Current through Reg. 50, No. 187; September 24, 2024
(1) Definitions.
(a) "Department" means the Department of
Children and Families.
(b) "Child"
means a child in licensed out-of-home care.
(c) "Claimant" means a licensed caregiver who
submits a restitution claim alleging property damages and/or direct medical
expenses for his or her injuries under Section
402.181, F.S.
(d) "Damages" means physical harm caused by
something in such a way as to impair its value, usefulness, or normal function.
Routine maintenance incidental to running a household, such as cleaning floors,
counters, appliances, dishes, and clothing, as well as lawn maintenance, are
not damages that can be reimbursed.
(e) "Incident" means the occurrence of
property damage and/or medical injury resulting from the same or similar event
or occurrence in time.
(f)
"Preponderance of the evidence" means the party bearing the burden of proof
must present evidence which shows that the fact to be proven is more probable
than not.
(g) "Restitution" means
recompense for injury or loss.
(h)
"Restitution claim" means any reimbursement claim resulting from property
damages and/or direct medical expenses for injuries caused by a resident(s)
that has not been restored or recompensed through another
entitlement.
(2)
Individuals providing care and supervision for children in licensed out-of-home
care may seek restitution for direct medical expenses and/or property damage
caused by a child. The individual may seek restitution on behalf of a child in
licensed out-of-home care whose medical expenses and/or property damages were
caused by another child in licensed out-of-home care.
(3) If the child was responsible at the time
the injury or damage occurred, the claimant may receive restitution up to $1,
500 per claimant per incident based on the child's legal status and upon
availability of funding.
(a) When a child is
in shelter legal status (pursuant to a court's shelter order), restitution up
to $1, 000.00 may be claimed.
(b)
When a child is in foster care legal status (pursuant to a court order granting
custody to the Department for placement in foster care), restitution up to $1,
500.00 may be claimed.
(c) The
child's placement, such as a foster home, group home, or residential treatment
center, has no bearing on the above distinction. It is based solely on the
child's legal status at the time the injury or damage
occurred.
(4)
Responsibilities of the Claimant.
(a) A
claimant filing a restitution claim under Section
402.181, F.S., with the
Department has the burden to prove, by a preponderance of the evidence:
1. That damages occurred, by means of
photographs;
2. That the action(s)
of a child in licensed out-of-home care is the direct cause of claimant's
property damages and/or direct medical expenses for injuries; and
3. The monetary amounts of the claimant's
damages and/or expenses, by means of a receipt or at least two written
estimates or quotes.
(b)
Only one restitution claim can be submitted per claimant per
incident.
(c) The claimant must
complete and file the Restitution Claim Form, CF-FSP 5459, (October 2022),
incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-14898,
within 90 days of the occurrence of the incident upon which the claim is based.
The claimant must file a completed, signed copy of the Restitution Claim Form
with a child welfare professional.
(d) If the claimant received compensation for
the same incident not pursuant to Section
402.181, F.S., such as from
workers' compensation, homeowner's insurance, private insurance, or any other
entitlement, the Institutional Claims Fund may be used only to request
restitution for any deductible amount and/or repair of damage the other
compensation did not pay. Documentation from such compensation must be included
with the form and receipts.
(5) Responsibilities of the child welfare
professional.
(a) When a claimant advises the
child welfare professional of expenses they have incurred as a result of
personal injury or property damage caused by a child in out-of-home care, the
child welfare professional shall:
1. Assist
the claimant in applying for funding by assisting the completion of the
Restitution Claim Form.
2. Ensure
that the form is completed in its entirety and that legible receipts or
estimates from a licensed vendor are attached.
3. Confirm the damage described on the
application through observation of the home or facility, or by reviewing
validated documentation provided by the claimant.
4. Confirm that the claimant has provided
pictures of the damage, two written estimates for repair, or receipt(s) if the
repair has been paid for.
5. Review
the circumstances of the claim and have the claimant sign the
form.
(b) The child
welfare professional shall complete Part A. of the State Institutional Claims
for Damages Recommendation form, CF-FSP 5453, (October 2022), incorporated by
reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-14897.
The child welfare professional shall submit the State Institutional Claims for
Damages Recommendation form, Restitution Claim Form, and all supporting
documentation to the Department designee.
(6) Approval and Denial of Claims.
(a) The Department will only consider a claim
that is filed on a completed Restitution Claim Form and State Institutional
Claims for Damages Recommendation form, which are signed by both the claimant
and child welfare professional. Incomplete forms will be returned without
approval or denial due to insufficient information.
(b) Subject to available funding, the
Department will approve claims that include all required documentation and meet
the requirements articulated in this rule within 90 days of receipt of the
completed State Institutional Claims for Damages Recommendation form.
(c) If the request for restitution is denied,
the applicant shall be notified in writing, including notice of the applicant's
right to appeal pursuant to Chapter 120, F.S.
(d) If the request for restitution is
granted, the applicant shall be notified in writing.
(e) In the event a claim is denied, and the
claimant requests a 120 hearing, the child welfare professional must attend the
hearing.
(f) Claims for damages
shall not be granted for:
1. A child
purchasing entertainment through the internet using the licensed caregiver's
account or credit card.
2. Damages
resulting from circumstances where the biological or adoptive child and foster
child are equally responsible.
3.
Damages resulting from circumstances where the foster child and claimant are
equally responsible.
Rulemaking Authority
402.181(3) FS.
Law Implemented 402.181
FS.
New 3-20-22, Amended
11-22-22.