Call to Schedule the Following

This checklist has been designed to help you track your certification process you’re your paperwork as it is submitted.

STEP 1:

Abrazo Home Study and Background Questionnaire - Complete & submit.

X

/ Received Orientation Briefing and PFP packet.
Complete/obtain items listed below (PFP packet) and turn in to Administrative Assistantthe office:
Live Scan Application – Schedule fingerprinting appointment and submit completed form.
Abrazo Home Study and Background Questionnaire / House Rules
Budget Information / Live Scan Application
Certification ChecklistFBI, DOJ, and CAIC ClearancesCriminal Record Statement / Pre-Licensing InterviewDiscipline PolicyHouse Rules
Certificate of Completion of 24 hrs. Training / Prior Foster Family Experience
Certificate of Approval / Release of Information
Confidentiality AgreementFoster Family Home Application Health Screen and TB Test Results / Reference Requests (Requests (2-3 per family)House RulesProperty Owner Notification / Consent
Pre-Licensing InterviewConfidentiality Agreement
Criminal Record StatementPrior Foster Family ExperienceRelease of Information / School Connection completedOther adults in the Home Water Safety Certification / Waiver
CWS/CMS completedReference Requests (2-3 per family)Babysitters and Others in the Home / Statement Reporting Child AbuseCertificate of ApprovalOthers in the (Adults) Home Liability Insurance Information & Consent
Designation of Facility AuthorityEmployment Verification (Each Adult)Statement Reporting Child Abuse / Verification of Attendance of trainingCompletion of TrainingWe also need:
Discipline PolicyHealth Screen and TB Test ResultsEmployment Verification (Each Adult) / Wants and Desires for Placement HOME INSPECTION Copy of Drivers License or CA ID
Property Owner Notification / ConsentBudget Information
Property Owner Notification / DMV - Printout Ofof Driving Record
Emergency Plan for Foster HomeDesignation of Facility AuthorityReference Requests (2-3 per family) / Copy of Driver’s License or CA IDCWS/CMS completedProof of Homeowner / Renter’s Insurance
Employment Verification (Verification (Each Adult)Facility Sketch (Floor and Yard Plan)Emergency Plan for Foster Home / Proof of Auto Insurance for all vehiclesSchool Connection completedRecord of Pet Vaccinations (rabies, etc.)
Facility Sketch (Floor and Yard Plan)Emergency Plan for Foster HomeFacility Sketch (Floor and Yard Plan) / DL/ID Clearance, Other Adults in the HomeDMV - Printout Of Driving Record Proof of Auto Insurance for all vehicles
FBI, DOJ, and CAIC ClearancesRelease of InformationWants and Desires for Placement / CPR & First Aid - Adult, Child & InfantCopy of Driver’s License or CA IDCPR & First Aid - Adult, Child & Infant
Foster Family Home Application Statement Reporting Child AbusePrior Foster Family Experience / Proof of Homeowner / Renter’s InsuranceProof of Auto Insurance for all vehiclesDL / ID Other Adults in the Home
Health Screen and TB Test ResultsConfidentiality Agreement / Record of Pet Vaccinations (rabies, etc.)DL/ID Clearance, Other Adults in the Home
Criminal Record Statement / CPR & First Aid - Adult, Child & Infant
HOME INSPECTION Wants and Desires for Placement / Proof of Homeowner / Renter’s Insurance
Budget Information / Record of Pet Vaccinations (rabies, etc.)

STEP 2:

Call to schedule the following:

Schedule Prospective Foster Parent Training (16 24 Hours) (date:_date: ______)
Completed Prospective Foster Parent Training (Training (Date: ______)

STEP 3:

Call to schedule the following:

Schedule an appointment for Final Home Inspection (Date: ______)
Completed Prospective Foster Parent Training (Date: ______)

NOTE:All Certified Foster Homes are required to accrue twelve (12) hours of continued trainingper year. There will be many opportunities to obtain this additional training.

John William Lott

John William Lott, Psy.D.

Executive Director/Administrator

12/11/201401/25/2016