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Home > Statistics & Research > AFCARS Assessment Reviews > Texas Assessment Review > AFCARS Assessment Review Findings - Foster Care Elements
AFCARS Assessment Review Findings - Foster Care Elements
AFCARS Assessment Review Findings - Foster Care
Elements
State: Texas
| AFCARS Element |
Rating Factor (1,2,3,4) |
Comments/Notes |
| #1 State |
4 |
blank cell |
| #2 Report Period Ending
Date |
4 |
blank cell |
| #3 Local FIPS Code |
4 |
blank cell |
| #4 Record Number |
4 |
Case numbers are unique to the individual and
are not reissued to other individuals. |
| #5 Most Recent Periodic
Review Date |
2 |
Frequency Report (n = 25,026): 283 records have most recent
periodic review date between 1997-2000.
Program code looks for a Permanency Planning Team (PPT) review
or legal status.
Reviews are conducted for children in Temporary Management
Conservatorship (TMC). A review is held before the 60-day status
hearing, then four months after the 60-day status hearing. A PPT
review is generally held one month before this review. Reviews are
held every six months afterward.
Approximately a year ago, State staff identified an issue
regarding the entry of information for sibling groups. Workers
enter information in the oldest child's record and are not entering
dates of review for the remaining sibling's records. TDPRS has
since provided guidance on updating most recent periodic review
date.
The program code does not contain a parameter to extract the
review date for the current removal episode.
Case file review findings: Of the 38 cases reviewed, reviewers
found 11 records (29%) where the AFCARS information did not match
the case file.
|
| #6 Child Birth Date |
4 |
The 15th of the month is used for an estimated
day of birth. The screen contains a selection box for
"estimated." |
#7 Child Sex
1 = Male
2 = Female |
4 |
blank cell |
|
#8 Child Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Unable to Determine
|
2 |
If an individual refuses to identify a race, the worker selects
"unable to determine." If race is "unable to determine," than
Hispanic/non-Hispanic check buttons are disabled.
|
#9 Child Hispanic
Origin
1 = Yes
2 = No
3 = Unable to Determine |
2 |
As a result of the finding in foster care element #8, if an
individual is of Hispanic/Latino origin and refuses to provide a
race, the worker is not able to enter the Hispanic/Latino
information.
The option "unable to determine" must be added to the screen for
Hispanic/Latino origin and not linked to the race option of "unable
to determine."
|
#10 Has Child Been Diagnosed
with Disability?
1=Yes
2=No
3=Not yet Determined |
2 |
Frequency Report (n=25,026): Yes = 8,556; No = 16,470; Unable to
determine = 0
All children receive a physical exam within 30 days of removal.
Psychological evaluations are conducted but there is not a set time
frame.
The State generates an edit report to ensure that children in a
placement setting at levels 2 - 6 have a diagnosed disability or a
recurrent behavior problem. The State is using this report to
monitor that appropriate services are being provided in relation to
a child's level of care.
The child's characteristics must be entered before a child's
placement can be entered.
State is adding an edit to check for a diagnosed disability.
The State is implementing a change in August 2002 to add
"developmental disabled." ACF will review the State's definition of
"developmental disabled" and advise what it should be mapped to in
AFCARS. Response: The Children's Bureau has reviewed the definition
of "developmental disability." This definition overlaps with many
of the AFCARS categories for disability, therefore the State must
map the individual diagnosed conditions that results in
"developmental disability" to each of the appropriate disability
types in AFCARS.
This element is derived from responses entered by the worker for
elements #11-15.
The worker selects the appropriate information from the "person
list window." This screen contains a category selection list. Based
on the category selected, the characteristics for that category are
displayed. The worker selects "child-placement" and then selects
the appropriate characteristics of the child. This list contains
characteristics that pertain to placement setting decisions as well
as diagnosed medical/psychiatric conditions.
The screen contains an option "no characteristics applicable."
However, the response in this checkbox is not mapped to AFCARS.
There is not an option for the worker to select "not yet
determined" if the child has not had a medical/psychiatric exam, or
if the results are not yet known.
The medical history is recorded in a Word document. Since this
information is not stored in the CAPS database, it cannot be
extracted to the AFCARS file. This may contribute to an
under-reporting of relevant information.
The State needs to re-evaluate the design of the screen
capturing disability information. There are several options the
State can consider. These include:
- Modify the "category selection list" by adding a category
"medically diagnosed conditions." Under this category, list only
the diagnosed conditions.
- At the time of the six-month case review, add a tickler/alert
for the caseworker to verify that this information is accurate and
up-to-date. Or add a field for the worker to note the last up-date
to this information, and if the information has not be reviewed in
six months, then a task alert could be sent to the worker. This
option would best be combined with the first option.
- Add a "health" or "medical history" screen to record all
information pertaining to the health of the child.
Case file review findings: Of the 38 cases reviewed, there were
nine records (24%) in which reviewers identified a condition that
should have been reported to AFCARS.
|
#11 Mental Retardation
0 = Does not apply
1 = Applies |
2 |
Frequency Report (n = 25,026): Does not apply = 24,016; Applies
= 1,010
"Downs Syndrome" appears on the selection list but does not
indicate "diagnosed" next to it. The State should map "Downs
Syndrome" to this element.
|
#12 Visually/Hearing
Impaired
0 = Does not apply
1 = Applies |
2 |
Frequency Report (n = 25,026): Does not apply =
24,567; Applies = 459 |
#13 Physically Disabled
0 = Does not apply
1 = Applies |
2 |
Frequency Report (n = 25,026): Does not apply =
24,506; Applies = 520 |
#14 Emotionally
Disturbed
0 = Does not apply
1 = Applies |
2 |
Frequency Report (n = 25,026): Does not apply = 21,941; Applies
= 3085
State code "22, emotionally disturbed" is vague. The State's
frequencies may be under-reported as a result of a lack of detailed
information. Note the case file findings below.
The State can map the following to this element: ADD/ADHD and
eating disorder (anorexia, bulimia).
Case file review findings: Of the 38 cases reviewed, there were
10 (26%) cases where reviewers identified a condition that should
have been reported to AFCARS. Most of the records reported to
AFCARS did not indicate the child had been diagnosed with a
disability.
|
#15 Other Diagnosed
Condition
0 = Does not apply
1 = Applies |
2 |
Frequency Report (n = 25,026): Does not apply = 18,527; Applies
= 6499
The State code "24, enuresis" should not be mapped to
AFCARS.
The State may map "learning disabled " and "fetal alcohol
syndrome" to this element.
The State code "34, health disabled" is vague. This category may
contain conditions that should be mapped to one of the other AFCARS
elements #11 through 14.
|
#16 Has Child Ever Been
Adopted?
1 = Yes
2 = No
3 = Unable to Determine |
2 |
Frequency Report (n = 25,026): Yes = 468; No = 24,558; Unable to
determine = 0
This is not a question on the screen for caseworkers to
complete. There is an option on the child characteristics screen of
"previously adopted." It is not possible for the workers to select
"unable to determine."
The program code checks for records with a code of "090"
(adoptions that were State agency adoptions), an adoption
consummation date, and the characteristics table for "previously
adopted."
The program code is initialized to "2, no."
The State's method of selecting this data may be providing a
false "no" response, thus resulting in a higher number of
'nos."
Review and revise program code to reflect AFCARS definition of
"unable to determine." State must add this as a question on a
screen or develop some way for the caseworkers to select "unable to
determine." A reminder should occur when this is selected showing
the Federal definition for "unable to determine."
|
#17 Age at Previous
Adoption
0 = Not Applicable
1 = less than 2 years old
2 = 2-5 years old
3 = 6-12 years old
4 = 13 years or older
5 = Unable to Determine |
2 |
Frequency Report (n = 25,026): 0 = 24,588; 1 = 9; 2 = 49; 3 =
100; 4 = 8; 5 = 302.
There is an inconsistency between the responses in element #17
and #16. The frequency for data element #17 indicates that there
are 302 records coded as "unable to determine." However, there are
no responses for "unable to determine" in element #16.
Age at previous adoption is calculated, if the child was
previously adopted in the State.
For those children that were adopted either through a private
agency or in another State, the State is unable to record an age at
time of the adoption (foster care element #17).
The screen and program code need to be revised to reflect AFCARS
definition of "unable to determine."
|
| #18 Date of First Removal
from Home |
3 |
Case file review findings: Of the 38 cases reviewed, there were
five records (13%) where the information reported to AFCARS did not
match what was found in the case file. In the two TYC cases, the
dates reported to AFCARS reflect the dates the youth left home, not
when they entered a community based reimbursable placement. In two
cases the dates reported to AFCARS were five and six years later
then what was found in the case file. One record was 30 days later
then what was found in the case file.
Based on the case file findings, the State needs to review the
collection of the data, and address data quality issues.
|
| #19 Total Number of Removals
from Home |
2 |
The State system is capable of reporting removals that occurred
for children that were in their care, that were adopted, and that
may have a later removal episode.
There appears to be a problem with the way the program code
counts the number of removals from home (see comments under the
case file review findings). There were instances in which the
AFCARS report indicated there was one removal, however, the dates
of first and latest removal were different. The reviewer verified
that there was more then one removal. The State staff need to
review the program code and provide an explanation and a plan for
correcting the problem See notes on the General Requirements
Findings form regarding the reporting of trial home visits. The
accuracy of the data for this element is affected by the State
showing children as discharged that are returned home while still
under the care, placement or supervision of the State (AFCARS
placement setting of trial home visit). If a child returns to
foster care during a specified period of time, or if non-specified
before six months, from a trial home visit, then the number of
removals remains the same.
The State staff indicated the information reported for title
IV-E juvenile justice youth may not be correct.
Case file review findings: Of the 38 cases reviewed, there were
12 records (32%) where the information reported to AFCARS did not
match what was found in the case file. The majority of the records
indicated an undercount in the number of removals (two instead of
one removal). There appears to be a significant problem with how
the system is counting removals. In seven cases the number of
removals reported to AFCARS was one, however, the dates of latest
removal and first removal were different. One of these records did
not have a date of discharge from the previous removal episode, the
others did have a date in element #20. There also seems to be some
errors as a result of conversion and multiple records not being
merged together. This resulted in some of the undercounting of the
number of removals.
|
| #20 Date of Discharge from
Previous Episode |
2 |
The program code checks for discharge reasons of "adoption
consummation," "emancipation," "PRS terminated," and "CVS not
obtained." Could missing discharge dates be related to those cases
that had a discharge reason other then one of the ones noted? There
appears to be an additional problem with the program code based on
the case file review (see comments below). This is related to the
findings in foster care element #19.
State may want to remove the unused (not applicable) codes from
the program code.
Juvenile Justice is using the stage start date, which is a
system date. This needs to be corrected.
See notes on the General Requirements Findings form. The
accuracy of the data for this element may be affected by the State
showing children as discharged, if home for more then six months
while still under the care, placement or supervision of the
State.
Case file review findings: Of the 38 cases reviewed, there were
six records (16%) where the information reported to AFCARS did not
match what was found in the case file.
|
| #21 Date of Latest
Removal |
3 |
The State staff indicated the information reported for title
IV-E juvenile justice youth may not be correct.
The State staff indicated that the condition in the program code
where the date of current removal is null refers to cases open at
the time of conversion. Please explain what date is entered for the
date of latest removal for these cases. It appears that the date is
set as the start date of the current substitute care stage. Is this
correct? There were instances found in the case file review where
the dates of first and latest removal were the same. However, there
was actually more then one removal in the cases.
See notes on the General Requirements Findings form. The
accuracy of the data for this element may be affected by the State
showing children as discharged, if home for more then six months
while still under the care, placement or supervision of the
State.
Case file review findings: Of the 38 cases reviewed, there were
six records (16%) where the information reported to AFCARS did not
match what was found in the case file. Some information appears not
to have been entered at the time of conversion.
|
| #22 Date of Latest Removal
Transaction Date |
2 |
The event date is not the date recorded on the system.
The transaction date should be the date when the date of latest
removal is entered into the system by the caseworker.
|
| #23 Date of Placement in
Current Setting |
2 |
There appears to be an error in the program code that enters the
date a foster family moved as the new placement date for the child.
This should not have occurred. Also, see the case file review
findings for foster care element #24 regarding the counting of
placements.
Note: As of October 1, 2002 the State must enter the date
when the child enters a "trial home visit" or runs away. The
Children's Bureau added this policy to the Child Welfare Policy
Manual on July 5, 2002 (see section 1.2B.4)
Case file review findings: Of the 38 cases reviewed, there were
four records (11%) where the information reported to AFCARS did not
match what was found in the case file. In one case the date
reported as the date of the current placement setting reflects the
date the child was discharged from placement and care. The actual
current placement date was two years earlier then what was
reported. In another case, the date of latest placement is wrong in
AFCARS because it reflects the date the foster parents moved out of
State. This is not considered a new placement setting for the
child.
|
| #24 Number of Previous
Placement Settings in This Episode |
2 |
Frequency Report (n = 25,026): There are 537 records reported
with zero placements. The range for the number of placements is
from 1 to 52.
The State defines "short-term" placements as no more than two
weeks.
State excludes hospitals and mental health crisis stabilization
that are short-term stays.
The State requested clarification on whether to increment the
number of placements on youth that are in jail for two to three
nights. ACF to follow-up and provide a response. Response:
The Children's Bureau is reviewing this question. The State will be
notified of the response.
Missing placement information should be mapped to "blank."
Case file review findings: Of the 38 cases reviewed, there were
13 records (34%) where the information reported to AFCARS did not
match what was found in the case file.
|
#25 Manner of Removal From
Home for This Episode
1 = Voluntary
2 = Court Ordered
3 = Not Yet Determined |
4 |
State has hard coded "2, court ordered." State
policy does not allow voluntary agreements. |
#26 - #40
0-Does not Apply
1-Applies |
blank cell |
Information pertaining to removal characteristics are entered
during the investigation stage.
On the "characteristics associated with removal" screen,
information from the characteristics list is carried over to the
removal characteristics screen. A caseworker can add or subtract
characteristics based on the reason(s) the child was removed from
the home.
Case file review findings: There were problems noted for the
Texas Youth Commission (TYC) cases. For all three of the TYC cases
reviewed foster care elements #26 - 40 had the response "does not
apply." This is because the circumstances of removal are associated
with the investigation stage and this section does not get
completed on the juvenile justice youth. These cases are entered as
eligibility cases. The State identified a problem with how the
system is designed to capture and report this information.
|
| #26 Physical Abuse |
2 |
See notes above regarding TYC youth.
|
| #27 Sexual Abuse |
2 |
See notes above regarding TYC youth.
|
| #28 Neglect |
2 |
See notes above regarding TYC youth.
|
| #29 Parent Alcohol Abuse |
2 |
See notes above regarding TYC youth.
|
| #30 Parent Drug Abuse |
2 |
See notes above regarding TYC youth.
|
| #31 Child Alcohol Abuse |
2 |
See notes above regarding TYC youth.
|
| #32 Child Drug Abuse |
2 |
See notes above regarding TYC youth.
|
| #33 Child Disability |
2 |
Frequency Report: Does not apply = 25,026; Apply = 0
The program code does not include coding for this element. State
needs to modify the program code and submit to ACF for review.
See notes above regarding TYC youth.
|
| #34 Child's Behavior
Problem |
2 |
"Emotional abuse" should be mapped to "neglect" element #28.
See notes above regarding TYC youth.
|
| #35 Death of Parent |
2 |
See notes above regarding TYC youth.
|
| #36 Incarceration of
Parent |
2 |
See notes above regarding TYC youth.
|
| #37 Caretaker Inability to
Cope |
2 |
See notes above regarding TYC youth.
|
| #38 Abandonment |
2 |
See notes above regarding TYC youth.
|
| #39 Relinquishment |
4 |
State law does not allow individuals to
voluntary sign a relinquishment agreement. There would be a court
action. |
| #40 Inadequate Housing |
2 |
See notes above regarding TYC youth.
|
#41 Current Placement
Setting
1 = Pre-Adoptive Home
2 = Foster Family Home-Relative
3 = Foster Family Home-Non-Relative
4 = Group Home
5 = Institution
6 = Supervised Independent Living
7 = Runaway
8 = Trial Home Visit |
4 |
Frequency Report (n = 25,026): Pre-Adoptive home = 1,922; Foster
family home (relative) = 4,522; Foster family home (non-relative) =
10,790; Group home = 2,083; Institution = 3,907; Supervised
independent living = 81; Runaway = 504; Trial home visit = 1,031;
Not reported = 186
State should identify why there were 186 records reported with
no placement information. All records should have a current
placement setting.
The system has a screen that lists the child's placement
history.
The State has "group foster homes" that are homes licensed for 7
to 12 children. The "house parents" have staff that work shifts.
State is appropriately mapping these to "group home" because of
size.
The agency has six levels of residential care for children that
have been removed from their homes and placed in agency paid foster
care. The level of care is tied to the services needed by the child
and the payment that is made for the placement. Placement in a
level of care higher then "1" are reviewed by a third party review
board for both agency and contracted placements.
Placements would be entered if there was an over-night stay,
except for those that are for short-term stays such as a short-term
hospitalization (medical or psychiatric), or respite.
The worker can select "planned" or "actual" placement. The
"planned" would be checked in order to hold a placement for a
planned move, or when a pre-adopt family has been identified, etc.
Once the child is physically placed in that setting, the worker
changes the setting to "actual."
|
#42 Out of State
Placement
1=Yes(Out of State placement)
2=No(In-State placement) |
2 |
The program code defaults to "1-yes, out of state placement." If
"TX" is not found in the State address field, then this element is
mapped to "yes". Modify code to allow for missing information and
take out the default.
If the placement is an out of State placement that is non-paid,
it is possible addresses are not entered.
|
#43 Most Recent Case Plan
Goal
1 = Reunify With Parent(s) Or Principal Caretaker(s)
2 = Live With Other Relative(s)
3 = Adoption
4 = Long Term Foster Care
5 = Emancipation
6 = Guardianship
7 = Case Plan Goal Not Yet Established |
2 |
Frequency Report:(n = 25,026): Not reported = 2,342;
Reunification = 7,984; Live with other relative = 2,178; Adoption =
7,786; Long-term foster care = 2,183; Emancipation = 1, 957;
Guardianship = 506; Case plan goal not yet established = 0
This is a required field. A case plan goal must be established
within 45 days of the child's removal from home.
The program code maps "long-term care in adulthood" and
"transfer of conservatorship" to "guardianship."
Missing information is mapped to "not yet established."
There are instances where a child may be in care for less then
60 days and a case plan goal is never established. This may be
appropriately mapped to "not yet established."
|
#44 Caretaker Family
Structure
1 = Married Couple
2 = Unmarried Couple
3 = Single Female
4 = Single Male
5 = Unable to Determine |
2 |
The State team gave "symbolic" caretaker or churches as examples
of other types of family structure.
Missing is being mapped to "unable to determine". Missing data
should be mapped to blank.
"Separated" should be mapped to "married."
Case file review findings: Of the 38 cases reviewed, there were
five records (13%) where the information reported to AFCARS did not
match what was found in the case file.
|
| #45 1st Primary Caretaker's
Birth Year |
2 |
State identifies the male as the primary caretaker.
Case file review findings: Of the 38 cases reviewed, there were
eight records (21%) where the information reported to AFCARS did
not match what was found in the case file. For three records the
caretakers were reported as single males and this element was
blank. The dates of birth were reported in element #46.
|
| #46 2nd Primary Caretaker's
Birth Year |
3 |
Case file review findings: Of the 38 cases
reviewed, there were twelve records (32%) where the information
reported to AFCARS did not match what was found in the case file.
Single male caretakers' dates of birth were reported in this
element. Information for this element was also incorrect due to
data entry issues and wrong information recorded for the caretaker
family structure. |
| #47 Mother's Date of TPR |
4 |
blank cell |
| #48 Father's Date of TPR |
2 |
blank cell |
#49 Foster Family
Structure
0 = Not Applicable
1 = Married Couple
2 = Unmarried Couple
3 = Single Female
4 = Single Male |
2 |
Frequency Report (n = 25,026): Not reported = 13,504.
The records that have missing information are possibly the
private agency providers. The State office receives the information
that is entered into CAPS through a nightly batch. The form goes to
licensing. The CPS State office adds the demographics when the form
is received.
The State code "07, separated female" is mapped to AFCARS
"single female." It should be mapped to "married."
The State code "09, separated male" is mapped to AFCARS "single
male." It should be mapped to "married."
Modify program code to include the following condition. If
element #41 = 4, 5, 6, 7, 8, then element #49 = 0.
Case file review findings: Of the 38 cases reviewed, there were
six records (16%) where the information reported to AFCARS did not
match what was found in the case file.
|
| #50 1st Foster Caretaker's
Birth Year |
3 |
The records that have missing information are possibly the
private agency providers. The State office receives the information
that is entered into CAPS through a nightly batch. The form goes to
licensing. The CPS State office adds the demographics when the form
is received. However, there is a problem with not receiving the
information from the providers and/or the information not being
entered into the system by the State staff.
Case file review findings: Of the 38 cases reviewed, there were
12 records (32%) where the information reported to AFCARS did not
match what was found in the case file. In eleven records the AFCARS
record indicated a family structure and a placement setting of
foster home but the birth year information was missing. In one
record the placement setting was a foster home, and the family
structure and foster caretaker date of birth were missing.
|
| #51 2nd Foster Caretaker's
Birth Year |
3 |
The records that have missing information are possibly the
private agency providers. The State office receives the information
that is entered into CAPS through a nightly batch. The form goes to
licensing. The CPS State office adds the demographics when the form
is received.
Case file review findings: Of the 38 cases reviewed, there were
five records (13%) where the information reported to AFCARS did not
match what was found in the case file. Five records indicated the
foster family structure was "married" and no information was
reported for the second foster caretaker. Also, there were five
questionable records because of missing information. The placement
setting is foster home but the foster family structure is blank.
Therefore, these records may actually have information.
|
|
#52 1st Foster Caretaker's Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Unable to Determine
|
2 |
If an individual refuses to identify a race, the worker selects
"unable to determine." If race is "unable to determine," than
Hispanic/non-Hispanic check buttons are disabled.
The records that have missing information are possibly the
private agency providers. The State office receives the information
and that is entered into CAPS through a nightly batch. The form
goes to licensing. The CPS State office adds the demographics when
the form is received.
Case file review findings: There were 12 records (32%) in which
there is an inconsistency in the data reported in AFCARS. The
AFCARS records indicated that the child was in a family foster
home, however, information on the foster caretakers was
missing.
|
#53 1st Foster Caretaker's
Hispanic or Latino Origin
0 = Not Applicable
1 = Yes
2 = No
3 = Unable to Determine |
2 |
If an individual refuses to provide a race, but the person is
"Hispanic," then this cannot be recorded into the system.
"Unable to determine" is not an option for the worker to select
for Hispanic origin.
The records that have missing information are possibly the
private agency providers. The State office receives the information
and it is entered into CAPS through a nightly batch. The form goes
to licensing. The CPS State office adds the demographics when the
form is received.
Case file review findings: Of the 38 cases reviewed, there were
13 records (34%) in which there is an inconsistency in the data
reported to AFCARS. The AFCARS records indicated that the child was
in a family foster home, however, information on the foster
caretakers was missing.
|
#54 2nd Foster Caretaker's
Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Unable to Determine
|
2 |
If an individual refuses to identify a race, the worker selects
"unable to determine." If race is "unable to determine," than
Hispanic/non-Hispanic check buttons are disabled.
Case file review findings: For each of the races there were five
records (13%) in which there was an inconsistency in the date
reported to AFCARS. The AFCARS records indicated that the child was
in a family foster home, however, information on the foster
caretakers was missing.
|
#55 2nd Foster Caretaker's
Hispanic Origin
0 = Not Applicable
1 = Yes
2 = No
3 = Unable to Determine |
2 |
If an individual refuses to provide a race, but the person is
"Hispanic," then this cannot be recorded into the system. "Unable
to determine" is not an option for the worker to select.
The records that have missing information are possibly the
private agency providers. The State office receives the information
and it is entered into CAPS through a nightly batch. The form goes
to licensing. The CPS State office adds the demographics when the
form is received.
Case file review findings: Of the 38 cases reviewed, there were
seven records (18%) in which there was inconsistent data reported
to AFCARS. The AFCARS records indicated that the child was in a
family foster home, however, information on the foster caretakers
was missing.
|
| #56 Date of Discharge |
3 |
Frequency Report (n = 25,026): Not reported = 20,298; 2000 = 22;
2001 = 2,684; 2002 = 2,022
For a child that returns home while under the care, placement,
or supervision of the State agency, and the case is still open
after six months, the State's program code enters a discharge date
that is six months from the date the child returned home. For those
children that have been returned home for a specified period of
time that exceeds six months, this approach is incorrect.
The State must continue to report those children who have been
returned home for a specified period of time until the agency no
longer has responsibility for care, placement, or supervision. The
State must remove from the program code the section that calculates
a discharge date for children in their own homes for more then six
months. For children that are returned home for a specified period
of time, the worker must enter the date the agency no longer has
placement, care or supervision. For those children that are
returned home for a non-specified period of time, the worker must
enter the date the agency no longer has placement, care or
supervision of the child. If the non-specified period of time
extends to six months, then the worker must enter the date that is
six months after the child returns home.
The State staff asked how they should report if a judge requires
another review within another specified period of time. Does the
agency continue to report the child in AFCARS even if it goes
beyond six months?
Response: If after a specified period of time there is a
court review and the judge orders another specified period of time
for the child to remain home and retains the agency's placement,
care or supervision, then the State is to continue including the
child in its AFCARS population.
Case file findings: Of the 38 cases reviewed, there were four
(11%) in which there was inconsistent data reported to AFCARS. One
record indicates a discharge date in the AFCARS report. However,
the reviewer noted there was a periodic review that occurred after
the discharge date. Also, no discharge reason was given for element
#58. The date submitted in AFCARS reflects the individual's 18th
birthday. In another record the discharge date was incorrect and it
reflected the individual's 18th birthday. However, the reviewer
found an actual discharge date in the case file that was a year
later, after the individual turned 19. Also, the date of the most
recent periodic review reported to AFCARS occurred after the
discharge date. One discharge date reflected six months from the
time the child entered a "trial home visit." The actual discharge
date was two months later.
|
| #57 Date of Discharge
Transaction Date |
4 |
This is a system-generated date.
The State was able to adequately explain to the Federal team's
satisfaction why the 1996 date showed up in the frequency report
even though the screen should be frozen.
|
#58 Reason for
Discharge
0 = Not Applicable
1 = Reunification with Parent(s) or Primary Caretaker(s)
2 = Living with Other Relative(s)
3 = Adoption
4 = Emancipation
5 = Guardianship
6 = Transfer to Another Agency
7 = Runaway
8 = Death of Child |
2 |
Frequency Report (n = 25,026): Not applicable = 0; Reunify =
1,477; Live with other relative = 1,157; Adoption = 1,174;
Emancipation = 95; Guardianship = 0; Transfer to another agency =
0; Runaway = 42; Death of child = 9; Not reported = 21,072
There are only three terminating legal status events that can be
entered into CAPS. They are: "PRS responsibility terminated" (court
ordered or the child turns 18), "Child Emancipated" (court
ordered), and "Adoption consummated" (court ordered). The "legal
status code" is used to populate this field unless the terminating
legal status event is "PRS responsibility terminated." When this
occurs, the information is derived from the living situation. The
program uses the legal status event, the "living arrangement" found
on the placement detail screen and the "reason for discharge" on
the placement removal screen.
The State needs to add the AFCARS values "transfer to other
agency" and "guardianship" to the program code and map information
accordingly. ACF will follow-up on how the State should map
"transfer of conservatorship."
Response: This term is too vague. State needs to identify
to whom conservatorship was given and map it appropriately (i.e., a
relative, another agency or guardianship). The State may footnote
that guardianships are relatives.
Case file review findings: Of the 38 cases reviewed, there were
five records (13%) where the AFCARS data did not match what was in
the paper case file. The AFCARS report had missing data for this
element. In three cases the reviewer marked the reason as
"emancipation." One record was for a TYC youth and the reviewer
noted the youth left the title IV-E eligible placement.
One record that was missing a discharge reason had a current
placement setting of "runaway." Also, the reviewer noted the
discharge date was incorrect and that the date was the most recent
periodic review.
|
| #59 Title IV-E Foster
Care |
2 |
Frequency Report (n = 25,026): Does not apply = 13,410; Applies
= 11,616
Program logic checks for those cases eligible for payment.
Program code should be modified to capture payments made. The State
is aware of the problem and is working on it.
The payment/benefit can be for less than a full month and still
qualify as "applies" for any one of these benefits.
|
| #60 Title IVE Adoption |
4 |
State allows an adoption subsidy payment prior
to a finalized adoption. |
| #61 Title IVA |
2 |
Frequency Report (n = 25,026): Does not apply = 22,719; Applies
= 2,307
State is reporting emergency assistance for this element. This
should not be included.
|
| #62 Title IVD Child
Support |
2 |
Frequency Report (n = 25,026): Does not apply = 25,026; Applies
= 0
The title IV-D interface is one-way; the child welfare agency
does not receive information from the Attorney General regarding
payments made on behalf of the child.
The State is to report if "child support funds are being paid to
the State agency on behalf of the child by assignment from the
receiving parent" (45 CFR Part 1355, Appendix A, Section II.XI.
|
| #63 Title XIX Medicaid |
2 |
Frequency Report (n = 25,026): Does not apply = 10,896; Applies
= 14,130
The agency does not include if a child is eligible for
Medicaid.
Case file review findings: Of the 38 cases reviewed, there were
four records (11%) where the information reported to AFCARS did not
match what was found in the case file.
|
| #64 SSI |
4 |
blank cell |
| #65 None of the Above |
2 |
Frequency Report (n = 25,026): Does not apply = 16,395; Applies
= 8,631
This element is derived from elements #59-64.
A child receiving emergency assistance would have a response of
"applies" for this element.
Element #65 should not be derived from elements #59-64. The
program code needs to check if there are State funds, or other
Federal funds or non-Federal funds, which are a source of support
for the child. If there are then this element should be coded as
applies, otherwise it would be marked as does not apply.
Do not include those children for whom there is no financial
income.
|
| #66 Monthly Amount |
2 |
The State staff identified a problem with the
program code extracting this data. The program code is checking
eligibility and not payments. |
AFCARS Assessment Review Findings - Adoption
Findings
State: North Dakota
| AFCARS Element |
Factor
(1,2,3,4) |
Comments/Notes |
| #1 State FIPS Code |
4 |
blank cell |
| #2 Report Period End
Date |
4 |
blank cell |
| #3 Record Number |
4 |
blank cell |
#4 State Agency
Involvement
1 = Yes
2 = No |
4 |
Hard coded as "1, yes." The State is only
reporting those adoptions for which the agency has
involvement. |
| #5 Child Date of Birth |
4 |
blank cell |
#6 Child Sex
1 = Male
2 = Female |
2 |
blank cell |
|
#7 Child Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Unable to Determine
|
2 |
If an individual refuses to identify a race, the
worker selects "unable to determine." If race is "unable to
determine" than Hispanic/non-Hispanic check buttons are
disabled. |
#8 Child Hispanic
Origin
1 = Yes
2 = No
3 = Unable to Determine |
2 |
As a result of the finding in foster care element #8, if an
individual is of Hispanic/Latino origin and refuses to provide a
race, the worker is not able to enter the Hispanic/Latino
information.
The option "unable to determine" must be added to the screen for
Hispanic/Latino origin and not linked with the race option of
"unable to determine."
|
#9 Has Agency Determined
Special Needs?
1 = Yes
2 = No |
3 |
Frequency Report (n=1,117): Yes = 1,015; No = 101
This element is derived from element #10. The accuracy of this
information is dependent on whether a worker enters the correct
information for element #10.
|
#10 Primary Basis for
Determining Special Needs
0 = Not Applicable
1 = Racial/Original Background
2 = Age
3 = Membership in a Sibling Group
4 = Medical Conditions or Mental, Physical or Emotional
Disabilities
5 = Other State Defined Special Needs |
2 |
Frequency Report (n = 1,117): Not applicable = 101; Racial = 50;
Age = 45; Sibling group = 499; Medical condition or mental,
physical, or emotional disabilities = 421; Other = 0.
The program code follows the hierarchy below to determine the
primary basis for determining special needs:
- Medical
- Sibling
- Age 6 or older
- Race
This element should reflect the area that is the primary basis
as determined by the worker. The hierarchy was based on data
analysis.
The program code does not include the AFCARS value of "other."
There are some "disabilities" that are being mapped to element #15
that should not be included that would meet the definition for
"other primary basis." There are other possible child
characteristics that may qualify as a State defined special need
that could be mapped to "other."
Because the disability information is carried forward from the
foster care screens, there is a possibility that the information
for this element is under-reported and that its accuracy is
incorrect.
|
| #11 Mental Retardation |
2 |
"Downs Syndrome" appears on the selection list
but does not indicate "diagnosed" next to it. The State should map
"Downs Syndrome" to this element. |
| #12 Visually/Hearing
Impaired |
2 |
blank cell |
| #13 Physically Disabled |
2 |
If the State code "58, mobility impaired" means
that the child has a physical disability that impairs their motor
function, it can be mapped to this element. |
| #14 Emotionally
Disturbed |
2 |
State code "22, emotional disturbed" is too broad of a
category.
The State can map the following to this element: ADD/ADHD;
Eating disorder (anorexia, bulimia).
|
| #15 Other Diagnosed
Condition |
2 |
The State code "24, enuresis" should not be mapped to this
element.
The State may map "learning disabled" to this element.
The State code "34, health disabled" is too broad a category.
This category may contain conditions that should be mapped to one
of the other elements in #11-14.
|
| #16 Mother's Birth Year |
3 |
blank cell |
| #17 Father's Birth Year |
3 |
Case file review findings: Of the 18 cases reviewed, there were
four records (22%) that the information reported to AFCARS did not
match what was found in the case file. In three of the AFCARS
records the information was blank but the reviewer found a date in
the case file. Blank information for this element will not fail the
compliance standard for missing data, however, the State should
encourage workers to enter this information when it is known.
|
#18 Mother Married at Time of
Birth
1 = Yes
2 = No
3 = Unable to Determine |
3 |
Frequency Report (n=1,117): Yes = 233; No = 742; Unable to
determine = 143; Not reported = 8.
This information is entered on the "person detail CVS/FA home"
screen. The caseworker must enter this information during the "sub"
(substitute care) stage in order to enter a foster care
placement.
The records indicating no information may be older cases in
which the information was not converted from the legacy system.
The State should develop a method to ensure workers understand
the use of "unable to determine." Suggestion: Add description in
the "AFCARS Job Aid." Also, add an alert message when "unable to
determine" is selected on the screen reminding the worker of the
definition.
Case file review findings: Of the 18 cases reviewed, there were
two records (11%) where the information reported to AFCARS did not
match what was found in the case file. The reviewers were able to
identify whether the mother was married or not at the time of the
child's birth.
|
| #19 Date of Mother's TPR |
3 |
Case file review findings: Of the 18 cases
reviewed, there were four records (22%) where the information
reported to AFCARS did not match what was found in the case file.
In one of the cases the mother was deceased and this date was not
used as the TPR date. In one case the TPR found by the reviewer was
a month later then what was reported to AFCARS. The other two
records had data entry errors. |
| #20 Date of Father's TPR |
3 |
Case file review findings: Of the 18 cases reviewed, there were
four records (22%) where the information reported to AFCARS did not
match what was found in the case file. One of the records was
missing a TPR for the father. One record the date of TPR was
actually a month later then what was reported to AFCARS. The other
two records had data entry errors.
|
| #21 Date Adoption
Legalized |
4 |
blank cell |
#22 Adoptive Family
Structure
1 = Married Couple
2 = Unmarried Couple
3 = Single Female
4 = Single Male |
2 |
Frequency Report (n=1,117): Married = 782; Unmarried = 2; Single
female = 243; Single male = 27; Not reported = 62.
State regulation does not allow "unmarried couples," including
couples in a state of separation to adopt. The adoptive parent must
be legally married (for at least two years) or legally single
(single or divorced) before they are considered as an adoptive
parent(s) in the State. Since State's policy does not allow
separated individuals to adopt, if "separated" is selected State
should map to blank.
Private placement agencies enforce the same approval
requirements as the State when approving adoption homes for
children. Therefore, when placement agencies solicit assistance
from the State to adopt a child no additional study on the adoption
home is necessary. In these circumstances, the State should ensure
that workers are entering adoption home study data completed by
private agencies as the current CAPS screen does not prompt worker
to enter home study data. This may be the reason 62 cases are "not
reported." The web-based application will provide a screen to allow
workers to enter adoptive family structure.
|
| #23 Adoptive Mother's Year of
Birth |
4 |
blank cell |
| #24 Adoptive Father's Year of
Birth |
4 |
blank cell |
|
#25 Adoptive Mother's Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Unable to Determine
|
2 |
If an individual refuses to identify a race, the
worker selects "unable to determine." If race is "unable to
determine," than Hispanic/non-Hispanic check buttons are
disabled. |
#26 Adoptive Mother's
Hispanic Origin
0=Not Applicable
1 = Yes
2 = No
3 = Unable to Determine |
2 |
If an individual refuses to provide a race, but
the person is "Hispanic," then this cannot be recorded into the
system. "Unable to determine" is not an option for the worker to
select. |
|
#27 Adoptive Father's Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Unable to Determine
|
2 |
If an individual refuses to identify a race, the
worker selects "unable to determine." If race is "unable to
determine," than Hispanic/non-Hispanic check buttons are
disabled. |
#28 Adoptive Father's
Hispanic Origin
0=Not Applicable
1 = Yes
2 = No
3 = Unable to Determine |
2 |
If an individual refuses to provide a race, but
the person is "Hispanic," then this cannot be recorded into the
system. "Unable to determine" is not an option for the worker to
select. |
#29 -32
0 = Does not Apply
1 = Applies |
blank cell |
State policy is that child reside with the
adoptive family for six months or less depending on judge's order
or situation. Worker can select more than one from the
characteristic list. |
| #29 Relationship of Adoptive
Parent to Child - Stepparent |
4 |
blank cell |
| #30 Relationship of Adoptive
Parent to Child - Other Relative |
4 |
blank cell |
| #31 Relationship of Adoptive
Parent to Child - Foster Parent |
4 |
blank cell |
#32 Relationship of Adoptive
Parent to Child - Other Non-Relative
0=Does Not Apply
1=Applies |
4 |
Frequency Report (n = 1,117): Apply = 314; Does not apply =
802.
The field is initialized to "0, not apply." This element is
derived from elements #29-31.
The system has the capability to handle multiple entries.
|
#33 Child Was Placed
from
1 = Within State
2 = Another State
3 = Another Country |
4 |
Hard coded "1-within state." |
#34 Child Was Placed by
1 = Public Agency
2 = Private Agency
3 = Tribal Agency
4 = Independent Person
5 = Birth Parent |
4 |
Hard coded "1-public agency." |
#35 Receiving Monthly
Subsidy
1=Yes
2=No |
2 |
State only reports the cases where a payment is made.
Medicaid only subsidy cases are not being reported.
|
| #36 Monthly Amount |
4 |
blank cell |
#37 Adoption Assistance -
IV-E
1=Yes
2=No |
2 |
Modify program code to exclude State code "17,
non-recurring subsidy." |
|