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

EXHIBIT I
5. Give the completed originals of the DCFS 561(a), (b) or (c) to the PHN who will enter
the information into CWS/CMS.
6. Confirm that all new medical, dental or psychological/other information noted on the
DCFS 561(a), (b) or (c) has been entered into the applicable CWS/CMS Notebooks.
7. Generate an updated HEP, and mail a copy to the caregiver.
NOTE: Information regarding psychiatric diagnoses and psychotropic medications
shall be included in the HEP and entered in the Health Notebook.
Psychological/psychiatric evaluation reports are not to be provided to the caregiver and
must not be included in the HEP Binder. They shall be kept in the case file only.
IQ scores shall not be entered in the child’s Client Notebook or otherwise entered in the
HEP. Information relating to IQ shall be maintained in the Psychological/Medical/
Dental/School Records folder only and used for the sole purpose of accessing
resources such as Regional Center services.
If there is no new medical, dental or psychological/other information between child
contacts, an updated copy of the HEP need not be provided to the caregiver.
8. When the school returns the DCFS 1726, provide the caregiver with a copy for
inclusion in the HEP Binder and place the original in the
Psychological/Medical/Dental/School Records folder.
9. If DCFS 1726 indicates that the child is receiving special education services, obtain
a copy of the child’s Individualized Education Program (IEP) from the school.
Provide the caregiver with a photocopy for inclusion in the HEP Binder and place the
original in the Psychological/Medical/Dental/School Records folder.
10. Enter information regarding the IEP (if any), special education information (if any)
and the principal’s name and phone number in the child’s Education Notebook.
11. Review the child’s health and education information in CWS/CMS prior to preparing
the Status Review Report.
12. Generate an updated HEP. The updated HEP will automatically be populated with
any health or education information entered since the previous HEP was generated.
PG 0080-505.20 (Rev 010/06)