Independent Living Program - Florida's Center for Child Welfare

2009-2010 Road to Independence (18-22) Monitoring ToolProvider Name: COU Team Member: Provider City: Site Visit Date: Contract Number: Assigned COU: Service Description: Independent LivingDate of Tool Revision: 11/05/2009Review Files As Of: COMPLETE INFORMATION ON THE "PROVIDER AND SAMPLE INFO" SHEET TO POPULATE CHILD CALCULATIONS AND TOOL HEADERS.AuthorityFully Met? Fully Met? Fully Met? Fully Met? Fully Met?RequirementsYouth NameYouth's BirthdateYouth's Age at Time of ReviewDate of Youth's 18th BirthdayLast Date before Youth's 21st BirthdayDate that is 90 days prior to last birthday for renewalsEligibility:Is there documentation in the case file/FSFN that the youth wasformerly a dependent child, under Chapter 39?See comment for acceptable documentation.409.1451(5)(b)2.a., F.S. and65C-31.004(1)(a)2.a., F.A.C.Is there documentation in the case file/FSFN that the youth was living 409.1451(5)(b)in licensed foster care or in subsidized independent living at the time of 2.a., F.S. andhis or her 18th birthday, or was adopted or placed with dependency 65Cguardianthrough the department after reaching age 16?31.004(1)(a)3.,See comment for acceptable documentation of living in foster care to F.A.C.18th birthday. There is no specific documentation requirement for theFor adoptionadoption situation.65C-31.004(1)(b)Is there documentation in the case file that the child spent at least sixmonths living in foster care before reaching his or her 18th birthday, orif placed with a dependency guardian or adopted through thedepartment spent at least six months living in foster care immediatelyprior to the adoption/placement?See comment for acceptable documentation of six months in fostercare prior to 18th birthday. There is no specific documentationrequirement for the adoption situation.409.1451(5)(b)2.a. and b.,F.S. and 65C-31.004(1)(a),F.A.C.For Adoption65C-31.004(1)(b)Is there documentation the child is a resident of Florida as defined in s. 409.1451(5)(b)1009.40?2.c., F.S. andAcceptable documentation is a FL drivers license or ID card, copy of an 65Celectricbill, a copy of a lease, a copy of a school enrollment form, a 31.004(1)(a)5.,copy of an RTI check, etc.F.A.C.SourceDCF Contract Oversight Page 1 of 6