(3) SCHEDULE OF DIFFICULTY-OF-CARE LEVELS.
(a)
Emotional.
1. "Level A, not applicable" children do not
exhibit unusual emotional characteristics for foster children in their age
group.
2. "Level B, minimal"
children exhibit behavior that includes or corresponds in extent or degree with
at least 2 of the following characteristics:
a. Demanding excessive attention from
others.
b. Nervous, high-strung,
impulsive and displaying temper tantrums.
c. Restless and hyperactive, having a short
attention span and occasionally wetting during the night.
d. Exhibiting low self-esteem and lacking
confidence in their ability to deal with the world.
e. Periodically withdrawn and
unresponsive.
3. "Level
C, moderate" children exhibit behavior that includes or corresponds in extent
or degree with at least 2 of the following characteristics:
a. Habitually resistive and having difficulty
communicating with others, often failing to do what is expected of
them.
b. Typically respond to
situations with apathy, showing a lack of any interest.
c. Have difficulty in establishing
relationships and set up others for rejection.
d. Display cultural and social
conflicts.
e. Frequent night
bed-wetters or occasionally defecate in bed clothes or both.
f. Display over-activity and
over-excitedness, necessitating close supervision.
4. "Level D, intensive" children exhibit
behavior that includes or corresponds in extent or degree with one or more of
the following characteristics, and the characteristics are severe:
a. Infantile personalities.
b. Wet or defecate in clothing during daytime
hours several times a week.
c.
Severe hyperactivity to the point of frequent destructiveness or
sleeplessness.
d. Chronically
withdrawn, depressed or anxious.
e.
Self-injurious, require constant and intensive supervision and may be involved
in behavioral management programs or show bizarre or severely disturbed
behavior.
f. Display anorexia
nervosa.
(b)
Behavioral.
1. "Level A, not
applicable" children do not exhibit unusual behavioral characteristics for
foster children in their age group.
2. "Level B, minimal" children exhibit
behavior that includes or corresponds in extent or degree with at least 2 of
the following characteristics:
a. Run away
infrequently for up to 2 days with the intention of returning.
b. Occasionally skip classes or an entire day
of school, affecting class achievement and requiring make-up school work and
parent contact with the school.
c.
Use sexual acting-out or language as an attention-getting mechanism and
occasionally experiment with alcohol, drugs or both.
d. Infrequent conflicts with parents or
community authorities, including displays of hostility and occasional petty
theft, vandalism or both.
e.
Exhibit occasional aggressive behavior such as biting, scratching or throwing
objects at another person.
3. "Level C, moderate" children exhibit
behavior that includes or corresponds in extent or degree with at least 2 of
the following characteristics:
a. Run away 4
to 7 times a year for 3 or 4 days at a time and requires encouragement to
return.
b. Truant from school one
to 2 times a month for more than one day, resulting in delayed academic
progress including performance below their ability that may lead to class
failure, possible suspension and frequent parent contact with the
school.
c. Exhibit sexual activity
harmful to themselves and disruptive to their family and community
relationships.
d. Occasionally have
been involved in non-violent crimes such as burglary, which caused conflict
with authority.
e. Exhibit frequent
aggressive behavior such as biting, scratching or throwing objects at another
person.
f. Exhibit occasional
self-abusive behavior such as banging their heads, poking their eyes, kicking
themselves or biting themselves.
4. "Level D, intensive" children exhibit
behavior that includes or corresponds in extent or degree with one or more of
the following characteristics, and the characteristics are severe:
a. Runs away 8 or more times a year for 5 or
more days at a time, returning only on the initiative of others.
b. Habitually create a disturbance in the
classroom or be habitually truant from school resulting in class failure,
frequent suspension or expulsion, and requiring frequent parent contact with
the school.
c. Exhibit sexual
deviancy, including that of a violent nature or nonconsenting involvement of
others.
d. Habitually use alcohol,
drugs or both.
e. Exhibit
uncontrollable behavior, be involved in property offenses repeatedly with
adjudication on more than one property offense that is as serious as burglary,
and have committed acts such as arson, physical assault or armed
robbery.
f. Exhibit aggressive
behavior on a daily basis, such as biting, scratching or throwing objects at
another person.
g. Exhibit frequent
self-abusive behavior such as banging their heads, poking their eyes, kicking
themselves or biting themselves. These children may eat inappropriate items
such as rubber or metal.
(c)
Physical and personal
care.
1. "Level A, not applicable"
children do not exhibit unusual physical or personal characteristics for foster
children in their age group.
2.
"Level B, minimal" children exhibit physical or personal characteristics that
include or correspond in extent or degree with one or more of the following:
a. Needs some help with putting on braces or
prosthetic devices and help with buttons or laces but basically care for
themselves and are able to maintain their own physical assisting
devices.
b. Seizures or motor
dysfunctions that are controlled by medication. Therapy for gross or fine motor
skills can be done with supervision for children to achieve normal conditions.
These children may require special diet preparation.
3. "Level C, moderate" children exhibit
physical or personal characteristics that include or correspond in extent or
degree with one or more of the following:
a.
Needs help with dressing, bathing and general toilet needs, including
maintenance procedures such as diapering and applying catheters, and requires
the help of a person or a device to walk or get around.
b. Needs assistance to care for and maintain
physical assisting devices.
c. Has
feeding problems such as excessive intake, extreme messiness or extremely slow
eating requiring help, supervision or both.
d. Needs tube or gavage feeding.
e. Requires special care to prevent or remedy
skin conditions such as decubiti and severe eczema.
Note: The administration of medications and
preparation of special diets are demanding, and prescribed physical therapies
such as those for vision, hearing, speech or gross or fine motor skills require
one to 2 hours a day.
4. "Level D, intensive" children exhibit
physical or personal characteristics that include or correspond in extent or
degree with one or more of the following:
a.
Non-ambulatory, may have uncontrollable seizures and need appliances for
drainage, colostomy, aspiration or suctioning.
b. Even with proper medical attention,
vision, speech or hearing functions are impaired and may require foster parent
training.
c. Need daily prescribed
exercise routines to improve or maintain gross or fine motor skills that
require home administration.
d.
Require prevention procedures such as daily irrigation.
e. Require extra cleaning and laundry to
maintain body hygiene and control of the child's body waste.
f. Orthotics care.
g. Prescribed physical therapies taking 2 to
3 hours a day.