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3.1 <br /> <br />Information Maintained for Effectiveness Measurement: List the data elements and records the program will maintain to document <br />~ts effectiveness. <br /> <br />Child's file will be maintained at the group home contain admission form, student intake record, parcntal consent <br />for nonprescription, social summary, student visitation forms, plan of care forms, staff long sheets regarding each <br />child. <br />Department of Social Services ~vill keep a folder on each child containing a court order showing custody with <br />Department of Social Services, terrmnation summary on the child, case dictation involving family counseling and <br />coordination of services to the child and family, monthly progress reports submitted by the home to DSS, client <br />tracking forms submitted to CBA office. <br />Budget information documenting in-kind and cash flow' kept by both the home and DSS. <br />Staff'work schedule kept by the home. <br /> <br /> <br />