Home Study Practice Guide

Provider number

Physical street address
Enter the street address of the home being assessed.

City
Enter the city where the home is located.

State
Select the state where the home is being assessed.

Zip code
Enter the zip of where the home being assessed.

This home study does not include child specific information

This home study includes child specific information

This home study does not include an assessment for the applicant(s) to provide care for any additional children.

 Practice Tip:

Select this option when the home study assessment is child specific. To be used for Kinship Care or Kinship License.

This home study is an assessment for the applicant(s) to provide general foster care to children in out-of-home placement.

 Practice Tip:

Select this option when the home study assessment is for a foster care license. To be used in Foster License Track.

This home study also includes an assessment for the applicant(s) to provide general foster care to children in out-of-home placement.

 Practice Tip:

Select this option when the home study assessment is for both a specific child and for a foster care license. To be used in Foster License Track.

For foster care: 1) motivation for providing care 2) expectations 3) experience with children in out-of-home care 4) adoption goals, if applicable.

 Practice Tip:

Assess the applicant(s) expectation regarding placement of children placed in out-of-home care to ensure it is realistic. Assess who the applicant(s) see as being the best fit for their family and why. Assess the applicant(s) motivation for providing care to vulnerable children.

 Sample Questions to Ask:

• Are you going through the home study process to care for a specific child or to provide general foster care?
• How long have you considered applying to complete the home study process?
• Is there anything you feel hesitant about in completing the home study process?

   

  Applicant A’s/B’s response from personal information form for reference only

   Practice Tip:

  This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicant(s) initially responded.

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  For foster care: 1) motivation for providing care 2) expectations 3)experience with children in out-of-home care 4) adoptions goals, if applicable

   Practice Tip:

  Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. Rewrite this in your own words, and address any areas/topics that you feel need attention.

For foster care: Willingness to develop and maintain connections with a child’s birth and/or legal family.

 Practice Tip:

• Describe the current case plan and the ability of the applicant(s) to follow the case plan as it relates to the birth and/or legal family. Describe how the applicant(s) would maintain those connections if legal permanency is established.
• Describe how the applicant(s) supports and would continue to support family time (siblings, grandparents, other extended family members, and other significant relationships). Be sure to include tribal status/affiliation when discussing culture.
• Culture is everything, and sometimes it is challenging to speak to. Utilize this opportunity to build awareness around cultural sensitivity and humility. A person’s cultural background includes family traditions, customs, sexual orientation, gender identity and expression (SOGIE), religious/spiritual beliefs, recreational activities, personal interests, and lifestyle.

 Sample Questions for General Care Applicants:

• What is your understanding of culture?
• What is your experience with cultures that are different from your own?
• How do you plan on creating a culturally affirming environment?
  • Toy, Books, Community events, Mentors, Music, Food, Etc.
• Are you willing to participate in training related to providing culturally affirming care?
• How will you help a child preserve and appreciate their culture?
• How do you plan to maintain family or community connections?
• How would you support a child’s race, ethnicity, religion, LGBTQIA+, SOGIE?

   

  Applicant A’s/B’s response from personal information form for reference only

   Practice Tip:

  This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicant(s) initially responded.

  ---

  For foster care: Willingness to develop and maintain connections with a child’s birth and/or legal family.

   Practice Tip:

  Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. Rewrite this in your own words, and address any areas/topics that you feel need attention.

During the home study process, the applicant did not express any concerning limitations on placement preferences.

Narrative Box:
Only include narrative significant to the assessment.

During the home study process, the applicant expressed concerning limitations on placement preferences.

Please select all that apply.* Data collection will not print.

 Practice Tip:

An additional box will expand, listing mitigating factors for the above-mentioned experienced trauma. Please select all the mitigating factors that apply.

Discuss limitations and mitigation or lack thereof. If two applicants, consider and document how their responses are complementary or may present conflicts related to providing care. 

 Practice Tip:

Include information checked above. Describe each applicant’s child preference, including age, sex, language, culture, and developmental or physical disabilities. Describe each applicant’s skills and ability to parent a child with a physical or developmental disability. What behaviors would cause the applicant(s) to re-assess their commitment to children in out-of-home care? What training or experiences have the applicant(s) had to prepare them to parent children placed in out-of-home care? What experience do you have with children who are placed in out-of-home care?

 Practice Tip:

List the name, date, and place of birth of each applicant. When documenting where an applicant was primarily raised or identified as being from, consider how some people may not have one primary place they call home. Consider documenting the applicant’s family facts as they share them; they’re the expert.

 Practice Tip:

When considering by whom they were raised, ask about others who impacted their growth and development. Briefly describe their family of origin, which may include, who raised the applicant (relationship(s) then and now), family strengths, significant life events, and any adverse childhood experiences (ACEs). Consider how applicants were parented and supported in their family paradigm, as well as how the family paradigm might impact children-in-care. Document the current and/or historical relationship(s) between the applicant and the person(s) who provided primary care to them as children, as prompted.

 Practice Tip:

Consider the applicant's insight into their childhood experiences. This section should not be a self-reported biography; rather, it should contain an assessment of how their childhood experiences have impacted their parenting. Have the applicants consider what was positive or negative about their childhood and describe what they would do or currently do that is the same or different. Use critical thinking to guide the conversation with the applicants.

 Practice Tip:

Briefly describe sibling relationships and other significant relationships and assess whether the applicant's personal experiences with their family of origin demonstrate self-awareness, insight into relationship building and/or boundary setting, and an ability to form familial attachments that are healthy for traumatized children. Document the historical relationship(s) between the applicant and any siblings, as prompted. Consider how sibling relationships may inform the applicant's perspective regarding parenting and building relationships with children in their care and fostering relationships between siblings. Include information on biological, adopted, foster, step, half, and other sibling connections not listed.

 Practice Tip:

Behaviors can include anger management, domestic violence, mental health, and substance misuse, among others. This assessment pertains to family members who are not household members and may have contact with children in care.

It was assessed that the applicant’s family members have no behaviors that may impact the care of children.

Narrative Box:
Only include narrative significant to the assessment.

It was assessed that the applicant has family members who have behaviors that may impact the care of children.

Narrative Box:
Describe who the behaviors pertain to and how they may or may not impact the care of children.

 Practice Tip:

Identify frequency and duration of contact with children in out-of-home care, if any, and the applicant’s ability to provide supervision during those interactions. Describe the plan to ensure the safety of children in out-of-home care during those interactions.

It was assessed that the applicant has healthy relationship(s) within their family of origin.

Narrative Box:
Only include narrative significant to the assessment.

It was assessed that the applicant has chaotic, limited, or lack of relationship(s) within their family of origin.

 Practice Tip:

Trauma is most easily defined as an emotional or physical reaction to an event that is witnessed or experienced that is scary, intense, and/or disturbing. Trauma can result from a variety of situations including, but not limited to:

• Witnessing violence within the family or community. 
• Loss of a loved one due to accident or violence. 
• Being a victim of neglect or abandonment, physical, emotional or, sexual abuse.
• Natural disasters.

It was assessed that the applicant did not experience childhood trauma.

Narrative Box:
Strengths/knowledge/experience/understanding about trauma. Only include narrative significant to the assessment.

 Practice Tip:

Describe how their strengths, knowledge, experience, training, and understanding of childhood trauma contribute to their ability to care for children.

It was assessed that the applicant experienced childhood trauma.

 Practice Tip:

Assist the family in identifying systemic and/or intergenerational trauma they may have experienced. How has this impacted their ability to care for children? When working with kinship providers, be mindful of how the child welfare system has contributed to systemic and/or intergenerational trauma and how their experiences may contribute to a lack of trust with government systems.

It was assessed that the applicant did not experience systemic or intergenerational trauma.

Narrative Box:
Strengths/knowledge/experience/understanding about trauma. Only include narrative significant to the assessment.

 Practice Tip:

Describe how their strengths, knowledge, experience, training, and understanding of systemic and/or intergenerational trauma contribute to their ability to care for children and support ongoing connections to their family of origin.

It was assessed that the applicant experienced systemic or intergenerational trauma.

Narrative Box:
Describe 1) the circumstance of the trauma 2) if the applicant overcame or continues to overcome the trauma 3) any situations or behaviors that have triggered a trauma response in the past 4) any potential trauma-affected parenting 5) if others are aware of the trauma 6) if applicants have support in place today.

 Practice Tip:

The narrative should discuss the applicant’s experience with systemic and/or intergenerational trauma. This narrative should not be a list and needs to be written in essay format.

 Practice Tip:

Trauma is most easily defined as an emotional or physical reaction to an event that is witnessed or experienced that is scary, intense, and/or disturbing. Trauma can result from a variety of situations including, but not limited to:

• Witnessing violence within the family or community.
• Loss of a loved one due to accident or violence.
• Being a victim of neglect or abandonment, physical, emotional, or sexual abuse.
• Natural disasters.

It was assessed that the applicant did not experience trauma as an adult.

Narrative Box:
Strengths/knowledge/experience/understanding about trauma. Only include narrative significant to the assessment.

 Practice Tip:

Describe how their strengths, knowledge, experience, training, and understanding of trauma contribute to their ability to care for children and support ongoing connections to their family or origin.

It was assessed that the applicant experienced trauma as an adult.

 Practice Tip:

You may need to introduce the concept of domestic violence. The behavioral definition of domestic violence as defined in the Social Worker’s Practice Guide to Domestic Violence is as follows: "Domestic violence is a pattern of assaultive and coercive behaviors, including physical, sexual, and psychological attacks, as well as economic coercion, that adults or adolescents use against their intimate partners." For safety purposes, discussions about domestic violence must be done in individual interviews.

It was assessed that the applicant has not been a perpetrator or alleged perpetrator of domestic violence.

Narrative Box:
Only include narrative significant to the assessment.

 Practice Tip:

Describe how their strengths, knowledge, experience, training, and understanding of domestic violence contribute to their ability to care for children and support ongoing connections to their family of origin.

It was assessed that the applicant has been a perpetrator or alleged perpetrator of domestic violence.

Narrative Box:
Describe who the domestic violence concerns pertain to and how they will or will not impact the care of children.

 Practice Tip:

You may need to introduce the concept of domestic violence. The behavioral definition of domestic violence as defined in the Social Worker’s Practice Guide to Domestic Violence is as follows: "Domestic violence is a pattern of assaultive and coercive behaviors, including physical, sexual, and psychological attacks, as well as economic coercion, that adults or adolescents use against their intimate partners." For safety purposes, discussions about domestic violence must be done in individual interviews.

The applicant demonstrated an understanding of domestic violence and how it may impact children.

Narrative Box:
Only include narrative significant to the assessment.

The applicant did not demonstrate an understanding of domestic violence and how it may impact children.

Narrative Box:
Describe concerns and mitigation, if applicable.

 Practice Tip:

Review and summarize the Applicant Medical Self Report (DCYF 13-001A) and Applicant Medical Report (DCYF 13-001), as applicable, and assess how the medical conditions may impact the applicant’s ability to parent. Note that it is not necessary to list medications, conditions, or history that do not impact the care of children.

The applicant completed an Applicant Medical Self Report (DCYF 13-001A). A licensed health care provider did not complete an Applicant Medical Report DCYF 13-001) for this applicant.

The applicant completed an Applicant Medical Self Report (DCYF 13-001A). In addition, a licensed health care provider completed an Applicant Medical Report (13-001) for this applicant.

 Practice Tip:

Review the applicant's medical report form with the applicant to determine if there is a historical or current health condition that impacts the applicant's ability to care for children.

It was assessed that the applicant does not have current or historical health conditions (physical or mental) that may impact the applicant’s daily functioning and/or the care of children.

Although the applicant has current or historical health conditions (physical or mental) it was assessed that they will not impact the applicant’s daily functioning and/or care of children.

It was assessed that the applicant has current or historical health conditions (physical or mental) that may impact the applicant’s daily functioning and/or care of children.

It was assessed that the applicant does not have any medical conditions (not specific to mental health) that may impact the applicant’s daily functioning and/or their ability to provide care to children.

Narrative Box:
Only include narrative significant to the assessment.

It was assessed that the applicant has a medical condition (not specific to mental health) that may impact the applicant’s daily functioning and/or their ability to provide care to children.

 Practice Tip:

Include information about the applicant's experience and their willingness to participate in counseling/therapy. Was their counseling/therapy court-ordered or self-directed? Be sure to include an approximate start date to end date/present. Additionally, include their reason for seeking and the outcome of the counseling/therapy. Did the applicant choose to end counseling/therapy, or was it mutually agreed to with their counselor? Does the applicant maintain a connection to their counselor to return if needed? Note that if the applicant is currently in counseling or has been recently, attempt to get applicant mental health report from the therapist.

 Possible Questions to Ask:

• What is your understanding of mental health and mental illness?
• Describe any current or historical mental health issues the applicant has experienced, including symptoms, triggers, if applicable, diagnoses, and insight into their own mental health.
• How do you manage your mental health?
• How does your mental health impact how you parent?
• Do you have any family members who have current or historical mental health issues?
• Have you or anyone in your family attempted suicide or experienced suicidal thoughts?
• Are you currently in counseling or therapy, and/or have you been previously?
• What are your thoughts about children attending counseling or therapy?

 Questions to Consider While Completing Your Assessment:

• Do any of the discussed topics pose a concern to a child placed in the applicant’s home?
• Does the applicant have a good understanding of their mental health and mental illness?

It was assessed that the applicant does not have historical or current alcohol and/or drug use.

It was assessed that the applicant’s historical or current alcohol and/or drug use will not impact the applicant’s daily functioning and/or care of children.

It was assessed that the applicant’s historical or current use of alcohol and/or drugs may impact the applicant’s daily functioning and/or care of children.

 Practice Tip:

Assess how past significant relationships have played a role in the applicant’s ability to form attachments with others and/or what the applicant learned from those relationships

The applicant has no prior marriages, civil unions, domestic partnerships, or significant intimate relationships.

Narrative Box:
Only include narrative if significant to the assessment

It was assessed that the applicant’s prior significant intimate relationships will not impact the care of children.

Narrative Box:
Describe 1) name of prior partner(s) 2) Dates of the relationship including legal dates 3) Include narrative significant to the assessment.

It was assessed that the applicant’s prior significant intimate relationships may impact the care of children.

Narrative Box:
Describe 1) name of prior partner(s) 2) Dates of the relationship including legal dates 3) Include narrative significant to the assessment.

 Practice Tip:

The use of word unstable, when used in this home study, can refer to relationships that may/can be considered unhealthy. An unstable or unhealthy relationship can range from slight communication issues to domestic violence, infidelity, and more. We are trying to assess if the applicant is able to recognize unhealthy patterns within their relationships and how those might impact the care of children.

It was assessed that the applicant has not been involved in an unstable partnership/marriage in the past.

Narrative Box:
Only include narrative significant to the assessment.

It was assessed that the applicant has been involved in an unstable partnership/marriage in the past.

Select all mitigation factors that apply

 Practice Tip:

An additional box will expand, listing mitigating factors for the above-mentioned alcohol and/or drug use. Please select all the mitigating factors that apply.

Describe instability and mitigation if applicable.

 Practice Tip:

The narrative should encompass all of the mitigating factors selected. These mitigating factors may not be applicable due to the absence of the past relationship. Describe the applicant’s strengths as it relates to the specific situation. This narrative should not be a list and needs to be written in essay format.

 Possible questions to ask:

• Describe applicant’s significant relationships and/or marital history.
• If no longer together, describe circumstances surrounding the ending of the relationship. If applicable, describe the applicant’s present relationship with ex-partners.
• If co-parenting children not in out-of-home care, how are roles defined?
• For blended families, how do you work together?
• What does an argument look like?
• Do you have similar or conflicting parenting styles?

 Practice Tip:

Describe supportive relationships the applicant has in their life. Is the applicant able to maintain these relationships?

It was assessed that the applicant has supportive relationships (friendships, colleagues, etc.)

Narrative Box:
Briefly describe relationship(s) to include what kind of support is provided to the applicant.

 Practice Tip:

Describe each applicant’s support systems. Who do you call/text if you need parenting advice? Who do you call/text if you need to vent?

It was assessed that the applicant does not have supportive relationships (friendships, colleagues, etc.)

Narrative Box:
Describe the plan for how they will get support.

 Practice Tip:

Include any resources you educated the applicant about. Examples are kinship support groups, foster parent support groups, etc.

 Practice Tip:

Significant information includes but is not limited to:

• How often is the partner in the home? Do they live together, or are they casually dating?
• How long have they been in a relationship?
• Describe the applicant’s significant relationships and/or marital history.
• Describe any co-parenting with a previous partner(s). How are roles defined in your current relationship?
• For blended families, how do you work together?
• Has the applicant ever been separated from their present partner? If yes, why and how were the issues resolved?
• What does an argument look like?
• What stressors do you experience in your relationship?
• How will you work together in times of stress?
• If the applicant is not in a current relationship, describe the applicant’s plan to incorporate a future partner into the home dynamics. May include but is not limited to:
  • Additional requirements for a new household member or substitute care provider.
  • Adding a new caretaker to the foster care license.
  • Confidentiality.
  • Transportation requirements.
  • Discipline practices.
  • Trauma-informed care. Be mindful of children who have experienced loss and the gravity of having a new caregiver come into the home.
  • The significance of any additional household members as a support system, including finances.

 Practice Tip:

If the applicant is not in a current partnership, include language identifying the current relationship status of the applicant, i.e., single, not dating, not partnered, widowed, etc.

 Practice Tip:

Family violence can range in severity and can be presented in multiple ways, including but not limited to; verbal abuse, physical abuse, emotional abuse, unrealistic expectations, excessive discipline, isolation, rigidity around food (i.e., being forced to eat, withholding food or water), financial control, intimidation, threats, consciously disregarding SOGIE. You do not need to repeat information that was discussed in the adult trauma section.

It was assessed that there is no family violence within the household or family that may impact the care of children.

Narrative Box:
Only include narrative significant to the assessment.

It was assessed that family violence within the household or family may impact the care of children.

Narrative Box:
Describe whom the family violence concerns pertain to and how they may or may not impact the care of children.

It was assessed that there are no concerns regarding unstable partnerships/marriages in this family.

Narrative Box:
Only include narrative significant to the assessment.

It was assessed that the applicant(s) are currently involved in an unstable partnership or marriage.

The applicant(s) has no children.

Children of the applicant(s) including adult children, minor children, and other children the applicants have parented:

 Practice Tip:

Ensure you select "add" and include a new section for each child, regardless of when the applicant parented the child, for how long the applicant parented the child, the age of the child, or where the child currently resides. This section needs to encompass ALL children (i.e., biological, adopted, step, estranged, guardianship, non-custodial, minor, adult)

 Practice Tip:

Discuss all boundaries that have been established or need to be established to protect the children in the home. Who were these boundaries established for, and why? This could include setting boundaries with family members impacted by drugs or alcohol, mental health, unhealthy relationships, criminal or pending criminal actions, or current court or pending court involvement as it relates to a child's health, safety, and wellbeing, etc.

 Practice Tip:

Describe with whom the applicant(s) experience stress. How does the stress manifest? Describe any coping skills the applicant(s) has. Does the applicant have access to any additional resources or support to manage their stress? If so, what are these resources and supports?

 Practice Tip:

Discuss other adults in the home and on the property. Include interviews with all others in the home. Include interviews with all others on the property who will be providing care for the children. Include a discussion about any other people who visit the home frequently and may provide care to the children. Describe who visits regularly and if there are any reasons why those persons should not be around children. If concerns are observed or reported, discuss how it is mitigated, if applicable. Include information about biological parents/legal guardians living or visiting the home regularly.

 Practice Tip:

Describe how the applicants have managed relationships in their lives that have or have not been positive or healthy. This can include setting boundaries, utilizing outside resources and supports, any training the applicant has attended, or counseling/therapy. What did the applicant learn? How are these tools implemented in real life.

It was assessed that the applicant(s) has/have healthy relationship(s) within their current family.

Narrative Box:
Only Include narrative significant to the assessment.

It was assessed that the applicant(s) has/have chaotic, limited, or lack of relationship(s) within their current family.

 Practice Tip:

Be sure to include if the applicant(s) has not parented. Include any experience caring for the child of a friend, neighbor, or relative and how the applicant(s) believes that experience might be different if they were the child's parent. Inform families of available training (e.g., The Alliance for Professional Development, Child Placing Agency, Coordinated Care, other community training, etc.).

The applicant(s) has no experience with foster care, guardianship, or adoption.

Narrative Box:
Describe the applicant’s knowledge of, or experience with (or lack thereof) foster care, guardianship, or adoption. If any concerns, describe how they were mitigated.

 Practice Tip:

If the applicant(s) does not have experience with foster care, guardianship, or adoption, describe any education and training provided through the home study process. What training or experiences have prepared the applicant(s) to parent children placed in out-of-home care? What experience does the applicant(s) have with children placed in out-of-home care? How would you integrate a child into your home and/or help a foster child feel comfortable in your home?

The applicant(s) has indirect experience (friend, family member, work, etc.) with foster care, guardianship, or adoption.

Narrative Box:
Describe the applicant’s knowledge of, or experience with (or lack thereof) foster care, guardianship, or adoption. If any concerns describe how they were mitigated.

 Practice Tip:

If the applicant(s) does not have direct experience with foster care, guardianship, or adoption, describe any education and training provided through the home study process. What training or experiences have prepared the applicant(s) to parent children placed in out-of-home care? What experience does the applicant(s) have with children placed in out-of-home care? Have you had to extensively care for the child of a friend, neighbor, or relative? Describe that experience and how it might be different if you were the child’s parent. How would you integrate a child into your home and/or help a child feel comfortable in your home?

The applicant(s) has personal experience with foster care, guardianship, or adoption.

Narrative Box:
Describe the applicant’s knowledge of, or experience with (or lack thereof) foster care, guardianship, or adoption. If any concerns describe how they were mitigated.

 Practice Tip:

If the applicant(s) has direct experience with foster care, guardianship, or adoption, describe education and training if provided. What did the applicant(s) learn through their training or experiences with foster care, guardianship, or adoption? Is there anything they would have done differently, or were they able to identify areas of improvement? How would you integrate a child into your home and/or help a child feel comfortable in your home?

 Practice Tip:

Different people parent their children in different ways. Some parents are more authoritative, while other parents are more permissive. Is the applicant(s) able to identify their parenting style? If not, were any training or resources provided to the applicant(s)? If more than one applicant, do the applicants have the same or different parenting approach? If it is different, how will they complement each other? Discuss whether the applicant(s) are prepared to adapt parenting styles that have been successful in the past or expand their parenting skills to meet the specific needs or developmental challenges of foster children. Include any experience with blended families and co-parenting. Do the applicant(s) have any cultural differences in their parenting approach? Inform the applicant(s) that food cannot be used as a form of discipline through withholding meals or making a child eat more than they want. Inform the applicant(s) about why physical discipline is prohibited for all children in out-of-home care.

 Possible Questions:

These are intended to guide your interviews and may not reflect all questions needed for a full assessment.

• Describe your parenting style. What works for you? In what way have you made changes over time?
• Describe how the applicant(s) would adjust their expectations for children/youth as they mature.
• Can the applicant(s) recognize and evolve rules and discipline techniques for each child to match the child’s age and/or development while treating all children in the home equitably?
• Assess the applicant(s) capacity to integrate additional children into their home in a way that meets their specific needs but does not isolate them.
• Tell me about your general dating rules for children/youth, considering the above question regarding appropriate rules matching a child’s/youth’s age and/or development.
• How did your parent’s (or caregiver’s) parenting style affect your parenting style?

 Practice Tip:

If the applicant(s) live in a blended family, describe any co-parenting with each other and any former partners they may have. Describe how the applicants share parenting responsibilities, if applicable.

 Possible Questions:

These are intended to guide your interviews and may not reflect all questions needed for a full assessment.

• How does parenting fit into your day-to-day life? How might it interfere with other activities you also enjoy doing?
• How do you manage daily responsibilities in your household, and how will any additional child(ren) impact that?
• How do you manage parenting-related stressors in your day-to-day schedule?
• How would you adjust your current routine to allow for ongoing child welfare requirements?

 Practice Tip:

Describe experiences or anticipated experiences the applicant(s) have had with children not experiencing out-of-home care and how that may be different or the same for children who have experienced trauma. If the applicant(s) do not have any experience, describe any training or resources provided. Can the applicant(s) recognize any experience that might be difficult for them to parent, and what is their plan to address those difficulties?

 Possible Questions:

These are intended to guide your interviews and may not reflect all questions needed for a full assessment.

• What challenges do you anticipate or have you experienced while parenting?
• How have you addressed those challenges, or how do you plan to address those challenges?
• Do you anticipate different challenges with children who are placed in out-of-home care?
• What do you do when a child is not meeting your expectations or their developmental milestones?

 Practice Tip:

The selected answer should match with the type of home study assessment being completed for the family.

The applicant(s) was not required to complete training as a part of this unlicensed home study.

The applicant(s) was asked to complete training as a part of this unlicensed home study.

The applicant(s) completed training required as a part of licensing requirements and agreed to complete ongoing caregiver continuing education.

The applicant(s) completed training as required by the Child Placing Agency as a part of licensing and/or contract requirement and agreed to complete ongoing caregiver continuing education.

Concerns were identified regarding the applicant(s) willingness or ability to complete training.

 Practice Tip:

List and describe any training the applicant(s) participated in. Were any additional trainings required? List the additional trainings and explain what they learned. What future trainings are the applicant(s) interested in? Is the applicant(s) willing to participate in additional training as recommended by their licensing worker?

 Practice Tip:

Learn more about prudent parenting.

The applicant(s) demonstrated an understanding of, and agreed to promote normalizing experiences, act as a prudent parent in day to day decision making, support a healthy and balanced childhood experience and treat the child as part of the family.

Narrative Box:
Only include narrative significant to the assessment.

Concerns regarding the applicant’s(s’) understanding and agreement to promote normalizing experiences, act as a prudent parent in day to day decision making, support a healthy and balanced childhood experience and treat the child as part of the family.

Narrative Box:
Describe any concerns and how they were mitigated, if applicable.

 Practice Tip:

In the narrative box, ensure all the concerns have mitigating factors described in essay format. Mitigating factors can include but are not limited to training, education, reviewing the case plan, experience, etc.

 Practice Tip:

What is the applicant’s understanding of child development? Child development is different for each child. Some children may excel at some things while struggling in other areas. Can the applicant(s) recognize areas where children lack development, and do they have the skills or knowledge to help bridge those gaps?

 Possible Sample Questions:

• Does the applicant understand why children are placed in out-of-home care?
• Will the applicant(s) set and maintain appropriate boundaries with the biological family?
• Describe how each applicant will keep information provided by the department confidential.
• Does the family have a realistic expectation regarding the placement of children served by the agency? Who do they see as being the best fit, and why?
• Assess who the applicant(s) see as being the best fit for their family and why.

The applicant(s) demonstrated knowledge about child development, including cognitive, physical, emotional, social development, and appropriate expectations for routines and chores. The effects of trauma on childhood development were discussed and the applicant(s) understands children in out-of-home care may demonstrate what some consider atypical childhood development.

Narrative Box:
Only include narrative significant to the assessment.

Concerns were identified regarding the applicant’s(s’) knowledge of child development, expectations for routines and chores, or effects of trauma on childhood development.

Narrative Box:
Describe any concerns and how they were mitigated if applicable.

 Practice Tip:

In the narrative box, ensure all the concerns have mitigating factors described and in essay format. Describe the applicant’s general understanding and knowledge of a child’s development and needs.

 Practice Tip:

Describe the applicant(s) knowledge of what services are available in their community. These services could include but are not limited to counseling, physical therapy, occupational therapy, school tutors, extracurricular activities, Coordinated Care, etc.

The applicant(s) agrees to access any services for children in out-of-home care (e.g. counseling, physical therapy, etc.) per the case plan.

Narrative Box:
Only include narrative significant to the assessment.

Concerns were identified regarding the applicant’s(s’) willingness to access services for children in out-of-home care (e.g. counseling, physical therapy, etc.) per the case plan.

Narrative Box:
Describe concerns and how they were mitigated if applicable.

 Practice Tip:

In the narrative box, ensure all the concerns have mitigating factors described in essay format. Describe any education and information regarding services provided to the applicant(s). Describe the applicant(s) progress in understanding the importance of necessary services. Discuss the applicant(s) commitment to accessing services and describe their plan to overcome any barriers that may exist, including transportation, scheduling, time commitment, etc.

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe the applicant’s(s’) understanding and expectations for the newborn/infant stage of development.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention. If limitations in the caregiver's understanding of childhood development are identified, is the caregiver(s) willing to attend training? Describe any resources provided to the caregiver(s), including but not limited to Trust-Based Relational Intervention by The Alliance for Professional Development.

 Practice Tip:

Describe the applicant(s) knowledge and understanding of the impact of trauma on childhood development.

 Practice Tip:

Despite the applicant(s) possibly having a preferred age range of children they want to care for, discuss their basic understanding and expectations for this stage of development. (NOTE: For a Child-Specific License, please address this in the section(s) that reflect the age range(s) for the child(ren) the applicant(s) will be caring for.)

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe the applicant’s(s’) understanding and expectations for the toddler/pre-school stage of development.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention. If limitations in the caregiver's understanding of childhood development are identified, is the caregiver(s) willing to attend training? Describe any resources provided to the caregiver(s), including but not limited to Trust-Based Relational Intervention by The Alliance for Professional Development.

 Practice Tip:

Describe the applicant(s) knowledge and understanding of the impact of trauma on childhood development.

 Practice Tip:

Despite the applicant(s) possibly having a preferred age range of children they want to care for, discuss their basic understanding and expectations for this stage of development. Describe the caregiver(s) expectations for a child regarding chores and routines. What are some of the rules in the home? Will the caregiver(s) support a child in exploring their sexual orientation and gender identity and expression (SOGIE)? (NOTE: For a Child-Specific License, please address this in the section(s) that reflect the age range(s) for the child(ren) the applicant(s) will be caring for.) If any concerns were discussed, describe the outcome.

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention. If limitations in the caregiver's understanding of childhood development are identified, is the caregiver(s) willing to attend training? Describe any resources provided to the caregiver(s), including but not limited to Trust-Based Relational Intervention by The Alliance for Professional Development.

 Practice Tip:

Describe the applicant(s) knowledge and understanding of the impact of trauma on childhood development.

 Practice Tip:

Despite the applicant(s) possibly having a preferred age range of children they want to care for, discuss their basic understanding and expectations for this stage of development. Describe the caregiver(s) expectations for a child regarding chores and routines. What are some of the rules in the home? Describe how the caregiver(s) will support the child(ren) in participating in extracurricular activities. Does the home have established rules around chores and allowances? What is the family’s philosophy or expectations around allowance? Will the caregiver(s) support a child in exploring their sexual orientation and gender identity and expression (SOGIE)? (NOTE: For a Child-Specific License, please address this in the section(s) that reflect the age range(s) for the child(ren) the applicant(s) will be caring for.) If any concerns were discussed, describe the outcome.

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe the applicant’s(s’) understanding and expectations for the pre-adolescence stage of development

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention. If limitations in the caregiver's understanding of childhood development are identified, is the caregiver(s) willing to attend training? Describe any resources provided to the caregiver(s), including but not limited to Trust-Based Relational Intervention by The Alliance for Professional Development.

 Practice Tip:

Describe the applicant(s) knowledge and understanding of the impact of trauma on childhood development.

 Practice Tip:

Despite the applicant(s) possibly having a preferred age range of children they want to care for, discuss their basic understanding and expectations for this stage of development. Describe the caregiver(s) expectations for a child regarding chores and routines. What are some of the rules in the home? Describe how the caregiver(s) will support the child(ren) in participating in extracurricular activities. Does the home have established rules around chores and allowances? What is the family’s philosophy or expectations around allowance? Describe how the caregiver(s) will keep a child(ren) safe while using technology. Describe the caregiver(s) rules around dating. Will the caregiver(s) support a child in exploring their sexual orientation and gender identity and expression (SOGIE)? (NOTE: For a Child-Specific License, please address this in the section(s) that reflect the age range(s) for the child(ren) the applicant(s) will be caring for.) If any concerns were discussed, describe the outcome.

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe the applicant’s(s’) understanding and expectations for the adolescence stage of development

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention. If limitations in the caregiver's understanding of childhood development are identified, is the caregiver(s) willing to attend training? Describe any resources provided to the caregiver(s), including but not limited to Trust-Based Relational Intervention by The Alliance for Professional Development.

 Practice Tip:

Describe the applicant(s) knowledge and understanding of the impact of trauma on childhood development.

 Practice Tip:

Despite the applicant(s) possibly having a preferred age range of children they want to care for, discuss their basic understanding and expectations for this stage of development. Describe the caregiver(s) expectations for a child regarding chores and routines. What are some of the rules in the home? Describe how the caregiver(s) will support the child(ren) in participating in extracurricular activities. Does the home have established rules around chores and allowances? What is the family’s philosophy or expectations around allowance? Describe how the caregiver(s) will keep a child(ren) safe while using technology. Describe the caregiver(s) rules around dating. Will the caregiver(s) support a child in exploring their sexual orientation and gender identity and expression (SOGIE)? Are dating rules applied fairly to all children considering their development, SOGIE, and age? (NOTE: For a Child-Specific License, please address this in the section(s) that reflect the age range(s) for the child(ren) the applicant(s) will be caring for.) If any concerns were discussed, describe the outcome.

 Practice Tip:

Describe the caregiver(s) knowledge of and access to additional resources to support the development of a child(ren). Is the caregiver(s) willing to participate in additional training? Describe the caregiver(s) plan to support a child(ren) to access further support, including but not limited to; taking them to appointments, advocating for additional school resources, etc. Did the caregiver demonstrate an ability to reexamine their expectations for a child(ren)?

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe how the applicant(s) 1) was disciplined and rewarded as a child 2) experienced this 3) if it was effective or ineffective 4) how their parent or caregiver’s parenting style impacts how they have/do/will discipline.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

 Practice Tip:

Past discipline includes but is not limited to re-direction, giving choices, time out, positive reinforcement, spanking, cursing, yelling, threatening, food restriction, locked areas/rooms, ignoring the behavior, silent treatment, group punishment, and physical exercise. Include the applicant’s willingness to follow the Department’s expectations about discipline, specifically about children in out-of-home care (and any difference between their children). How have their discipline practices changed over time? What has changed, and what do they do differently today? Inform the applicant(s) that food cannot be used as a form of discipline through withholding meals or making a child eat more than they want.

 Possible Questions:

• What are some behaviors that a child may need to be disciplined for? How would you discipline them?
• What are your hot button issues?
• What do you hope to achieve when you use discipline?

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe the applicant(s) past and current discipline and/or reward practice including who is responsible for discipline and if there is a hierarchy of power in the home.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

 Practice Tip:

Discuss information collected from adult children, the children in the home, and references. You may also find additional information connected to the applicant(s) in previous intakes. Describe how children reported being disciplined or rewarded in child interviews, if applicable.

 Practice Tip:

To maintain confidentiality, summarize the collateral information without identifying from whom the information was given by.

 Practice Tip:

Discuss the rules established in the caregiver's home. Does the caregiver(s) have the same expectations for their children as they do for children in out-of-home care? Are these expectations realistic, and does the caregiver's understanding of childhood development support these expectations?

 Possible Questions:

• How does a child know the rules and expectations in your home? Are any of those rules non-negotiable?
• What will you do if discipline methods with which you are familiar are ineffective with foster children?

It was assessed that there were no instances or mention of inappropriate discipline or potential for the use of inappropriate discipline in the future.

Narrative Box
Describe each applicant’s(s’) understanding of and willingness to follow DCYF’s discipline expectations.

 Practice Tip:

The use of physical restraints cannot be used as a form of discipline and is prohibited for all children in out-of-home care. Physical restraints must only occur if there is a risk of harm to the child, another person, or property. The regular use of physical restraints must only occur after the applicant(s) receive proper training, have an approved plan from the youth’s social worker and LD, and each use of a restraint is documented and reported.

It was assessed that there were no instances or mention of inappropriate discipline or potential for the use of inappropriate discipline in the future.

 Practice Tip:

Explain cultural background, including traditions, holidays, foods, and being members of different communities, such as the LGBTQIA+ or BIPOC communities. Include religion if they include it but do not directly ask about religion. What are the applicant’s family traditions currently practiced or would like to be established? If the family identifies as Native American, include that information; however, do not always call out “family does not identify as Native American.” Please visit the DCYF Diversity, Equity, and Inclusion Training Resources for additional resources.

 Possible Questions to Ask:

• What are some of your family’s traditions?
• Is there anyone in your community or culture that you look to as a leader or seek guidance from?
• How does your identified culture approach timelines?
• What is your concept of personal space? What is considered appropriate touch between people of various relationships?
• Does the applicant self-identify as Native American? If so, is the applicant enrolled?
• Do the applicants have a tribal affiliation?

 Practice Tip:

A person’s cultural background includes family traditions, customs, sexual orientation, gender identity and expression (SOGIE), religious/spiritual beliefs, recreational activities, personal interests, and lifestyle. How does the applicant(s) plan to help a child preserve their culture and cultural identity? As a child develops their cultural identity as they age, are the caregivers willing to support that process for a child? How would a caregiver help encourage a child to continue exploring their cultural background and racial origin? Supporting a child’s cultural background goes beyond race and ethnicity and can include socioeconomic differences, religious differences, etc. Socioeconomic differences can often influence how people view race, culture, or traditional family experiences. Describe the applicants understanding of how socioeconomic differences play a role in their understanding of race, culture, or traditional family experiences. Please visit the DCYF Diversity, Equity, and Inclusion Training Resources for additional resources.

 Possible Questions to Ask:

• What does culture mean to you?
• How would you support the child’s customs, traditions, and values, including accessing resources and helping them appreciate their culture?
• Do the applicants have any experience working with tribal partners? Do they know how to support a child who may identify with a tribe?
• What is the primary language spoken in the home?
• What is the primary language spoken by the children in care?

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe how the applicant(s) will support and encourage a child’s cultural background and development and show a child their cultural identity and racial origins are of value. Include concerns and mitigation if applicable.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

 Practice Tip:

Assess the applicant's ability to normalize childhood experiences based on the child's identified race or culture. How does the applicant(s) assess their awareness of racism? How might the applicant support racial equity for a child in care? How does the applicant plan to discuss racism with a child in care? How would the applicant support a child in care's race? How does the applicant describe race? Is the applicant willing to participate in additional race and racial equity training? Please visit the DCYF Diversity, Equity, and Inclusion Training Resources for additional resources.

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe the applicant’s(s’) understanding of racism and how other people experience the world. Include concerns and mitigation if applicable.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

 Practice Tip:

Assess whether the applicants can be respectful of spiritual practices different than their own and how the family’s religious/spiritual practices, or absence of, may impact the care of children. Is there a plan to allow a child to actively participate in their identified religion/spiritual practices? Are the applicants willing to adjust their personal commitments to provide a child the opportunity to participate in their religious/spiritual practices? Assess whether the applicants can respect a child in care who does not identify with a specific religion/spiritual practice. Are the applicants willing to support the family of origin’s preferred religion/spiritual practice for a child in care when it differs from their own? Are the applicants willing to receive education/additional resources regarding a child’s preferred religion/spiritual practices to better support the child? Please visit the DCYF Diversity, Equity, and Inclusion Training Resources for additional resources.

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe how the applicant(s) will support a child’s religious/spiritual affiliation. Include concerns and mitigation if applicable.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

 Practice Tip:

SOGIE is an acronym for sexual orientation, gender identity, and gender expression. Everyone has a sexual orientation, gender identity, and gender expression. Follow this link for additional guidance to support a child’s SOGIE. Assess whether the applicants can support the case plan for a child who identifies as LGBTQIA+. Review WAC 110-148-1475, regarding bedroom sharing, with the applicants and ensure they are willing to comply with the requirements outlined. Gender is defined by the child, despite their outward appearance or perceived gender.

When interviewing applicants during the home study process, always pay attention to your own view, biases, and blind spots. Whether the child’s or youth’s SOGIE is known at that time, it is vital to discuss how to appropriately support those who may identify as LGBTQIA+, therefore supporting children and youth. Information about best supporting foster children or youth and LGBTQIA+ considerations should be included and addressed with educational and supportive LGBTQIA+ resource information provided to prospective caregivers. 

Most children and youth question their identity over time, which is normal. For some, exploring their identity may be a lifelong process. Often, LGBTQIA+ children and youth understandably fear negative reactions that often come from revealing this aspect of their identity and carefully hide that they are LGBTQIA+. Some may have been abused or neglected by their families of origin or thrown out after sharing their identity; this trauma creates distrust, which elevates their reluctance to risk further harassment and rejection. Please visit RESJ 0001 Supporting LGBTQIA+ (wa.gov) and DCYF Diversity, Equity, and Inclusion Training Resources for additional resources. LD Staff can access LGBTQIA Resources - All Documents. CPA staff, please reach out to your Regional Licensor for additional resources.

 Supportive Engagement Practices for Potential & Licensed Caregivers:

• Use chosen names and pronouns.
• Display Pride flags or similar indicators.
• Have LGBTQIA+ authors, musicians, and artists in your collections.
• Always ask permission before sharing or disclosing a child or youth’s LGBTQIA+ identity.

 Sample Interview Questions:

• How will you create a welcoming and affirming home for all children and youth? How will these steps specifically impact LGBTQIA+ children and youth?
• How will you respond when a child or youth shares their LGBTQIA+ identity with you?
• How will you adapt to the request to call a child or youth by their chosen name and pronouns?
• How will you assess and support the mental and emotional needs of an LGBTQIA+ child or youth?
• How will you actively support a child or youth to become or remain engaged in their LGBTQIA+ related activities and community?
• How will you seek supportive and affirming medical care for the child or youth in your care?
• How will you apply consistent expectations for all youth in your home around age-appropriate adolescent romantic behavior?
• How will you seek supports or counseling to help yourself and your family’s assimilation process and learn supportive language or strategies?
• How will you support a child exploring their gender identity or expression? Would you support a child dressing in opposite-gender clothing, playing with opposite-gender toys, etc?

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe how the applicant(s) will support a child’s SOGIE. Describe any identified concerns and details related to mitigation if applicable.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

 Practice Tip:

LGBTQIA+ is an acronym to recognize Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Intersex, and Asexual, with “+” respectfully acknowledging the identities of individuals not explicitly named, such as Two-Spirit, Pansexual, Gender Non-Conforming. This is not an exhaustive list of identities and orientations.(Cherry, K. (2020). What Does LGBTQ+ Mean? https://www.verwellmind.com/what-does-lgbtq-mean-5069804) Regardless of a child’s age or the age range the applicants wish to be licensed for, they must be willing to support all children and their LGBTQIA+ identity. Some children may know or begin to explore their LGBTQIA+ identity at a very young age. Assess whether the applicants can support a child, regardless of age and their LGBTQIA+ identity. A child’s LGBTQIA+ identity is often fluid and develops over time. How a child identifies may change, especially as a child is growing and given the space to explore their identity. Assess whether the applicants can support a child as they explore their LGBTQIA+ identity and how they would support that identity should it change. Are the applicants willing to apply the same age and developmentally appropriate dating rules for all children in the home regardless of their LGBTQIA+ identity? Follow this link for additional guidance to support a child’s LGBTQIA+ identity. Assess whether the applicants can support the case plan for a child who identifies as LGBTQIA+.

When interviewing applicants during the home study process, always pay attention to your own view, biases, and blind spots. Whether the child’s or youth’s SOGIE is known at that time, it is vital to discuss how to appropriately support those who may identify as LGBTQIA+, therefore supporting children and youth. Information about best supporting foster children or youth and LGBTQIA+ considerations should be included and addressed with educational and supportive LGBTQIA+ resource information provided to prospective caregivers.

Most children and youth question their identity over time, which is normal. For some, exploring their identity may be a lifelong process. Often, LGBTQIA+ children and youth understandably fear negative reactions that often come from revealing this aspect of their identity and carefully hide that they are LGBTQIA+. Some may have been abused or neglected by their families of origin or thrown out after sharing their identity; this trauma creates distrust, which elevates their reluctance to risk further harassment and rejection. Please visit RESJ 0001 Supporting LGBTQIA+ (wa.gov) and DCYF Diversity, Equity, and Inclusion Training Resources for additional resources. LD Staff can access LGBTQIA Resources - All Documents on SharePoint. CPA staff, please reach out to your Regional Licensor for additional resources.

 Supportive Engagement Practices for Potential & Licensed Caregivers:

• Use chosen names and pronouns.
• Display Pride flags or similar indicators.
• Have LGBTQIA+ authors, musicians, and artists in your collections.
• Always ask permission before sharing or disclosing a child or youth’s LGBTQIA+ identity.

 Sample Interview Questions:

• How will you create a welcoming and affirming home for all children and youth? How will these steps specifically impact LGBTQIA+ children and youth?
• How will you respond when a child or youth shares their LGBTQIA+ identity with you?
• How will you adapt to the request to call a child or youth by their chosen name and pronouns?
• How will you assess and support the mental and emotional needs of an LGBTQIA+ child or youth?
• How will you actively support a child or youth to become or remain engaged in their LGBTQIA+ related activities and community?
• How will you seek supportive and affirming medical care for the child or youth in your care?
• How will you apply consistent expectations for all youth in your home around age-appropriate adolescent romantic behavior?
• How will you seek supports or counseling to help yourself and your family’s assimilation process and learn supportive language or strategies?

Applicant A’s/B’s response from personal information form for reference only

 Practice Tip:

This information will source automatically from the personal information form. You will not need to type anything in these boxes; it will not print on the home study report. Use this as a tool to quickly access how the applicants initially responded.

Describe how the applicant(s) will support a child who identifies as LGBTQIA+. Include concerns and mitigation if applicable.

 Practice Tip:

Summarize the information automatically sourced from the personal information form and any additional information you obtained in your interviews and assessments throughout the home study process. This needs to be rewritten in your own words, and you should address any areas/topics that you feel need attention.

It was assessed that the applicant(s) has the ability to parent a child from different backgrounds or experiences, including race, ethnicity, religion, spirituality, sexual orientation, gender identity, and gender expression.

Narrative Box
Only include narrative significant to the assessment

Concerns were identified regarding the applicant’s(s’) ability to parent a child from different backgrounds or experiences, including race, ethnicity, religion, spirituality, sexual orientation, gender identity, and gender expression.

Narrative Box
Describe the identified concerns and details related to mitigation if applicable

 Practice Tip:

Describe any mitigating factors, including education provided and training provided. Are the applicants willing to continue expanding their knowledge on Diversity, Equity, and Inclusion?

 Practice Tip:

Assess the applicant’s personal educational experience. Do they place a high value on education? Do they have the ability to meet a child where they are academically and support any additional learning differences a child may have? Do the applicants know how to seek out additional academic support? Can the applicants provide equitable access to educational opportunities for all children in out-of-home care?

 Practice Tip:

How do the applicants define success? Any narrative entered below needs to support the chosen statement for the applicants.

The applicant(s) considers their educational experience a success

Narrative Box
Only include narrative significant to the assessment.

 Practice Tip:

Listing education (institutions, year of graduation, etc.) is not required unless it is pertinent to your overall assessment.

The applicant(s) does not consider their educational experience a success

 Practice Tip:

Educational outcomes vary for each child, especially children who’ve experienced trauma. Assess if the applicant’s understand additional educational needs a child may have and how to access resources to support them. Assess how the applicants will support a child accessing those additional academic supports. Do the applicants have the knowledge to access additional educational resources? Can the applicants support a child in a remote learning situation (not homeschooling)?

It was assessed the applicant(s) has realistic educational goals for children in out-of-home care.

Narrative Box
Only include narrative significant to the assessment.

Concerns were identified regarding the applicant’s(s’) educational goals for children in out-of-home care.

 Practice Tip:

Do the applicants have the ability to meet a child where they are academically and support any additional learning differences a child may have? Do the applicants know how to seek out additional academic support? Can the applicants provide equitable access to educational opportunities for all children in out-of-home care? Assess if the applicants understand additional educational needs a child may have and how to access resources to support them. Assess how the applicants will support a child accessing those other academic supports. Do the applicants have the knowledge to access additional educational resources?

 Possible Questions:

• How do you currently support or anticipate supporting study time/homework for children in your care?
• Do you have personal experience with learning differences or working with children who have learning differences?
• How do you identify a child’s individual academic needs and potential?
• What is your experience working with the school district/system?
• Do you have any experience advocating for children in the education system?

It was assessed the applicant(s) is willing to advocate for and support children with a variety of educational challenges, including a need for an Individualized Education Plan (IEP) or 504 Plan.

Narrative Box
Only include narrative significant to the assessment

Concerns regarding the applicant’s(s’) willingness to advocate for and support children with a variety of educational challenges, including a need for an Individualized Education Program (IEP) or 504 Plan identified.

Narrative Box
Include concerns and mitigation if applicable. Your answer should be in essay form. Describe any education, training, or resources provided to the applicants and the applicant’s willingness to follow-up with the additional resources.

 Practice Tip:

The chosen statement will print on the home study report, and your narrative should support the statement selected. Assess if the applicants have any natural support, such as immediate and extended family, friends, or community. Assess if the applicants have any system supports for themselves, such as a foster parent support group and system supports for a child, such as WISE, counseling services, extra-curricular activities, etc.

Consider what support is available and how the family accesses that support. For example, a family member who lives locally could provide occasional babysitting, or an out-of-state friend could provide emotional support.

 Possible Questions to Ask:

• Who can provide respite for you?
• How will your community support the placement of a child?
• Describe each applicant’s support systems.
• Who do you call/text if you need parenting advice? Who do you call/text if you need to vent?

It was assessed that the applicant(s) appear to have readily available resources in the form of family/friend support, community, emergency contact(s) and childcare (or a plan for childcare).

Narrative Box
Only include narrative significant to the assessment.

It was assessed that the applicant(s) does not appear to have readily available resources in the form of family/friend support, community, emergency contact(s) and childcare (or a plan for childcare).

 Practice Tip:

Provide a basic description of the home, including the number of bedrooms and bathrooms, if there are working appliances, where the fire extinguisher is located, if the home has working smoke alarms, where the exits are located, etc. You do not need to provide a detailed picture of the home you may find in a home listing. As we continue our commitment to apply a RESJ framework throughout our work culture, be mindful of the language used when describing areas of the home. Use language such as “Primary Bedroom,” “Primary Bathroom,” “Child’s Bedroom,” “Secondary Bedroom” in place of language that is now considered outdated, insensitive, or racist.

Possible example. Note that your description does not have to be outlined like this example below:

 Practice Tip:

State who sleeps in what bedroom and what beds are available in each room. Are the applicants willing to support bedroom sharing and a child’s SOGIE and LGBTQIA+ identity? Are the applicants willing to be flexible with bedroom assignments (i.e., to accommodate an infant who needs to be close to the primary bedroom, to support special supervision needs, to support different ages of children, etc.)?

 Practice Tip:

For additional resources for Infant Safe Sleep, please visit Infant Safety Education and Intervention: DCYF Policy 1135. Whichever statement is selected below will print on the home study report. Any narrative must support the chosen statement.

Safe sleep was discussed with the family. However, the applicant(s) is not caring for children under the age of one therefore safe sleep environments were not observed.

Narrative Box
Only include narrative significant to the assessment.

Safe sleep was discussed with the family and the sleep environment(s) was observed to meet safe sleep requirements. The applicant(s) demonstrated understanding and agreed to adhere to safe sleep expectations.

Narrative Box
Only include narrative significant to the assessment.

Concerns were observed regarding safe sleep requirements.

Narrative Box
Include concerns and mitigation if applicable.

 Practice Tip:

Describe additional education provided above and beyond the Safe Sleep training requirements. Described the corrected environment to ensure Safe Sleep requirements are met. This must be mitigated before the home study can be approved.

 Practice Tip:

Listing all the weapons in the home or on the property is unnecessary. Ensure all weapons are properly stored and inaccessible to children. For kinship caregivers, ensure all efforts have been made to purchase safety devices as needed. Whichever statement is selected below will print on the home study report and should be consistent with the type of home study assessment being completed. Any narrative must support the chosen statement.

It was assessed that there is no weapons/ammunition in the home or on the property.

Narrative Box
Only include narrative significant to the assessment.

It was assessed that there are weapons/ammunition in the home or on the property and all are stored according to Washington Administrative Code (WAC) Chapter 110-148 Licensing Requirements for Child Foster Homes.

Narrative Box
Only include narrative significant to the assessment.

It was assessed that there are weapons/ammunition in the home or on the property and all are stored according to DCYF 10-453 Household Safety Inspection for Unlicensed Placements and Adoption Home Study Updates.

Narrative Box
Only include narrative significant to the assessment.

 Practice Tip:

DCYF 10-453 has been renamed Home Inspection Checklist (Unlicensed).

Concerns were observed regarding storage of weapons/ammunition in the home or on the property.

Narrative Box
Include concerns and mitigation if applicable.

 Practice Tip:

Describe any mitigation related to the storage of weapons. This must be mitigated before the home study can be approved.

 Practice Tip:

Assess whether toxic materials are properly stored and inaccessible to children. For kinship caregivers, ensure all efforts have been made to purchase items to secure toxic materials as needed. Toxic Materials do not necessarily need to be locked up but rather kept inaccessible, such as storing laundry detergent or bleach on a high shelf, etc. Whichever statement is selected below will print on the home study report. Any narrative must support the chosen statement.

It was assessed that toxic materials are kept inaccessible when there is concern about inappropriate/unsafe access by children.

Narrative Box
Only include narrative significant to the assessment.

Concerns were observed regarding the storage of toxic materials.

Narrative Box
Include concerns and mitigation if applicable.

 Practice Tip:

Describe any mitigation related to the storage of toxic materials. This must be mitigated before the home study can be approved.

 Practice Tip:

Assess whether Alcohol/Nicotine/Marijuana (A/N/M) are properly stored and inaccessible to children. For kinship caregivers, ensure all efforts have been made to purchase anything needed to secure A/N/M, as needed. A/N/M do not necessarily need to be locked up but kept inaccessible, such as storing alcohol on a high shelf. Whichever statement is selected below will print on the home study report. Any narrative must support the chosen statement.

It was assessed that the applicant(s) has a plan for keeping children from accessing alcohol, nicotine, and marijuana.

Narrative Box
Only include narrative significant to the assessment.

Concerns were observed regarding the applicant’s(s’) plan for keeping children from accessing alcohol, nicotine, and marijuana.

Narrative Box
Include concerns and mitigation if applicable.

 Practice Tip:

Describe any mitigation related to the storage of A/N/M. This must be mitigated before the home study can be approved.

 Practice Tip:

Ensure all medication is properly stored and inaccessible to children. If the medication is life-saving, describe the plan to ensure it is accessible to the caregiver but not to children unless the child can self-administer the medication. Use general language around following the plan for life-saving medicines, but do not include any child-specific information or case plan-specific information in the narrative (as plans can change throughout the life of the case). For Foster License and Kinship License, medication must be kept in locked storage. For Kinship Care, medication must be kept inaccessible to children at all times. Ensure all efforts have been made to purchase locked storage for kinship caregivers. Whichever statement is selected below will print on the home study report. Any narrative must support the chosen statement.

It was assessed that all medications (including over-the-counter medications, vitamins, and herbal remedies) are locked according to WAC 110-148. Life saving medications must be accessible in an emergency.

Narrative Box
Only include narrative significant to the assessment.

It was assessed that all medications (including over-the-counter, vitamins, and herbal remedies) are inaccessible to children in Kinship placement. There is a plan in place to access life saving medication, if applicable.

Narrative Box
Only include narrative significant to the assessment.

 Practice Tip:

DCYF 10-453 has been renamed Home Inspection Checklist (Kinship).

Concerns were observed regarding the accessibility of medication to children in out-of-home care.

Narrative Box
Include concerns and mitigation if applicable.

 Practice Tip:

Describe any mitigation related to the storage of medications. This must be mitigated before the home study can be approved.

 Practice Tip:

Briefly describe the number and type of pets/animals in the home or on the property. Describe how the pets interact with children and educate the applicants that children in out-of-home care must not be required to be responsible for the care of animals. Describe the plan to introduce children in out-of-home care to the pets/animals and the plan to accommodate different comfort levels around animals for different children. Pet vaccinations do not need to be reflected in the home study and instead will be captured in another place in WA CAP. If a behavior assessment has been completed or is needed, document any mitigation efforts and safety plans here. For additional guidance related to exotic pets, review Vaccination Requirements for Animals in Licensed Foster Homes or reach out to your Regional Licensor.

There are no pets or animals in the home or on the property.

Narrative Box
Only include narrative significant to the assessment.

There are pets or animals in the home or on the property.

Narrative Box
Describe all pets/animals including temperament and how they interact with children.

 Practice Tip:

The statement selected below will print on the home study report; however, the mitigation factors will not. Any narrative must include all mitigation factors selected. Everyone could have a different interpretation of “cleanliness.” However, sanitation must be directly related to/impacting children's health, hygiene, or safety.

The home appears sanitary and without immediate safety concerns.

Narrative Box
Only include narrative significant to the assessment.

The home is unsanitary and/or immediate safety concerns were observed.

 Practice Tip:

Ensure any and all outbuildings do not pose a risk to children. If an outbuilding contains dangerous items or heavy machinery, describe how children will be kept safe around these. For kinship applicants, ensure all efforts have been made to purchase items needed to ensure the outbuildings are safe for children.

There are no outbuildings on the property.

Narrative Box
Only include narrative significant to the assessment.

There are outbuildings on the property.

Describe 1) number 2) type 3) utilization 4) inspection of outbuildings.

 Practice Tip:

Briefly listing and describing the outbuildings is acceptable. This can be done in a bulleted list or essay format.

 Practice Tip:

Potential hazards include trampolines, fire pits, pools, or anything else that is not an immediate hazard. Typically, potential hazards have a Supervision Plan for Site Specific Conditions (DCYF 10-419) completed for mitigation. If a Supervision Plan was completed in WA CAP, do not restate the information here; rather, list the potential hazard and indicate the Supervision Plan is located in WA CAP.

It was assessed that there are no potential hazards in the home or on the property that could affect the safety of children.

Only include narrative significant to the assessment.

It was assessed that potential hazards in the home or on the property will not affect the safety of children.

Narrative Box
Describe 1) potential hazards (pools, trampolines, etc.) 2) how they were mitigated including details of any supervision plans 3) how they may affect children.

It was assessed that there are potential hazards in the home or on the property that may affect the safety of children.

Narrative Box
Describe 1) potential hazards (pools, trampolines, etc.) 2) how they were mitigated including details of any supervision plans 3) how they may affect children.

 Practice Tip:

Assess if the applicants can access the necessary resources to support a child. These resources vary throughout the state and can be plentiful in some regions and minimal in others. Describe any information you provided to the applicants regarding resources available in their community. Are community resources available to meet the child’s specific needs and support the current service plan? What is the applicant willing to do if there are limited community resources to meet the child’s current case/treatment plan?

The applicant(s) has sufficient access to the necessary resources (schools, health services, and food).

Only include narrative significant to the assessment.

The applicant(s) does not have sufficient access to necessary resources (schools, health services, and food).

Narrative Box
Describe the applicant’s(s’) plan to access necessary services.

 Practice Tip:

Summarize the applicant's employment stability. It is not necessary to list places of employment or positions held but instead look for gainful employment. Describe their current work schedule. Does the applicant's work schedule allow for flexibility? For Kinship Care and Kinship License, what is the plan to meet the needs of the family if not currently employed?

 Practice Tip:

Describe the child care plan for children. Describe any education or resources provided regarding access to child care. For Foster License, describe education provided around who can watch children in out-of-home care. For Kinship Care and Kinship License, describe any natural resources and/or extended community that can provide children care. Include any information about holidays, vacations, off regular schedules, emergencies, etc. Describe the transportation plan, including car seat training, if provided.

 Practice Tip:

Assess if the applicant(s) has military experience and if that experience will impact their care for children.

The applicant does not have military experience.

Narrative Box
Only include narrative significant to the assessment.

Neither applicant has military experience.

Narrative Box
Only include narrative significant to the assessment.

The applicant has military experience or is currently in the military.

Narrative Box
Describe the applicant's(s’) military experience, including discharge circumstances.

Experience:

One applicant has military experience or is currently in the military.

Narrative Box
Describe the applicant's(s’) military experience, including discharge circumstances.

Experience:

Both applicants have military experience or are currently in the military.

Narrative Box
Describe the applicant's(s’) military experience, including discharge circumstances.

Experience:

 Practice Tip:

Assess how the applicants can meet their household needs. Is the applicant able to budget their income? Assess if the applicants have enough income to offset their expenses every month. If not, how are the applicants mitigating this? Discuss the applicant's bankruptcy history, if applicable, and the resolution. Note that bankruptcy often has a negative stigma. Ensure you assess the reason for the debt, and the applicants need to claim bankruptcy. How will the placement of additional children in the applicant's home impact their financial situation? Do the applicants feel prepared to handle any unexpected expenses that may come up? What additional financial support can the applicant access if needed? The answer selected should reflect the type of home study assessment being completed.

It was assessed that the applicant(s) has sufficient regular income to maintain their own family, without foster care reimbursement per WAC 110-148.

Narrative Box
For Foster Care licensing, describe the applicant’s(s’) ability to meet their family's needs without foster care reimbursement. For kinship and/or adoption, describe the applicant’s(s’) ability to meet the needs of additional children in their home.

 Practice Tip:

Describe any additional supports the applicant can access or knows to meet their household needs. This can include resources such as a food bank, a church community, government assistance, other family members, friends, coworkers, etc. Sources of income can include but are not limited to paychecks, government assistance, child support or alimony, retirement, pensions, Social Security, etc. For Foster License, utilize the financial worksheet to guide your assessment. For Kinship License, the financial worksheet is not required and could be utilized to guide your assessment if needed. Note that including the applicant's income amount is not required, and the assessment should include a holistic picture of the entire financial picture for the applicants.

It was assessed that the applicant(s) has sufficient income or other resources to meet their needs.

Narrative Box
For Foster Care licensing, describe the applicant’s(s’) ability to meet their family's needs without foster care reimbursement. For kinship and/or adoption, describe the applicant’s(s’) ability to meet the needs of additional children in their home.

 Practice Tip:

Describe any additional supports the applicant can access or knows to meet their household needs. This can include resources such as a food bank, a church community, government assistance, other family members, friends, coworkers, etc. Sources of income can include but are not limited to paychecks, government assistance, child support or alimony, retirement, pensions, Social Security, etc. For Foster License, utilize the financial worksheet to guide your assessment. For Kinship License, the financial worksheet is not required and could be utilized to guide your assessment if needed. Note that including the applicant's income amount is not required, and the assessment should include a holistic picture of the entire financial picture for the applicants.

It was assessed that there are concerns regarding the income or other resources of the applicant(s) and ability to meet their needs or the needs of children in their care.

All references responded and provided a positive reference.

Narrative Box
Include a brief summary of references, if any concerns were reported, and how they were mitigated. Include additional collaterals, case worker, etc.

 Practice Tip:

Summarize the references' responses. You should not identify the references or their relationship to the applicants. Note if they have known the applicants for more than two years, but you should not identify an exact amount of time to protect identifying information. For Kinship Caregivers, the length of time the references have known the applicants should not be a barrier to licensure, and both references can be related.

One or more references (including adult children) did not respond or provided a negative reference

Please select all that apply* Data collection will not print

 Practice Tip:

A prompt will open up with a list of mitigating factors. Please select all mitigating factors that apply. These will not print on the home study report. Your narrative should address all mitigation in essay format.

Narrative Box
Include a brief summary of references, if any concerns were reported and how they were mitigated. Include additional collaterals, case worker, etc.

Name

Results (Passed, Did not pass)

 Practice Tip:

The Home Study in WA CAP will automatically pull up one box for criminal history. Please select “add another” or “remove” and include all necessary criminal history for the applicants.

Date

 Practice Tip:

This section is not about criminal history. This section focuses on anything outside of criminal history, including department involvement such as CPS involvement, FamLink history, etc. If the information gathered throughout your assessment of the applicants presents you with the need for a secondary assessment, follow the guidance outlined in Suitability Searches during the Assessment or Reassessment Process practice memo. For CPA licensors, follow your agency's protocol for completing additional searches on applicants or reach out to your Regional Licensor with your concerns.

During the background check process there were no concerning clearance issues identified outside criminal history.

Narrative Box
Only include narrative significant to the assessment.

During the background check process there were concerns clearance issues identified outside of criminal history.

Please select all that apply* Data collection will not print

 Practice Tip:

A prompt will open up with a list of mitigating factors. Please select all mitigating factors that apply. These will not print on the home study report. Your narrative should address all mitigation in essay format.

Narrative Box
If there were concerns identified outside of criminal history, for example, historical finding(s) for child abuse or neglect, or a pattern of convictions or civil actions pertaining to the same or similar act/subject (e.g. substance use). Summarize mitigation strategies. If the concerns were not mitigated, describe why not.

 Practice Tip:

The answer selected must reflect the type of home study assessment being completed.

This assessment does not include a recommendation for legal permanency.

Narrative Box
Only include narrative significant to the assessment.

 Practice Tip:

Select this option when denying the home study due to concerns assessed during the home study process.

This assessment is for placement purposes.

Narrative Box
Only include narrative significant to the assessment.

 Practice Tip:

Select this option when completing a home study that is for placement only without a permanency recommendation.

It was assessed that the applicant(s) is capable of caring for children, without the support of a case plan, once permanency is achieved. The applicant(s) is committed to caring for children in a safe, nurturing, and affirming way. The applicant(s) is capable and willing to address the financial, educational, health, and specific needs of children. This assessment does not include adoption requirements.

Narrative Box
Describe the assessment of permanency and contingency plan.

 Practice Tip:

Select this option when completing a home study for families that do not meet adoption requirements but would be considered for other permanent plans (guardianships etc.). All families should have a contingency plan. Document any existing plan here. If there is no plan, document the discussion around developing the plan and the education provided. Ensure you review the Permanency Planning Matrix with the family. Discuss types of permanency, benefits, limitations, reunification as the primary goal, and concurrent planning. How do the applicants feel about providing permanency to a child? What form of permanency will be the best fit for the applicant's family?

It was assessed that the applicant(s) is capable of caring for children without the support of a case plan, once permanency is achieved. The applicant(s) is committed to caring for children in a safe, nurturing, and affirming way. The applicant(s) is capable and willing to address the financial, educational, health, and specific needs of children. This assessment is for the purpose of adoption.

Narrative Box
Describe the assessment of permanency and contingency plan.

 Practice Tip:

Select this option when completing a home study that includes a recommendation and meets all the legal requirements for adoption purposes. All families should have a contingency plan. Document any existing plan here. If there is no plan, document the discussion around developing the plan and the education provided. Ensure you review the Permanency Planning Matrix with the family. Discuss types of permanency, benefits, limitations, reunification as the primary goal, and concurrent planning. How do the applicants feel about providing permanency to a child? What form of permanency will be the best fit for the applicant's family? Do the applicants think there is a best fit for the child? Have the applicants thought about what an open communication agreement may look like?

Not applicable for this assessment.

 Practice Tip:

This refers to the sources of information needed for adoption purposes. Select this if this home study does not have a recommendation for adoption.

The following sources of information were used in this home study assessment:

Not applicable for this assessment.

 Practice Tip:

This refers to the sources of information needed for adoption purposes. Select this if this home study does not have a recommendation for adoption.

The following Core Concepts of Adoption were discussed with the applicant(s).

 Practice Tip:

Check this box as an attestation that you’ve discussed these concepts with the prospective adoptive parents. Use this as a tool to guide your discussion with the applicants.

During the home study process, the applicant(s) presented as engaged and cooperative.

Narrative Box
Only include narrative significant to the assessment.

During the home study process, the applicant(s) was challenging to engage and/or uncooperative

Please select all that apply* Data collection will not print

 Practice Tip:

A prompt will open up with a list of mitigating factors. Please select all mitigating factors that apply. These will not print on the home study report. Your narrative should address all mitigation in essay format.

Narrative Box
Describe challenges and mitigations if applicable.

 Practice Tip:

Review and summarize the information previously provided in the “Children and Youth Served” section of this home study.

 Practice Tip:

Describe the applicant’s strengths as it relates to their ability to provide care for additional children. Please include information about their willingness and ability to provide culturally affirming care. Please include information about their willingness to address the financial, educational, mental health, and specific needs of children. Commitment should include an assessment of their ability to support reunification, permanency (if applicable), short term care, and other transitions if indicated (e.g., to a kinship caregiver or other permanent home). This section may also include the applicant’s understanding of trauma, grief, and loss (associated behaviors and supportive actions they will use). This may also include any resiliency factors the applicant has demonstrated related to their life experiences.

During the home study process, the applicant(s) demonstrated insight and/or awareness, as demonstrated by acknowledging concerning behavior(s) or relationship(s), an ability to understand or perceive their present situation and acceptance of themselves.

Narrative Box
Only include narrative significant to the assessment.

During the home study process, the applicant(s) demonstrated a lack of insight or awareness, as demonstrated by minimizing concerning behavior(s) or relationship(s), an ability to understand or perceive their present situation or a lack of acceptance of themselves.

Select all that apply* Data point will not print

 Practice Tip:

A prompt will open up with a list of mitigating factors. Please select all mitigating factors that apply. These will not print on the home study report. Your narrative should address all mitigation in essay format.

Narrative Box
Describe self-identified challenges/lack of insight and mitigating factors, if applicable.

 Practice Tip:

Include the concerns or limitations, education/training offered, and if the applicants were able to demonstrate different skills to support children. If training or service needs are recommended (i.e., for partially completed home studies), list them in this section. If the concerns were not mitigated, explain efforts to provide education/services and the outcome of those efforts.

 Practice Tip:

This should briefly summarize the type of home study completed and the outcome. The narrative in this section should be consistent with the option under Home Study Outcome below.

• For withdrawn or partially completed home studies, briefly describe that a recommendation cannot be made at this time.
• For home studies that are not approved/denied, clearly state that the decision to deny is based on the information contained throughout the home study.
• For foster license and/or foster-adopt approvals, please state that the approval is “within the home’s licensed capacity” (do not include the actual number or ages as this may change throughout the life of the license).
• For approved kinship home studies (unlicensed, licensed, adoption, and ICPC), the recommendation must state the child(ren)’s names for the child-specific license and home study.

 Practice Tip:

Verify that the option selected matches the correct track in WA CAP. These options will print on the cover sheet of the home study report and should be consistent with the narrative in the outcome/recommendation section above.

Foster License

 Practice Tip:

Select this option for applicants on the Foster License Track who are applying to provide general foster care.

Kinship Care

 Practice Tip:

Select this option for applicants on the Kinship Care Track who are applying for an unlicensed home study.

Kinship License

 Practice Tip:

Select this option for the applicants on the Kinship License Track who are applying for a child-specific license under WAC 110-148-1326.

Not approved, application withdrawn.

 Practice Tip:

Select this option if the applicants started the process, and the application was subsequently withdrawn.

Not approved, application withdrawn. Notice of Inability to Recommend Placement (DCYF 09-025) completed.

 Practice Tip:

Select this option if the family did not engage after logging into WA CAP and there is a child placed in the home. For CPA applications, check with your Regional Licensor before selecting this option.

Not approved, home study partially completed.

 Practice Tip:

Select this option if significant information was gathered (including interviews), but a recommendation cannot be made. Reasons should be outlined in the Concerns and Limitations narrative above. For CPA applications, this is not applicable.

Not approved, home study denied.

 Practice Tip:

Select this option when the home study is being denied. For CPA applications, this is not applicable.

Recommended for placement.

 Practice Tip:

Select this option when the home study is for unlicensed kinship placement purposes only.

Recommended for placement and adoption.

 Practice Tip:

Select this option if the home study is for unlicensed kinship and includes the recommendation and requirements for adoption purposes.

Recommended for placement and foster license.

 Practice Tip:

Select this option if the home study is approved for a general foster license purposes only (not adoption).

Recommend for placement, foster license, and adoption.

 Practice Tip:

Select this option if the home study is approved for a general foster care license and the recommendation and requirements for adoption purposes (formerly known as Unified Home Study).

Recommended for placement and kinship license.

 Practice Tip:

Select this option if the home study is approved for a Child-Specific License purposes only (not adoption).

Recommended for placement, kinship license, and adoption.

 Practice Tip:

Select this option if the home study is approved for a Child-Specific License and the recommendation and requirements for adoption purposes.

 Practice Tip:

These options will print on the cover sheet of the home study report and should be consistent with the narrative in the outcome/recommendation section above. Enter the name of the specific child(ren). If there are multiple children, list them all on the same line. The option selected must match the request type on the ICPC referral packet.

been approved to provide relative care to

been approved to provide foster care to

been approved for the adoption of

been approved for foster-adoption of

not been requested.

DCYF

CPA

CPA Name

 Practice Tip:

This information will source automatically based on the CPA completing the home study. Verify your CPA is listed or type your CPA name in the narrative box.