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

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SAMPLE CONTRACT Worker’s Compensation suits, liability, or expense resulting from its performance of this Contract and will bear the sole responsibility and liability for furnishing Worker’s Compensation benefits in an amount and form to meet the State of California statutory requirements to any and all COUNTY personnel for injuries arising from or connected with services performed under this Contract. 27.6 COUNTY shall indemnify CONTRACTOR, and hold it harmless from any and all loss, damage, costs and expenses, including reasonable attorney’s fees, suffered or incurred on account of any breach by COUNTY of the obligations and covenants described in Subsections 27.4 and 27.5 above. DCFS FFA Contract Unique Terms and Conditions 40
SAMPLE CONTRACT FOSTER FAMILY AGENCY MASTER CONTRACT FOR FOSTER CARE DCFS FFA Contract Part II – Standard Terms and Conditions PART II: STANDARD TERMS AND CONDITIONS
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
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COUNTY agencies and their partners
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1.3 DCFS Mission Statement DCFS wil
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2.0 GENERAL INFORMATION 2.0 Scope o
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2.4.1.2 Prospective Contractor must
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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
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The request for a Solicitation Requ
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3.7.1 Language The SOQ and all docu
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coverage should the prospective Con
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3.8.6 Please refer to Section 3.0 I
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4.0 SOQ REVIEW/SELECTION/QUALIFICAT
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The Department will execute Board o
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19 20 21 22 List of Required Forms
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CONTRACTOR’S ORGANIZATION QUESTIO
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CONTRACTOR’S ORGANIZATION QUESTIO
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VENDOR’S EEO CERTIFICATION REQUIR
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REQUIRED FORMS - FORM 5 FAMILIARITY
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PROSPECTIVE CONTRACTOR LIST OF TERM
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REQUIRED FORMS - FORM 9 COUNTY OF L
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REQUIRED FORMS - FORM 11 OFFER TO P
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CERTIFICATION OF FISCAL COMPLIANCE
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LIST OF COMMITMENTS Legal Name of A
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REQUIRED FORMS - FORM 17 CONTRACTOR
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CERTIFIED FOSTER PARENT CONFIDENTIA
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CONTRACTOR’S EMPLOYEE ACKNOWLEDGE
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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 and 82: 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: SAMPLE CONTRACT COUNTY’s prior wr
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
Page 135 and 136: SAMPLE CONTRACT conduct a hearing w
Page 137 and 138: SAMPLE CONTRACT CONTRACTOR warrants
Page 139 and 140: SAMPLE CONTRACT solely of CONTRACTO
Page 141 and 142: 1015, attached hereto as Exhibit L.
Page 143 and 144: SAMPLE CONTRACT 30.1.3 CONTRACTOR m
Page 145 and 146: SAMPLE CONTRACT not limited to, the
Page 147 and 148: SAMPLE CONTRACT amounts COUNTY clai
Page 151 and 152: COUNTY OF LOS ANGELES DEPARMENTS OF
Page 153 and 154: PART A: INTRODUCTION 1.0 PREAMBLE E
Page 155 and 156: EXHIBIT A COUNTY agencies and thei
Page 157 and 158: EXHIBIT A (Health and Safety Code),
Page 159 and 160: PART B: TARGET DEMOGRAPHICS 1.0 TAR
Page 161 and 162: 1.0 SAFETY EXHIBIT A PERFORMANCE OU
Page 163 and 164: 1.1.7 Required Services by CONTRACT
Page 165 and 166: EXHIBIT A The CONTRACTOR shall Moni
Page 167 and 168: PROGRAM TARGET GROUP: Placed Childr
Page 169 and 170: EXHIBIT A the fullest extent possib
Page 171 and 172: 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
Page 257 and 258:
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
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g. The results of each negotiation
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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
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48. Termination costs applicable to
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(3) Fees charges by the educational
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e. Foreign travel. Direct charges f
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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. (
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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
Page 385 and 386:
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
Page 431 and 432:
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.
Page 525 and 526:
County of Los Angeles Department of
Page 527 and 528:
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
Page 539 and 540:
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
Page 549 and 550:
6.4 The CONTRACTOR’S Treatment Te
Page 551 and 552:
PART C: SERVICE TASKS TO ACHIEVE PE
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1.0: SAFETY PERFORMANCE OUTCOME GOA
Page 555 and 556:
Placed Children; and (2) abide by a
Page 557 and 558:
(b) The CONTRACTOR shall use seclus
Page 559 and 560:
PERFORMANCE OUTCOME SUMMARY 2.0 PER
Page 561 and 562:
2.0: REUNIFICATION/PERMANENCY PERFO
Page 563 and 564:
2.2 Visitation Plan: modification i
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(a) For infants from birth to 6 mon
Page 567 and 568:
PERFORMANCE OUTCOME SUMMARY 3.0 WEL
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3.0 WELL-BEING PERFORMANCE OUTCOME
Page 571 and 572:
(b) Two children’s rights recentl
Page 573 and 574:
their responsibilities to pupils in
Page 575 and 576:
3.2.8 Educational Assessments by th
Page 577 and 578:
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
Page 585 and 586:
placed with a minor parent if the C
Page 587 and 588:
PART D - PERFORMANCE REQUIREMENT SU
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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
Page 597 and 598:
OUT-OF-HOME CARE EXHIBIT A-II What
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EXHIBIT A-II What is a juvenile cou
Page 601 and 602:
EXHIBIT A-II care still exist, if y
Page 603 and 604:
EXHIBIT A-II Can I have an attorney
Page 605 and 606:
TYPES OF PLACEMENTS EXHIBIT A-II Wh
Page 607 and 608:
GUARDIANSHIP EXHIBIT A-II What is t
Page 609 and 610:
INDEPENDENT LIVING EXHIBIT A-II Wha
Page 611 and 612:
CONFIDENTIALITY AND YOUR RECORDS EX
Page 613 and 614:
WHEN RECORDS ARE DESTROYED Juvenile
Page 615 and 616:
MONEY EXHIBIT A-II Do I have a righ
Page 617 and 618:
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
Page 625 and 626:
KNOW YOUR RIGHTS EXHIBIT A-II With
Page 627 and 628:
DEFINITION INDEX The number refers
Page 629 and 630:
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
Page 663 and 664:
cc: to group home, child’s(ren’
Page 665 and 666:
SPECIAL INCIDENT REPORTING GUIDE FO
Page 667 and 668:
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
Page 769 and 770:
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
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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
Page 815 and 816:
EXHIBIT I CSW in Concurrent Plannin
Page 817 and 818:
Procedures A. WHEN: A CHILD IS DETA
Page 819 and 820:
B. WHEN: A CHILD IS IN OUT-OF-HOME
Page 821 and 822:
Dependency Investigator CSW Respons
Page 823 and 824:
EXHIBIT I For offices who have impl
Page 825 and 826:
EXHIBIT I FB1 Addendum, Family Back
Page 827 and 828:
Page 829 and 830:
Page 831 and 832:
Department of the Treasury Internal
Page 833 and 834:
DCFS GROUP HOME CONTRACT INVESTIGAT
Page 835 and 836:
EXHIBIT N c) insufficient or poor f
Page 837 and 838:
EXHIBIT N 5. The Division Chief or
Page 839 and 840:
EXHIBIT O 1. The lesser number is a
Page 841 and 842:
EXHIBIT O COUNTY OF LOS ANGELES CON
Page 843 and 844:
CONTRACTOR’S CERTIFICATION OF COM
Page 845 and 846:
F I F I F I F I EXHIBIT R F O R Y O
Page 847 and 848:
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
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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
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Additionally, every effort should b
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DEPENDENCY CASE STAGES Stage 1: Pre
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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
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Visitation Objectives (reason for e
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issues specific to teen parents. Th
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Circumstance Team Response in FVP
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BIBLIOGRAPHY Casey Family Programs.
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Reporting Runaways A Guide for Care
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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
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Safely Surrendered Baby Hotline (87
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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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