Foster Care Specialist - DHHS - Foster Care Review Office

Foster Care Specialist – DHHS

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User Information

If you have completed a Foster Care Placement Report within the last 60 days, you may attach a copy which can be used in place of completing this questionnaire.

Your Name*

First Last

Name of Child/ren

If responding for more than one child, use the oldest child’s first name and last initial.

Name of Child*

First Last (1st initial only)

Address

City State / Province / Region

Board #: If Known

Meeting Date: If Known

System Contact

Did the foster parents receive adequate and/or timely background information to care for the child/ren/youth placed in their home? (medical/educational/behavioral/any other special needs)

What medication does the child/ren/youth currently take?

What are the most current dates of the following exams for the child(ren)/youth? Physical, Dental, and Vision Exam.

Do you have regular / adequate communication with the Case Manager/Probation Officer?

Do you attend team meetings?

If the child/ren/youth has a Guardian ad Litem, what was the last date of the GAL’s visit with child/ren/youth and the foster parents? Was this visit in person in the child/ren/youth placement?

Services

What services is the child/ren/youth currently receiving?

Do you feel there are services the child/ren/youth needs that they are not receiving? If so, what?

Describe the strengths and needs of the child/ren/youth.

Please describe any concerns with the child/ren/youth’s development.

Education/Wellbeing

For each child/ren/youth enrolled in school, do they have an IEP and/or a 504 Plan? If so, for what?

Describe what activities the child/ren/youth enjoys and is involved in.

Placement

Are there any concerns regarding the management of the case?

Any concerns with the court process?

Is visitation set up between the child/ren/youth and their parent/s? Have there been any concerns?

Are the foster parents willing to provide permanency for the child/ren/youth should it become necessary?

If applicable, has the Ansel Casey assessment been completed?

Additional Information

Is there anything else that you would like us to know?

Although not required, if you would like to submit any additional related documents you may do so below:

Accepted file types: pdf, xls, xlsx, doc, docx, jpg, png, gif, tiff, txt, Max. file size: 64 MB.

By returning this document, you confirm that this information is true and accurate and that you understand this information may be shared with the legal parties to the case.