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I Crime Control' Grant Application ..... I Page 5 N.C: Depa~ment ot and Public Safety Pro]~'t Ner~tlve Desc~ptlon: MONITORING/ GOVERNOR'S CRIME COMMISSION EVALUATION CRITERIA P.O. Box 276B7 Raleigh, North Carolina 27611 (919) 733-5013 Begln below and add es many continuation pages nec~i~ary, ~bnitoring in temporary shelter care is done through the following records. A file is maintained by Lutheran Family Services on each child admitted. This file contains the following forms: (1) Child's information sheet completed at aclmission~ and an ad~ission agreement. (2) Placement Progress Report. This form keeps a running record we~kly of what progres~ has been made toward a plan for this child in leaving temporary shelter care. (3) A weekend activity planning record. (4) A daily log showing the child's disciplinary actions, DSS contact, personal observation by 5taf£ and Co~ents~regarcLin. E tho child's adjustment that ~lay., (5) An approach plan which describes the child s problems, needs and approach to ~eet~nE the needs. (6) A basic clothing list. (?) Receipts for purchases (8) A termination Sl,~rn~ry (9) Con, ants from the staff or other information as needed. At the DSS, information is kept in the child's folder regarding the date he was placed at Lutheran Home, each conference that is held with the child or his family or any outside agency, all medical, psychological and education conferences and a copy of /he termination sun~aary completed by Lutheran Family Services. In addition, the CBA tracking forms are kept on each child referred. Contracts for consulting services, copy of Jicense, names and qualifications o~ individuals employed as staff and amount of training as well as proof of availability of medical assistance is kept on file at Lutheran Services. Coordination with law enforcement is done through the task £orce ~eetings as welY as the screening co~ittee ~eetings and averages contact at least monthly. A listing o£ the ~embers o£ the local adviso board is kept by the task force chairperson. The CBA client tracking £orms will evaluate the number of children referred and those who ~ere not admitted and ~'hy they were rejected. Lutheran Homes will keep a file of the number o~ children who ran away from the project facility during this period. Lutheran Homes will keep a log of who visi;s the residents and dates o£ visits. The DSS will continue to evaluate the number o£ children who are involved in a crisis situation and compare that number wi~h the number of ad~isslons to the Temporary Shelter Care. Statistics will be kept regarding number o£ children placed in other facilities who were in crisis situations as well as the number placed in Lutheran Home. Lutheran Home and DSS £iles ~ill provide in£or~ation to doctunent the number o£ children who ~ere placed in the Temporary Shelter Care and those who achieve stability and those who did not. The DSS will contact each child after he has completed his stay at the Temporary Shelter Care six months after discharge date to determine if the child continueg to reside in placement, if he has come to the attention o£ the cot~rt, what his school adjustment has been and i£ the child's parents, guardian or placement person agrees that the situation has been stable for the past six months. This will be done by a contact from DSS. The CBA Evaluation Co~ittee will ~onitor goal achievement through on-site visits, client tracking forms, and review.