§6 ch3: Resource Family Assessment and Licensing Process

Attachment C:  Resource Provider Family Assessment Recording Outline

Reason for Study

  1. Type of study
  2. Motivation of applicant

Summary of Contacts: Include dates and places of contact, and with whom contact was made.

Description of Family Members: Include about each household member all applicable information as follows:

  1. Full name, sex and date of birth
  2. Ethnic and racial background (as required by 13 CSR 35-60.030)
  3. Attitude toward children (most important of all)
  4. Social history
  5. Marital history
  6. Military history
  7. Education
  8. Health
  9. Employment history
  10. Extended family
  11. Household pets

Family Relationships:

  1. Present marriage - roles, responsibilities; stability of relationship if not married
  2. Resource parent life style and practices, which includes sexual orientation (as required by 13 CSR 35-60.030) (i.e. may comprise their attitude toward living, work, family, and leisure activities)
  3. Interaction between parents and/or children
  4. Group activities and shared interests
  5. Religious practices and preferences of each family member (as required by 13 CSR 35-60.030)
  6. Methods of discipline
  7. Educational practices of the resource provider (as required by 13 CSR 35-60.030) (i.e. preference of schooling:  public, private, or home schooling; thoughts on the importance of education on a child’s future)

Financial Status:

  1. Source and amount of income
  2. Management/indebtedness

Health Status - summarize information from medical forms, coupled with information gained from interviews.

Home and Environment:

  1. Structure of environment to ensure safety and health of child
  2. Description of home and surroundings
  3. Housekeeping standards
  4. Special safety considerations and particularly those that relate to foster family home rules.

Attitudes Toward Fostering:

  1. Type of child desired
  2. Attitude toward birth parents and siblings and frequent visiting; willingness to work with whole family
  3. Special considerations, i.e., medically fragile, behaviorally disordered, cultural diversities, sibling groups.
  4. Open to agency supervision
  5. Parenting skills  (include information from interviews and the Foster Family Profile:  expression of positive feelings toward a child both verbally and physically; response to child’s verbal and physical expression of needs and wants; discipline techniques used to refrain from using corporal punishment; ability to guide a child toward independence and recognize the immaturity of a child.)
  6. Support by own children and extended family of fostering.

Family’s Understanding of and Response to Agency Policy Regarding:

  1. Rules and regulations
  2. Payment system
  3. Agency organization
  4. No corporal punishment
  5. Role as team member

Summary of References:

  1. Highway Patrol (arrests and convictions; consider relevance to additional child-caring responsibilities)
  2. CA/N Central Registry, Family Support Division (FSD) (consider relevance to additional child-caring responsibilities)
  3. Documentation of CaseNet review
  4. Family Care Safety Registry Report
  5. Personal
  6. Employment
  7. School

Evaluation:  (Include compliance with licensing rules)

Recommendation

Signature of Worker and Date Signed

Approval of Supervisor Including Signature and Date

Signature of Resource Provider and Date Signed

Chapter Memoranda History: (prior to 1/31/07)

Memoranda History: