9 CAR pt. 40, Appendix B. Resource Home Records

APPENDIX B: RESOURCE HOME RECORDS 06/2022 Special divided folders will be used for the case records of resource homes. When a resource home is approved, the resource home record should include the items listed below. All documents should be filed in chronological order with the most current on top. Front left: • Approval or Denial Letter • CFS-475-A: Initial Approval Checklist for Resource Home Record • All Records Checks: o Results of the CFS-316: Child Maltreatment Central Registry Check for each applicable household member, all information received and, in case of a report of violations, a summary of the face-to-face discussion, determination, and reasons for the determinations o CFS-341: Certification of Absence of Criminal Record, if children age of ten (10) through seventeen (17) reside in the household o Results of the CFS-342: State Police Criminal Record Check for each applicable household member, all information received and, in case of a report of violations, a summary of the face-to-face discussion, determination, and reasons for the determination o Results of the Federal Bureau of Investigation (FBI) Criminal Background Check for each applicable household member, all information received and, in case of a report of violations, a summary of the face-to-face discussion, determination, and reasons for the determinations o Results of the Arkansas State Vehicle Safety Program (ASVSP) check for each resource parent and applicable teenage driver  Copy of driver’s license for each applicable driver  Documentation of current auto insurance • CFS-446: In-Home Consultation Visit Report • CFS-363: Resource Applicant Smoking Certification • CFS-404: General Medical Report • Current immunization records for all children in the home • Documentation of current rabies vaccinations for all household pets • CFS-409: Resource Family Preference Checklist • CFS-448: Privacy and Use of Surveillance in Resource Homes • CFS-455: Request/Consent for Health Department Services, when appropriate • CFS-480: Alternate Compliance of Water Supply Agreement, when appropriate • CFS-484: Tenant Notification to Landlord Regarding Potential Tenant Foster Care Services, when appropriate • Current floor plan • Documentation of homeowner’s or renter’s insurance and general liability insurance • Written approval from the owner of the home that the applicants may care for children in foster care, when appropriate • Three completed, positive Structured Analysis Family Evaluation (SAFE) reference letters or kinship reference letters, as applicable • SAFE Home Study Final Report and supporting documents (e.g. SAFE Questionnaires I & II, Psychosocial Inventory) or Kinship Home Study Report, as applicable • Alternative compliance and/or policy waiver approval, if applicable • Current certification in Cardiopulmonary Resuscitation (CPR) and Standard First Aid • Summary with Recommendations • CFS-462: Initial Resource Home Agreement • CFS-462-A: Resource Home Agreement Addendum on each child currently placed in the home • CFS-474: Provisional Resource Home Orientation Checklist (for provisionals only) • CFS-452: Provisional Resource Home Verification (for provisionals only) • CFS-445: Agency Approved Tornado Plan Front Right: • Placement history Center Left: • CFS-475-B: Quarterly Monitoring Checklist for Resource Home • Any documentation gathered during the quarterly visit Center Right: • Letter of Notification of Disposition of Reevaluation or of Closure • CFS-475-C: Reevaluation Checklist for Resource Home • Any documentation gathered during the reevaluation visit, including but not limited to, updated auto insurance, updated CPR certificate • CFS-451: Resource Parent Reevaluation • SAFE Update Report or Kinship Update Report, as applicable • Documentation of fifteen (15) hours of continuing education • Documentation of quarterly emergency evacuation drills • CFS-475-G: Checklist for Resource Home Closure, when appropriate • Reevaluation Summary or Closure Summary Back Left: • CFS-475-D: Transfer of a Resource Home to Another County, when appropriate • CFS-475-E: Complaint Against Resource Family Other Than Maltreatment, when appropriate • CFS-475-F: True Reports of Child Maltreatment Against Resource Family Members, when appropriate Back Right: • CFS-419: Resource Family Support System Information • Current results of all applicable background checks for Resource Family Support System (RFSS) members