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

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<strong>Department</strong> <strong>of</strong> <strong>Children</strong> <strong>and</strong> Family Services<br />

Foster Family Agency Program Section<br />

FOSTER FAMILY AGENCY MONTHLY REPORT<br />

NAME OF FFA_______________________MONTH OF :________________<br />

A. Please provide the total numbers for both L.A. <strong>and</strong> Out-<strong>of</strong>-<strong>County</strong> (O/C):<br />

# <strong>of</strong> Homes in L.A. # <strong>of</strong> Homes in Out <strong>of</strong> <strong>County</strong><br />

EXHIBIT A-XII<br />

Total Capacity in L.A. Total Capacity in Out <strong>of</strong> <strong>County</strong><br />

Current Vacancies in L.A. Current Vacancies in Out <strong>of</strong> <strong>County</strong><br />

% Vacancy rate in L.A. % Vacancy rate in Out <strong>of</strong> Count<br />

DCFS children only in L.A. DCFS children in Out <strong>of</strong> <strong>County</strong><br />

B. Please provide the following information for L.A. <strong>County</strong> children<br />

1. # <strong>of</strong> FFA Social Worker visits to 3. # <strong>of</strong> visits between<br />

children children <strong>and</strong> birth parents/relatives.<br />

2. # <strong>of</strong> FFA Social Worker visits to certified 4. # <strong>of</strong> training hours<br />

foster parents <strong>of</strong>fered to staff<br />

5.__________# <strong>of</strong> training hours<br />

<strong>of</strong>fered to foster parents<br />

C. Change in placement for L.A. <strong>County</strong> children only:<br />

1 <strong>of</strong> children to birth parent or relatives 6. # <strong>of</strong> children to legal<br />

guardianship<br />

2. # <strong>of</strong> children to state foster homes 7. # <strong>of</strong> children to Adoption<br />

3 # <strong>of</strong> children moved to other 8. # <strong>of</strong> children accepted from<br />

certified homes within your FFA group homes<br />

4. # <strong>of</strong> children to group homes 9. # <strong>of</strong> children emancipated<br />

5. # <strong>of</strong> children to other FFAs. 10. Other

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