Ministry of Children and Youth Services

1

Foster Care Childrens Residence
Licensing Regulations
Understanding Bill 210 June 27, 2007

• Ministry of Children and Youth Services
• South East Region

2
Foster Care Regulations

• Impact of Regulations- Proclamation
• Change in policies and procedures
• Children in Care
• Frequency of Private Visits remain
• Plan of Care frequency change
• Admission and annual medical
• Social History- 60 days
• Foster Care
• Role of resource workers- contacts/visits
• Foster care assessment
• Use of RN(EC) medical assessment of applicant

3
Foster Care Regulations

• Current Regulations Assessment
• Assessment of child- 21 days
• Foster Parent/Worker Participates
• Focus of special needs of child-handicaps/remedia
  l action
• Focus on supervision and management

• Revised Regulations
• Assessment
• Assessment of child- 30 days
• Expanded Participation in Assessment Foster
  Parent/ Child/Worker/Parent (if appropriate)
• Focus on strengths and needs- OnLAC Dimensions-
  links to Plan of Care
• Specific time frames for goals

4
Foster Care Regulations

• Current Regulations
• No requirement to integrate assessment in plan of
  care
• No requirement to share assessments between
  placing agency and licensee

• Revised Regulations
• Specialized consultation, treatment and supports
• Required to document outcomes
• Required to share reports between placing agency
  and resource
• Secure reports on file

5
Foster Care Regulations

• Current Regulations
• Social History
• No requirement for social history
• No specific timeframes

• Revised Regulations
• Social History
• Social History required within 60 days
• Specific Outline for social history
• Required to share with placement resource

6
Foster Care Regulations

• Current Regulations
• Plan of Care
• 30 days of placement
• Every 3 months following admission or placement
• No link to social history, assessment material

• Revised Regulations
• Plan of Care
• 30 days of placement
• 3 months and 6 months following placement
• Every 6 months thereafter if child in stable
  placement
• Or more often if circumstances change
• Link to social history and assessments

7
Foster Care Regulations

• Current Regulations
• Screening Foster Parents
• 3 references
• Physician required for medical
• Inspection of physical aspects of the home

• Revised Regulations
• Screening Foster Parents
• 3 references single applicants
• Medical can be done by RN(EC)
• Clarifies and updates language for assessing
  physical aspects of home

8
Foster Care Regulations

• Current Regulations
• Foster Home Support Worker
• Same visiting requirement for placing agency and
  licensee
• 7 day visit
• 30 day visit and every 3 months from childs
  placement
• 24 hour response to inquiry

• Revised Regulations
• Foster Home Support Worker
• Different contact and visiting requirement for
  CAS
• 7 day contact
• 30 day visit and visits every 3 months not linked
  to childs placement
• Society must have policies and procedures
  regarding responding to foster parent inquiries
  and the response time cannot exceed 3 business
  days

9
Childrens Residence (Group Care) Regulations

• Intent to align requirements in group care and
  foster care where possible
• Impact of Regulations-Proclamation
• Changes to programming, records medical
• Plan of care requirements-emphasis on outcomes
• Case record information-clarifies content use
  of information
• Health care services- allows registered nurse in
  the extended class RN (EC) to provide general
  primary health care services within the scope of
  their practice

10
Childrens Residence (Group Care) Regulations

• Current Regulations
• Plan of Care
• Statement of goals to be achieved and means to
  achieve goals

• Revised Regulations
• Plan of Care
• Identification of desired outcomes based on
  strengths and needs
• Requirement to obtain specialized consultation,
  treatment and supports as part of plan of care
• Required to share reports between placing agency
  and resource
• Secure reports on file

11
Childrens Residence (Group Care) Regulations

• Current Regulations
• Medical Dental Care
• Services provided by a Physician
• Admission medicals
• Ongoing medical
• Medications
• Isolation due to communicable diseases
• Ability to sign service agreement (physical)

• Revised Regulations
• Medical Dental Care
• Expanded to allow registered nurse in the
  extended class RN (EC) to provide medical
  services within their scope of practice
• Expanded to require that special foods/diets be
  provided when recommended by RN(EC)
• Registered nurse in extended class RN (EC) added
  to list of definitions

12
Childrens Residence (Group Care) Regulations

• Current Regulations
• Records Reports
• Written case record to be maintained

• Revised Regulations
• Records Reports
• Expanded to require the residents case record to
  include additional information (e.g. residents
  personality, behaviour, aptitudes and abilities)
• Case record is to be updated regularly
• Case record information is to be used to develop
  plan of care