††††† 922 KAR 1:350. Requirements for public child welfare agency foster parents, adoptive parents, and respite care providers.

 

††††† RELATES TO: KRS 2.015, 61.870-61.884, 194A.060, 199.011, 202A.011(12), 311.720(9), 311.840(3), 314.011(5), (7), (9), 600.020, 605.090, 610.110, 620.030, 620.050, 620.140(1)(d), 620.360, Chapter 625, 16 C.F.R. 1219-1220, 45 C.F.R. Parts 160, 164, 8 U.S.C. 1151, 42 U.S.C. 671, 677

††††† STATUTORY AUTHORITY: KRS 194A.050(1), 199.472, 605.100(1)

††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 194A.050(1) requires the Secretary for the Cabinet for Health and Family Services to promulgate administrative regulations necessary to operate programs and fulfill the responsibilities vested in the cabinet. KRS 605.100(1) requires the cabinet to arrange programs designed to provide for classification, segregation, and specialized treatment of children according to their respective problems, needs, and characteristics. KRS 199.472 authorizes the cabinet to promulgate administrative regulations to establish the process of determining an applicant's capacity for foster or adoptive parenthood. This administrative regulation establishes criteria for public agency foster homes, adoptive homes, and respite care providers caring for foster or adoptive children.

 

††††† Section 1. Definitions. (1) "Adoptive home" means a home in which a parent is approved by the cabinet to provide services as specified in Section 2(12) of this administrative regulation.

††††† (2) "Applicant" means an individual or family subject to approval by the cabinet as a foster or adoptive home.

††††† (3) "Cabinet" is defined by KRS 194A.005(1) and 600.020(6).

††††† (4) "Care Plus" means a foster care program for a child who is determined to have specialized care needs as specified in Section 5 of this administrative regulation.

††††† (5) "Child" means:

††††† (a) A child as defined by KRS 199.011(4) and 600.020(8);

††††† (b) A person age eighteen (18) or older whose commitment to the cabinet has been extended or reinstated by a court in accordance with KRS 610.110(6) or 620.140(1)(d); or

††††† (c) A person under age twenty-one (21) who meets the exceptions to the age of majority in accordance with KRS 2.015.

††††† (6) "Child with medical complexity" means a child who has a medical condition in accordance with Section 4(1)(b) of this administrative regulation.

††††† (7) "Commissioner" means commissioner of the Department for Community Based Services.

††††† (8) "Foster home" means:

††††† (a) A "foster family home" as defined by KRS 199.011(9) and 600.020(28), if referring to a physical structure; or

††††† (b) If referring to an individual, any individual approved as a foster parent by the cabinet to provide services as specified in Section 2(12) of this administrative regulation.

††††† (9) "Health professional" means a person actively licensed as a:

††††† (a) Physician as defined by KRS 311.720(9);

††††† (b) Physician assistant as defined by KRS 311.840(3);

††††† (c) Advanced practice registered nurse as defined by KRS 314.011(7); or

††††† (d) Registered nurse as defined by KRS 314.011(5) under the supervision of a physician.

††††† (10) "Home study" means an assessment done on a prospective foster or adoptive home by a social services worker.

††††† (11) "Independent living services" means services provided to an eligible child to assist the child in the transition from the dependency of childhood to living independently.

††††† (12) "Placement" means the physical change in the location and living arrangement of a child in the custody of the cabinet removed from the childís home of origin.

††††† (13) "Respite care" means temporary care provided by a provider, as specified in Section 17 of this administrative regulation, to provide relief to the foster or adoptive parents with the expectation of a childís return to the current foster or adoptive home.

 

††††† Section 2. General Requirements for a Foster or Adoptive Parent. (1)(a) Unless an exception is approved pursuant to paragraph (b) of this subsection by designated cabinet staff, a foster or adoptive parent applicant shall be at least twenty-one (21) years of age.

††††† (b) A foster or adoptive parent applicant between eighteen (18) to twenty-one (21) years of age may be approved as a foster or adoptive parent if:

††††† 1. The foster or adoptive parent applicant is related to the child under the custodial control of the cabinet;

††††† 2. The foster or adoptive parent applicant can meet the needs of the child; and

††††† 3. Cabinet staff determines the placement is in the best interest of the child.

††††† (2) A foster or adoptive parent applicant shall provide proof of the applicant's United States citizenship or legal immigrant status, as described in 8 U.S.C. 1151, 8 U.S.C. 1181, and 42 C.F.R. 435.407.

††††† (3) A department employee who provides protection and permanency services may apply to adopt a child in the care and custody of the cabinet if the commissioner approves the employee to adopt and the adoption is in the best interest of the child.

††††† (4) A department employee who provides protection and permanency services shall be prohibited from becoming a respite care provider or foster parent for a child in the care and custody of the cabinet, regardless of the childís residence, unless it is approved by the commissioner in writing because the employee was a foster parent or respite care provider for the child when employment with the department protection and permanency services began.

††††† (5) A married couple may apply to become foster or adoptive parents.

††††† (6) A single, unmarried person may apply to become a foster or adoptive parent.

††††† (7) The decision to foster or adopt a child shall be agreed to by each adult member of the applicantís household.

††††† (8) Each foster or adoptive applicant and adult member of the applicant's family shall submit a DPP-107, Health Information Required for Foster or Adoptive Parents, Applicants, or Adult Household Members, completed:

††††† (a) By a health professional who is not a member of the applicantís household, based upon health information within the past year, documenting:

††††† 1. The applicantís general health, including that the applicant is free of communicable or infectious disease or a health condition that presents a health or safety risk to a child placed in the applicantís home; and

††††† 2. That there are no known health factors that would interfere with the applicantís ability to become a foster or adoptive parent; and

††††† (b) As part of:

††††† 1. The initial application;

††††† 2. The annual re-evaluation; or

††††† 3. A foster or adoptive home review pursuant to Section 13 of this administrative regulation.

††††† (9) Each foster or adoptive parent applicant shall submit a DPP-108, Health Information Required for Foster or Adoptive Parents or Applicants Regarding Dependent Children, for each child member of the applicant family.

††††† (10) A foster or adoptive parent applicant shall have a source of income:

††††† (a) Sufficient to meet the applicant's household expenses; and

††††† (b) Separate from:

††††† 1. Foster care reimbursement; or

††††† 2. Adoption assistance.

††††† (11) Unless specified in a contract between the cabinet and a child welfare agency that provides foster care services, a foster or adoptive parent shall accept a child for foster care only from the cabinet.

††††† (12) An approved foster or adoptive parent shall be willing to:

††††† (a) Provide foster care services for a child placed in out-of-home care by the cabinet;

††††† (b) Adopt a child:

††††† 1. Whose parentís parental rights have been terminated; and

††††† 2. Who is under the custodial control of the cabinet;

††††† (c) Provide respite care for a child under the custodial control of the cabinet; or

††††† (d) Provide any combination of the services described in paragraphs (a) through (c) of this subsection.

††††† (13) A foster or adoptive applicant shall provide to the cabinet:

††††† (a) The names of three (3) personal references who:

††††† 1. Are not related to the applicant; and

††††† 2.a. Shall be interviewed by cabinet staff in person or by telephone; or

††††† b. Shall provide letters of reference for the applicant; and

††††† (b) Two (2) credit references.

††††† (14) Unless a documented exception exists and is approved by designated cabinet staff due to inaccessibility, each adult child of the foster or adoptive parent applicant who does not live in the home shall be interviewed by cabinet staff in person or by telephone regarding the applicant's parenting history.

††††† (15) If applicable, verification shall be obtained from the foster or adoptive parent applicant regarding:

††††† (a) Previous divorce;

††††† (b) Death of a spouse; and

††††† (c) Present marriage.

††††† (16) A foster or adoptive parent applicant who does not have custody of his or her own child shall provide:

††††† (a) A copy of the visitation order, if applicable;

††††† (b) A copy of the child support order; and

††††† (c) Proof of current payment of child support.

††††† (17) A foster or adoptive parent applicant and any member of the applicant's household shall submit to the background checks in accordance with 922 KAR 1:490.

††††† (18) The cabinet shall perform background checks in accordance with criteria established in 922 KAR 1:490.

 

††††† Section 3. Home Environment. (1) The foster or adoptive parent shall request written approval from designated cabinet staff to provide services as a:

††††† (a) Certified provider of supports for community living in accordance with 907 KAR 1:145;

††††† (b) Certified family child care home in accordance with 922 KAR 2:100; or

††††† (c) Provider of child-care center services in accordance with 922 KAR 2:090.

††††† (2) If the foster or adoptive home adjoins a place of business open to the public, potential negative impact on the family and the child shall be examined including the:

††††† (a) Hours of operation;

††††† (b) Type of business; and

††††† (c) Clientele.

††††† (3) The foster or adoptive parent shall have access to:

††††† (a) Reliable transportation;

††††† (b) School;

††††† (c) Recreation;

††††† (d) Medical care; and

††††† (e) Community facilities.

††††† (4) A foster or adoptive parent who drives shall:

††††† (a) Possess a valid driverís license;

††††† (b) Possess proof of liability insurance; and

††††† (c) Abide by passenger restraint laws.

††††† (5)(a) No more than four (4) children, including the foster or adoptive parent's own children, shall share a bedroom, with thorough consideration given to each childís age, gender, and background.

††††† (b) Children of different genders over the age of five (5) shall not share a bedroom.

††††† (6) Each child shall have:

††††† (a) A separate bed that is age and size appropriate for the child; or

††††† (b) If the child is under age one (1), a crib that meets Consumer Products Safety Commission standards 16 C.F.R. 1219-1220.

††††† (7) A childís mattress shall:

††††† (a) Meet current Consumer Products Safety Commission Standards in 16 C.F.R. Parts 1632 and 1633;

††††† (b) Be in good repair; and

††††† (c) Have a clean fitted sheet that shall be changed:

††††† 1. Weekly; or

††††† 2. Immediately if it is soiled or wet.

††††† (8) Except as approved by designated cabinet staff, a foster or adoptive parent shall not share a bedroom with a child under the custodial control of the cabinet unless necessary due to the needs of the child.

††††† (9) A bedroom used by a child under the custodial control of the cabinet shall be comparable to other bedrooms in the house.

††††† (10) The physical condition of the foster or adoptive home shall:

††††† (a) Not present a hazard to the safety and health of a child;

††††† (b) Be well heated and ventilated;

††††† (c) Comply with state and local health requirements regarding water and sanitation; and

††††† (d) Provide indoor and outdoor recreation space appropriate to the developmental needs of a child placed in the foster or adoptive home.

††††† (11) The following shall be inaccessible to a child:

††††† (a) Medication, unless an exception is granted pursuant to subsection (12) of this section;

††††† (b) Alcoholic beverage;

††††† (c) Poisonous or cleaning material;

††††† (d) Ammunition; and

††††† (e) Firearms in accordance with KRS 527.100 and 527.110.

††††† (12) An exception may be provided by designated cabinet staff to subsection (11)(a) of this section if:

††††† (a)1. The child is approved by a health care professional to self-administer medicine under the supervision of the foster or adoptive parent; or

††††† 2. Emergency access to the medication may be necessary to save the childís life, such as in the case of severe allergic reaction or asthma attack; and

††††† (b) Measures are taken to prevent unauthorized access by another child in the same home.

††††† (13) Any household animal shall be vaccinated in accordance with KRS 258.015 and 258.035.

††††† (14) A dangerous animal shall not be allowed near the child.

††††† (15) First aid supplies with unexpired dates shall be available and stored in a place easily accessible to an adult.

††††† (16) A working telephone shall be available in the home.

††††† (17) The home shall be equipped with a working smoke alarm within ten (10) feet of each bedroom.

††††† (18) A home with gas heating or appliances shall be equipped with a working carbon monoxide detector.

 

††††† Section 4. Medically Complex Foster or Adoptive Home. (1) An applicant shall be approved by cabinet staff as a medically complex home if the foster or adoptive parent:

††††† (a) Meets the requirements in Sections 2 and 3 of this administrative regulation, except for Section 2(10) which may be considered as an exclusion on a case-by-case basis by designated cabinet staff based on the best interests or needs of the child;

††††† (b) Cares for a child in the custody of the cabinet who is determined to be medically complex by designated cabinet staff due to:

††††† 1. Significant medically oriented care needs related to a serious illness or condition diagnosed by a health professional that may become unstable or change abruptly, resulting in a life-threatening event;

††††† 2. A chronic condition that is expected to be life-long and progressive and to require extensive services;

††††† 3. An acute, time-limited condition requiring additional oversight; or

††††† 4. A severe disability that requires the routine use of medical devices or assistive technology to compensate for the loss of a vital body function needed to participate in activities of daily living and significant and sustained care to avert death or further disability;

††††† (c) Is a primary caretaker who is not employed outside the home, except as approved by designated cabinet staff and based on the needs of the child;

††††† (d) Completes training in accordance with 922 KAR 1:495, Section 4;

††††† (e) Receives training with documentation of completion from a health professional in how to care for the specific child with medical complexity who will be placed in the foster or adoptive parent's care;

††††† (f) Maintains current certification in:

††††† 1. Infant, child, and adult CPR; and

††††† 2. First aid; and

††††† (g) Has a home within:

††††† 1. One (1) hour of a medical hospital with an emergency room; and

††††† 2. Thirty (30) minutes of a local medical facility.

††††† (2) Except for a sibling group or unless approved by designated cabinet staff in accordance with Section 16 of this administrative regulation, more than four (4) children, including the foster or adoptive parentís own children, shall not reside in a medically complex foster or adoptive home.

††††† (3) Unless an exception is approved pursuant to Section 16(2) of this administrative regulation and a medically complex foster or adoptive home has daily support staff to meet the needs of a child with medical complexity:

††††† (a) A one (1) parent medically complex foster or adoptive home shall:

††††† 1. Not care for more than one (1) child with medical complexity; and

††††† 2. Demonstrate access to available support services; and

††††† (b) A two (2) parent medically complex foster or adoptive home shall:

††††† 1. Not care for more than two (2) children with medical complexity; and

††††† 2. Demonstrate access to available support services.

††††† (4) Unless an exception pursuant to Section 16(2) of this administrative regulation is approved, a child with medical complexity shall be placed in an approved medically complex foster or adoptive home.

††††† (5) Unless the home is closed, pursuant to Section 14 of this administrative regulation, an approved medically complex foster or adoptive parent shall receive annual reapproval by the cabinet as a medically complex home if the parent:

††††† (a) Annually completes training specified in 922 KAR 1:495, Section 4; and

††††† (b) Continues to meet the requirements of this section.

††††† (6) An approved medically complex foster or adoptive parent shall cooperate in carrying out the childís health plan.

 

††††† Section 5. Care Plus Home. (1) An applicant shall be approved by cabinet staff as a care plus parent if the foster or adoptive parent:

††††† (a) Meets the requirements of Sections 2 and 3 of this administrative regulation, except for Section 2(10) which may be considered as an exclusion on a case-by-case basis by designated cabinet staff based on the best interests or needs of the child;

††††† (b) Agrees to care for a child in the custody of the cabinet approved by cabinet staff as a care plus child because the child:

††††† 1. Has a diagnosed emotional or behavioral problem;

††††† 2. Is due to be released from a treatment facility;

††††† 3. Displays aggressive, destructive, or disruptive behavior;

††††† 4. Is at risk of being placed in a more restrictive setting;

††††† 5. Is at risk of institutionalization; or

††††† 6. Has experienced numerous placement failures;

††††† (c) Is a primary caretaker who is not employed outside the home, unless the cabinet determines that the child's needs continue to be met;

††††† (d) Completes training in accordance with 922 KAR 1:495, Section 6;

††††† (e) Agrees to maintain a daily record of the care plus childís activities and behaviors; and

††††† (f) Agrees to attend case planning conferences.

††††† (2) Unless an exception is approved pursuant to Section 16(2) of this administrative regulation and the care plus home parent can demonstrate access to available support services:

††††† (a) No more than four (4) children, including the foster or adoptive parentís own children, shall reside in a care plus home;

††††† (b) A one (1) parent care plus home shall not care for more than one (1) care plus child as described in subsection (1)(b) of this section; and

††††† (c) A two (2) parent care plus home shall not care for more than two (2) care plus children as described in subsection (1)(b) of this section, including the care plus foster or adoptive parentís own children.

††††† (3) Unless the home is closed pursuant to Section 14 of this administrative regulation, an approved care plus foster or adoptive parent shall receive annual reapproval by the cabinet as a care plus home, if the parent:

††††† (a) Annually completes training in accordance with 922 KAR 1:495, Section 6;

††††† (b) Submits to a review of the parent's:

††††† 1. Strengths and needs;

††††† 2. Records maintained on services provided to the child; and

††††† 3. Ability to meet the goals established for the child; and

††††† (c) Continues to meet the requirements of this section.

 

††††† Section 6. Preparation and Selection of a Foster or Adoptive Home. (1) The cabinet shall recruit a foster or adoptive home and approve the home prior to the placement of a child.

††††† (2) Prior to approval as a foster or adoptive parent, an applicant shall complete training requirements in accordance with 922 KAR 1:495.

††††† (3) If a new adult moves into an approved foster or adoptive home where a child is already placed by the cabinet, the child may remain and additional children may be placed if the new adult:

††††† (a) Completes training in accordance with subsection (2) of this section within six (6) months of entering the home; and

††††† (b) Meets the requirements specified in Sections 2 and 3 of this administrative regulation.

††††† (4) An adult child or incapacitated person who resides in the foster or adoptive home shall not be required to complete training in accordance with 922 KAR 1:495 if that individual will not be responsible for routine daily care of a child placed in the home by the cabinet.

††††† (5) The cabinet shall not be obligated to grant foster or adoptive home approval or placement of a specific child to an individual or family that completes pre-service training.

††††† (6) In addition to completion of training in accordance with 922 KAR 1:495, at least two (2) family consultations shall be conducted by cabinet staff in the home of an applicant, to include:

††††† (a) Documentation that the requirements in Sections 2 and 3 of this administrative regulation have been met;

††††† (b) Documentation that a personal interview with each member of the applicantís household has been completed;

††††† (c) Discussion of the attitude of each member of the applicantís household toward placement of a child;

††††† (d) Observation of the functioning of the applicant's household, including interpersonal relationships and patterns of interaction; and

††††† (e) Assurance that the applicant is willing to accept a childís relationship with the childís family of origin.

††††† (7) An applicant approved as a foster or adoptive parent or respite care provider by another state or by a child-placing agency as described by KRS 199.011(7) shall:

††††† (a) Meet the requirements provided within Sections 2 and 3 of this administrative regulation;

††††† (b) Be assessed by cabinet staff to ascertain the applicant's level of skill as a potential Kentucky foster or adoptive parent;

††††† (c) Provide verification of the closure and a statement to indicate whether the closure was at the request of the foster or adoptive parent, the other state, or the agency; and

††††† (d) Not be required to complete training in accordance with 922 KAR 1:495 for approval as a Kentucky foster or adoptive parent if cabinet staff:

††††† 1. Determine that the applicant possesses the necessary skills for fostering; and

††††† 2. Obtain records and recommendation from the other state or child-placing agency.

††††† (8) Following initial training as specified in 922 KAR 1:495, if cabinet staff determines that an applicant or adult household member lacks the necessary skills to become a foster or adoptive parent, an individualized training curriculum shall be developed to fulfill unmet training needs.

††††† (9)(a) A foster or adoptive parent shall request the recommendation of cabinet staff prior to enrolling in training specified in 922 KAR 1:495, Section 4(1) or 6(1); and

††††† (b) Cabinet staff may recommend the foster or adoptive parent to receive training specified in 922 KAR 1:495, Section 4(1) or 6(1) if the parent possesses the aptitude to care for a child described in Section 4(1)(b) or 5(1)(b) of this administrative regulation.

 

††††† Section 7. Completion of the Foster or Adoptive Approval Process. (1) Designated cabinet staff in a supervisory role shall approve a foster or adoptive applicant if:

††††† (a) The applicant provides written and signed information pertaining to family history and background;

††††† (b) The applicant completes training requirements as required by 922 KAR 1:495;

††††† (c) The information required in Section 2(8) through (10) and (13) through (17) of this administrative regulation has been obtained;

††††† (d) Designated cabinet staff recommends approval; and

††††† (e) The applicantís ability to provide a foster, adoptive, or respite care service is consistent with the:

††††† 1. Cabinetís minimum foster or adoptive home requirements established in this administrative regulation; and

††††† 2. Needs of the families and children served by the cabinet.

††††† (2) If the designated cabinet staff determines that an applicant does not meet the minimum requirements for approval as a foster or adoptive parent, the cabinet shall recommend that the applicant withdraw the request.

 

††††† Section 8. Denial of a Foster or Adoptive Home Request. (1) Designated cabinet staff shall notify an applicant, in writing, if the request to become a foster or adoptive parent is not recommended for one (1) of the following reasons:

††††† (a) The applicant is unwilling to withdraw the request to become a foster or adoptive parent after receiving a recommendation to withdraw; or

††††† (b) The applicant desires to adopt, but is unwilling to adopt a child under the custodial control of the cabinet.

††††† (2) If the foster or adoptive applicant disagrees with the cabinet's recommendation to not accept the applicant as a foster or adoptive home, designated cabinet staff shall review the request to become a foster or adoptive parent and issue a final written determination regarding the cabinet's recommendation.

 

††††† Section 9. Expectations of a Foster or Adoptive Home. A foster or adoptive home providing services for a child in the custody of the cabinet shall:

††††† (1) Provide a child placed by the cabinet with a family life, including:

††††† (a) Nutritious food;

††††† (b) Clothing comparable in quality and variety to that worn by other children with whom the child may associate;

††††† (c) Affection;

††††† (d) Life skills development;

††††† (e) Recreational opportunities;

††††† (f) Educational opportunities;

††††† (g) Nonmedical transportation;

††††† (h) Independent living services for a child age twelve (12) and older; and

††††† (i) Opportunities for development consistent with their religious, ethnic, and cultural heritage;

††††† (2) Permit cabinet staff to visit;

††††† (3) Share with cabinet staff pertinent information about a child placed by the cabinet;

††††† (4) Comply with the general supervision and direction of the cabinet concerning the care of a child placed by the cabinet;

††††† (5) Report immediately to the cabinet if there is a:

††††† (a) Change of address;

††††† (b) Hospitalization or life-threatening accident or illness of a child placed by the cabinet;

††††† (c) Change in the number of people living in the home;

††††† (d) Significant change in circumstances in the foster or adoptive home, such as income loss, marital separation, or other household stressor;

††††† (e) Child placed in the home that is absent without official leave;

††††† (f) Suicide attempt of a child placed by the cabinet; or

††††† (g) Criminal activity by the child placed by the cabinet;

††††† (6) Notify the cabinet if:

††††† (a) Leaving the state with a child placed by the cabinet for more than twenty-four (24) hours; or

††††† (b) A child placed by the cabinet is to be absent from the foster or adoptive home for more than twenty-four (24) hours;

††††† (7) Cooperate with the cabinet if a contact is arranged by cabinet staff between a child placed by the cabinet and the childís birth family including:

††††† (a) Visits;

††††† (b) Telephone calls; or

††††† (c) Mail;

††††† (8) Surrender a child to the authorized representative of the cabinet upon request;

††††† (9) Keep confidential all personal or protected health information as shared by the cabinet, in accordance with KRS 194A.060, 620.050, and 45 C.F.R. Parts 160 and 164 concerning a child placed by the cabinet or the childís birth family;

††††† (10) Support an assessment of the service needs of a child placed by the cabinet;

††††† (11) Participate in case-planning conferences concerning a child placed by the cabinet;

††††† (12) Cooperate with the implementation of the permanency goal established for a child placed by the cabinet;

††††† (13) Notify the cabinet at least fourteen (14) calendar days in advance of the homeís intent to become certified to provide foster care or adoption services through a private child-placing agency in accordance with 922 KAR 1:310;

††††† (14) Treat a child placed by the cabinet with dignity;

††††† (15) Arrange for respite care services in accordance with Section 10(5) of this administrative regulation;

††††† (16) Ensure that a child in the custody of the cabinet receives the childís designated per diem allowance;

††††† (17) Facilitate the delivery of medical care to a child placed by the cabinet as needed, including:

††††† (a) Administration of medication to the child and daily documentation of the medicationís administration; and

††††† (b) Physicals and examinations for the child;

††††† (18) Report suspected incidents of child abuse, neglect, and exploitation in accordance with KRS 620.030;

††††† (19) Comply with KRS 620.360(2); and

††††† (20) Have appeal rights in accordance with 922 KAR 1:320.

 

††††† Section 10. Reimbursements for Foster Homes. (1) Types of per diem reimbursement. The cabinet shall approve a foster home as specified in Sections 2 and 3 of this administrative regulation and authorize a per diem reimbursement as established in this subsection.

††††† (a) A basic per diem reimbursement shall be:

††††† 1. Based on the age of a child placed by the cabinet in the foster home; and

††††† 2. Made to the foster home that:

††††† a. Meets criteria specified in paragraphs (b) through (j) of this subsection; and

††††† b. Meets annual training requirements in accordance with 922 KAR 1:495, Section 3.

††††† (b) An advanced per diem reimbursement shall be:

††††† 1. Made to a foster home that has:

††††† a. Been approved for two (2) years as a foster or adoptive parent; and

††††† b. Met training requirements in accordance with 922 KAR 1:495, Section 3; and

††††† 2. Based on the age of the child placed by the cabinet.

††††† (c) A basic medically complex per diem reimbursement shall be made to a foster parent who:

††††† 1. Meets criteria specified in Section 4 of this administrative regulation; and

††††† 2. Provides for the care of a child with medical complexity.

††††† (d) An advanced medically complex per diem reimbursement shall be made to a foster parent who:

††††† 1. Meets criteria specified in Section 4 of this administrative regulation;

††††† 2. Has been approved for two (2) years as a foster or adoptive parent;

††††† 3. Has met training requirements in accordance with KRS 922 KAR 1:495, Section 3; and

††††† 4. Provides for the care of a child with medical complexity.

††††† (e) A degreed medically complex per diem reimbursement shall be made to a foster parent who:

††††† 1. Meets criteria specified in Section 4 of this administrative regulation;

††††† 2. Maintains a current license as a health professional; and

††††† 3. Provides for the care of a child with medical complexity.

††††† (f) A basic care plus foster home per diem reimbursement shall be made to a foster parent who:

††††† 1. Meets criteria specified in Section 5 of this administrative regulation; and

††††† 2. Provides for the care of a child described in Section 5(1)(b) of this administrative regulation.

††††† (g) An advanced care plus foster home per diem reimbursement shall be made to a foster parent who:

††††† 1. Meets criteria specified in Section 5 of this administrative regulation;

††††† 2. Has been approved for two (2) years as a foster or adoptive parent;

††††† 3. Has met training requirements in accordance with 922 KAR 1:495, Section 3(1); and

††††† 4. Provides for the care of a child described in Section 5(1)(b) of this administrative regulation.

††††† (h) A specialized medically complex per diem reimbursement shall be made to a foster parent who:

††††† 1. Meets criteria specified in Section 4 of this administrative regulation; and

††††† 2. Provides for the care of a child with medical complexity determined by designated cabinet staff to meet specialized medically complex criteria due to a required higher level of medical care or oversight, which may also include behavioral or emotional needs related to the medical condition.

††††† (i) A degreed specialized medically complex per diem reimbursement shall be made to a foster parent who:

††††† 1. Maintains a current license as a health professional;

††††† 2. Meets criteria specified in Section 4 of this administrative regulation; and

††††† 3. Provides for the care of a child with medical complexity determined by designated cabinet staff to meet specialized medically complex criteria due to a required higher level of medical care or oversight, which may also include behavioral or emotional needs related to the medical condition.

††††† (j) Upon placement of a child by the cabinet, a per diem reimbursement shall:

††††† 1. Be specified in a contract between an approved foster home and the cabinet; and

††††† 2. Provide for the care of a child placed by the cabinet, to include:

††††† a. Housing expenses;

††††† b. Food-related expenses;

††††† c. Nonmedical transportation;

††††† d. Clothing;

††††† e. Allowance;

††††† f. Incidentals;

††††† g. Babysitting, excluding childcare authorized in subsection (4)(b) of this section;

††††† h. Sports, recreation, and school activities;

††††† i. One (1) day of respite care per child per month; and

††††† j. School expenses.

††††† (2) Medical coverage.

††††† (a) Cabinet staff may authorize payment for medical expenses for a child in the custody of the cabinet after verification is provided that the child is not covered by health insurance, Medicaid, or the Kentucky Childrenís Health Insurance Program (K-CHIP).

††††† (b) Designated cabinet staff shall approve or deny authorization of payment for a medical treatment greater than $500.

††††† (3) Child care services.

††††† (a) The cabinet shall review requests for child care services every six (6) months for a working foster parent.

††††† (b) Designated cabinet staff may approve requests for child care services for a nonworking foster parent if:

††††† 1. A medical crisis affects the foster parent; or

††††† 2. The child care is appropriate to support the foster home or child.

††††† (c) Designated cabinet staff shall review approved requests for child care services for a nonworking foster parent every three (3) months.

††††† (d) Reimbursements shall not be made simultaneously to the same provider for foster care and child care services.

††††† (e) A foster parent shall not simultaneously be used as a licensed or certified health care or social service provider for a child placed in the foster parent's care by the cabinet.

††††† (4) Training. To the extent funds are available, the cabinet shall provide a reimbursement to an approved foster or adoptive home for ongoing training expenses commensurate with the foster or adoptive parentís training needs, including:

††††† (a) Mileage;

††††† (b) Babysitting; and

††††† (c) Tuition or fees up to the amount of:

††††† 1. $100 per parent per year; or

††††† 2. $200 per parent per year for a:

††††† a. Medically complex foster or adoptive home; or

††††† b. Care plus foster or adoptive home.

††††† (5) Respite care.

††††† (a) Respite care shall be available for a child placed by the cabinet in a foster home.

††††† (b) A foster home shall be eligible for one (1) day of respite care per month per child.

††††† (c) A foster home that cares for a child in the custody of the cabinet and meets criteria established in Sections 4 and 5 of this administrative regulation shall be eligible for three (3) days of respite care per month per child.

††††† (d) Designated cabinet staff may extend a foster parentís respite care use to fourteen (14) days if designated cabinet staff document that the:

††††† 1. Foster parent requires the additional respite care:

††††† a. To stabilize the childís placement in the foster home; or

††††† b. Due to unforeseen circumstances that may occur, such as:

††††† (i) Death in the family;

††††† (ii) Surgery; or

††††† (iii) Illness; or

††††† 2. Child placed in the foster home requires additional respite care to allow for a period of adjustment.

††††† (e) The cost of respite care shall not exceed the per diem for the child.

††††† (f) A respite care provider shall be approved in accordance with Section 17 of this administrative regulation.

††††† (6) Appeals. A foster or adoptive parent may appeal the timeliness of reimbursement in accordance with 922 KAR 1:320.

 

††††† Section 11. Home Study Requests. (1) Upon receipt of a request from another stateís Interstate Compact on the Placement of Children Administrator in the interest of a child in the legal custody of that stateís public agency, the cabinet shall complete the foster or adoptive home approval process as specified in Section 7 of this administrative regulation.

††††† (2) The cabinet shall share a previously approved home study in accordance with the Kentucky Open Records Act, KRS 61.870-61.884 and 42 U.S.C. 671(a)(23).

††††† (3) An individual may request an administrative hearing in accordance with 922 KAR 1:320 for failure of the cabinet to act in accordance with subsections (1) and (2) of this section.

 

††††† Section 12. Foster or Adoptive Home Annual Reevaluation. (1) Prior to or during the month of the anniversary date of the initial approval as a foster or adoptive parent, the foster or adoptive parent shall be required to complete annual training requirements as specified in 922 KAR 1:495.

††††† (2)(a) Failure to meet training requirements specified in subsection (1) of this section shall lead to closure unless an exception is granted by the designated cabinet staff for a foster parent caring for a child in the custody of the cabinet and it is determined that it is in the best interest of a child placed in the foster home.

††††† (b) If an exception is approved as specified in paragraph (a) of this subsection, a new or additional child shall not be placed in the home until the foster parent has met the training requirement.

††††† (3) A cabinet staff member shall conduct a personal, in-home interview with a foster or adoptive parent prior to or during the month of the anniversary date of the initial approval as a foster or adoptive home. The interviewer shall assess:

††††† (a) Any change in the foster or adoptive home;

††††† (b) The ability of the foster or adoptive home parent to meet the needs of a child placed in the home; and

††††† (c) Continuing compliance with the requirements of Sections 2 and 3 of this administrative regulation.

††††† (4) The cabinet staff person shall document requirements of subsection (3) of this section to include:

††††† (a) A list of persons residing in or frequently in the home within the past twelve (12) months;

††††† (b) A list of all foster children placed in the home within the past twelve (12) months and exit reasons for the children no longer in the home;

††††† (c) Use of formal and informal support systems including:

††††† 1. Respite;

††††† 2. Extended family support; and

††††† 3. Friends or community partners;

††††† (d) Description of parenting and discipline strategies;

††††† (e) Changes in the physical environment including:

††††† 1. Address change; and

††††† 2. School district change;

††††† (f) Discussion of stressors within the home to include:

††††† 1. Pregnancy or birth;

††††† 2. Physical or mental health conditions;

††††† 3. Employment changes;

††††† 4. Financial changes;

††††† 5. Death, grief, or loss;

††††† 6. Childhood trauma; and

††††† 7. Divorce or personal relationship changes;

††††† (g) Alcohol or drug use and any substance abuse treatment;

††††† (h) Functioning of relationships within the household;

††††† (i) Assessment of the familyís ability to meet the needs of the children placed in the home;

††††† (j) List of foster or adoptive home reviews;

††††† (k) Areas of concern or actions to be addressed that may exist within the household; and

††††† (l) Placement recommendations.

 

††††† Section 13. Foster or Adoptive Home Reviews. (1) Upon notification of a factor that may place unusual stress on the foster or adoptive home or create a situation that may place a child at risk, cabinet staff shall:

††††† (a) Immediately asses the health and safety risk of the child; and

††††† (b) Complete a review of the foster or adoptive home within thirty (30) calendar days.

††††† (2) Factors that shall result in a review of a foster or adoptive home shall include:

††††† (a) Death or disability of a family member;

††††† (b) Sudden onset of a health condition that would impair a foster or adoptive parentís ability to care for a child placed in the home by the cabinet;

††††† (c) Change in marital status or home address;

††††† (d) Sudden, substantial decrease in, or loss of, income;

††††† (e) Childbirth;

††††† (f) Use of a form of punishment that includes:

††††† 1. Cruel, severe, or humiliating actions;

††††† 2. Corporal punishment inflicted in any manner;

††††† 3. Denial of food, clothing, or shelter;

††††† 4. Withholding implementation of the childís treatment plan;

††††† 5. Denial of visits, telephone, or mail contacts with family members, unless authorized by a court of competent jurisdiction; and

††††† 6. Assignment of extremely strenuous exercise or work;

††††† (g) A report of abuse, neglect, or dependency that results in a finding that:

††††† 1. Is substantiated; or

††††† 2. Reveals concern relating to the health, safety, and well-being of the child;

††††† (h) If the foster or adoptive parent is cited with, charged with, or arrested due to a violation of law other than a minor traffic offense; or

††††† (i) Other factor identified by cabinet staff that jeopardizes the physical, mental, or emotional well-being of the child.

††††† (3) The narrative of the review shall contain:

††††† (a) Identifying information;

††††† (b) Current composition of the household;

††††† (c) Description of the situation that initiated the review;

††††† (d) An evaluation of the foster or adoptive home's family functioning to determine if the child's needs are met; and

††††† (e) A plan for corrective action that may include a recommendation for closure of the foster or adoptive home.

 

††††† Section 14. Closure of an Approved Foster or Adoptive Home. (1) A foster or adoptive home shall be closed if:

††††† (a) Cabinet staff determines that the family does not meet the general requirements, as specified in Sections 2 and 3 of this administrative regulation, for a foster or adoptive home;

††††† (b) A situation exists that is not in the best interest of a child;

††††† (c) Sexual abuse or exploitation by the foster or adoptive parent or by another resident of the household is substantiated;

††††† (d) Substantiated child abuse or neglect by a resident of the household occurs that is serious in nature or warrants removal of a child;

††††† (e) A serious physical or mental illness develops that may impair or preclude adequate care of the child by the foster or adoptive parent; or

††††† (f) The cabinet has not placed a child in the home within the preceding two (2) year period.

††††† (2) A foster or adoptive home may be closed according to the terms of the contract between the cabinet and the foster or adoptive home.

††††† (3) If it is necessary to close an approved foster or adoptive home, the reason shall be stated by cabinet staff in a personal interview with the family, unless the family refuses or declines the personal interview.

††††† (4) The cabinet shall:

††††† (a) Confirm, in a written notice to the foster or adoptive parent, the decision to close a home; and

††††† (b) Deliver the notice to the foster or adoptive home within fourteen (14) calendar days of the interview with a foster or adoptive parent.

††††† (5) The written notice for closure of a foster or adoptive home shall include:

††††† (a) Notice that the cabinet shall not place a child in the home; and

††††† (b) The reason why the foster or adoptive home is being closed.

 

††††† Section 15. Reapplication. (1) A former foster or adoptive home parent whose home was closed pursuant to Section 14(1)(a) through (f) of this administrative regulation may be considered for reapproval if the cause of closure has been resolved.

††††† (2) To reapply, a former foster or adoptive parent shall:

††††† (a) Attend an informational meeting; and

††††† (b) Submit the:

††††† 1. Names of references specified in Section 2(13) of this administrative regulation; and

††††† 2. Authorization for criminal records release specified in Section 2(17) of this administrative regulation.

††††† (3) A reapplying former foster or adoptive parent shall reenroll and complete training requirements, as specified in Section 6 of this administrative regulation, unless:

††††† (a) The former foster or adoptive parent has previously completed training requirements, as specified in Section 6(2) of this administrative regulation; and

††††† (b) An exception to reenrollment is provided by designated cabinet staff which have ascertained that the former foster or adoptive parent otherwise meets the necessary skill level.

 

††††† Section 16. Placement Considerations. (1) Unless an exception is approved pursuant to subsection (2) of this section because a placement is in the best interest of the child and specific support services will be provided, the requirements established by this subsection shall apply to foster homes.

††††† (a) More than five (5) children, including children under the custodial control of the cabinet and the foster parentís own children living in the home, shall not reside in a foster home.

††††† (b) More than two (2) children under age two (2), including children under the custodial control of the cabinet and the foster parentís own children living in the home, shall not reside in a foster home.

††††† (c) A child with medical complexity shall be placed in an approved medically complex home.

††††† (2) To request an exception to the criteria established by subsection (1) of this section, cabinet staff shall submit the DPP-112A, DCBS Placement Exception Request, to designated cabinet staff prior to the proposed placement documenting:

††††† (a) The reason the placement is in the best interest of the child; and

††††† (b) Specific support services to be provided.

††††† (3) If an exception to subsection (1) or (2) of this section is necessary for a placement to occur outside of normal business hours:

††††† (a) Cabinet staff shall verbally provide all information contained within the DPP-112A to designated cabinet staff prior to the placement;

††††† (b) A verbal approval from designated cabinet staff shall be required prior to the placement occurring; and

††††† (c) The completed DPP-112A shall be submitted on the first business day following placement.

††††† (4) Cabinet staff shall inform the foster parent of conditions related to the child in accordance with:

††††† (a) KRS 605.090(1)(b); and

††††† (b) KRS 605.090(6).

††††† (5) A foster or adoptive parent may adopt a child for whom parental rights have been terminated if:

††††† (a) Foster or adoptive parent adoption is determined by cabinet staff to be in the best interest of the child;

††††† (b) The child resides in the foster or adoptive home; and

††††† (c) Criteria in 922 KAR 1:100 are met.

††††† (6) If a foster or adoptive parent expresses interest in adopting a foster child currently placed in the home and an alternative permanent placement is in the childís best interest, cabinet staff shall meet with the foster or adoptive parent prior to selection of an adoptive home to explain:

††††† (a) Why an alternative permanent placement is in the childís best interest; and

††††† (b) The foster or adoptive parentís right to submit a request to the cabinet to reconsider the recommendation.

 

††††† Section 17. Requirements for Respite Care Providers. (1) A respite care provider shall:

††††† (a) Be:

††††† 1. An approved foster or adoptive home; or

††††† 2. Approved in accordance with subsection (2) of this section; and

††††† (b) Receive preparation for placement of a child, including information in accordance with:

††††† 1. KRS 605.090(1)(b); and

††††† 2. Section 4(1)(e) through (g) of this administrative regulation, if the child is designated as medically complex.

††††† (2) If a foster or adoptive parent chooses a respite care provider who is not an approved foster or adoptive home, the respite care provider shall:

††††† (a)1. Meet criteria established in Sections 2(1), (2), (17), (18) and 3 of this administrative regulation if respite care is provided outside the home of the foster or adoptive parent; or

††††† 2. Meet criteria established in Section 2(1), (2), (17), and (18) of this administrative regulation if respite care is provided inside the home of the foster or adoptive parent; and

††††† (b)1. If providing respite care for a child described in Section 5(1)(b) of this administrative regulation, have:

††††† a. Child-specific training in the mental health treatment of children or their families; or

††††† b. A certificate of completion for twelve (12) hours of care plus training specified in 922 KAR 1:495, Section 6(1); or

††††† 2. If providing respite care for a child with medical complexity or specialized medical complexity:

††††† a. Meet training requirements in accordance with 922 KAR 1:495, Section 7;

††††† b. Hold a current certificate in first aid;

††††† c. Hold a current certificate in infant, child, and adult CPR; and

††††† d. Receive child specific training from a health professional or a foster parent who has been trained by a health professional in how to care for the specific medical needs of the child.

††††† (3) A respite care provider:

††††† (a) May attend pre-service training as specified in Section 6 of this administrative regulation; and

††††† (b) Shall comply with Sections 16 and 17 of this administrative regulation.

 

††††† Section 18. Incorporation by Reference. (1) The following material is incorporated by reference:

††††† (a) "DPP-107, Health Information Required for Foster or Adoptive Parents, Applicants, or Adult Household Members", 10/15;

††††† (b) "DPP-108, Health Information Required for Foster or Adoptive Parents or Applicants Regarding Dependent Children", 10/15; and

††††† (c) "DPP-112A, DCBS Placement Exception Request", 10/15.

††††† (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Department for Community Based Services, 275 East Main Street, Frankfort, Kentucky 40621, Monday through Friday, 8 a.m. to 4:30 p.m. (19 Ky.R. 1278; Am. 1570; eff. 12-16-92; Recodified from 905 KAR 1:350, 10-30-98; 26 Ky.R. 2090; 27 Ky.R. 177; 543; eff. 8-14-2000; 30 Ky.R. 1688; 2086; 2476; eff. 6-16-04; 32 Ky.R. 1943; 33 Ky.R. 149; 435; eff. 9-1-06; 34 Ky.R. 1884; 2290; eff. 5-2-2008; TAm eff. 2-22-2010; TAm. eff. 8-24-2010; 42 Ky.R. 184; 1262; 1534; eff. 11-18-2015.)