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

EXHIBIT G
5. Discuss and obtain SCSW written approval for the release of the required records.
Document SCSW's approval in the Case Notes section in CWS/CMS. Print a hard
copy of the documentation and give it to the SCSW for signature. File it in the
Additional Services Documentation Folder.
6. Photocopy the requested records. Review carefully, black-out any unauthorized
information and photocopy the initial copy. Release the second copy and ensure
that the initial altered copy is shredded.
D. WHEN: SCHOOLS REQUEST RECORDS
The school system is expected to obtain the child’s school records from the previous
school. If for some reason the school records (including immunization records) are
unavailable, the caregiver may release only those records necessary to enroll the child
in school. No other records/documents shall be released to the school.
E. WHEN: A PRIVATE ADOPTION AGENCIES PERFORMING
ADOPTION HOME STUDIES REQUEST RECORDS
For purposes of completing adoption home studies the Department shall utilize only
adoption agencies that are licensed by the state in which they provide services.
All identifying information regarding the birth parents shall be withheld unless a consent
to release form (an AD 100 or equivalent), authorizing release of their identities and
signed by both parents, is filed in the case record. If only one parent signs the consent
form all identifying information regarding the other parent must be withheld.
The adopting family must also provide a signed release form (an AD 100 or equivalent)
allowing the Department to release information about their family to the adoption agency
providing the service.
In order to complete an accurate and comprehensive adoptive home study the adoption
agency completing the home study must be provided with the information given to the
adopting parents regarding the child as well as information regarding the family that is
adopting the child. The following information shall be considered for release:
1. school records;
2. child needs assessment records;
3. routine medical/dental records;
4. only the relevant information contained in the recommendations section of any
psychological evaluation for the child;
5. treatment plans for the child; and
6. court-ordered visitation plan for the child with his/her parents/guardians and
siblings, if any.
0500-501.20 (Rev 12/02)