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New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective

Date:

Volume:

X

Forms

Chapter:

A

Forms

12-21-2009

Subchapter:

1

Forms

Issuance:

15.5

CP&P Form 15-5, Resource Parent Interstate Home Study Assessment Status Sheet

 

 

Click here to view or print CP&P Form 15-5.

 

WHEN TO USE IT

 

This form assists the Resource Family Support Worker in tracking and documenting the status of the items needed to complete an Interstate Home Study Assessment according to the Federal Safe and Timely Interstate Placement of Foster Children Act of 2006 (PL 109-239).

 

See CP&P-VIII-D-2-100, Interstate Home Study Assessment (Resource Parent - Foster/Adoptive).

 

HOW TO USE IT

 

Enter the name of the prospective resource parent in the space provided.

 

Section A (Required Items):  Upon initiating an item, the Resource Family Support Worker checks the “initiated” box, and enters the initiation date.  Upon completing each required item from the “A list,” the RFSW checks the “completed” box.

 

Section B (References, Other Items):  Upon initiating a request for a reference, an Office of Licensing home inspection, or upon starting CP&P Form 5-34 (resource home standards checklist), the Resource Family Support Worker checks the “initiated” box, and enters the initiation date.  Upon receipt of the reference/completing the item, the RFSW checks the “completed” box.

 

If submitting the form prior to return of a reference or completion of the item, check the “pending” box.

 

Check “complete” only when all references in a given category are received.  If one or more references is outstanding, check “pending.”  Examples: If both applicants’ employment references are received, check “complete” opposite CP&P Form 5-24, Employment Reference.  If only one of three medical references is received, check “pending” opposite CP&P Form 5-2c, Medical Reference.

 

RFSW Staff Identification:  The RFSW Worker and Supervisor print their names, and enter the date, where indicated, upon completing Section A of the form.

 

HOW TO PROCESS THE COMPLETED FORM

 

The RFSW gathers and assesses information using the New Jersey SAFE Resource Family Home Study Report, in order to determine the suitability of the placement.  SeeCP&P-IV-B-2-200, SAFE Home Study Tools.  The RFSW sends the completed New Jersey SAFE Resource Family Home Study Report; CP&P Form 15-5, Resource Parent Interstate Home Study Status Sheet; and CP&P Form 15-2, NJ Resource Home Licensure Requirements Notification and Agreement to Comply, to the Interstate Services Unit for processing.

 

DISTRIBUTION

 

Original

-

Interstate Services Unit

 

Copy

-

Case record/Local Office file