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?RequirementsSourceYouth 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 renewalsDid the assessment of funding needs consider other grants,scholarships, waivers, earnings, and other income?Did the extent of the award only provide for the difference between theliving and educational needs determined by the assessment and whatthe young adult is receiving from other grants and scholarships?Federal Requirments: The total amount of educational assistance tothe young adult shall not exceed the young adult's cost of attendance.409.1451(5)(b)4., F.S. and65C-31.004(4)(a),F.A.C.409.1451(5)(b)4., F.S.65C-31.004(4)(b),F.A.C.Have payments of $1,256.00 or less per month been made?Was the entire RTI award payment being made to the recipient? If not,is there a request in writing from the youth for an alternativedistribution?409.1451(5)(b)1., F.S..65C-31.004(5),F.A.C.RTI Documentation RequirementsDid the case file contain chronological entries of contacts made? 65C-31.006(3)(a)1.b., F.A.C.Is there a log of financial disbursements? 65C-31.006(3)(a)1.d., F.A.C.ReinstatementDCF Contract Oversight Page 5 of 6