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Ramsey County Children’s Services Review Panel Administrative Review Information and Check List

  • *

    Purpose of the Administrative Review is to determine:

    • Safety of the child

    • Continued necessity of placement

    • Appropriateness of placement

    • Extent of compliance with the placement plan

    • Extent of progress made toward alleviating the need for placement

    • For children placed out of state or a substantial distance from home, why the placement continues to be in the child’s best interest

    • Likely date the family will be reunified or other permanent placement finalized

    • For children 16 and older – discuss services for child to assist with transition from foster care to living on his/her own (Independent Living Skills Plan).

      • *

        Source: The Minnesota Department of Human Services (DHS)

Information to Review

Administrative Review date:

Participants: (circle)

social worker…guardian ad litem…foster parent…youth...birth parent…Children’s

Services Review Panel member…others:

Child’s or youth’s name:

Age:

Gender: (circle) M or F

Placement: Date of placement: Is this placement still appropriate?

How long in this placement? Why or why not?

Likely date family will be reunified?

OR, Likely date other permanent placement will be finalized?

School: Name:

Grade:

How is the school involved? (circle) IEP…Special education…After school activities…Other: Is the school still appropriate? Other Activities: (circle) Community activities…Therapeutic recreational activities…Church… Other: Relationships: How are relationships with peers? How are relationships with birth-siblings and birth-parents? How are relationships with others in foster home?

Medical and Dental Information: Date of last doctor’s appointment: Current physical health situation: Date of last dental appointment: Current dental health situation:

Reason:

Agency Contact: When was the last time you saw child in person? Are you allowed to meet with child alone?

Is contact with the child’s biological parent(s) permitted? (circle) Yes No saw them?

If yes, when was the last time you

Independent Living Skills: (16 and older) Is there an Independent Living Skills Plan? (circle) Yes

No

If yes, is it still appropriate? Is the Plan meeting the needs of the youth?

Who has signed the plan?

(circle)

Child…Birth-parent…Worker…Foster parent…Other:

Do the foster parents have a copy of the Independent Living Skills Plan? (circle)

Yes

No

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