I.

Administration

A.

Agency Experience 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 programs in Indiana and Ohio. Children’s Sanctuary is licensed by the Indiana Family and Social Service Administration: Division of Family and Children and the Ohio Department of Job and Family Services.  In Indiana the Children's Sanctuary out-of-home treatment program for children and adolescents is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF), www.carf.org. 

Founded by Cecil (Rick) Geary in 1995, Children’s Sanctuary provides treatment foster care in state licensed or certified foster homes, counseling, case management, and family reunification for special needs children and adolescents.  Children’s Sanctuary provides a transitional living in scattered site housing for youth 18 to 21.  To date, Children’s Sanctuary has provided services for more than 1,500 neglected and abused 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). 

B.

Risk Management: Deficiencies and Litigation

Risk Management is an integral part of the operation of Children’s Sanctuary, Inc.  Client and employee safety are top priorities.  Employees and foster parents undergo extensive background checks including criminal history and driving records. Employees and foster parents are trained in CSI policies and procedures for reporting accidents, illness, abuse or neglect of a client, and critical incidents involving clients and staff.  Staff and foster parents are trained in accident prevention, and crisis intervention.  Children’s Sanctuary complies fully with the Res-Care, Inc. Risk Management Program. 

1.

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.

2.

Litigation: Children’s Sanctuary, Inc. carries liability insurance on its directors and officers, staff, foster parents, vehicles and property.  Staff and foster parents must show proof of auto insurance and maintain safe driving records.

C.

Financial Stability, Board Oversight, Agency Qualifications

1.

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 funds through donations and grants.  Children’s Sanctuary undergoes a financial audit each year from an independent certified public accountant.

2.

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 served by the agency.

The Board  

Is composed of seven or more members.

Meets quarterly or more often as needed.  

Maintains written documentation of each meeting  

Is the main authority for ensuring compliance with the requirements of the public agency’s administrative regulation and federal, state and local laws.

Recruits and appoints the Executive Director.  

Obtains a complete background and criminal history check of the Executive Director prior to his or her appointment and annually thereafter.

Approves the mission statement delineating the purpose, objective, and scope of services to be provided.  

Approves Intake policy specifying type of child to be accepted for care.

3.

4.

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; Sociology; Psychology; Counseling; Education; Religious Ministry; Business Administration; Criminal Justice; Public Administration; Child-care Administration; Nursing; Family Studies; or other human service field related to working with children and families.  He or she has five years work experience as an administrator of a human services program.

5.

The Regional 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, case management staff, and foster parents. The Regional Director works with the Recruiter/Trainer, Treatment Director and case managers to develop, monitor, and evaluate treatment foster parents and the treatment 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 case managers 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.  

6.

The Treatment (Clinical) 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 treatment foster parents and foster care social workers in the delivery of services to foster children.  The Treatment Director 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 field and five or more years experience in the mental health treatment of troubled children and their families.

7.

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 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.

8.

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.  

9.

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 Financial 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.  

The Director of Financial Operations provides guidance to the Executive Director, the Business Manager, 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 above requirement.

10.

The Business Manager works under the direction of the Director of Financial Operations.  The Business Manager manages the agency’s home office and provides supervision and guidance to office personnel at regional locations.  He or she oversees the office needs and daily expenditures of the agency.  The Business Manager monitors labor hours, prepare payroll, and works cooperatively with the payroll department at Res-Care, Inc.  He or she assists the Director of Financial Operations in all areas related to human resources.  

As the chief public relations representative, the Business Manager provides marketing and public relations support for the agency.  He or she develops and prepares promotional items, i.e., brochures, pamphlets, newsletters, and advertisements. The Business Manager, or his or her delegate, sets up displays and 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.  In all areas of Public Relations, the Business Manager works in close cooperation with the Public Relations Department at Res-Care, Inc.  

Minimum Qualifications: The Business (Public Relations) Manager has an undergraduate degree in Business, Journalism, Communication, Public Relations, or a related field and two years professional experience in business, public relations, communication, journalism, or a related field.  Two years of undergraduate study at a college or university and five years experience in business, public relations, communication, journalism or a related field, may be considered in lieu of the degree. 

11.

The Administrative Assistant works under the direction of the Business Manager and 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.

12.

The Treatment 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 Treatment 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: Treatment 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 Treatment 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. Treatment Foster Parents complete 30 hours in-service training annually.  Children’s Sanctuary evaluates its foster homes monthly.

13.

Training and Background Checks: Children’s Sanctuary staff receive two weeks of orientation and training when hired, and 30 hours in-service training annually. Staff members undergo extensive background checks including references, criminal history, and sex and violent crime registry prior to employment according to each state’s regulations.

Children’s Sanctuary foster parents receive 30 to 36 hours pre-service training and 20 to 30 hours in-service training annually.  Foster parents undergo extensive background checks including references, criminal history, and sex and violent crime registry in accordance with state regulations.

II.

Program Design

A.

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.

B.

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 treatment 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.

C.

Our Goal: Our goal is stability and permanence for the child, either through reuniting the child with the biological family, adoption, or self-sufficiency.

D.

Our Values:

D.

Treatment 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 treatment 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.

E.

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.

F.

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.

G.

Transportation:  Foster parents and case managers provide transportation for foster children 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.

H.

Youth Served 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 treatment 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.

I.

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.  

he 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.

J.

Other Services Provided by Children’s Sanctuary, Inc.  

Individual and family counseling as an integral part of the foster care program.  

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 who need help getting started in life.  The service is presently only available in Indiana

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III.

Program Integration

A.

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.

B.

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.

C.

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 older youth. It may include assessment tools such as the Achenbach Child Behavioral Checklist and the (GAF) Global Assessment of Functioning.

D.

Independent Living

Children’s Sanctuary foster children, age 14 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.  

E.

Discharge Summary

The Case Manager prepares a discharge and outcomes report within 10 days of a child’s leaving placement.

F.

Medical, Dental, Eye Exams

A foster child receives a physical, dental, and eye exam at placement and annually thereafter.

G.

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

Progress Reports, includes visitation and independent living reports

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

Achenbach Child Behavioral Check List when indicated

GAF – Global Assessment of Functioning scores when indicated.

Outcomes Measures when indicated

Discharge Summary if child has been discharged

IV.

Program Adaptability and Flexibility

A.

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 treatment foster families who accept emergency and temporary respite placements.  All movements are reported to and approved by the public agency caseworker.

B.

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.

C.

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.  

V.

Training and Development

A.

Pre-Service Foster Parent Training

Treatment Foster Parents receive at least 30 to 36 hours of pre-service training prior to becoming foster parents.  they receive 20 hours annually of Therapeutic Crisis Intervention training.  In addition, CSI foster parents receive training in First Aid, CPR, Universal Precautions and the state protocol for reporting abuse and neglect.  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 a licensed practical nurse or registered nurse.

B.

In-Service Training: Foster Parents: Foster parents receive a 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.

C.

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.

D.

Qualifications: CSI provides certified trainers in the Model Approach to Partnerships in Parenting, (MAPPS), The Institute of Human Services (IHS)(FAKT) foster parent and adoption training program, Therapeutic Crisis Intervention (TCI), Safe Crisis Management (SCM), First Aid, CPR, and Universal Precautions.  Additional training is contracted through other social service 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.

E.

Children's Sanctuary, Inc. Training Curriculums

IHS (FAKT): Institute of Human Services Foster, Adoption, Kinship Training program

Trainers:  Josephine Chumney, MS. Michael Washington, BA. Lisa Martin, MS.

PRYDE: Presley Ridge Youth Development Extension Program, a competency based training, certification and treatment model for treatment foster parents.

TCI: Cornell University Treatment Crisis Intervention

SCM: Safe Crisis Management

First Aid, CPR, Universal Precautions, Special Medical Needs

F.

Sample In-Service training topics available to foster parents and staff

VI.

Program Evaluation

A.

Evaluation Explanation

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 is seeking accreditation from the Commission on Accreditation of Rehabilitation Facilities. 

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

1.

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.

2.

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.  CSI reviews accessibility, risk management, and financial practices annually.

3.

Tools

Treatment plans, progress reports and discharge summaries

Global Assessment of Functioning scores   

Other outcome measures when applicable  

Satisfaction Surveys

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 .

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VII.

Financial

A.

Costs of Services

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. 

B.

Per Diem Rates (Foster parents receive 50% of the per diem.)

 1.

Regular Foster Care (No-special needs), Per Diem range: $40 to $67

3.

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): Per Diem negotiable depending on needs of the child.

4.

Teen mother with child (Mother provides some care for child): Per Diem negotiable depending on needs of mother and child.

5.

Basic Foster Family Rate.

Daily Base Rate  

$20.00

Daily Supportive Services  

3.00

30.00