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

EXHIBIT A
The CONTRACTOR shall have a plan for emergency psychiatric treatment
for a Placed Child. Each Certified Foster Parent shall be trained in the
procedures to activate this plan prior to certification.
3.8.6 Maintenance of the Health Portion of the Health and Education Passport
The Health and Education Passport (Black Binder, or the equivalent)
consists of: (1) instructions on page 1; (2) medical and dental information
in Section 1; (3) educational information in Section 2; and (4) placement
documentation in Section 3.
The CSW will provide CONTRACTOR with all medical information and
reports in their possession to be contained in the Placed Child’s Black
Binder, or the equivalent, at the time of placement subject to confidentiality
law restrictions. The CONTRACTOR shall update the Health Portion of
the Placed Child's Black Binder during the course of treatment by following
the instructions on page 1. This includes the mental health, dental, and
health information regarding: (1) providers’ names and addresses; (2) all
mental health, dental, and health problems identified and services
provided, visits, and testing; (3) hospitalizations; (4) immunizations;
(5) allergies; (6) current medications; and (7) any other relevant mental
health, dental, and health information. The doctor or his staff must record
medical and dental information such as immunizations given, medical
diagnoses, and prescribed medication. (For the Education Portion of the
Black Binder, or the equivalent see Section 3.10.8, below.)
The CSW shall provide the Black Binder, or the equivalent within thirty
(30) Days of initial placement of a child in foster care. If the child has
already been placed elsewhere and is moved to CONTRACTOR’S facility,
the Black Binder, or the equivalent is to be provided within 48 hours of
placement. If the Black Binder, or the equivalent is not provided within the
required timeframe, the CONTRACTOR shall: (1) initiate the Black Binder
or the equivalent information (See Exhibit I, WIC Section 16010); and (2)
immediately report lack of receipt of the binder to and request it from
DCFS Regional Administrator via e-mail. The CONTRACTOR shall not be
held responsible in an audit or monitoring review for failure to have
documents that were in existence at the time of placement but were not
provided to the CONTRACTOR by the COUNTY.
The CONTRACTOR shall provide the updated Black Binder, or the
equivalent to the CSW at the time the Placed Child departs from the
CONTRACTOR’S Program or provide the Black Binder, or the equivalent
within forty-eight (48) hours to the COUNTY or the CSW if the CSW is not
present at the time of the Placed Child's departure. The CONTRACTOR
shall update and be responsible for the Black Binder, or the equivalent
information only during the course of the placement.
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