A CD-164 is used to review of the critical event in a family home.

A CD-164 RF is used to review and document the details of a current critical event that took place in a resource home, which may include:    

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    • Traditional Foster Care
    • Medical Foster Care
    • Licensed Relative/Kinship Care
    • Unlicensed Relative/Kinship Care
    • Foster Family Group Home
    • Residential Care
    • Respite Care
    • Elevated Needs Level A Care
    • Elevated Needs Level B Care
    • Adoptive Home

Log of Prior History (CA/N, AC, FCS and IIS)

The CD-164A_Narrative is used to review and document the details of each incident (CA/N, Referrals) or case (FCS, AC, IIS) listed in prior history on the CD-164 or CD-164 RF.

Review of Open Cases

CD-164 B- – Used to assist reviewers in interviewing staff in regard to the current critical event or relevant prior history.

Review of Prior Cases

The CD-164C- Used to document the reviewer’s observations, overall impressions and practice trends.

Critical Event Reviewer Required Level

• Must not have supervisor responsibility for staff involved

Critical Event Tool Kit Submission Timeframe

Complete within 30 business days unless essential information to complete a thorough review is not available. Submit the completed review to:

DSS.CD.CriticalEventReport@dss.mo.gov

 Providing Case Records for Critical Event Reviews:

If requested by Central Office, the Circuit Manager will ensure a copy of the complete case record is forwarded to Central Office within 2 working days. (Case Records may include CA/N files, FCS files, AC files, resource home files, and any other related material from all locations).

 Procedure for generating case records from FACES:

1. Log into FACES
2. Click on the Report Management Screen
3. Click on Case Record
4. Enter Call/Case Number