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ODJFS Foster Care Rules 5101:2-7
HONH Foster Care Policies
Developmental Disabilities

 IMPORTANT CHANGE IN RESTRAINT POLICY
Effective IMMEDIATELY a change in JFS 2-5-13-A1-(E-G)
8/20/2010

The use of physical restraint is determined on an individual case-by-case basis and MUST be pre-authorized by the treatment team, including a qualified mental health professional. There is no longer an 80 pound limit. Foster parents can only use the "Bear Hug" restraint if properly trained and certified by HONH.

After properly using an Assisted Safety Restraint, all foster parents must complete the "Assisted Safety Restraint Debriefing Form" with the child/youth AND an Incident Report

Click here for a copy of the Revised Policy

Click here for a copy of the "Assisted Safety RESTRAINT DEBRIEFING Form

Provider Information & Documents

  • For Telephone Notifications: Call (888) 200-1296 toll free or (740) 345-5437
  • For Sending Incident Reports and other Documents fax to (740) 745-3429 or email to criticalincident@houseofnewhope.org

 

 1 hour notification  -Death of a child
   -Involvement of foster child with law enforcement
   -AWOL (after missing for 1 hour)
   -Use of Assisted Safety Restraint
   
 4 hour notification  -Emergency medical treatment
   -Suspension or expulsion from school
   -Alleged delinquent/criminal behavior
   -Victim of delinquent/criminal behavior
   -Self-harming behavior
   -Assault requiring medical intention
   -Explicit threat of serious injury
   -Change in medication
   
 24 hour notification  -Critical incident report
   -Emergency room papers
   
 By the 5th of the Month  Per Diem Invoice
 fax to: (888) 600-6599  Mileage Reimbursement
   Monthly Documentation of Treatment
   

By the 10th of April, July,
Oct. & Jan.

 Child Care Allowance (optional)
   Respite Care Allowance (optional)
   
 After Special Events  All grade cards and academic achievements
 fax to: (740) 745-3429  All medical, optometric, dental and hearing exams
   
 At Recertification Time  Pet vaccination documents
 fax to: (888) 246-0445  Well water test
   Home owner's insurance declaration page
   Auto insurance declaration page
   Driver's License photocopy
   
 30 days Prior to Major Events  New household occupants
 fax to: (888) 246-0445  Marriage
   Divorce or Separation
   Death of a household occupant


 

These documents require Adobe Reader. They are not interactive and cannot be typed on or emailed directly from the webpage. You must print the document, complete and fax (or scan and email).

 

 Allowance and New Clothing Log....................................................................  PDF
 Assisted Safety Restraint Debriefing Form......................................................  PDF
 Childcare Allowance........................................................................................  PDF
 Clothing Inventory Checklist...........................................................................  PDF
 Consent for Travel-Out-Of-County..................................................................  PDF
 Cuyahoga County Mileage Reimbursement Form............................................  PDF
 Dental Exam....................................................................................................  PDF
 Emergency Contact and Telephone Numbers..................................................  PDF
 Fire Evacuation Plan........................................................................................  PDF
 Hearing Exam..................................................................................................  PDF
 Incident Report................................................................................................  PDF  WEB
 Medication Log................................................................................................  PDF
 Mileage Reimbursement Form..........................................................................  PDF
 Monthly Documentation of Treatment..............................................................  PDF
 New Child Placement Guidelines......................................................................  PDF
 Optical Exam....................................................................................................  PDF
 Per Diem Invoice..............................................................................................  PDF  XCEL
 Physical Exam (Admission)...............................................................................  PDF
 Physical Exam (Routine)..................................................................................  PDF
 Placement Agreement.....................................................................................  PDF
 Placement Agreement Update.........................................................................  PDF
 Placement Checklist........................................................................................  PDF
 Planned Respite Agreement............................................................................  PDF
 Receipt of Referral Information........................................................................  PDF
 Reimbursement Request.................................................................................  PDF
 Respite Care Allowance...................................................................................  PDF
 Respite Care Checklist.....................................................................................  PDF
 Respite Care Progress Report.........................................................................  PDF
 Respite Care Information................................................................................  PDF
 Respite Information Receipt............................................................................  PDF
 Statement of Knowledge Gained.....................................................................  PDF
 Valuables Inventory........................................................................................  PDF
   


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ODJFS Rules

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