OUTCOMES MANAGEMENT REPORT 2009 

Children's Sanctuary, Inc. measures four categories of outcomes: Effectiveness, Efficiency, Consumer Satisfaction and Stakeholder Satisfaction.  Data is gathered from internal records and stakeholder surveys. 

Click on title below to view

CSI Quality Control Initiatives Report

CSI Outcomes Management Report

Indiana Outcomes Chart

Ohio Outcomes Chart

Critical Incidents

Children's Sanctuary, Inc.

Outcomes Management Report 2008

Children's Sanctuary, Inc. is an equal opportunity agency and does not discriminate in policy or practice according to race, culture, creed, color, national origin, age, handicap, or military service

Director's Statement

The Children’s Sanctuary, Inc. 2009 Outcomes Management Report demonstrates the agency’s commitment to improve services and service delivery, strengthen stakeholder relationships, and improve business practices in accordance with social work and the health profession standards. The report defines responsibilities and relationships in an ongoing effort to promote consumer satisfaction and access to services.  It outlines specific goals for each service within the program to maintain an environment that reflects excellence and positive growth for the children and families we serve.

Quality assurance and performance improvement are integral to the successful operation of Children's Sanctuary, Inc.  The agency focuses on optimizing its treatment services and business practices.  The Outcomes Management Report illustrates the agency’s commitment to ongoing evaluation, development and enhancement of its programs and services.  The Agency reviews operational performance by gathering baseline measures of effectiveness, efficiency, and client satisfaction.

Children's Sanctuary, Inc. is committed to providing optimal treatment foster care services for the youth, the families, and community.  The attached report reflects the agency’s commitment to evaluation and performance improvement.  The Children's Sanctuary management team will use the results of this report in its strategic planning in 2010.

The Outcomes Management Report is published in January of each year for review by consumers, stakeholders, and the community on the website: www.childrenssanctuary.org.  For a hard copy of the 2008 Annual Report and the Outcomes Management Report, please contact Children’s Sanctuary, Inc. 3711 Rupp Drive, Fort Wayne, Indiana, 46815, Phone: 260.485.0870 or 800.792.9581  

Cecil R. Geary

Executive Director

Introduction

Children’s Sanctuary, Inc. uses a consumer driven approach to quality assurance and outcomes measurement for its treatment foster care program.  CSI’s program of care and treatment is directly related to the needs of the clients (consumers), their families, foster families, the public custodial agency clients and community stakeholders.  The agency utilizes its professional knowledge and experience to meet the needs of its consumers and stakeholders.  Leadership and staff meet weekly to review agency performance and address the ongoing needs of consumers and stakeholders.

CSI’s outcome objectives reflect its vision, mission, and values with an overall goal to provide quality treatment and care for the youth and families we serve and meeting the placement needs of the public custodial agency.  We strive to improve the quality of services and strengthen customer partnerships with clear goals and specific objectives at each level of the operation.  We measure “how well we are doing what we say we are doing” against past performance and the performance of other agencies providing similar services.

Children’s Sanctuary, Inc. achieves its mission and goals by maintaining a skilled professional workforce and positive working partnerships with consumers and stakeholders.  We gather data internally through discharge logs and demographic information, and externally, through satisfaction surveys from clients, foster families, biological families, public custodial agency workers, and our employees.  We evaluate data for program effectiveness, efficiency and client and stakeholder satisfaction and compile the results in the Outcomes Management Report.  The report is the agency’s framework for continuous quality improvement.  In 2009, Children’s Sanctuary provided services for children and families in Indiana and Ohio.

Outcomes Management Report Detail: Effectiveness, Efficiency, Consumer Satisfaction, and Stakeholder Satisfaction.

Effectiveness Objectives

• Maintain successful program completion rate

• Minimize the lateral movement of clients to other private or public foster care agencies.

• Minimize the number clients moving to more restrictive placements.

• Maintain optimum standards of care per an independent review

• Reduce the number and frequency of critical incidents

Efficiency Objectives

• Reduce the length of time the client (consumer) resides in foster care

• Maintain Best Practices in Finance and Administration

• Maintain Best in Class in business performance, foster homes, and treatment services

Consumer Satisfaction Objectives

• Maximize client’s satisfaction with staff and foster parents

• Maximize client’s satisfaction with treatment program

• Maximize client’s satisfaction with agency’s services

 Stakeholder Satisfaction Objectives

• Maximize satisfaction of foster parents with agency

• Maximize satisfaction of custodial agency workers with agency

• Maximize employee’s job satisfaction with the agency

EFFECTIVENESS OUTCOMES (Data collected through internal tracking and independent reviews by the state regulatory agency and CARF)

• Clients’ planned discharge rate, i.e., adoption, reunification, graduation
• Clients’ rate of lateral discharges to other foster care agencies
• Clients’ rate of discharges more restrictive placements (hospital, detention, institutional)
• Reduction in number of critical incidents
• Standards of care as measured by an independent review, i.e., state licensing, CARF

START HERE

Post Discharge Report

To increase the rate of positive discharges Children’s Sanctuary, Inc. reviews intake assessments, matching procedures, and services delivery.

2009 Discharged Clients (Indiana) N = 34

• 75% of discharge clients successfully completed the program.
• 05% of discharge clients were placed with another foster care agency.
• 20% of discharged clients were placed in more restrictive settings.

2009 Discharged Clients (Ohio) N = 34

• 82% of discharge clients successfully completed the program.
• 04% of discharged clients were placed with another foster care agency.
• 14% of discharge clients were placed in more restrictive settings.

Critical Incidents

A critical incident occurs when a client, foster parent or staff member is placed at risk of physical or emotional harm.  CSI reports incidents immediately via the state custodial agency hotline, the CSI Executive Director, and Res-Care, Inc.  Reportable Incidents are neglect or abuse of a client, third party intervention (medical personnel, fire, police), and automobile accidents involving a client or a staff member.

List of Reportable Incidents

• Any act that endangers a client’s emotional wellbeing
• Any act that endangers a client’s physical wellbeing
• Any act that involves the use of a weapon.
• Any act that involves the use of, or exposure to, bio-hazardous material
• Client is seriously ill
• Client is hospitalized
• Client attempts or threatens suicide
• Client buys/sells or attempts to buy/sell a controlled substance
• Client is involved in an accident
• Client is involved in sexual activity
• Client is abused by an adult
• Client is injured
• Client is neglected by an adult
• Client is physically assaulted
• Client is physically restrained
• Client is sexually assaulted
• Client overdoses on medication
• Client physically assaults another
• Client receives incorrect medication
• Client runs away
• Client sexually assaults another
• Client uses a controlled substance
• Client commits or is involved in a homicide
• Any Environmental Hazard, i.e., flood, tornado, storm
• Death of a client
• Other: any incident requiring third party involvement, i.e., medical personnel, fire, police

2009 INDIANA CRITICAL INCIDENTS: N = 22

2009 OHIO CRITICAL INCIDENTS:  N = 14

Independent Reviews

Indiana:  In 2009, CSI Indiana received 100% compliance on its annual state licensing review.

Ohio: In 2009 CSI Ohio had two deficiencies for a score of 98% on its annual state licensing review.  The agency made the necessary corrections to bring the program to 100% compliance.      

EFFICIENCY OUTCOMES

Children's Sanctuary collects outcome measures on the Median Length of Stay for persons served. The goal is to reduce the time a client spends in therapeutic foster care and increase the number of positive discharges, i.e., adoption, reunification, or graduation.  Too many negative discharges may indicate the need for additional services for the client and his family.  To reduce negative discharges, the agency provides psycho-social assessments, cultural assessments, treatment plans and support services.  The treatment team reviews the client’s social, cultural and educational information and matches him or her with a foster family that is able to meet his or her needs.

2008 Average Number of Days a Client Remained in Care

Best in Class Reviews

Res-Care and Children’s Sanctuary collect outcome data on agency compliance with Best in Class – Business Performance, Foster Homes, and Case Management Services. 

2008 Best in Class Reviews (Average % score for four quarters,)

As a result of these reviews, CSI will make the following changes in 2009:

1. Review and comply with Res-Care’s “Operation Reaching Potential” procedures as they relates to the operation and management of the foster care agency.

2. Immediately initiate training for the agency’s supervisors using Res-Care’s Training Module for Supervisors.

3. Develop an operational definition and procedure for compliance with the Best in Class requirement for client/staff participation in community service projects.  The Operational definition will address the restrictive nature of foster care clients and foster parent’s involvement in such activities as well as staff accessibility.

Consumer and Stakeholder Satisfaction

In 2008, Children's Sanctuary, Inc. surveyed clients, foster parents, and custodial agency workers to determine their degree of satisfaction with the agency’s program and services.  The Deyta L.L.C., an independent performance management firm, conducted a job satisfaction survey with CSI/Res-Care employees.  CSI will use the results of the satisfaction surveys to improve its programs and services for the children care, foster parents, the public custodial, and employees.

The sample for the Ohio custodial agency worker survey was too small to obtain a score.  The Ohio employee survey was skewed because of partially completed survey forms.  CSI scored lower in all but one  

2008 Survey Results (Overall average of scores for each survey)

Indiana

Ohio

 Summary

Children's Sanctuary, Inc. engages in systemic performance improvement at all levels of the organization.  We identify and commit to agency-wide initiatives that insure organizational success.  Quality assurance is critical to the success and vitality of the agency and requires the support of leadership and staff.  Children’s Sanctuary’s leadership meets regularly with staff, foster parents, and public custodial agency workers to assess and improve services in light of the changing needs of children and families in Indiana and Ohio.

In 2009, Children's Sanctuary will develop its strategic plan utilizing the information gathered in the Outcomes Report.  We will focus on performance of business practices, service delivery, and consumer and stakeholder satisfaction.  We will develop action plans to improve delivery of services and business practices.  We will provide additional services as needed for our clients and their families and continue to develop our program in Indiana, Ohio.  We will start a treatment foster care program in Illinois in 2009.

Indiana Outcomes Management Chart 2008

2008 Placements - 267, Discharges - 134: Adoption - 23, Reunification - 54, Graduated - 17, Other Foster Care - 19, More Restrictive Placement - 2170

If you would like more information about Children's Sanctuary, would like to refer a child for placement, or you are interested in becoming a foster parent, please clicks CONTACTS.  

Back to top of page

Ohio Outcomes Management Chart 2007

2008 Placements - 105, 2008 Releases - 78: Adoption - 0, Reunification - 62, Graduated - 2, Other Foster Care - 2, More Restrictive Placement - 12

If you would like more information about Children's Sanctuary, would like to refer a child for placement, or you are interested in becoming a foster parent, please clicks CONTACTS.  

Back to top of page

Critical Incidents 2009

Indiana

Ohio

Back to top of page

2009 Bi-Annual Quality Control Initiatives Report

This Review covers the period January 1, 2009 to June 30, 2009

PERIODIC SERVICE REVIEW

 Children’s Sanctuary, Inc. (CSI) is managed by Res-Care, Inc. Res-Care’s Quality Way, Code of Conduct, and Best in Class are applied across all areas of the CSI program.  Twice a year CSI reviews its program for effectiveness, efficiency, and consumer and stakeholder satisfaction.  In December of each year, the agency completes an outcomes report, quality control initiatives report and revises its strategic plan for development and improvement.  The reports are published on the website www.childrenssanctuary.org and included in the Children’s Sanctuary Annual Report.

 Children’s Sanctuary operates in accordance with social work ethics, Foster Family-based Treatment Association (FFTA), and the Commission on Accreditation of Rehabilitation Facilities (CARF) standards.

 ACCREDITATION

 Children’s Sanctuary, Inc. is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).  CSI’s next accreditation survey will be in 2010.

 RES-CARE QUALITY WAY

 Creating Direction

Mission: Children’s Sanctuary, Inc. will provide care, treatment, and case management for each child placed in its care in a safe, nurturing home environment with trained treatment foster parents. We will exert every effort to provide care, treatment, and stability for the child in the least restrictive setting. We will work with the court, the public placing agency, the child, the foster parents and the biological parents to re-unite the child with his or her family as soon as possible. If reunification is not possible, we will assist the custodial agency in finding a permanent home for the child.

Our Values: We believe

·        Every child deserves a safe, permanent home with a 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 or her treatment plan.

·        Reunification with the biological family is the primary goal for a child.

·        If reunification is not possible, a relative or adoptive home will be found for the child.

Vision: Children’s Sanctuary, Inc. will provide a holistic approach to care and treatment that includes the child, biological family, foster family, teachers, public custodial agency worker, counselors, and others significant to the child’s life. Children’s Sanctuary, Inc. will focus on the needs of the child and child’s biological family.

Goal: Children’s Sanctuary, Inc. will provide every child in its care stability, continuity of treatment, and permanence through reunification, adoption, and self-sufficiency.

Adherence to Vision, Mission, and Goal

Quality assurance at Children’s Sanctuary focuses on how well the agency adheres to its vision, mission, and goals and how well we are doing what we say we are doing.  Staff members are involved in every aspect of program development and review.  The program is flexible and can adapt to the changing needs of clients, the political climate, and fluctuations in funding at the community, state, and federal level.

Children’s Sanctuary, Inc. reviews its mission each year and makes changes according to the needs of its clients and stakeholders.

Consumer Focus

Children’s Sanctuary, Inc. enhances community awareness of its programs through its website and participation in local, state, and federal conferences and community events.  CSI staff members serve as CASA workers and on various local, state, and national committees concerned with the care of children in out-of-home placement.

Children’s Sanctuary, Inc. conducts a client satisfaction survey with its public custodial agency clients, children in care, and foster parents, twice a year.  Surveys are reviewed by the CSI Management Team and action is taken where necessary to better meet the needs of our clients and stakeholders.  Children’s Sanctuary, Inc. publishes the results of its surveys annually in the Outcomes Management Report and on its website: www.childrenssanctuary.org.   

Donations

Children’s Sanctuary, Inc. solicits donations for its foster children for summer camp, picnics, toys, clothing, and Christmas.  Eighty percent of CSI’s gross revenues go directly into services for children in care.  All donated funds go directly to the needs of the children in care. 

Employee Focus

Employee Involvement

Children’s Sanctuary, Inc. includes staff in ongoing program evaluation and development and budget planning.  Weekly staff meetings address the ongoing needs of children, their families, foster families, and public custodial agency clients.

Partnership with Employees

Children’s Sanctuary, Inc. recognizes staff performance that enhances the program.  CSI informs staff of changes and opportunities in the benefit program at weekly staff meetings. Staff members receive 10 to 30 hours training annually.  Staff members have input into the development of policies, procedures, and the annual strategic plan.

Reduction of Turnover

Children’s Sanctuary, Inc. reduces turnover through clear communication between leadership and staff, ethical management, ongoing staff training, competitive salaries, bonuses, opportunities for advancement, and recognition of employee performance.

In the first six months of 2009, CSI Northern Indiana had no staff turnover. CSI Southern Indiana lost two staff members and replaced one position and combined one position with another.  CSI Ohio lost one staff member and has not replaced the position.  CSI Ohio has one opening for a contractual social worker in Montgomery County (Dayton area).

2009 Turnover Rate Table [(number of separations / total number of employees) X100]

 Face to Face Communication

Children’s Sanctuary, Inc. practices openness with employees at all levels of management. The Executive Director and Program Directors conduct weekly staff meetings to give and receive information on delivery of services, client and stakeholder information, marketing, and other issues affecting the operation.  Directors inform employees of changes in programs or services, the operation of the agency, and employee benefits.  Staff meetings are documented.  The Executive Director meets with the Administrative Management Team (AMT) once a month.  

Managing for Outcomes

Children’s Sanctuary, Inc. reviews its programs and services twice each year and completes an Outcomes Report and Strategic Plan annually.  The agency’s Outcomes Management Report and Strategic Plan are available on the website: www.childrenssanctuary.org

WAGE AND SALARY STUDY

Children’s Sanctuary, Inc. completes a regional salary and foster care per diem evaluation annually through informal enquiry with the public custodial agencies and other treatment foster care agencies.  Wage increases are based on regional trends, revenue growth, and promotions. The Res-Care Regional Director must approve all salary increases.

EXPENSE MONITORING SYSTEM

The Children’s Sanctuary, Inc. Director of Financial Operations reviews and balances expenses with the Res-Care Accounting Department.  The DFO issues petty cash to each office and approves petty cash expenditures.  The Executive Director approves all other expenditures. The Res-Care Regional Vice President approves capital expenditures over $500.  CSI adheres to Res-Care financial policies and Best in Class financial requirements.  Financial practices are reviewed quarterly (See Best in Class Review).

INDEPENDENT AUDIT

Children’s Sanctuary, Inc. undergoes an independent financial audit each year.  The audit covers the fiscal year beginning June 1 and ending July 1 of the following year.  The audit is presented to the CSI Board of Directors for approval in January of each year.

LEASES

Children’s Sanctuary, Inc. leases all of its offices.  Leases are typically for two years.  The Res-Care legal department reviews leases prior to signing. The CSI Executive Director reviews leases annually and signs all lease agreements. 

Res-Care, Inc. leases vehicles for the agency through PHH.  Res-Care fleet management reviews leases annually.  Termination of a vehicle lease depends on the lease expiration date and mileage.

BUILDING INSPECTION

The State Fire Marshal inspects CSI offices annually.  The CSI Administrative Assistant or other designated personnel inspect CSI offices daily.  Problems are reported to the property manager.  The property manager’s maintenance personnel or a local contractor repair unsafe condition immediately.  Non-hazardous conditions are repaired in 30 days.

CONTRACTS

Placement Contracts   

Indiana: CSI contracts with the county and the State for each child placed.  Rates are negotiable depending on the needs of the child and the public custodial agency.

Illinois: CSI obtained a permit to operate a Child Welfare Agency in 2008.  The permit is temporary and will be replaced by a license in 2009.  CSI will need to obtain a state contract in addition to the license by June 2009.  This program is presently on hold until further notice.        

Ohio: CSI has a separate placement contract with each county in which it provides services.  Rates are established in the contract.

West Virginia: CSI contracts with the state for placements in its Ohio program.  Rates are established in the contract.

Other

Offices, equipment, automobiles and contracts for outside services, i.e., mental health, medical, are reviewed and approved by the Res-Care legal department.  Referrals for outside mental health services must be approved by the custodial agency, such as the Indiana Department of Child Services or the Ohio Department of Job and Family Services.

COMPLIANCE, BEST IN CLASS

Children’s Sanctuary, Inc. adheres to the Res-Care, Inc. Code of Conduct and Compliance Department standards.  Res-Care, Inc. maintains a compliance action line as well as email access to the Res-Care Compliance Department.  Res-Care provides training to CSI staff on compliance issues.  The CSI Human Resources Manager provides training to new hires and annual training to all CSI staff.  Res-Care Compliance auditors conduct an overall compliance review at each agency site every five years.

CSI and Res-Care conduct Best in Class reviews quarterly.  CSI completed two Best in Class audits between January 1, 2009 and June 30, 2009 with a compliance score of 98.3 and 97.3 an average of 97.8.  To achieve 100% compliance the agency has implemented the following:

• Fully comply Res-Care’s “Operation Reaching Potential” procedures as they relates to the operation and management of the foster care agency.

• Initiate training for the agency’s supervisors using Res-Care’s Training Module for Supervisors.

• Maintain and adhere to an operational procedure for compliance with the Best in Class requirement for client/staff participation in community service projects.  The Operational addresses the restrictive nature of foster care clients and foster parent’s involvement in such activities as well as staff accessibility.

•  Process exemption for ResCare on-call (ROC) as this is not applicable to foster care.  CSI maintains a 24/7 on-call and access to administrator per administrative policy.

• Ongoing review of client files and immediate intervention when necessary to maintain files current with all required documentation.

 HUMAN RESOURCES

 Affirmative Action Plan

Children’s Sanctuary, Inc. and its manager, Res-Care, Inc. is committed to providing equal opportunity to all qualified persons and affirms its commitment that there shall be no discrimination against applicants or employees because of race, color, religion, sex, age, national origin, disability, veteran status or political affiliation, and that all employees will be treated without discrimination during their employment.  This non-discrimination policy encompasses all terms and conditions of employment, including recruitment, selection, promotion, demotion, transfer, layoff, recall, rehire, termination, development and training, compensation and benefits, social and recreational programs, and retirement.  Children’s Sanctuary, Inc. and its employees subscribe to a written Affirmative Action Plan (AAP).  The AAP has been approved by the Children’s Sanctuary Executive Director and Res-Care, Inc. The AAP was developed in strict reliance upon the Guidelines on Affirmative Action issued by the Equal Employment Opportunity Commission (EEOC) (29 CFR Part 1608).

Reviews

Children’s Sanctuary Human Resources reviews all personnel actions.  The CSI Human Resources Manager conducts exit interviews with individuals leaving employment.  CSI Human Resources and Res-Care, Inc. Human Resources review and approve all terminations.

Human Resource practices, HIPPA compliance and personnel files are reviewed by Best in Class, Compliance, CARF, and state licensing audits to assure compliance with all federal and state regulations and Res-Care and CSI policies and procedures.

Work Opportunity Tax Credit (WOTC)

Children’s Sanctuary, Inc. completes IRS Form #8850 (Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits) and the WOTC New Hire Form #2400 on all new employees.  CSI consistently maintains 100% WOTC compliance

Day of Service Outstanding (DSO)

CSI’s aging cycle on receivables is 60 days.  The State of Indiana assumed responsibility for paying licensed child placing agencies (LCPA’S) in 2009 resulting in more timely payment for services.          

Workers Compensation

CSI responds immediately to Workers Compensation claims.  There were no Workers Compensation claims filed with the agency from January 1, 2009 to June 30, 2009.

Hours of Work and Overtime

The following chart shows the status and working hours of Children’s Sanctuary employees. Directors and treatment staff are salary exempt.  They are professionals with graduate or undergraduate degrees and specific experience requirements.  Treatment personnel work flexible hours due to frequent travel, evening and weekend work.  Accounting assistants and administrative assistants are salary non-exempt.  Overtime compensation for non-exempt employees is 1.5 times the hourly rate.

.

RISK MANAGEMENT

Children’s Sanctuary, Inc. complies with Res-Care and CSI risk management policies, and state and federal regulations.

Background Checks

Employees and Foster Parents: CSI conducts a complete background check on all new employees and foster parents prior to hire, licensure, or certification and annually thereafter. CSI uses USIS Screening and Information Services to complete the following:

• Criminal History: local, county, state, and national

• Social Security Search: local, county, state, and national

• Motor Vehicle Record Check: local and state

CSI completes the following additional checks prior to hire or certification and annually thereafter:

• Violent Crime and Sex Offender Registry

• County Child Protective Services check in each county of residence in past five years.

• MediRegs check on staff and foster parents.

• FBI fingerprint check on all new employees and at agency re-licensure.

• FBI fingerprints check on foster parents at licensure and at re-licensure

Reference Checks

Employees and Foster Parents: Children’s Sanctuary completes a reference check on employees and foster parents prior to hire or licensure.  CSI requires two work references and one personal reference for prospective employees.  CSI requires four personnel (non-relative) references for prospective foster parents.

Liability Insurance

Res-Care, Inc. carries liability insurance on leased vehicles, equipment, and property.  Res-Care provides professional liability insurance for all CSI staff.  Res-Care provides limited liability and property loss insurance for foster parents.

The Children’s Sanctuary, Inc. Board of Directors provides Directors and Officers Liability Insurance for CSI Board Members.

Incident Investigation Process

CSI follows state protocols, Res-Care and CSI policy for reporting and investigating serious incidents. From January 1, 2009 to June 30, 2009 CSI Indiana reported 13 incidents.  CSI Ohio reported 5 incidents.  The CSI Human Rights Committee and Safety Committee review all incidents.  Res-Care Quality Assurance and Risk Management receive incidents reports and follow-up reports.  The CSI social worker, foster parent, custodial agency, and juvenile court will intervene depending on the incident and the client’s needs.

Incidents January 1, 2009 to June 30, 2009

Maintenance and Safety Hazards

OFFICES: Children’s Sanctuary does not maintain any buildings or property other than leased office space.  Maintenance problems are reported to the building manager and are the responsibility of the building manager.  Through daily inspections, CSI offices are kept free of hazards such as chemicals, weapons, exposed electric wiring, icy or snow covered walks and structural problems.  Conditions that create a possible hazard for staff, clients, or the public are corrected immediately.  Conditions that do not create a hazard are repaired within seven days.

FOSTER HOMES: CSI foster care social workers complete a written safety inspection of foster homes each month.  Any practice, problem, or condition that endangers a foster child is corrected immediately.  Non-hazardous problems or conditions are corrected in 30 days.

STATE LICENSING

Children’s Sanctuary, Inc. maintains current placing agency licenses in Indiana and Ohio.  The agency’s program standards match or surpass the minimum standards required by each state in which it operates.

Annual Licensing Reviews

Each state’s licensing entity reviews Children’s Sanctuary, Inc. annually for compliance with state regulations and policies.  Indiana conducted an annual review in January and February of 2009.  The agency was placed on six months probation because of a foster home licensing violation.  A Plan of Correction was submitted to State Licensing.  The agency is presently in full compliance with all state regulations.  The probation remains in effect until September 2009. 

The Ohio program was review in May 2009 by State Licensing and received 100% compliance.

CLIENT PROGRESS

Children’s Sanctuary, Inc. tracks client progress through treatment plans, monthly progress reports, satisfaction surveys, and discharge summaries.   The CSI Clinical Director reviews cases with each CSI Social Worker each month to determine if the youth is making progress and treatment goals are being met.

CENSUS

The Children’s Sanctuary Indiana and Ohio census was below projected levels in the first six months of 2009.  The agency has reduced expenses to compensate for the loss in revenue.  The agency is working diligently to expand its programs and increase census at all locations and is expecting significant growth in second half of 2009.

CSI will maintain census at or above projected targets by identifying and responding to the needs of the clients and the community.  CSI mails its openings list each month to public placing agencies and maintains a current openings list on its website: www.childrenssanctuary.org.  The agency participates in local and state conferences to promote its programs.

Indiana Placements:  CSI Indiana provided care for 143 youth during the first six months of 2009.  From January 1, 2009 and June 30, 2009, the agency placed 30 youth in its programs.  From January 1, 2008 and June 30, 2008, the agency placed 58 youth in its programs, a 43% decrease from the previous year.  The total census for CSI Indiana on June 30, 2009 was 119.

 Indiana Discharges: Children’s Sanctuary Indiana discharged 34 youth between January 1, 2009 and June 30, 2009.  The average age at placement was 13.  The average age at discharge was 14.  The average number of days spent in CSI programs was 302.  Discharges in the first six months of 2009 decreased by 37% over the previous year.  

Ohio Placements:  In the first six months of 2009, the agency saw a 38% decrease in placements from the previous year.  From January 1, 2009 and June 30, 2009, the agency placed 34 youth in its programs.  From January 1, 2008 and June 30, 2008, the agency placed 47 youth in its programs.  15 placements in 2009 were three days or less. 

Overall the agency provided care for 59 youth during the first six months of 2009.  The total census for CSI Ohio on June 30, 2009 was 27.

Ohio Discharges: Children’s Sanctuary Ohio discharged 36 youth between January 1, 2009 and June 30, 2009.  The average age at placement and discharge was 12.  The average number of days spent in CSI programs was 87.  Discharges in the first six months of 2009 decreased by 27% over the previous year.

CULTURAL COMPETENCY PLAN 

Children’s Sanctuary staff and foster parents receive cultural competency training annually. CSI provides training several times a year. 

CULTURAL DIVERSITY PLAN

Children’s Sanctuary, Inc. reviews the diversity of staff, foster parents, and youth twice a year.  The agency completes a Client/Family Matching Assessment and a Cultural Assessment prior to and at placement to determine how best to meet the child’s social, religious, and cultural needs.

CSI DIVERSITY OF YOUTH, FOSTER HOMES, AND STAFF

PERFORMANCE IMPROVEMENT AND CORRECTIVE ACTION PLANS

Children’s Sanctuary, Inc. reviews programs quarterly, bi-annually and annually.  Corrective action and performance improvement plans address issues noted in Best in Class, Licensing and Accreditation reviews; foster home evaluations and satisfaction surveys.

SATISFACTION SURVEYS

CSI conducts satisfaction surveys with custodial agencies, foster parents, and youth in care twice each year. Res-Care conducts an employee satisfaction survey annually.

ACCESSIBILITY

Children’s Sanctuary, Inc. revises its Accessibility Plan annually based on the needs of stakeholders, clients, and staff.  The plan addresses eight potential problem areas: Architecture, Environment, Attitude, Finance, Employment, Communication, Transportation, and Other barriers identified by staff, foster parents, and the community.  The Accessibility Plan can be reviewed on the agency website: www.childrenssanctuary.org. The next update is scheduled for December 2009.

EVALUATION

The score card below reflects the agency’s performance and compliance with CSI, Res-Care, and state regulatory agency policies and procedures and client, employee and stakeholder satisfaction.  The Administrative Management Team reviews evaluations and surveys and takes appropriate action to address complaints or deficiencies.

Scores rounded off to nearest whole number

Back to top of page