Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This amendment changes the division, chapter
location and number, and updates references to other
regulations.
(1) Office Space
and Equipment.
(A) An agency shall provide a
bona fide office physically located within the state of Missouri which is
accessible to the public and appropriate for the administrative program and
supportive services;
(B) An agency
shall maintain sufficient space to provide for the confidentiality of client
interviews;
(C) An agency shall
have adequate staff for that office;
(D) An agency shall provide and maintain
sufficient equipment and supplies to assure delivery of services;
(E) An agency shall have Missouri telephone
service or a toll-free number and be listed in the local directory;
(F) An agency shall ensure that the office is
a safe, well-maintained environment for both clients and employees;
and
(G) An agency shall maintain
adequate space to store all records of Missouri clients served in
Missouri.
(2) Fees and
Fiscal Practices.
(A) The agency shall
prepare and maintain on file a written description of-
1. Policies describing financial
responsibilities of the agency, the birth parent(s), and the adoptive
parent(s), for the period prior to the placement of a child through the date
that a decree of adoption is entered;
2. Procedures for the setting, collecting,
waiving, nonpayment and refunding of fees, along with guidelines for exceptions
to these policies and procedures; and
3. Policies regarding making refunds to an
eligible client no more than thirty (30) calendar days after receipt of a
written request for such refunds from an agency client.
(B) The agency shall prepare and maintain on
file a written schedule of all fees in each case and provide a copy of the
schedule to an agency client before service delivery begins. The client shall
sign the schedule and a copy will be kept in each client's record.
(C) The agency shall identify in writing for
the birth parent(s) and the adoptive parent(s), the anticipated services which
they must obtain for themselves, which are not provided by the
agency.
(D) If the agency uses a
sliding fee scale or subsidies, actual costs and costs as determined by the
sliding fee scale or subsidies shall be available upon request by legal or
licensing authorities. Nothing herein shall be construed to prevent agencies
from using sliding fee scales or subsidies.
(E) If the agency uses a schedule for
payments, the agency shall provide the client(s) with written information
concerning initial payments and frequency and conditions for subsequent
payments.
(F) The financial
policies and practices, general financial records, and financial records of
individual placement cases shall be made available by the agency to the
division upon request.
(G) The
agency shall not consider the clients' willingness to donate money, goods or
services or to participate in agency fund-raising efforts in determining their
eligibility for services.
(H) The
agency shall provide equal access to services to all eligible clients without
regard to actual or potential donations of money, goods, time or
efforts.
(I) Adoption fees shall be
reasonable and shall be established based on the cost of the individual
adoption or based on the costs of the following services for the total adoption
program:
1. Medical services to the birth
mother and/or child;
2. Legal
services for the placement and/or adoption of the child(ren);
3. Counseling services;
4. Family assessment services;
5. Child finding services;
6. Foster care services;
7. Pre- and post-placement social
services;
8.
Transportation;
9. Contracted
services, if applicable; and
10.
Any other services as may be reasonably foreseeable.
(J) Client fees relative to the above service
components shall be kept in a separate trust account until such services have
been provided.
(3)
Records.
(A) An agency shall maintain a
register of all children currently placed in foster or adoptive homes including
the child's name, sex, birthdate, dates of foster and adoptive placements, the
person legally responsible for the child, and, if available a Social Security
number.
(B) An agency shall record
all case activities every thirty (30) days.
(C) Individual case records for all children
placed in foster care shall be maintained for at least ten (10) years after the
agency terminates service to the child.
(D) Adoption records shall be kept in a
permanent file and shall not be destroyed.
(E) Missouri foster care and adoption records
shall be kept and maintained in Missouri.
(F) Birth parent, child, and adoptive parent
records shall be cross-referenced for identification purposes, in cases of
adoption.
(G) The agency shall
maintain permanent records for each adoptive family. The permanent record shall
contain-
1. The adoptive family evaluation and
supporting documents;
2. Copy of
any written information given to adoptive parent(s) concerning the
child;
3. Summaries of
post-placement supervision and recommendations to the court;
4. Legal documents required for
adoption;
5. Progress notes and/or
counseling; and
6. Closing
summary.
(H) The agency
shall maintain a permanent adoption record of the child, which shall contain
the following:
1. The child assessment summary
as defined in 13 CSR 35-73.080(3)(A) and supporting documentation;
2. Summaries of post placement supervision
and recommendations to the court;
3. Legal documents required for adoption;
and
4. Closing summary.
(I) The agency shall maintain a
permanent birth parent(s) record(s), which shall contain the following:
1. The birth parent evaluation and supporting
documentation;
2. All agreements
signed by the birth parents;
3.
Legal documents required for adoption;
4. Progress notes and/or counseling;
and
5. Closing summary.
(J) An applicant for initial or
continuing licensure must submit a written plan indicating how the agency will
provide for the transfer of records on both open and closed cases to a licensed
Missouri child placing agency if the agency closes.
1. Plans for the transfer of open cases and
case records must specify arrangements the agency will make to transfer clients
to another licensed agency for continuation of services and to transfer the
case record with the client.
2.
Plans for the transfer of closed adoption records must be accompanied by a
signed agreement or other documentation indicating that a licensed child
placing agency has agreed to accept and maintain the agency's closed case
records and to provide followup services to affected clients.
(4) Extraordinary
Events.
(A) The agency shall notify the
division orally of any extraordinary changes or events within twenty-four (24)
hours after the agency learns of their occurrence and shall submit written
notification to the division within five (5) working days.
(B) This shall include, but not be limited
to, the following:
1. Unanticipated permanent
or temporary closing of the agency or any part thereof;
2. Any serious injury, endangerment or death
of a child;
3. Any convictions of
any staff member and volunteers involved in the agency, excluding minor traffic
violations;
4. Legal action against
the agency or a staff member which involves the operation of the agency or any
child under the care of the agency, excluding any legal actions unrelated to
agency business or child welfare;
5. Damage to agency facilities which
substantially disrupts the program or the agency's accessibility to clients;
or
6. Knowledge of any child
placement by any other party which the agency has reason to believe is not
permitted by law or by these rules.
(5) An agency that plans to place a child
with an out-of-state family or to receive a child from out-of-state for
placement within the state or supervise a Missouri family who relocates to
another state shall notify the Interstate Compact Unit of the division and
shall comply with applicable regulations governing child placement in both
states.
(6) Prior to adoptive
placement, an agency shall comply with the requirements of the Federal Indian
Child Welfare Act for placement of Native American or Native Alaskan
children.
(7) Prior to adoptive
placement, an agency shall comply with the requirement of the Multi-Ethnic
Placement Act.