Requirements for Initial Placements

When a child is placed into out-of-home care for the first time, the caseworker must, at a minimum, discuss the following with the admissions coordinator or other staff present at the time of placement:

• The child’s immediate and special needs for the first 72 hours.
• Any known sexual victimization, sexual behavior problem, human trafficking, or sexual aggression history.

Within 72 hours of the placement, the caseworker does the following:

• Completes Form 2279 Placement Summary and the child’s Sexual History Report, Attachment A.
• Discusses Form 2279 and Attachment A with the child’s caregivers in the placement.
• Obtains signatures on Form 2279 and Attachment A to acknowledge receipt of the information. The caseworker may collect these signatures electronically.
• Compiles any attachments that the caseworker did not provide at the time of placement.
• Provides the form and attachments to the new caregivers.
• Uploads Form 2279 into the Child’s Placement Records tab in OneCase.
• Uploads Attachment A into the Sexual History Report Attachment A tab in OneCase.

Requirements for All Subsequent Placements

At the time of the placement, the caseworker provides continuity of care by discussing the following with the new caregivers:

• The information that the previous caregiver provided on Form 2279 Placement Summary.
• The child’s Sexual History Report, Attachment A.
• All other required documents at the time of placement.

The new caregivers and the caseworker must sign Form 2279 and Attachment A to acknowledge receipt of the information.

If any caregivers are not present at the time of placement, the caseworker does the following within three business days:

• Reviews the information with each caregiver who was not present.
• Obtains signatures on Form 2279 and Attachment A to acknowledge receipt of the information. The caseworker may collect these signatures electronically.

The caseworker then does the following:

• Uploads the signed Form 2279 and Attachment A into OneCase on the day of the placement or by 7 p.m. the next calendar day.
• Uploads Form 2279 into the Child’s Placement Records tab of OneCase.
• Uploads Attachment A into the Sexual History Report Attachment A tab of OneCase.
• Uploads additional signatures obtained on the forms into OneCase within three business days of making the placement.

Requirements Depending on Type of Placement (for Initial and Subsequent Placements)

The caseworker and new caregivers discuss Form 2279 and Attachment A whether the caregivers are verified or unverified, and regardless of whether they are approved by CPS or are an unauthorized placement. After the forms have been signed by the caregiver, the caseworker must upload the documents to One Case. See the subheadings below.

Foster Home

If the child’s new placement is in a foster home, all foster parents in the home must sign Form 2279 and Attachment A to acknowledge receipt of the information.

Unverified Kinship Home

If the child’s new placement is an unverified kinship home, all adults living in the home who have unsupervised access to the child must sign Form 2279 and Attachment A to acknowledge receipt of the information.

Unauthorized Home

If the child’s new placement is an unauthorized home, the caseworker makes every effort to have the unauthorized caregiver sign Form 2279 and Attachment A to acknowledge receipt of the information.

If the unauthorized caregiver refuses to sign Form 2279 or Attachment A, the caseworker does the following:

• Documents the refusal to sign on the forms and uploads the forms into OneCase.
• Enters a contact documenting the caseworker’s efforts to notify the unauthorized caregiver of the child’s sexual victimization, sexual behavior problem, human trafficking, and sexual aggression history, as well as the caregiver’s refusal to sign.

The caseworker then does the following:

• Uploads Form 2279 into the Child’s Placement Records tab in OneCase.
• Uploads Attachment A into Sexual History Report Attachment A tab in OneCase.

For more information about unauthorized living arrangements, see 4154 Unauthorized Arrangements of Youth in DFPS Conservatorship.

Out-of-State Placement

If the child is placed out-of-state in a non-contracted foster, adoptive, or dual-licensed foster and adoptive home, the caregiver and caseworker have the following responsibilities:

• The caregiver notifies any temporary caregiver of the child’s history of sexual victimization, sexual behavior problem, human trafficking, and sexual aggression.
• The caregiver obtains signatures on Form 2279b Certification of Receipt of Child Sexual Abuse or Sexual Aggression Information.
• The caregiver sends the signed copy of Form 2279b to the caseworker.
• The caseworker uploads the signed copy of Form 2279b into the Child’s Placement Records tab of OneCase.

General Residential Operation (GRO)

If the child is being placed into a general residential operation (GRO), which includes emergency shelters and residential treatment centers, the following people must sign Form 2279 and Attachment A to acknowledge receipt of the information:

• Administrator for the GRO.
• Receiving intake staff, if applicable.
• Child’s case manager.

The GRO staff is responsible for making sure that any other caregivers for the child receive the information.

Facility Regulated by Another State Agency

If the child is admitted to a facility regulated by another state agency, such as a hospital or juvenile detention center, and there is no intent for the child to return to the placement, the caseworker must obtain signatures on Form 2279 and Attachment A to acknowledge receipt of the information. The following people must sign Form 2279 and Attachment A to acknowledge receipt of the information:

• For psychiatric or medical hospitals: hospital care coordinator or similar staff member.
• For juvenile detention centers or other facility settings: admission staff member or person responsible for oversight of the child.

The caseworker then does the following:

• Uploads the signed Form 2279 into the Child’s Placement Records tab in OneCase.
• Uploads Attachment A into the Sexual History Report Attachment A tab in OneCase.

If the person indicated above refuses to sign Form 2279 or Attachment A, the caseworker does the following:

• Documents the refusal to sign on the forms.
• Enters a contact documenting the caseworker’s efforts to notify the facility staff member of the child’s sexual victimization sexual behavior problem, human trafficking, and sexual aggression history, as well as the refusal to sign.
• Uploads Form 2279 into the Child’s Placement Records tab in OneCase.
• Uploads Attachment A into the Sexual History Report Attachment A tab in OneCase.

If the child is admitted to a facility regulated by another state agency, and there is intent for the child to return to the placement, see Temporary Absence from Placement, below, and 4231.1 Notifying a Facility Regulated by Another State Agency of a Child’s Sexual Victimization and Sexual Aggression History.

Temporary Absence from Placement

Temporary absences from placement can include, but are not limited to, the following:

• Psychiatric hospitalizations.
• Medical hospitalizations.
• Confinement in juvenile detention centers, jails, or other locked facilities.

The caseworker or caregiver (whoever conducts the placement) makes sure that the temporary caregiver for the child has been informed of the child’s history of sexual victimization, sexual behavior problems, human trafficking, or sexual aggression. The caseworker or primary caregiver makes every effort to have the temporary caregiver sign Form 2279b Certification of Receipt of Child Sexual Abuse or Sexual Aggression Information to certify that the temporary caregiver has read the Attachment A. The caseworker or caregiver must ensure that Form 2279b is presented to the caregiver or caregivers in conjunction with the Attachment A.

For more information about temporary absences from placement, see 4280 Temporary Absence from Paid Placement.