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INFORMATION/
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SECTION I:

In order to initiate the Family Assessment (Homestudy) process, applicants must complete the following:

Applications:

Resource Family Criminal Record Statement (RFA 01B)

Resource Parent Application I (RFA01A – one per family)

Resource Parent Application II

SAFE Questionnaire I (for couples)

SAFE Questionnaire I (for single parents)

Clearances and References:

 

Live Scan Request Form (A1585 – 3 forms per parent)

Resource Family Criminal Record Statement (RFA 01B – for all adults in the home)
   

Personal References Form

Release of Information – Employment(as applicable)

Household Forms:

 

Babysitter/Additional Adult Household Member Agreement

•   Children’s Questionnaire (given during interviews)

Emergency Disaster Plan

•    Evidences of Homeowner’s Liability Insurance

•    Family Capability Inventory (given during interviews)

EF Income & Expense Worksheet

Facility Sketch

•      Immunizations for all pets and Licenses for dogs (must be current) 

•      SAFE Questionnaire II (given during interviews – to be given by the Home Study Worker)

•      School report cards (must be current and for all school age children in the home)

•      Signature Page (given during interviews)

•      Support System List (given during interviews)

•      Copy of most recent Tax Return (Only the first 2 pages of the federal form is needed)

Medical Forms:

 

Resource Family Approval Health Screening (RFA 07 – All Applicants and Adults residing in the home)

Supplement to Resource Family Health Screening (All applicants)

•      TB Test or Screening form (All applicants and Adults residing in the home)

•      Most recent Physical Examination for all children in the home & up-to-date immunizations

Training:

**All training must be completed prior to the final interview**

•      Completion of Orientation (In Class Training)

•      Completion of Pride Training (In Class Training)

•      CPR certification/ First Aid certification (You can take at Extraordinary Families or in the community. Must cover Adult, child, and infant)

•      Foster Parent College (Online – Must be registered with Family Recruitment Specialist)

•      Introduction to LGBTQ Competency

•      Water Safety certification

Acknowledgments &
Agreements:

 

Acknowledgment of Requirement to Report Suspected Child Abuse

Confidentiality Agreement and Policy

Declaration of Understanding and Resource Parent Acknowledgment

Discipline Guidelines and Agreement

Non-Discrimination Policy/Agreement

Pet Safety Policy and Contract

Smoke Free Environment Agreement/Plan

Swimming Pool/Spa Agreement

Weapon Safety Agreement

Criminal Clearance Guidelines/Agreement

Policy Acknowledgment Form

SECTION II:

The following documents must be completed prior to final Family Assessment (Homestudy) approval:

DCFS Child Welfare History Review Form:


•     NOTE: This form will be emailed to you during the interview process by our Foster Care/Adoptions Assistant for you to fill out electronically, print, sign, and email back

Family Assessment Tools:


•     Family Capability Inventory

•      Support System List

•      Loss Chart

•      Scheduling Activity

•      Death Certificate of Spouse

•      Discharge papers from Armed Services

Transportation Forms:

 

•       Copy of California Driver’s License (Copy must be in color and enlarged)

•       DMV Driving Record Printout (Must be a 10-year report. DMV form can be sent directly to DMV via mail or brought in to a DMV office. Please Note:  Online reports only go back 5 years and cannot be accepted for approval)

 Driving Record Disclosure

Vehicle Inspection Form(For all vehicles that may be used to transport children)

•      Vehicle Insurance (For all vehicles that may be used to transport children)

Vehicle Liability Statement

Parent Forms:

 

•      Marriage Certificate

•      Divorce Decree

•      Child Support Verification

•      Court order finalizing prior adoptions

•      Death Certificate of Spouse

•      Discharge papers from Armed Services

Download a copy of the Resource Parent Application Checklist

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