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3.1 <br /> <br />[nfo rmation Maintained for Effectiveness Measurement: List the data elements and records the program will maintain to document <br />its effectiveness. <br /> <br />1. Child's file will be maintained at the group home contain admission form, student intake record, parental consent <br /> for nonprescription, social summary, student visitation forms, plan of care forms, staff long sheets regarding each <br /> child. <br />2. Departrnent of Social Services will keep a folder on each child containing a court order showing custody wi~h <br /> Depa~'t~ent of Social Services, termination 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 />3. Budget information documeming in-kind and cash flow kept by both the home and DSS. <br />4. Staff work schedule kept by the home. <br /> <br /> <br />