Draft Protocol for Institutional Reports

Draft Protocol for Institutional Reports

PROTOCOL FOR INSTITUTIONAL INVESTIGATIONS

IN DUVAL COUNTY

(Note: The following protocol should be followed on all Child Care and Foster Care Licensure institutional reports)

RECEIPT OF REPORT:

1. Report alleging abuse, neglect or abandonment in a Foster Home, Group Care Facility, Child Day Care Facility, Family Day Care Home or Large Family Child Care Homeis received in Report Assignment Unit.

2. Report Assignment Unit will assign report to CPI.

3.Immediately, CPI will send email notification to the Foster Care/Group Care licensing agents below with Report #, name of facility or foster parent, their name and contact information.

  • Child Care Licensure:

Main Number 723-2064

  • Foster Care Licensure: Eddie Encarnacion, Family Support Services – 421-5818, cell 304-1803 or secretary Kitty at 421-5868. Email address: .
  • Foster Home or Group Care Facilities: Aida Seeraj - 723-2107 Email address: .

(See attached list of group care facilities)

If the licensing representative is not available and a voice mail message is left, the CPI should clearly leave their name, phone number and the CSA #.

4. CPI and Licensure Counselor will make every effort to conduct joint investigation.

5.CPI will link provider to the CSA within 5 days of receipt of the report.

INSTITUTIONAL STAFFINGS:

1.There will be “standing” institutional staffing(s)the second and fourth Tuesdayof each month. If a staffing needs to be scheduled, contact Latonjia Trice, Administrative Secretary, Child Care Licensure Office, at 723-2064. Staffings will be held at the RobertsBuilding. Child Care staffings will be held in room 375 on the 3rd floor and the Foster Care staffings will be held in the Family Safety Conference Room (Room 219).

2.If allegations of institutional report mightresult in findings of “some indicators or verified” a staffing must be scheduled by the CPI within 14 days of receipt of report. The CPI will notify the licensing counselor and they will jointly determine other parties to invite to the staffing.

3.A staffing may also be scheduled when there is a finding of “no indicators” if the assigned CPI or Licensure Representative has concerns about the investigation or history of the home or facility.

4.The CPI, CPI Supervisor, CPI Program Administrator, Licensing Counselor, Licensing Supervisor and Licensing Program Administrator are required to attend the Institutional Staffing.

5.An Institutional Staffing Review Form will be completed at the staffing by the chairperson or designee and signed by all participants of the staffing. Copies will be placed in the licensing and CPI files.

GROUP HOMES (CHILD CARING AGENCIES)

**DUVAL COUNTY**

A.L.L. Focus Community Residential Home / 1194 / 6816 Bloxham Avenue, Jacksonville, FL 32208 / (904) 537-0599
A.L.L. Focus Community Residential Home II / F4362 / 6904 Bloxham Avenue, Jacksonville, FL 32208 / (904) 329-1027
Baptist Home (Hatcher Cottage) / 4056 / 2332 Bartram Road, B#5, Jacksonville, FL 32207 / (904) 721-2711
Baptist Home (McGowan Cottage) / C4054 / 2332 Bartram Road, B#3, Jacksonville, FL 32207 / (904) 721-2711
Baptist Home (Meninak Cottage) / 4055 / 2332 Bartram Road, B#4, Jacksonville, FL 32207 / (904) 721-2711
Baptist Home (Parker Cottage) / C4068 / 2300 Bartram Road, Jacksonville, FL 32207 / (904) 721-2711
Boys Home (Simms Cottage) / C4051 / 2355 University Blvd, Jacksonville, FL 32211 / (904) 743-3612
CHS (Chambers) / 4059 / 3027 San Diego Road, Jacksonville, FL 32247 / (904) 493-7744
CHS (Promise House) / 4029 / 2606 Peacock Street, Jacksonville, FL 32247 / (904) 493-7743
CHS (Teen Girls Residence) / C4176 / 3027 San Diego Road, Jacksonville, FL 32247 / (904) 493-7746
CHS (TerryCenter) / 4060 / 3027 San Diego Road, Jacksonville, FL 32247 / (904) 348-2837
Daniel Inc. (Midview Cottage) / 7246 / 3715 Belfort Road, Jacksonville, FL 32216 / (904) 296-1055
House of Hope Girls Home, Inc. / 1200 / 1540 Irishwood Court, Middleburg, FL32068 / (904) 422-2062 or (904) 282-6891
House of Sunshine / 1178 / 3628 Live Oak Hollow Drive, Orange Park, FL32065 / (407) 687-2137; (321) 231-8548-cell ; (904) 735-1850
New Heaven Dominion, Inc. / 1184 / 3944 Rogero Road, Jacksonville, FL 32277 / (904) 379-3259
New Heaven Dominion, Inc. - House of David / F4198 / 9146 Ridge Briar Lane, Jacksonville, FL 32225 / (904) 647-6651
Powerhouse Ministries, Inc. - King's House / 1182 / 1264 Neva Street, Jacksonville, FL 32205 / (904) 894-6828
Seamark Ranch - Boys House 1 / 1191 / 4170 Evergreen Oaks Ct., Green Cove Springs, FL32043 / (904) 288-8885
Seamark Ranch - Girls House 1 / 1192 / 4025 Magnolia Meadows Ct., Green Cove Springs, FL 32043 / (904) 288-8885
The Academy of Dreams, Inc. / F4351 / 5654 Chirping Way West, Jacksonville, FL 32222 / (904) 778-0144
Winners, Inc. / F4319 / 2339 Shull Drive, Jacksonville, FL 32216 / (904) 448-6537
World Good News (Henry Guy Memorial Group Home) / 1196 / 4449 Loveland Pass Drive East, Jacksonville, FL 32210 / (904) 389-5231
World Good News (Oak's House) / 1189 / 3762 Lauren Oak Lane East, Jacksonville, FL 32221
World Good News (Pearl Cottage) / C4043 / 2543 Roseele Street, Jacksonville, FL 32204 / (904) 384-5683
World Good News (Turning Point) / C4400 / 8029 Welbeck Lane, Jacksonville, FL 32244 / (904) 389-5231
YouthCrisis Center / 4068 / 3015 Parental Home Road, Jacksonville, FL 32216 / (904) 725-6662
Abundant Life Ministries I / 7299 / 47 Ryecliff Drive, Palm Coast, FL 32164 / (386) 246-4108
Abundant Life Ministries II / 3607 / 53 Berkshire Lane, Palm Coast, FL32135 / (386) 931-1420
Institutional Report Notification checklist- Duval County
Date/Time completed / Task
Log Report in with Program Administrator – Attach initial report with reporter information.
Notify Local Law Enforcement
State AttorneyMemo – Fax to State Attorney: Attn: Tiffany Franklin - 630-1848
Notify the following (Depending on Type of Abuse). Conduct joint investigation when feasible:
Child Care Licensing: 723-2064 (main number)
Pam Jett, Supervisor 723-2193
Teresa Lussier, Supervisor 723-5383
Foster home/Group Home/Fostercare referral: email all persons listed:
Substance Abuse Treatment facility: Cindy Vallely 723-2134 Mental Health Treatment facility: Terri Glover 723-2033
Juvenile Justice Facilities: Duval DetentionCenter - Stephany Durham - 798-4820
Agency for Persons with Disabilities Facility (Duval/Clay/Nassau) Denise Miller 992-2440
Open service case: Active Protective Services Supervision, Foster Care/Adoptions: Notify Individual Counselor
LAC: All Institutional reports require that an Abuse Notification Form be sent to Faith Connelly via email: or fax to (850)922-5312
AHCA Licensing: for all therapeutic group and SIPP homes
Contact Nancy Marsh, Field Office Manager
(Clay, Duval, Nassau)
921 N. Davis Street,
Bldg A, Room 115
(904) 359-6046, (904) 798-4745
FAX: (904) 359-6054

CSANumber:______

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Updated: 3/23/2009

Process Owner: Alison Beaver