Independent Living Program - Florida's Center for Child Welfare

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Windows into PracticeThe Regional Quality Assurance ModelUpdated for Fiscal Year 2010/2011I. BackgroundStates are required to develop and implement Child and Family Services Plans (CFSP)in order to receive federal funds under Title IV-B and other funding sources. As part ofthe CFSP, each state must describe their quality assurance system and report on howthey will continually improve child welfare practices.The following sites are provided for additional reference:• 471 (a)(22) of the Social Security Act"In order for a state to be eligible for payments under this part, it shall have aplan approved by the Secretary which provides that, not later than January 1,1999, the state shall develop and implement standards to ensure that children infoster care placements in public or private agencies are provided quality servicesthat protect the safety and health of the children."• 45CFR 1357.15(u)"The state must include in the CFSP a description of the quality assurancesystem it will use to regularly assess the quality of services under the CFSP andassure that there will be measures to address identified problems."• 45CFR1355.34(c)(3)"Quality assurance system: The state has developed and implementedstandards to ensure that children in foster care placements are provided qualityservices that protect the safety and health of the children (section 471(a)(22))and is operating an identifiable quality assurance system (45 CFR 1357.15(u) asdescribed in the CFSP that: (i) is in place in the jurisdictions within the statewhere services included in the CFSP are provided; (ii) is able to evaluate theadequacy and quality of services provided under the CFSP; (iii) is able to identifythe strengths and needs of the service delivery system it evaluates; (iv) providesreports to agency administrators on the quality of services evaluated and needsfor improvement; and (v) evaluates measures implemented to address identifiedproblems."
State-level quality assurance systems are monitored through the federal Child andFamily Services Review (CFSR) process that includes case file reviews, case specificinterviews, and stakeholder interviews to evaluate the system of care. CFSRs areperformed in a partnership mode between federally certified reviewers and state qualityassurance and management staff.In design, Florida's Regional Quality Assurance (QA) Model resembles the CFSRprocesses and measurable standards, but it is tailored to specifically address state andlocal needs while also fulfilling each of federal requirements.The January 2008 the CFSR found the state in "substantial conformity" with its qualityassurance system. The CFSR report affirmed, "The State has implemented standardsthat are sufficient to protect the safety and health of children in care; and the State hasa functioning QA system that addresses key practice areas and provided feedback onkey findings."In addition to complying with federal mandates in order to receive federal funds, theRegional QA Model was designed to also, and perhaps more importantly, increaseoversight and accountability at all levels of the service delivery system in order toimprove outcomes for children and families. Although Regions and Community-BasedCare (CBC) agencies have specific quality assurance staff to conduct ongoing reviews,the philosophical foundation of the Regional QA Model is that assuring quality servicedelivery to children and families is everyone's job, so there are many stakeholdersincluded in the entire process.
Page 1 and 2: 2010IndependentLiving ProgramA Guid
Page 3 and 4: Chapter 01Resource List
Page 5 and 6: FormsForms are available online at:
Page 7 and 8: StatewideChapter 02IndependentLivin
Page 9 and 10: State of Florida Independent Living
Page 26 and 27: CBC IN-DEPTH REVIEW: SYSTEMIC FACTO
Page 28 and 29: Independent Living Quality Assuranc
Page 30 and 31: Quality of Practice StandardsIndepe
Page 32 and 33: Quality of Practice StandardsIndepe
Page 34 and 35: Quality of Practice StandardsOngoin
Page 36 and 37: Quality of Practice Standardscase p
Page 38 and 39: Independent Living Case SpecificInt
Page 40 and 41: Home - Quality AssuranceCenter Home
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Page 44 and 45: Complete the white cells below and
Page 46 and 47: Calculated Date: 30 Days After 13th
Page 48 and 49: 2009-2010 Life Skills (Age 15-17) M
Page 50 and 51: 2009-2010 Life Skills (Age 15-17) M
Page 54 and 55: Date of six months prior to 18th bi
Page 58 and 59: Calculated: Child's Age in Years #V
Page 60 and 61: 2009-2010 Road to Independence (18-
Page 68 and 69: Youth Date of BirthCalculated: Yout
Page 70 and 71: FEBRUARY 2005 REPORT NO. 2005 - 119
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FEBRUARY 2005 REPORT NO. 2005 - 119
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Exhibit 2Schedule of Budgeted Expen
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MEMORANDUMDATE: March 30, 2010PHONE
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certificate and is admitted for ful
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Progress Report Report No. 10-30•
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Progress Report Report No. 10-30you
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Progress Report Report No. 10-30DCF
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The Florida LegislatureOffice of Pr
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IndependentChapter 06Living Spendin
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PLAN FOR IMPLEMENTATION OF SERVICES
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PLAN FOR IMPLEMENTATION OF SERVICES
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2009 INDEPENDENT LIVING SERVICESADV
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(c) Members of the advisory council
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Department Response: The Department
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ecommendation by providing the high
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Require the Medicaid Reform countie
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Subgroup to ensure Florida’s comp
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IndependentChapter 08Living Redesig
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Planning for transition and self su
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3. Guardianship Assistance: for you
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All young adults who exit state cus
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Support Services: Young adults who
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Florida currently makes significant
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Estimated AnnualTitle IV-Revenue $1
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Costs based on these assumptions be
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Programs FY 2010 FY 2011 FY 2012 FY
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George Sheldon, SecretaryDon Winste
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Service delivery must be driven by
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National YouthChapter 09in Transiti
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2) Youth Piece - The second compone
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Florida SafeChapter 10Families Netw
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Independent Living Program - Florida's Center for Child Welfare

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