DISCUSSION: 

The purpose of this memorandum is to introduce revisions to the Resource Family Exit Interview, CD-112.

One of the responsibilities of staff is to conduct exit interviews with all resource providers. This should be completed for those resource providers who choose to close their license as well as those homes that are revoked. The purpose of the exit interview is to determine if the agency may have been able to do something different or better to maintain this placement resource. This interview should be documented in the record.

The CD-112 was introduced in memo CD09-07 as a tool to use as means of recruitment of resource parents who no longer wish to provide foster care full time to consider providing respite care. The CD-112 can be used to assist the worker when conducting the face-to-face exit interview. The CD-112 does not replace the Closing Summary. The completed CD-112 shall be placed in the forms section of the case record. 

Revision to the form includes the addition of boxes to indicate whether the agency that developed the home was the Children’s Division or a private agency. If a private agency developed the home, the name of the private agency is to be entered. 

Staff are to begin using the revised CD-112 as of the date of this memorandum.