This section has two parts, the Child’s Section and the Child’s Recruitment Section; both are created only if a child is placed in out-of-home care. Make a separate section for each child in out-of-home care. The Child’s Section includes:
- Child/Family Health and Developmental Assessment, (CW-103)
- Indian Child Welfare Act Checklist (CD-123)
- Indian Ancestry Questionnaire (CD-116)
- Reports which relate specifically to the child, i.e., counseling, school, medical, etc.
- Income Entry Log, CS-KIDS-1
- Residential Treatment Referral, CS-9 (if applicable)
- Title XIX FFP Application/Eligibility Determination Worksheet, CS-66, (SSI referral)
- A copy of the most recent Alternative Care Client Information screen, SS-61, is to be used as a face sheet
- Birth certificate
- Social security card
- Child Assessment and Service Plan (CS-1)
Child’s Recruitment Section – (Cover Sheet: White)
This section is to include all documents pertaining to recruitment efforts specific to the child. This section may include, but is not limited to:
- Consent for Special Recruitment Efforts – CD-AEM-1
- Court order allowing special recruitment for the child
- Child’s long profile, short profile and media profile
- Adoption Staffing Decision Worksheet – CD-189
- Adoption Staffing Prospective Adoptive Family Interview Questionnaire – CD-134
- Statement of Confidentiality for Adoption Staffing Team Members – CD-135
- Family Response Form – CD-192
A separate record is established for a child if parental rights are terminated.