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

EXHIBIT I
For offices who have implemented Concurrent Planning Redesign: Place a
copy of the most recent HEP and the original DCFS FB forms in the
Psychological Medical/Dental/School Records folder.
e) Return the HEP Binder to the EW for recycling.
3. If the youth emancipates:
a) Retrieve the HEP Binder from the caregiver.
b) Photocopy all medical, dental, and educational materials and place in the
Psychological/ Medical/Dental/School Records folder.
c) For offices who have implemented Concurrent Planning Redesign: Provide
the HEP Binder containing the originals of all medical, dental and educational
materials, FB forms, and the most recent HEP to the emancipating youth.
For offices who have not implemented Concurrent Planning Redesign:
Provide the HEP Binder containing the originals of all medical, dental and
educational materials, the DCFS 4344 III, and the most recent HEP to the
emancipating youth.
NOTE: Psychological/psychiatric evaluation reports and/or IQ scores shall
ever be given to the emancipating youth.
4. If the child is adopted:
a) Retrieve the HEP Binder from the caregiver.
b) Photocopy all medical, dental and educational materials, place the photocopies
in the Psychological/Medical/Dental/School Records folder and provide the
original documents to the adoptive parent(s).
c) Provide the adoptive parent(s) with a copy of the most recent HEP.
d) Place a copy of the most recent HEP and the original DCFS 4344 III in the
Psychological/ Medical/Dental/School Records folder.
e) For offices who have implemented Concurrent Planning Redesign: Place a
copy of the most recent HEP and the original FB forms in the Psychological/
Medical/Dental/School Records folder.
For offices who have not implemented Concurrent Planning Redesign:
Place a copy of the most recent HEP and the original DCFS 4344 III in the
Psychological/ Medical/Dental/School Records folder.
PG 0080-505.20 (Rev 010/06)