing training plan developed for the foster caregiver. If out of the classroom training is used, the hours cannot exceed more than one-.third, or 20%, of a foster care giver's continuing training requirements. To be accepted by Children’s Sanctuary to meet a foster caregiver's continuing training requirements, the training must include a transfer of learning component prior to or following the training

Continuing training completed outside a classroom may include training offered through the following methods:

(i)        Video presentations.

(ii)       Books or magazines.

(iii)      Computer programs.

(iv)      Internet sites.

(v)       Interactive video presentations.

Transfer of learning components may include the following:

(i)        A pretest.

(ii)       A posttest.

(iii)      A discussion following the training.

 

 (TCI) Therapeutic Crisis Intervention: We offer two 10-hour refresher courses annually.

Special Training: Foster caregivers receive ongoing training specific to the needs of the treatment (therapeutic needs) child placed in their home.

First Aid, infant, child, adult CPR, and Universal Precautions (required to be completed prior to expiration): CSI offers two First Aid, CPR, and Universal Precautions classes each year from American Red Cross certified trainers.

Evaluation: Foster caregivers competencies in training areas are evaluated through trainer observation and written and physical skills testing.  Evaluations are kept in the foster caregiver’s file at the CSI office.  Foster caregivers may participate in and receive credit for training in additional topics related to working with children in foster care and adoption that are not listed above.

Training Qualifications: Children’s Sanctuary’s professional staff are certified trainers in  (I.H.S.) The Institute of Human Services Foster Parent, Kinship, and Adoption training program, (T.C.I.) Therapeutic Crisis Intervention, and First Aid, CPR, and Universal Precautions.

Additional training may be contracted through other agencies, The American Red Cross, medical professionals, and local hospitals.  CSI staff and guest speakers provide monthly training at support group meetings.  Other training is available through workshops sponsored by local, state, and national mental health and social service organizations.

TRAINING AND TRAINERS

Institute of Human Services Foster, Adoption, Kinship Training Program

Trainers: Mark Potter, Lisa Martin, MS. Marti McClure, BS. Todd Hunnicutt, BS. Michael Thomas,

TCI: Therapeutic Crisis Intervention for Family Caregivers, Cornell University

Trainers: Michael Thomas, MS.  Todd Hunnicutt,

First Aid; Infant, Child, Adult CPR; Universal Precautions

Trainers, Mark Potter, Lisa Martin, Michael Thomas, Robert Hernandez

Children’s Sanctuary will also use the American Red Cross for CPR, First Aid, and Universal Precautions training.

TYPICAL TRAINING BUDGET FOR FOSTER CAREGIVERS

Background and Criminal History Checks.....................................................$1,600

Manuals and Books for Continuing Training.......................................................500

Travel..............................................................................................................................300

Other Training Supplies...........................................................................................1000

Room Rental.................................................................................................................400

Snacks............................................................................................................................700

Staff Lodging................................................................................................................900

Staff Meals.....................................................................................................................400

Trainer Costs..............................................................................................................3600

Training Manuals: FAKTS.........................................................................................500

Training Manuals: TCI................................................................................................500

Total........................................................................................................................$10,400