CMS-07-021/023 - Los Angeles County Department of Children and ...

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SAMPLE CONTRACT Exhibit P Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit P-I Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit Q Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit R FYI 02-08 Quality of Life Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T Overpayments Exhibit U Charitable Contributions Certification Exhibit V County’s Administration Exhibit W Service Delivery Sites Exhibit X Family Visitation Guidelines Exhibit Y Contractor’s Obligation Under the Health Insurance Portability and Accountability Act (HIPAA) Exhibit Z Discharge Summary for DCFS: Foster Family Agency Exhibit AA Intentionally Left Blank Exhibit BB Intentionally Left Blank Exhibit CC Contractor’s Administration DCFS FFA Contract – Table of Contents iv
SAMPLE CONTRACT COUNTY OF LOS ANGELES FOSTER FAMILY AGENCY MASTER CONTRACT FOR FOSTER CARE Foster Family Agency Master Contract for Foster Care (hereinafter referred to as “Contract”). This Contract is made and entered into this ____ day of 2008, by and between RECITALS County of Los Angeles hereinafter referred to as “COUNTY” and Contractor hereinafter referred to as “CONTRACTOR”. WHEREAS, pursuant to Government Code Sections 26227, 31000 and 53703, COUNTY is permitted to contract for services, and WHEREAS, the COUNTY desires and has the duty to provide care and protection for children placed in its charge pursuant to the provisions of the Welfare and Institutions Code (WIC) Section 16500 et seq; and WHEREAS, existing COUNTY facilities do not have the capacity or the specialized programs to provide the care and protection for all children in its charge; and WHEREAS, the COUNTY finds it impractical to develop and maintain facilities to care for all of the children in its charge; and WHEREAS, COUNTY finds the CONTRACTOR’s program to be economically advantageous to the COUNTY and to provide a safe, secure and nurturing living environment in which the children can develop physically, emotionally, socially, educationally, spiritually and culturally; and WHEREAS, pursuant to the provisions of WIC Section 11460, the California Department of Social Services (CDSS) is designated to administer a state system for establishing rates in the Aid to Families with Dependent Children-Foster Care (AFDC-FC program; and DCFS FFA Contract Unique Terms and Conditions 1
Page 1 and 2:
DEPARTMENT OF CHILDREN AND FAMILY S
Page 3 and 4:
REQUEST FOR STATEMENT OF QUALIFICAT
Page 5 and 6:
1.0 INTRODUCTION 1.1 Preamble For o
Page 7 and 8:
COUNTY agencies and their partners
Page 9 and 10:
1.3 DCFS Mission Statement DCFS wil
Page 11 and 12:
2.0 GENERAL INFORMATION 2.0 Scope o
Page 13 and 14:
2.4.1.2 Prospective Contractor must
Page 15 and 16:
old for 30 days or less; (3) provid
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Contractor protest. In all cases, t
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2.19 Conflict of Interest No County
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submit evidence at that hearing. Af
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solicitation may result in the pros
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County’s contracting process by c
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2.33 Contractor’s Charitable Cont
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3.0 Instructions to Prospective Con
Page 31 and 32: The request for a Solicitation Requ
Page 33 and 34: 3.7.1 Language The SOQ and all docu
Page 35 and 36: coverage should the prospective Con
Page 37 and 38: 3.8.6 Please refer to Section 3.0 I
Page 39 and 40: 4.0 SOQ REVIEW/SELECTION/QUALIFICAT
Page 41 and 42: The Department will execute Board o
Page 43 and 44: 19 20 21 22 List of Required Forms
Page 45 and 46: CONTRACTOR’S ORGANIZATION QUESTIO
Page 47 and 48: CONTRACTOR’S ORGANIZATION QUESTIO
Page 49 and 50: VENDOR’S EEO CERTIFICATION REQUIR
Page 51 and 52: REQUIRED FORMS - FORM 5 FAMILIARITY
Page 53 and 54: PROSPECTIVE CONTRACTOR LIST OF TERM
Page 55 and 56: REQUIRED FORMS - FORM 9 COUNTY OF L
Page 57 and 58: REQUIRED FORMS - FORM 11 OFFER TO P
Page 59 and 60: CERTIFICATION OF FISCAL COMPLIANCE
Page 61 and 62: LIST OF COMMITMENTS Legal Name of A
Page 63 and 64: REQUIRED FORMS - FORM 17 CONTRACTOR
Page 65 and 66: CERTIFIED FOSTER PARENT CONFIDENTIA
Page 67 and 68: CONTRACTOR’S EMPLOYEE ACKNOWLEDGE
Page 69 and 70: Type of program: Foster Family Agen
Page 71 and 72: CONTRACTOR’S NAME: CONTRACT NO. N
Page 73 and 74: REQUEST FOR STATEMENT OF QUALIFICAT
Page 75 and 76: TRANSMITTAL FORM TO REQUEST A RFSQ
Page 77 and 78: APPENDIX E LISTING OF CONTRACTORS D
Page 79 and 80: SAMPLE CONTRACT COUNTY OF LOS ANGEL
Page 81: LIST OF EXHIBITS SAMPLE CONTRACT Ex
Page 85 and 86: SAMPLE CONTRACT Exhibit A-IX Requir
Page 87 and 88: as a single process. SAMPLE CONTRAC
Page 89 and 90: SAMPLE CONTRACT 2.27 “Foster Care
Page 91 and 92: SAMPLE CONTRACT written in accordan
Page 93 and 94: SAMPLE CONTRACT Such insurance shal
Page 95 and 96: SAMPLE CONTRACT 6.0 INSURANCE COVER
Page 97 and 98: SAMPLE CONTRACT partial, and supple
Page 99 and 100: SAMPLE CONTRACT 7.15 Provided that
Page 101 and 102: 10.0 COUNTY’S RESPONSIBILITY SAMP
Page 103 and 104: SAMPLE CONTRACT 10.13 The CSWs shal
Page 105 and 106: SAMPLE CONTRACT and/or Certified Fo
Page 107 and 108: SAMPLE CONTRACT Investigation/Monit
Page 109 and 110: SAMPLE CONTRACT will also invite CO
Page 111 and 112: SAMPLE CONTRACT 18.4 The CONTRACTOR
Page 113 and 114: SAMPLE CONTRACT management review,
Page 115 and 116: SAMPLE CONTRACT 20.2 CONTRACTOR and
Page 117 and 118: SAMPLE CONTRACT 22.2 CONTRACTOR her
Page 119 and 120: SAMPLE CONTRACT notice by the CONTR
Page 121 and 122: SAMPLE CONTRACT COUNTY’s prior wr
Page 123 and 124: SAMPLE CONTRACT FOSTER FAMILY AGENC
Page 125 and 126: SAMPLE CONTRACT to the Contract, wh
Page 127 and 128: SAMPLE CONTRACT governing or impact
Page 129 and 130: 8.0 GRIEVANCES SAMPLE CONTRACT term
Page 131 and 132: SAMPLE CONTRACT 11.1.2 For purposes
Page 133 and 134:
SAMPLE CONTRACT CONTRACTOR will int
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SAMPLE CONTRACT conduct a hearing w
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SAMPLE CONTRACT CONTRACTOR warrants
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SAMPLE CONTRACT solely of CONTRACTO
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1015, attached hereto as Exhibit L.
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SAMPLE CONTRACT 30.1.3 CONTRACTOR m
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SAMPLE CONTRACT not limited to, the
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SAMPLE CONTRACT amounts COUNTY clai
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SAMPLE CONTRACT COUNTY OF LOS ANGEL
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COUNTY OF LOS ANGELES DEPARMENTS OF
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PART A: INTRODUCTION 1.0 PREAMBLE E
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EXHIBIT A COUNTY agencies and thei
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EXHIBIT A (Health and Safety Code),
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PART B: TARGET DEMOGRAPHICS 1.0 TAR
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1.0 SAFETY EXHIBIT A PERFORMANCE OU
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1.1.7 Required Services by CONTRACT
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EXHIBIT A The CONTRACTOR shall Moni
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PROGRAM TARGET GROUP: Placed Childr
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EXHIBIT A the fullest extent possib
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EXHIBIT A Monitor for Compliance th
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3.0 WELL-BEING EXHIBIT A PERFORMANC
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EXHIBIT A participation in treatmen
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EXHIBIT A individuals to the extent
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EXHIBIT A 88068.2, 88068.3, and 880
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EXHIBIT A objectives appropriate to
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EXHIBIT A The CONTRACTOR shall prov
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3.7.4 Monetary Consequences EXHIBIT
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EXHIBIT A Days. After 14 Days, the
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EXHIBIT A The CONTRACTOR shall have
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EXHIBIT A for the Placed Child to r
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EXHIBIT A specified in the Needs an
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EXHIBIT A The CONTRACTOR shall Moni
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FOSTER YOUTH BILL OF RIGHTS EXHIBIT
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EXHIBIT A-I 19. Residents have the
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EXHIBIT A-I Reprise 25. Residents s
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INTENTIONALLY LEFT BLANK EXHIBIT A-
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EXHIBIT A-IVa STATE OF CALIFORNIA
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FOSTER CHILD’S NEEDS AND CASE PLA
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AGENCY - GROUP HOME AGREEMENT Child
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EXHIBIT A-VIII SPECIAL INCIDENT REP
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5. SERIOUS INJURY, ILLNESS OR ACCID
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EXHIBIT A-VIII 10. SIGNIFICANT INCI
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SCREENING REQUIREMENT PERIODICITY S
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Anticonvulsant medications, when pr
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Dr. faxes pages 1 & 2 of PMAF to th
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EXHIBIT A-X 2. Contact the physicia
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EXHIBIT A-X 1. Instruct the caregiv
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APPROVAL LEVELS Section Level Appro
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(CSW completes top section) Los Ang
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D. Please attach a list of the foll
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TO THE HEADS OF EXECUTIVE DEPARTMEN
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implementation of individual provis
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E. Negotiation and Approval of Indi
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. The restraints or requirements im
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objectives of the organization are
Page 259 and 260:
distribution base. The result of th
Page 261 and 262:
special cost studies (such as an en
Page 263 and 264:
other activity. The bases must be e
Page 265 and 266:
g. The results of each negotiation
Page 267 and 268:
49. Training costs 50. Transportati
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e. Costs identified in subparagraph
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compensation for employees on feder
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(3) Excise taxes on accumulated fun
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with certainty as to time, intensit
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appeals, antitrust suits, or the pr
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(1) Donated or volunteer services m
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(1) Capital expenditures for genera
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(2) "Idle facilities" means complet
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enovations, alterations, equipment,
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. For non-profit organizations subj
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already required or maintained. Als
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see paragraphs 37., Professional se
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41. Recruiting costs. a. Subject to
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continued to own the property. This
Page 297 and 298:
48. Termination costs applicable to
Page 299 and 300:
(3) Fees charges by the educational
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e. Foreign travel. Direct charges f
Page 303 and 304:
Southern Research Institute, Birmin
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A-C Handbook Page 1 AUDITOR-CONTROL
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A-C Handbook Page 3 2.2 Cash Receip
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A-C Handbook Page 5 If a Payroll Re
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A-C Handbook Page 7 Outside Meals -
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A-C Handbook Page 9 CONTRACTOR shal
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A-C Handbook Page 11 2.3 Petty Cash
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A-C Handbook Page 13 Salaried emplo
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A-C Handbook Page 15 Indirect Cost
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A-C Handbook Page 17 2.3 Acceptable
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A-C Handbook Page 19 D. UNALLOWABLE
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EXHIBIT C-II AUDITOR-CONTROLLER/DEP
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• California Code of Regulations,
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If CONTRACTOR and A-C/DCFS hold a p
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XIV. Final Report to the Board of S
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EXHIBIT D Cont. I understand that I
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EXHIBIT D-I Cont. I understand that
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24. Equipment Leases 25. Depreciati
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Report all costs related to telepho
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EXHIBIT E D. Total Un-Expended AFDC
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EXHIBIT F (D) If the State Departme
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EXHIBIT F (C) Individuals who are e
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EXHIBIT F subdivision (g). The Stat
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EXHIBIT F processing. (B) Upon requ
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EXHIBIT F self-addressed envelope f
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EXHIBIT F shall disclose that clien
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EXHIBIT F state, would have been pu
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statement, fingerprints and photogr
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Name, Address and Telephone Number
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EXHIBIT G If a CSW or SCSW has any
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EXHIBIT G 10) minute orders and cou
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0500-501.20 (Rev 12/02) EXHIBIT G 4
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EXHIBIT G See Procedural Guide 0200
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EXHIBIT G that the research will no
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EXHIBIT G detrimental to the safety
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EXHIBIT G Procedural Guide 0500-504
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EXHIBIT H of changes to the plan. (
Page 377 and 378:
EXHIBIT I (e) The child's caretaker
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EXHIBIT I CSW in Concurrent Plannin
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Procedures A. WHEN: A CHILD IS DETA
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B. WHEN: A CHILD IS IN OUT-OF-HOME
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Dependency Investigator CSW Respons
Page 387 and 388:
EXHIBIT I For offices who have impl
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EXHIBIT I FB1 Addendum, Family Back
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CHILD WELFARE SERVICES PROGRAM 31-4
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Department of the Treasury Internal
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DCFS FOSTER FAMILY AGENCY CONTRACT
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EXHIBIT N medication authorizations
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EXHIBIT N 5. The DCFS Division Chie
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EXHIBIT O 1. The lesser number is a
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EXHIBIT O COUNTY OF LOS ANGELES CON
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CONTRACTOR’S CERTIFICATION OF COM
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F I F I F I F I EXHIBIT R F O R Y O
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8. Does the child receive the sport
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EXHIBIT R 33. Is the child given th
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Every baby deserves a chance for a
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Es mejor que las mujeres busquen ay
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• Llámenos para recibir informac
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A. WHEN: A FAD INDICATES A POTENTIA
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EXHIBIT T O/P Collection EW 4. INVA
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EXHIBIT T NOTE: Overpayment recover
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Reconciliation EW 3. Receive the Ba
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Overpayment Recovery Unit ES WHO HO
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CHARITABLE CONTRIBUTIONS CERTIFICAT
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SERVICE DELIVERY SITES Foster Famil
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TABLE OF CONTENTS INTRODUCTION/SUMM
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PURPOSE/PHILOSOPHY STATEMENT These
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TEAMING PROCESS Family-Centered Tea
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COURT ORDERS Oftentimes, the judici
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First 24 Hours Child removed from p
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FAMILY VISITATION PLAN Prior to the
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• Whether or not the parent is a
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• Maintain objectivity, and remai
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Judicial Officers Judicial Officers
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Unless the FVP specifically states
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the visitation objectives. In addit
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Sexual Abuse Permanency Transportat
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SUBCOMMITTEE MEMBERS The Drafting S
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EXHIBIT Y of information, including
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EXHIBIT Y accounting of Disclosures
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DISCHARGE SUMMARY FOR DCFS: FOSTER
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INTENTIONALLY LEFT BLANK EXHIBIT BB
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SAMPLE CONTRACT COUNTY OF LOS ANGEL
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10.0 COMPLIANCE WITH CIVIL RIGHTS L
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Exhibit T Overpayments Exhibit U Gr
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WHEREAS, CONTRACTOR warrants that i
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2.0 DEFINITIONS Exhibit T Overpayme
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2.16 “Do Not Refer Status” or
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2.31 “Pool Rate” - means the ra
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notify COUNTY of such change. COUNT
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equivalent providing the CONTRACTOR
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a bed open for a Placed Child, CONT
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7.14 CONTRACTOR may appeal the fina
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9.2 If CONTRACTOR’s staff qualify
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10.11 COUNTY Workers shall provide
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13.0 FEES 12.1 CONTRACTOR shall mai
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Exhibit N, DCFS/Probation Group Hom
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16.0 FINANCIAL REPORTING 16.1 CONTR
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closing summary of CONTRACTOR's rec
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including but not limited to, the U
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19.6 Nothing herein precludes COUNT
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entirety; or (2) reduced in accorda
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accounted for and that unspent fund
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omissions, resulting from its perfo
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County of Los Angeles - Department
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4.0 BUDGET REDUCTIONS In the event
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6.2.3 The assurance that all employ
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CONTRACTOR hereby assures that it w
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12.3 CONTRACTOR shall comply with a
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modify, deny or adopt the proposed
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minimum waiting time for clearance.
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County of Los Angeles Department of
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eject children for placement consis
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30.0 DISCLOSURE OF INFORMATION 30.1
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33.7 CONTRACTOR shall obtain the fo
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35.0 TERMINATION FOR CONVENIENCE 35
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CONTRACTOR receives, has access to,
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COUNTY OF LOS ANGELES DEPARTMENT OF
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COUNTY OF LOS ANGELES DEPARTMENTS O
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• Safety and Survival; • Emotio
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Service Access Service providers wi
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The CONTRACTOR shall request approv
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Plan/Quarterly Reports in cooperati
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6.4 The CONTRACTOR’S Treatment Te
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PART C: SERVICE TASKS TO ACHIEVE PE
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1.0: SAFETY PERFORMANCE OUTCOME GOA
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Placed Children; and (2) abide by a
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(b) The CONTRACTOR shall use seclus
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PERFORMANCE OUTCOME SUMMARY 2.0 PER
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2.0: REUNIFICATION/PERMANENCY PERFO
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2.2 Visitation Plan: modification i
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(a) For infants from birth to 6 mon
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PERFORMANCE OUTCOME SUMMARY 3.0 WEL
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3.0 WELL-BEING PERFORMANCE OUTCOME
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(b) Two children’s rights recentl
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their responsibilities to pupils in
Page 575 and 576:
3.2.8 Educational Assessments by th
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information such as immunizations g
Page 579 and 580:
The CONTRACTOR shall have an emerge
Page 581 and 582:
assistance with homework; (5) daily
Page 583 and 584:
3.11.5 Clothing Fit, Appropriatenes
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placed with a minor parent if the C
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PART D - PERFORMANCE REQUIREMENT SU
Page 589 and 590:
FOSTER YOUTH BILL OF RIGHTS EXHIBIT
Page 591 and 592:
19. Residents have the right to con
Page 593 and 594:
not prohibited by the resident's ne
Page 595 and 596:
TABLE OF CONTENTS ii EXHIBIT A-II I
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OUT-OF-HOME CARE EXHIBIT A-II What
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EXHIBIT A-II What is a juvenile cou
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EXHIBIT A-II care still exist, if y
Page 603 and 604:
EXHIBIT A-II Can I have an attorney
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TYPES OF PLACEMENTS EXHIBIT A-II Wh
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GUARDIANSHIP EXHIBIT A-II What is t
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INDEPENDENT LIVING EXHIBIT A-II Wha
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CONFIDENTIALITY AND YOUR RECORDS EX
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WHEN RECORDS ARE DESTROYED Juvenile
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MONEY EXHIBIT A-II Do I have a righ
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RELIGION Can my foster parents or N
Page 619 and 620:
EXHIBIT A-II What if I can't get a
Page 621 and 622:
EMANCIPATION EXHIBIT A-II What does
Page 623 and 624:
EXHIBIT A-II What are the disadvant
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KNOW YOUR RIGHTS EXHIBIT A-II With
Page 627 and 628:
DEFINITION INDEX The number refers
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ENDNOTES 1. The following abbreviat
Page 631 and 632:
35. WIC 317(c) 36. WIC 317(d),(e) E
Page 633 and 634:
84. VC 12814.6 85. VC 17701 86. FC
Page 635 and 636:
PROBATION CASE PLAN FORM (PROB 1385
Page 637 and 638:
EXHIBIT A-V 1. Describe Circumstanc
Page 639 and 640:
EXHIBIT A-V Probation Officer’s R
Page 641 and 642:
EXHIBIT A-V _______________________
Page 643 and 644:
SIGNATURES: EXHIBIT A-V MINOR: THIS
Page 645:
FOSTER CHILD’S NEEDS AND CASE PLA
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cc: to group home, child’s(ren’
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SPECIAL INCIDENT REPORTING GUIDE FO
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4 EXHIBIT A-VIII 5. SERIOUS INJURY,
Page 669 and 670:
6 EXHIBIT A-VIII 10. SIGNIFICANT IN
Page 671 and 672:
SCREENING REQUIREMENT PERIODICITY S
Page 673 and 674:
Anticonvulsant medications, when pr
Page 675 and 676:
Dr. faxes pages 1 & 2 of PMAF to th
Page 677 and 678:
EXHIBIT A-X 2. Contact the physicia
Page 679 and 680:
EXHIBIT A-X 1. Instruct the caregiv
Page 681 and 682:
APPROVAL LEVELS Section Level Appro
Page 683 and 684:
Group Home Organization: FORMAT FOR
Page 685 and 686:
Exhibit A-XIIIa COUNTY OF LOS ANGEL
Page 687 and 688:
Exhibit A-XIIIb COUNTY OF LOS ANGEL
Page 689 and 690:
GROUP HOME PROGRAM STATEMENT EXHIBI
Page 691 and 692:
TO THE HEADS OF EXECUTIVE DEPARTMEN
Page 693 and 694:
implementation of individual provis
Page 695 and 696:
E. Negotiation and Approval of Indi
Page 697 and 698:
. The restraints or requirements im
Page 699 and 700:
objectives of the organization are
Page 701 and 702:
distribution base. The result of th
Page 703 and 704:
special cost studies (such as an en
Page 705 and 706:
other activity. The bases must be e
Page 707 and 708:
g. The results of each negotiation
Page 709 and 710:
49. Training costs 50. Transportati
Page 711 and 712:
e. Costs identified in subparagraph
Page 713 and 714:
compensation for employees on feder
Page 715 and 716:
(3) Excise taxes on accumulated fun
Page 717 and 718:
with certainty as to time, intensit
Page 719 and 720:
appeals, antitrust suits, or the pr
Page 721 and 722:
(1) Donated or volunteer services m
Page 723 and 724:
(1) Capital expenditures for genera
Page 725 and 726:
(2) "Idle facilities" means complet
Page 727 and 728:
enovations, alterations, equipment,
Page 729 and 730:
. For non-profit organizations subj
Page 731 and 732:
already required or maintained. Als
Page 733 and 734:
see paragraphs 37., Professional se
Page 735 and 736:
41. Recruiting costs. a. Subject to
Page 737 and 738:
continued to own the property. This
Page 739 and 740:
48. Termination costs applicable to
Page 741 and 742:
(3) Fees charges by the educational
Page 743 and 744:
e. Foreign travel. Direct charges f
Page 745 and 746:
Southern Research Institute, Birmin
Page 747 and 748:
A-C Handbook Page 1 AUDITOR-CONTROL
Page 749 and 750:
A-C Handbook Page 3 2.2 Cash Receip
Page 751 and 752:
A-C Handbook Page 5 If a Payroll Re
Page 753 and 754:
A-C Handbook Page 7 Outside Meals -
Page 755 and 756:
A-C Handbook Page 9 CONTRACTOR shal
Page 757 and 758:
A-C Handbook Page 11 2.3 Petty Cash
Page 759 and 760:
A-C Handbook Page 13 Salaried emplo
Page 761 and 762:
A-C Handbook Page 15 Indirect Cost
Page 763 and 764:
A-C Handbook Page 17 2.3 Acceptable
Page 765 and 766:
A-C Handbook Page 19 D. UNALLOWABLE
Page 767 and 768:
EXHIBIT C-II AUDITOR-CONTROLLER/DEP
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EXHIBIT C-II circumstances, the ent
Page 771 and 772:
EXHIBIT C-II At the pre-exit meetin
Page 773 and 774:
EXHIBIT C-II will be provided with
Page 775 and 776:
CONTRACTOR EMPLOYEE ACKNOWLEDGEMENT
Page 777 and 778:
Group Home Semi-Annual Expenditure
Page 779 and 780:
EXHIBIT F (D) If the State Departme
Page 781 and 782:
EXHIBIT F (C) Individuals who are e
Page 783 and 784:
EXHIBIT F subdivision (g). The Stat
Page 785 and 786:
EXHIBIT F processing. (B) Upon requ
Page 787 and 788:
EXHIBIT F self-addressed envelope f
Page 789 and 790:
EXHIBIT F shall disclose that clien
Page 791 and 792:
EXHIBIT F state, would have been pu
Page 793 and 794:
statement, fingerprints and photogr
Page 795 and 796:
Name, Address and Telephone Number
Page 797 and 798:
EXHIBIT G If a CSW or SCSW has any
Page 799 and 800:
EXHIBIT G 10) minute orders and cou
Page 801 and 802:
0500-501.20 (Rev 12/02) EXHIBIT G 4
Page 803 and 804:
EXHIBIT G See Procedural Guide 0200
Page 805 and 806:
EXHIBIT G that the research will no
Page 807 and 808:
EXHIBIT G detrimental to the safety
Page 809 and 810:
EXHIBIT G Procedural Guide 0500-504
Page 811 and 812:
EXHIBIT H of changes to the plan. (
Page 813 and 814:
EXHIBIT I (e) The child's caretaker
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EXHIBIT I CSW in Concurrent Plannin
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Procedures A. WHEN: A CHILD IS DETA
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B. WHEN: A CHILD IS IN OUT-OF-HOME
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Dependency Investigator CSW Respons
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EXHIBIT I For offices who have impl
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EXHIBIT I FB1 Addendum, Family Back
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Page 829 and 830:
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Department of the Treasury Internal
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DCFS GROUP HOME CONTRACT INVESTIGAT
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EXHIBIT N c) insufficient or poor f
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EXHIBIT N 5. The Division Chief or
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EXHIBIT O 1. The lesser number is a
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EXHIBIT O COUNTY OF LOS ANGELES CON
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CONTRACTOR’S CERTIFICATION OF COM
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F I F I F I F I EXHIBIT R F O R Y O
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8. Does the child receive the sport
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EXHIBIT R 33. Is the child given th
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It is best that women seek help to
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Safely Surrendered Baby Hotline (87
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Cada recién nacido merece una opor
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DATE OF ISSUE: APPLICABLE TO: LEGAL
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TA/EW b) INVALID OVERPAYMENT EXHIBI
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WHO HOW following conditions exist:
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EXHIBIT T Deposit EW 3. Reconcile t
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O/P Collection EW b) Enter the stat
Page 867:
c) FAD Exception Distribution d) Ov
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s mobility and independent function
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1180.3. (a) This section shall appl
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(A) Obesity. (B) Pregnancy. (C) Agi
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PROBATION QUARTERLY REPORT FORMAT E
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Name of School: Address of School:
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Date Type Los Angeles County Probat
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Are there any SIRS to report? Yes N
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TARGET POPULATIONS WITH CORRESPONDI
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EXHIBIT Y THE TARGET POPULATION FOR
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CONTRACT NO. COUNTY PROGRAM DIRECTO
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EXHIBIT CC LOS ANGELES COUNTY SUPER
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INTRODUCTION/SUMMARY In June, 2005,
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elatives) should reflect the unique
Page 898 and 899:
Additionally, every effort should b
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DEPENDENCY CASE STAGES Stage 1: Pre
Page 902 and 903:
The Pre-Disposition Family Visitati
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PRELIMINARY CONSIDERATIONS/FACTORS
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• Provide a drug/weapon/violence
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• Give parents suggestions for wh
Page 910 and 911:
Visitation Objectives (reason for e
Page 912 and 913:
issues specific to teen parents. Th
Page 914 and 915:
Circumstance Team Response in FVP
Page 916 and 917:
BIBLIOGRAPHY Casey Family Programs.
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Reporting Runaways A Guide for Care
Page 920 and 921:
CONTRACTOR’S OBLIGATIONS UNDER HI
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213-974-2166 EXHIBIT EE The initial
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5.0 MISCELLANEOUS EXHIBIT EE agents
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CONTRACTOR’S NAME: CONTRACT NO. C
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BACKGROUND AND RESOURCES: CALIFORNI
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It is best that women seek help to
Page 932 and 933:
Safely Surrendered Baby Hotline (87
Page 934 and 935:
Cada recién nacido merece una opor
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2.203.010 Findings. Chapter 2.203,
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APPENDIX M following: 1. Has ten or
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