ACIN I-20-08: Psychotropic Medications (3/26/08)

Part of an ongoing series of letters to ensure correct data reporting and documentation in child welfare cases. This one pertains to Authorized Psychotropic Medication, which must be reported under W&IC § 16010’s requirement to maintain a health and education record that includes current medications, including those prescribed to manage a mental health condition.

For dependents of the juvenile court with a prescribed psychotropic medication, court authorization or parental consent for the administration of the medication shall be documented in the child’s record. Part of an ongoing series of letters to ensure correct data reporting and documentation in child welfare cases. This one pertains to Authorized Psychotropic Medication, which must be reported under W&IC § 16010’s requirement to maintain a health and education record that includes current medications, including those prescribed to manage a mental health condition. [Download]

ACL 08-13: Reporting And Public Release Of Records In Cases Of Child Fatality Or Near Fatality As A Result Of Abuse Or Neglect (3/14/08)

This letter clarifies the implementation of SB 39, pertaining to the disclosure of child fatality information, and includes a revised reporting form. This policy is not retroactive for cases prior to January 1, 2008. SB 39 requires that local agencies respond directly to public requests for information related to a child fatality that is the result of abuse or neglect. The Child Abuse and Neglect Prevention and Treatment Act (CAPTA), requires that states disclose to the public findings and information about cases of child abuse and neglect that result in fatalities or near fatalities. The SOC 826 has been revised and renamed Child Fatality/Near Fatality County Statement of Findings and Information, to reflect the reporting requirements of SB 39 and to remain in compliance with CAPTA. The county must submit the SOC 826 for ALL cases of child fatalities if there is reasonable suspicion that it is as a result of abuse or neglect within five business days of learning of the incident, with follow up within 10 days.

The ACL also covers which county is responsible for the report. If the county determines that the fatality/near fatality was the result of abuse or neglect, it must respond to a public inquiry and provide information, as listed in the ACL. If the investigation does NOT conclude that the death/injury was from abuse/neglect, the county is to provide NO information. The letter also reviews the standards and process for objections to to the release of documentation, and agency comments regarding the information released. And what’s a bureaucracy without a discussion of documentation of files issues and annual reporting? [Download]

ACL 08-10: Title IV-E Foster Care Overpayment And Collections (3/21/08)

HHS told CDSS it was out of compliance with the Improper Payments Information Act (IPIA) (read “overpayments”) of 2002 and that the state’s practice of repaying the federal share of overpayments only upon collection is not acceptable. (CDSS initially issued ACL 06-48 on this issue, and counties were directed to identify and track all federal foster care and adoption assistance overpayments beginning October 1, 2006, and ACIN I-60-07identifies best practice guidelines.) To ensure state and county compliance with federal reporting requirements for Title IV-E overpayments, several sections of the Welfare and Institutions Code were amended. This letter reviews those changes.

The letter clarifies collection against foster family homes, relative homes, non-related extended family members and legal guardians. The recovery of these overpayment funds must be done in a way that does not jeopardize the overall availability of placements for foster or adoptive children, as well as to act in the best interests of the foster or adoptive child. In addition to identifying the conditions under which a county should not collect an overpayment, and providing examples, the letter reviews the types of costs counties should consider when determining the cost effectiveness of collecting overpayments. Due process for providers will now be through the use of both informal and formal hearings rather than a review. [Download]

ACIN I-21-08: Child Abuse Central Index (CAPI) Grievance Hearing Instructions (3/16/08)

The Gomez v. Saenz lawsuit settlement provided individuals with the opportunity to challenge their listing on the Child Abuse Central Index (CACI), and created grievance hearing procedures for this purpose. This ACIN lists the new grievance hearing requirements, pending approval of the regulations on this issue. It covers advising individuals of their right to the hearing and the process, the nature of the request form, scheduling of the hearing, and how the hearing will be conducted. [Download]