Form DCF-007 "Initial Home Visit Assessment Checklist for Core Foster Care or Adoption" - Connecticut

What Is Form DCF-007?

This is a legal form that was released by the Connecticut State Department of Children and Families - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2018;
  • The latest edition provided by the Connecticut State Department of Children and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DCF-007 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Children and Families.

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Download Form DCF-007 "Initial Home Visit Assessment Checklist for Core Foster Care or Adoption" - Connecticut

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Connecticut Department of Children and Families
INITIAL HOME VISIT ASSESSMENT CHECKLIST FOR CORE FOSTER CARE OR ADOPTION
DCF-007
9/2018 (New)
Page 1 of 2
Family LAST Name:
Date:
LINK #:
FAMILY IS INTERESTED IN
Adoption
Gender:
Max # of
Age Range:
to
Select One or Enter your own
Children:
Foster Care
Race:
Any, doesn’t Matter
Ethnicity:
Any, doesn’t Matter
Comments:
Please Select One
Please Select One
EXPLAIN / COMMENTS
Financial Stability
Yes
No
Further Assessment Needed
Pets
Yes
No
Further Assessment Needed
Well Water
Yes
No
Further Assessment Needed
Firearms (If yes, storage)
Yes
No
Further Assessment Needed
Smoke Detectors (location)
Yes
No
Further Assessment Needed
Auxiliary Heating (type / location)
Yes
No
Further Assessment Needed
Mental Health Prescriptions (if yes, list provider)
Yes
No
Further Assessment Needed
Connecticut Department of Children and Families
INITIAL HOME VISIT ASSESSMENT CHECKLIST FOR CORE FOSTER CARE OR ADOPTION
DCF-007
9/2018 (New)
Page 1 of 2
Family LAST Name:
Date:
LINK #:
FAMILY IS INTERESTED IN
Adoption
Gender:
Max # of
Age Range:
to
Select One or Enter your own
Children:
Foster Care
Race:
Any, doesn’t Matter
Ethnicity:
Any, doesn’t Matter
Comments:
Please Select One
Please Select One
EXPLAIN / COMMENTS
Financial Stability
Yes
No
Further Assessment Needed
Pets
Yes
No
Further Assessment Needed
Well Water
Yes
No
Further Assessment Needed
Firearms (If yes, storage)
Yes
No
Further Assessment Needed
Smoke Detectors (location)
Yes
No
Further Assessment Needed
Auxiliary Heating (type / location)
Yes
No
Further Assessment Needed
Mental Health Prescriptions (if yes, list provider)
Yes
No
Further Assessment Needed
Connecticut Department of Children and Families
INITIAL HOME VISIT ASSESSMENT CHECKLIST FOR CORE FOSTER CARE OR ADOPTION
DCF-007
Page 2 of 4
Physical Health / Prescriptions (if yes, list provider)
Yes
No
Further Assessment Needed
Criminal Related Issues (any history / concerns)
Yes
No
Further Assessment Needed
Substance Use (any issues/concerns)
Yes
No
Further Assessment Needed
Domestic Violence/IPV (any issues/concerns)
Yes
No
Further Assessment Needed
Trauma (any issues/concerns)
Yes
No
Further Assessment Needed
CPS Involvement (any issues/concerns, either as adult /child)
Yes
No
Further Assessment Needed
Pool/Hot Tub/ Body of Water (specify / location)
Yes
No
Further Assessment Needed
Renting/Landlord (If so, notification)
Yes
No
Further Assessment Needed
Connecticut Department of Children and Families
INITIAL HOME VISIT ASSESSMENT CHECKLIST FOR CORE FOSTER CARE OR ADOPTION
DCF-007
Page 3 of 4
Legal Risk & Partnering w/ Kin & Fictive Kin (was this explained)
Yes
No
Further Assessment Needed
Immunizations (are household members immunized?)
Yes
No
Further Assessment Needed
Overview of TIPS MAPP Training provided
Yes
No
Further Assessment Needed
Support System (family, friends, colleagues, etc.)
Yes
No
Further Assessment Needed
DESCRIPTION OF HOME (*Sleeping arrangements and Household Members, etc.)
EXPLAIN / COMMENTS:
Further Assessment Needed?
Connecticut Department of Children and Families
INITIAL HOME VISIT ASSESSMENT CHECKLIST FOR CORE FOSTER CARE OR ADOPTION
DCF-007
Page 4 of 4
LINK Narrative
Date Entered:
Other Important Information:
Page of 4