There should be a summary completed whenever a resource home is closed. For those closed voluntarily, the narrative should include why the family chose to close their license as well as any concerns or strengths of the family noted by staff. For those closed due to revocation, the licensing issue that led to the revocation and any other concerns should be documented clearly. The date of the exit interview and the discussion with the family should be documented in the closing summary. Provide a copy of the Resource Family Exit Interview, CD-112, for the resource provider to complete. The CD-112 shall be placed in the forms section of the case record. The CD-112 can be used to assist the worker in conducting the exit interview with the resource provider.
DSS Manuals Website