(4) DOCUMENTS
REQUIRED PRIOR TO LICENSING.
(a)
Initial license. Before an applicant for an initial license
may be issued a license, the applicant shall submit the following to the
licensing agency:
1. An application form
completed and signed by the applicant. Married persons living together shall
both sign the application. Any household member who will act in the role of
foster parent shall sign the application.
2. Verification of homeowner's or renter's
insurance coverage required under s. DCF 56.05 (4) or a request for a waiver
under s. DCF 56.05 (5), and verification of vehicle liability insurance
required under s. DCF 56.05 (3) if the applicant plans to transport foster
children in the applicant's own vehicle. Verification means that the licensing
agency representative has personally seen the appropriate documentation. A
licensing agency need not retain a copy of the documentation in its files.
Note: Motor vehicle liability insurance is
required under s.
344.62,
Stats.
3. A written
statement from a physician, physician assistant, or nurse practitioner that
indicates any physical or mental conditions of the applicant or any household
members that would affect the ability of the family to provide care for a
foster child or threaten the health or safety of a foster child. The statement
shall be based upon a medical examination performed within the previous 6
months, except as provided in subd. 4.
4. If a member of the household of an
applicant who is a relative of a foster child is not covered by health
insurance or a medical examination would be a significant financial burden to
the household member, the licensing agency may grant an exception to the
requirement in subd. 3. If the licensing agency grants this exception, the
household member shall submit a personally signed statement that indicates any
physical or mental conditions the household member has that would affect the
ability of the family to provide care for a foster child or threaten the health
or safety of a foster child.
5.
Documentation of fire safety inspection of the foster home, if required by the
licensing agency.
5m. A drawing of
the layout of the foster home.
6. A
private water supply test report for the foster home, if required by the
licensing agency.
7. The employment
history of the applicant. The history shall indicate the length of time the
applicant was employed by each employer. The employment history shall document
all employment for the 5-year period prior to submission of the application for
a foster home license, unless the licensing agency has reasonable cause to
request employment history for more than 5 years.
8. Notification of any previous licensure as
a foster parent or any other type of caregiver for children, the name of the
licensing agency and the period during which the license was held.
9. A signed statement indicating that the
applicant has received the following information provided by the agency:
a. A brochure that explains the foster care
reimbursement and rate structure, including the clothing allowance.
b. A brochure that explains the foster parent
insurance program and information regarding how to file a claim with that
program.
c. Notice that the
licensing agency may contact the Wisconsin department of justice and any
similar agency in another jurisdiction, any federal or local law enforcement
agency, any social services agency, or any other public or private agency to
determine if there is any reason specified under s.
48.685,
Stats., ch. DCF 12, s. DCF 56.05 (1) (a) 3., or any other part of this chapter
for the applicant to not be granted a license.
10. Other documentation or authorizations
required by the licensing agency for its review of the application.
(b)
License
renewal. An applicant for renewal of a license shall submit all of the
following to the licensing agency at least 30 days before expiration of the
current license:
1. An application form
completed and signed by the applicant. Married persons living together shall
both sign the application. Any household member who will act in the role of
foster parent shall sign the application.
2. Verification of homeowner's or renter's
insurance coverage required under s. DCF 56.05 (4) or a request for a waiver
under s. DCF 56.05 (5), and verification of vehicle liability insurance
required under s. DCF 56.05 (3) if the applicant plans to transport foster
children in the applicant's own vehicle. Verification means that the licensing
agency representative has personally seen the appropriate documentation. A
licensing agency need not retain a copy of the documentation in its
files.
3. Documentation of fire
safety inspection of the foster home, if required by the licensing
agency.
4. A private water supply
test report for the foster home, if required by the licensing agency.
5. If required by the licensing agency, a
written statement from a physician, physician assistant, or nurse practitioner
that indicates any physical or mental conditions of any household member that
would affect the ability of the family to provide care for a foster child or
threaten the health or safety of a foster child. The statement shall be based
upon a medical examination performed within the previous 6 months.
5m. If a member of the household of an
applicant who is a relative of a foster child is not covered by health
insurance or a medical examination would be a significant financial burden to
the household member, the licensing agency may grant an exception to the
requirement in subd. 3. If the licensing agency grants this exception, the
household member shall submit a personally signed statement that indicates any
physical or mental conditions the household member has that would affect the
ability of the family to provide care for a foster child or threaten the health
or safety of a foster child.
6.
Other documentation or authorizations required by the licensing agency for its
review of the application.
(c)
License modifications.
1. A licensing agency may modify a foster
home license. An applicant for a license may request modification of the
license at the time of the initial licensure. A licensee may request
modification of the license at any time during the effective period of the
license.
2. An applicant for
license modification shall obtain a license modification application form from
the licensing agency and shall submit a completed and signed application form
and other materials required by the licensing agency to that agency within the
following time limits:
a. Before the date the
licensee plans to change location from the location specified on the current
license.
b. Before the date an
applicant wishes to have one or more license conditions changed.
c. No later than 30 days before the date the
marital status of the licensee changes.
d. Within 10 days after a household member
leaves.
e. At least 30 days before
someone enters the household when this is known that far in advance or
otherwise as soon as possible before that person enters the
household.
