Intake And Investigation,Foster Family Assessment

Foster Family Assessment

Supervisory Case Review Guide

County:

Review Date (mm/yy):

Name of Supervisor:

Case number:

Name of Client:

Name of Caseworker (assigned to case ad time of supervisory review):

Review Guide Questions

Yes

No

N/A

1. Is the home in correct approval status'?

1a. If there is a change of status, does the record reflect a request and

approval?

2. Did the foster parent(s) receive appropriate training hours during the year?

3. If there was a Child Protective Services complaint, was a written

assessment completed and referenced in the foster home record?

4. If there was a Child Protective Services complaint, was a written

assessment completed and referenced in the foster home record?

5. Was the Child Protective Services assessment sent to the State Child

Protective Services Unit?

6. Is the annual re-evaluation current?

7. Was IDS Form 590 completed accurately and within the time frame to

indicate the re-evaluation date?

8. If there were changes in the household composition, does the foster

home record reflect these changes and were appropriate updates made?

9. Are there up-to-date current criminal record checks on all adults in the home?

10. Are medical records up-to-date for the foster parents?

11. Have the required documentations/verifications been completed (form

35, citizenship verification, up-to-date criminal record checks on

household adults (should be kept separately under lock and key), up-to-

date medical records for foster parents and household members, form

404, evidence of professional training/credentials for medically fragile

care, form 44, signed copy of the discipline policy agreement)?

Case Review Results

Supervisory Case Review Discussion With Caseworker

Date:

Case Corrections Needed? No Yes Date Due:

Case Corrections Completed: Date:

Supervisory Case Review Comments:

RD 190 Foster Family Assessment Supervisory Case Review Guide (Rev 11-03) Page 1 of 1