Basic Child Caring Institutions - GAHSC



Child Caring Institutions (CCI) with Foster Family Services and Child Placing Agency For Special Base Watchful Oversight (SBWO) Foster Care | |

|Provider Requirements |Child Characteristics |

| |Difficulty of Care Factors |

|Licensure & Compliance|Licensed by ORS as a Child Placing Agency (CPA) or a Child Caring | |A child served in this specialty program will have severe emotional and/or|

| |Institution (CCI) Foster Home Services and maintenance of substantial | |behavioral management problems that interfere with the child’s ability to |

| |compliance with ORS Rules and Regulations. | |function in family, school, and community and make it difficult to |

| | | |maintain the safety of the child and others outside of a highly structured|

| | | |and supervised setting. In addition to the child characteristics listed |

| | | |below, the child may exhibit the characteristics listed in the Base with |

| | | |Additional Oversight chart. |

|Contract |Compliance with all provisions of related contract(s) between the provider|School Adjustment |Academic performance is not in accordance with ability |

|Compliance |and DHR and/or DJJ | |Frequent attendance and truancy problems |

| | | |Disruptive and/or disobedient to school rules, could result in school |

| | | |suspension |

| | | |Failure and/or inability to learn in regular school setting |

| | | |Not cooperative with tutoring or assistance with school assignments |

|Staff |Master’s degree in social sciences, social work, childhood education, |Performance in Home |Several years behind in the development of age-appropriate knowledge of |

|Credentials: |business or public administration or related field plus 2 years experience|Environment |self-care or life skills |

|Director |in childcare OR a bachelor’s degree in one of the above names fields plus | |Disregard for others property – property damage |

| |4 years experience. | |Frequently non-compliant with adult instructions and with reasonable rules|

| | | |and expectations |

| |The Director shall not serve in any other capacity with in the agency. | |Serious difficulty in adjusting to new environments |

| | | |Use of vulgar and/or provocative language |

| | | |Bedwetting and/or urination in places other than the toilet |

| | | |Sexual acting out with or without aggression |

| | | |Self harming behaviors, eraser burns, repeatedly picking at sores, biting |

| | | |fingernails until they bleed, and head banging |

|Staff |Master’s degree in social work, psychology, special education, guidance |Social and Community |Frequent and/or uncontrollable behavioral outbursts and mood swings |

|Credentials |counseling or other human service or behavioral science field and a |Activities |Possible delinquent behaviors and involvement with the law |

| |minimum of two years paid experience in child care or human services OR a | |Inability to form meaningful friendships, socially isolated |

| |bachelor’s degree plus 2 years experience in the field of child care and | |High risk behaviors, run away, drug involvement, gang activity |

| |be supervised by an individual with a master’s degree in one of the above | |Often fearful, anxious, and/or sad |

|CPA |named fields. | |Impulsive actions that create risk (inappropriate outbursts, wanders away,|

|Supervisor | | |plays with fire) |

|Staff - Credentials |Bachelor’s degree in social work, psychology, special education, guidance |Health and |A child served in this program will require additional |

| |counseling, or other human service or behavioral science field plus two |Developmental Factors |supervision/oversight. The disability may interfere with the child’s |

|Case Support Staff |years of direct services experience with children and families OR a | |ability to function in the family, school, and community without a highly |

| |master’s degree in one of the aforementioned areas. | |structured and supervised setting. |

| | | | |

| |Case Support Ratio 1:8 Specialized; 1:12 Combined Cases | | |

|Foster Home Capacity /|Children needing this amount of oversight will require a foster home where| |Global developmental delays as a diagnosis |

|Qualification |he/she is the only child placed in the home. Exception to this is the | |Infrequent episodes of enuresis or encopresis at a young age |

| |placement of a sibling group. | |Exposure to drugs or alcohol |

| | | |Require behavior management program |

| |Foster parent will have appropriate background and/or appropriate training| |Difficulty in communicating needs |

| |to provide effective oversight for the child with special needs. | |May require insight monitoring |

| | | |Repetitive actions and/or language |

| | | |Easily frustrated |

| | | | |

| | | | |

|Child Caring Institution (CCI) with Foster Family Services and Child Placing Agency For Special Maximum Watchful Oversight (SMWO) Foster Care |

|Provider Requirements |Child Characteristics |

| |Difficulty of Care Factors |

|Licensure and |Licensed by ORS as a Child Caring Institution (CCI) with Foster Family | |A child served in the Specialty with Maximum Oversight Program will have |

|Compliance |Services or a Child Placing Agency (CPA) and Maintenance of substantial | |moderate to occasionally serious emotional and/or behavioral management |

| |compliance with ORS Rules and Regulation | |problems that interfere with the child’s ability to function in the |

| | | |family, school, and/or community outside of a supervised and structured |

| | | |setting |

|Contract Compliance |Compliance with all provisions of related contract (s) between the |School Adjustment |School attendance is poor, grades are poor, inability to concentration |

| |provider and DHR and/or DJJ | |when in school – requires oversight from teachers, family and/or caregiver|

| | | |IEP with placement in specialized classes for behavioral, learning |

| | | |disabilities including physical disabilities. |

| | | |Multiply disciplinary actions |

| | | |Failure and/or inability to learn |

| | | |Refuses help with school work and/or tutoring |

| | | |May require adaptive learning tools |

|Staff Credentials: |Master’s degree in social sciences, social work, childhood education, |Performance in Home |Frequently non-compliant with adult instructions and with reasonable rules|

|Director |business or public administration or related field plus two years |Environment |and expectations |

| |experience in the field of childcare OR a bachelor’s degree in one of the | |Refusal to perform basic tasks around the home |

| |above named fields plus four years experience. | |Use of vulgar and/or provocative language |

| | | |Repetitive actions or language, and taunting |

| |The Director shall not serve in any other capacity within the agency | |Demanding, Threatening |

| | | |Several years behind in the development of age-appropriate knowledge of |

| | | |self-care or life skills |

| | | |Occasionally assault with and/or without injuries |

| | | |Disregard for the property of others; intentional property damage |

| | | |Sexual acting out with or without aggression that may be opportunistic, |

| | | |situational or planned |

| | | |Recurrent and/or severe self - injurious behaviors and /or suicidal |

| | | |behaviors |

| | | |Physical aggression (hitting, kicking, spitting, attacking may be with or |

| | | |without a weapon, toward adults and/or other children. |

| | | |Bedwetting – graduating to intentional urination in places other than the |

| | | |toilet |

| | | |Hiding soiled clothing/bed linens |

| | | |Smearing and/or throwing of feces |

| | | |Highly sexualized behaviors, promiscuity, seeking inappropriate |

| | | |relationships with older persons, poor physical boundaries, often with |

| | | |history of sexual abuse and poor self esteem |

| | | |Fears, worries, and anxieties that affect daily activities; frequent and |

| | | |severe |

|Staff Credentials |Master’s degree in social work, psychology, education, guidance and/or |Social and Community |Odd, bizarre or explosive actions, which pose a significant risk of harm |

| |counseling or any other related field plus one year child care experience |Activities |to self or others |

|CPA |OR a bachelor’s degree plus two years experience and be supervised by an | |Seems unable to form any meaningful friendship, is socially isolated and |

|Supervisor |individual with a master’s degree | |unable to enjoy activities with peers |

| | | |Difficulty identifying and/or expressing emotions, emotionally blunted |

| | | |Hearing voices, seeing things that are not there |

| | | |Possible delinquent behaviors and run-in with the law |

| | | |Child has engaged in experimental or regular alcohol or drug use, but use |

| | | |does not interfere with daily activities |

| | | |Frequent and/or uncontrollable behavioral outbursts and mood swings |

| | | |Delinquent behaviors – stealing, burglary, assault, battery |

| | | |Recurring involvement with the legal system |

| | | |Fears, worries and anxieties that prevent social and community interaction|

|Staff - Credentials |Bachelor’s degree in social work, psychology, special education, guidance |Health and |A child served in this program will require intensive |

| |counseling, or other human service or behavioral science field plus two |Developmental Factors |supervision/oversight. The disability will interfere with the child’s |

|Case Support Staff |years of direct services experience with children and families OR a | |ability to function in the family, school, and community without a highly |

| |master’s degree in one of the aforementioned areas | |structured and supervised setting. |

| | | | |

| |Case Support Ratio: 1:8 Specialized; 1:12 Combined | | |

|Foster Home Capacity /|Children needing this amount of oversight will require a foster home where| |Global developmental delay as the primary diagnosis |

|Qualification |he/she is the only child placed in the home. Exception to this is the | |Fetal Alcohol Syndrome |

| |placement of a sibling group. | |Recovering from head injury |

| | | |Diabetes – managed with insulin and follow up with Endocrinologist |

| | | |Ordered to have physical, occupational, and/or speech therapy 1-2 times |

| |Foster parent will have appropriate background and/or appropriate training| |weekly |

| |to provide effective oversight for the child with high special needs. | |Severe visual impairment to include a diagnosis of legal blindness or |

| | | |condition requiring medications |

| | | |Seizure disorder requiring medication |

| | | |Episodes of enuresis or encopresis or a history of one or both |

| | | |Autism |

|Child Caring Institutions (CCI) with Foster Family Services and Child Placing Specialty Medically Fragile Watchful Oversight (SMFWO) Foster Care |

|Provider Requirements |Child Characteristics |

| |Difficulty of Care Factors |

|Licensure and |Licensed by ORS as a Child Caring Institution (CCI) or a Child Placing | |A child served in the Specialty High Medically Fragile program may have |

|Compliance |Agency (CPA) and maintenance of substantial compliance with ORS Rules and | |emotional and/or behavioral management problems that interfere with |

| |Regulations | |his/her compliance to required medical and/or health procedures. The |

| | | |child requires a highly structured and supervised setting. |

|Contract Compliance |Compliance with all provisions of related contract (s) between the |School Adjustment |School attendance may be poor, grades are poor, concentration is poor when|

| |provider and DHR and/or DJJ | |in school – requires oversight from teachers, family and/or caregiver |

| | | |Failure and/or inability to learn |

| | | |IEP with placement in specialized classes for behavioral or learning |

| | | |and/or physical disabilities |

| | | |May require adaptive learning tools |

| | | |Medical interventions may be required while in school |

|Staff Credentials: |Master’s degree in social sciences, social work, childhood education, |Performance in Home |Several years behind in the development of age-appropriate knowledge of |

|Director |business or public administration or related field plus two years of |Environment |self-care or life skills |

| |experience in childcare OR a bachelor’s in one of the above named fields | |Smearing and/or throwing of feces |

| |and four years of experience in child care. | |Bedwetting, urination in places other than the toilet |

| | | |Inability to perform simple self help tasks |

| |The Director shall not serve in any other capacity within the agency | |Limited ability to perform routine tasks of daily living such as chores |

| | | |and laundry |

| | | |Self harming behaviors, biting, spitting, head banging |

| | | |Homicidal or suicidal thoughts |

| | | |Physical aggression (hitting, kicking, spitting, attacking with or without|

| | | |a weapon, throwing objects) toward adults and/or other children |

| | | |Withdrawn behavior, attention seeking behaviors that are excessive, |

| | | |constant complaining about physical ailments, nightmares, difficulty going|

| | | |to bed, refusal to stay in bedroom |

| | | |Fears, worries, and anxieties that affect daily activities |

| | | |Impulsive behaviors that present barrier to maintaining physical safety |

| | | |Inflexibly adheres to routines or rituals and has difficulty with |

| | | |transitions, which may lead to serious harm to self or others or extremely|

| | | |aggressive behaviors |

| | | |Difficulties with social interactions and/or communication (failure or |

| | | |inability to speak, make eye contact, shake hands, hiding, standing too |

| | | |close, revealing personal information inappropriately to strangers, etc.) |

|Staff Credentials |Master’s degree in social work, psychology, special education, guidance |Social and Community |Hearing voices, seeing things that are not there |

| |counseling or other human service or behavioral science field and a |Activities |Frequent and/or uncontrollable behavioral outbursts and mood swings |

|Case Support |minimum of two years paid experience in child care or human services OR a | |Seems unable to form any meaningful friendships, is socially isolated and |

|Supervisor |bachelor’s degree plus two years experience in the field of child care and| |unable to enjoy activities with peers |

| |be supervised by an individual with a | | |

| |Master’s degree in one of the above named fields. | |Poorly prepared for and lacking skills necessary for independent living |

| | | | |

| | | |Limited mobility |

|Staff Credentials: | |Health and |A child served in the group will have serious to severe medical needs with|

| | |Developmental Factors |complex medical conditions. Non-compliance with any prescriptive regimen |

|Case Support |Bachelor’s degree in social work, psychology, special education, guidance | |of care will endanger the life or health of the child. These children |

|Staff |counseling, or other human service or behavioral science field plus two | |require time-intensive treatments/procedures to be performed daily by a |

| |years of direct service experience with children and families OR a | |trained caregiver. |

| |Master’s degree in one of the aforementioned fields. | | |

| | | | |

| | | | |

| | | | |

|Foster Home Capacity /|Children needing this amount of oversight will require a foster home where|Health and |A medical condition which requires management with medications |

|Qualifications |he/she is the only child placed in the home. Exception to this is the |Developmental Factors |Child has a tracheotomy |

| |placement of a sibling group. | |Child is oxygen dependent |

| | | |Persistent reflux causing frequent vomiting |

| |Foster parent will have medical background and/or appropriate training to | |Requires oral feedings that take at least 30 minutes or requires tub |

| |provide effective oversight for the child with high medical needs. | |feedings |

| | | |Requires nebulizer treatments on a daily basis |

| | | |Requires medications by feeding tube, injection or suppository |

| | | |Requires ostomy care |

| | | |Has any type body cast |

| | | |Blindness |

| | | |Deafness or severe hearing impairment |

| | | |Complete or partial paralysis (child weighing 20 pounds or more) |

| | | |Has self-harming behaviors such as cutting, ingesting poisonous |

| | | |substances, etc. |

| | | |Depends upon medication to keep a life threatening condition under control|

| | | |– including, but not limited to asthma, chronic lung disease, diabetes, |

| | | |heart disease, HIV infection, or chronic kidney disease being maintained |

| | | |by dialysis |

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