CQI Assessment - NCACDSS



222885025336500CQI AssessmentImproving Outcomes for North Carolina’s Children and Families Through Continuous Quality Improvementcenter998543PermanencyPermanency456565342899SafetySafety6886575494895Well-BeingWell-BeingCounty Contact: Division Contact: Date of Record Review: Cases ReviewedReview Date:Review Date:Review Date:Review Date:Review Date: Screen Out CPS Intakes ReviewedScreened In CPS Intakes ReviewedCPS Assessments ReviewedCPS In-Home ReviewedPermanency Planning ReviewedFINDINGS?Workforce DevelopmentChoose an item.MOUChoose an item.SafetyChoose an item.PermanencyChoose an item.Well-BeingChoose an item.Race/EthnicityChoose an item.Law/Rule Choose an item.Workforce Development DataStandardEnhanced TA/CAReview Date:Review Date:Review Date:Review Date:Expected % AchievedReview % Lower than…% Achieved% Achieved% Achieved% AchievedPercent of effective Social Worker FTE’s (all program areas)95%85%Percent of effective Supervisor FTE’s (all program areas)95%94%First year required trainings for employees working in Child Welfare more than 1 year95%70%Job specific training for employees working in Child Welfare more than 1 year95%70%Annual 24 hours training for the prior Calendar Year95%70%MOU DataStandardEnhanced TA/CAReview Date:Review Date:Review Date:Review Date:Expected % AchievedReview % Lower/Higher than…% Achieved% Achieved% Achieved% AchievedCPS Assessment initiation for all screened-in reports within required timeframes 95%77%Recurrence of maltreatment within 12 months9.1%>10.8%All Foster Youth have face-to-face visits by the social worker each month95%95%Permanency Within 12 months %40.5%27.4%Re-entry into FC in 12 months %8.3%>8.3%Rate of placement moves per 1000 days of foster care4.1>5.8Safety DataStandardEnhanced TA/CALast Program EvaluationReview Date:Review Date:Review Date:Expected % AchievedReview % Lower than…% Achieved% Achieved% Achieved% AchievedCPS Intake and AssessmentsPercent of effective Social Worker FTE’s (CPS Assessments)95%78%Rate for screened in reports61%-70%Outside the range of 51%-80%Appropriate screening tools used 95%88%Screening decision according to policy95%77%Appropriate assessment track assigned95%89%Response time appropriate95%91%CPS Assessments initiated within the required timeframes with the children (or diligent efforts documented)?95%77%25%Parents/caretakers were seen and interviewed on the same day the children were seen during the CPS initiation (or diligent efforts documented)95%77%25%Information documented on the Safety Assessment correlate with the information obtained from the interview(s) and observations95%91%Safety agreement is adequate to ensure safety95%60%Decision-making tools completed accuratelyCPS AssessmentsFamily Assessment of Strengths and Needs (DSS 5229)95%75%Family Risk Assessment (DSS 5230)95%75%Ongoing face to face contacts made per policy with (or diligent efforts documented):Children95%65%8%Mothers95%65%12%Fathers95%55.26%8.96%Non-Resident Parent95%57%33%Collateral Contacts and Diligent Efforts Collaterals identified in the CPS intake report95%71%25%Collaterals identified by the parents/caretakers 95%82%25%Other persons or agencies known to be currently involved with the family or have knowledge of the family95%82%25%Case narratives contained appropriate information per policy95%69%Case specific supervisory consultation components95%56%95%37%Temporary Safety Provider(s) (TSP) used appropriately 95%42%CPS Assessment case decision appropriate 95%86%Over 45 days documentation to justify remaining open95%45%CPS Assessment backlog rate131%-170%Outside the range of 120%-190%CPS In HomePercent of effective Social Worker FTE’s (CPS In-Home)95%88%Decision-making tools completed accuratelyFamily Assessment of Strengths Needs (DSS 5229)95%75%Family Risk Reassessment (DSS 5226)95%75%In-Home high-risk cases had weekly face to face contacts 95%46%Ongoing face to face contacts made per policy with (or diligent efforts documented):Children95%61%14%Mothers95%56%35%Fathers95%41%26%Non-Resident Parent95%22%33%Two collateral contacts with people significant to the case95%54%Case narratives contained appropriate information per policy95%69%Case specific supervisory consultation components 95%37%Temporary Safety Provider(s) (TSP) used appropriately 95%42%FSA development and updates according to policy with:Mothers (in the home)95%95%81%67%Fathers (in the home)95%95%70%66%FSA correlates to Family Strengths and Needs Assessment:Mothers (in the home)95%73%Fathers (in the home)95%71%In-Home closing outlines why the child is no longer at risk 95%67%In-Home case over 6 months, documentation to justify remaining open95%45%Permanency DataStandardEnhanced TA/CAReview Date:Last Program Evaluation Review Date:Review Date:Expected % AchievedReview % Lower than…% Achieved% Achieved% Achieved% AchievedPercent of effective Social Worker FTE’s (Permanency Planning)95%87%Percent of effective Social Worker FTE’s (Permanency Planning 18-21)95%95%Percent of effective Social Worker FTE’s (Adoption)95%94%Ongoing face to face contacts made per policy in Permanency Planning with (or diligent efforts documented):Children95%85%25%Mothers95%50%48%Biological Fathers95%30%39%Resource Parents95%80%25%Contact was made with persons significant to the case, other than the placement providers, when indicated by the child and family’s needs95%69%Case narratives contained appropriate information per policy95%78%Case specific supervisory consultation components 95%29%FSA development and updates according to policy with:Mothers95%66%54%Fathers95%51%44%FSA correlates to Family Strengths and Needs Assessment:Mothers95%65%Fathers95%59%Family Reunification Assessment (DSS-5227), and the Family Assessment of Strengths and Needs (DSS-5229) completed thoroughly and accurately.95%42%Family Time and Contact Plan developedInitial within 14 days95%71%Updated95%49%Family time occurs frequently and includes a variety of methods95%67%Documentation of family time includes behavioral observations 95%72%Contact between siblings occurs frequently95%66%Siblings not placed together are reviewed to be placed together 95%32%Shared Parenting MeetingInitial within 14 days95%29%Ongoing95%25%Well-being DataStandardEnhanced TA/CALast Program Evaluation Review Date:Review Date:Review Date:Expected % AchievedReview % Lower than…% Achieved% Achieved% Achieved% AchievedCPS AssessmentDocumentation reflects assessing well-being needsMother (in the home)95%51%Father (in the home)95%45%Victim Children95%75%Documentation reflects referrals for identified well-being issues Mother (in the home)95%50%Father (in the home)95%50%Victim Children95%65%CPS In HomeDocumentation/FSA/PPR reflects assessing well-being needsMother (in the home)95%51%Father (in the home)95%45%Victim Children95%75%Does the documentation/FSA/PPR reflects referrals for identified well-being issuesMother (in the home)95%50%Father (in the home)95%50%Victim Children95%65% Educational reports for school-age children (academic and behavior) within the last year in the record95%50%Copies of the child(ren)'s medical exam, current within the last year, in the record 95%50%Copies of the child(ren)'s dental exam, current within the last year, in the record 95%50%Copies of the child(ren)’s mental health or substance use treatment plans current within the last year, in the record 95%50%Permanency PlanningDocumentation/FSA/PPR reflects assessing well-being needsMother (in the home)95%51%Father (in the home)95%45%Victim Children95%75%Does the documentation/FSA/PPR reflects referrals for identified well-being issuesMother (in the home)95%50%Father (in the home)95%50%Victim Children95%65%Was the NC Child Education Status (DSS 5245) completed?Within 7 days of initial and subsequent placement(s)95%46%Updated annually 95%48% Educational reports for school-age children (academic and behavior) within the last year in the record95%50%Best Interest Determination (DSS 5137)Within 5 school days of initial and subsequent placement(s)95%46%Updated any time there is a placement change, every 12 months95%48%Child Health History for Children in CustodyInitial within 30 days (DSS 5207)95%58%Physical Health of Children in CustodyExam within 7 days or documentation of diligent efforts (DSS 5206)95%72%Comprehensive visit (30 days) (DSS 5208)95%52%Routine well-child medical appointments (annually) (DSS 5209)95%86%Evaluations scheduled (within 30 days) for mental health, dental, optometry, educational, developmental, etc.95%69%Copies of the child(ren)'s medical exam, current within the last year, in the record 95%50%Copies of the child(ren)'s dental exam, current within the last year, in the record 95%50%Copies of the child(ren)’s mental health or substance use treatment plans current within the last year, in the record 95%50%Race/Ethnicity DataCounty PopulationEnhanced TA/CAReview Date:Review Date:Review Date:Review Date:+/-5% of population% by race% by race% by race% by raceReports accepted for CPS Assessment by race compared to county populationCaucasian onlyAfrican American OnlyBi-RacialHispanic or LatinoAmerican IndianOtherChildren in custody by race compared to county populationCaucasian onlyAfrican American OnlyAmerican IndianOtherLaw/RuleNon-complianceLast Program Evaluation Review Date:Review Date:Review Date:Review % Lower than…% Achieved% Achieved% Achieved% AchievedCPS Intake meet the criteria for a report by:Definition of abuse, neglect, dependency100%Caretaker definition100%Reporter letter sent within 5 days of the date of the CPS Intake 100%If the report included allegations of human trafficking, did the agency: 1. check with the National Center for Missing and Exploited Children; 2. check with the North Carolina Center for Missing Persons; 3. check with Law Enforcement to see if the child/youth has been reported missing or runaway; 4. if the child is a foreign national, contacted the U.S. Department of Health and Human Services Office on Trafficking in Persons (OTIP)100%Report on a substance affected infant has a plan of safe care developed and CC4C referral to the local CC4C prior to screening decision100%Both the DA and LE verbally notified immediately and in writing within 48 hours of evidence of abuse found 100%DSS 5104 completed within 30 days of CPS Assessment Case Decision Responsible Individuals List (RIL) - Number of perpetrators added to the RIL compared to the number of cases with a substantiation of Abuse/Serious Neglect or documentation for individuals appropriately not added.100%Fostering ConnectionsAll adult relatives of child notified within 30 days of child’s removal from parent(s)/caretaker(s) and notification contained all required information100%The agency made ongoing efforts to locate and notify adult relatives100%Agency appropriately provided the courts with the information necessary to notify the parents, juvenile (if 12 years of age or more), guardian, and person providing care for the juvenile of a hearing100%LINKS ServicesTransitional living plan 100%Casey Life Skills Assessment completed100%Credit Checks for foster youth100%Documentation of LINKS services offered100%American Indian HeritageICWA Compliance checklist (DSS-5291) completed in CPS Assessments or CPS In Home when a family member indicates any American Indian Heritage100%In cases found to be Substantiated or Services Needed, containing information about American Indian heritage, the DSS-5335 or DSS-5336 was completed100%Information in the In-Home/Permanency Planning record shows American Indian Heritage was assessed (on FSA, narrative or face sheet)100% ................
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