Form CFS387 "Adoption and Safe Familes Act (Asfa) Survey for Administrative Case Review" - Illinois

What Is Form CFS387?

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

Form Details:

  • Released on September 1, 2007;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • 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 CFS387 by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS387 "Adoption and Safe Familes Act (Asfa) Survey for Administrative Case Review" - Illinois

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CFS 387
09/2007
STATE OF ILLINOIS
DEPARTMENT OF CHILDREN AND FAMILY SERVICES
ADOPTION AND SAFE FAMILES ACT (ASFA)
SURVEY
FOR ADMINISTRATIVE CASE REVIEW
Instructions:
This form is to be completed by the caseworker for each child in foster care and brought to the
administrative case review.
Calculating 15 out of 22 months: If a child moves in and out of foster care during the first 22
months after entering foster care, each episode that the child is in foster care counts toward the 15
month total in Item 1, below. Example: A child is in foster care for 12 months, goes back home for
th
4 months and comes back into care. The month the child re-enters foster care is counted as the 13
month toward the cumulative 15 months. Trial home visits and runaway episodes are not counted
in calculating the cumulative 15 months in foster care.
Date completing this form:
Family ID#:
Primary Case Worker:
Family RSF:
Primary Case Worker Supv:
RSF:
Telephone:
Permanency Goal:
Docket #:
Case Name:
Date of Temporary Custody:
Case ID #:
Current Legal Status:
DOB:
1.
Has this child been in foster care for 15 of the most recent 22 months?
Yes
No
OR
Is this a child under the age of two years who was determined at an
Yes
No
adjudicatory hearing to be abandoned?
OR
Is this a child whose parent has been criminally convicted of any of the
Yes
No
following:
i)
murder of another child of the parent,
ii)
voluntary manslaughter of another child of parent (second degree murder)
iii)
aiding or abetting, attempting, conspiring, or soliciting to commit such a murder or such a
voluntary manslaughter (under Illinois statute these crimes include “solicitation to commit murder
of any child, murder for hire of any child, or solicitation to commit second degree murder of any
child”) or
CFS 387
09/2007
STATE OF ILLINOIS
DEPARTMENT OF CHILDREN AND FAMILY SERVICES
ADOPTION AND SAFE FAMILES ACT (ASFA)
SURVEY
FOR ADMINISTRATIVE CASE REVIEW
Instructions:
This form is to be completed by the caseworker for each child in foster care and brought to the
administrative case review.
Calculating 15 out of 22 months: If a child moves in and out of foster care during the first 22
months after entering foster care, each episode that the child is in foster care counts toward the 15
month total in Item 1, below. Example: A child is in foster care for 12 months, goes back home for
th
4 months and comes back into care. The month the child re-enters foster care is counted as the 13
month toward the cumulative 15 months. Trial home visits and runaway episodes are not counted
in calculating the cumulative 15 months in foster care.
Date completing this form:
Family ID#:
Primary Case Worker:
Family RSF:
Primary Case Worker Supv:
RSF:
Telephone:
Permanency Goal:
Docket #:
Case Name:
Date of Temporary Custody:
Case ID #:
Current Legal Status:
DOB:
1.
Has this child been in foster care for 15 of the most recent 22 months?
Yes
No
OR
Is this a child under the age of two years who was determined at an
Yes
No
adjudicatory hearing to be abandoned?
OR
Is this a child whose parent has been criminally convicted of any of the
Yes
No
following:
i)
murder of another child of the parent,
ii)
voluntary manslaughter of another child of parent (second degree murder)
iii)
aiding or abetting, attempting, conspiring, or soliciting to commit such a murder or such a
voluntary manslaughter (under Illinois statute these crimes include “solicitation to commit murder
of any child, murder for hire of any child, or solicitation to commit second degree murder of any
child”) or
iv)
committing a felony assault that has resulted in serious bodily injury to the child or to another child
of the parent (under Illinois statute these crimes include “aggravated batter of a child or felony
domestic batter, any of which resulted in serious injury to the minor or a sibling of the minor, and
aggravated sexual assault”)?
2.
If yes to any of the questions above, please check any of the Reason Codes below that apply to exclude the
child from this survey.
Reason Code
Explanation
HMR
Child is currently in the care of relatives, whether licensed or unlicensed.
RET
There is a permanency goal of return home for the child of:
i)
return home within five months,
ii)
return home within one year, or
iii)
return home – status pending.
which was ordered by the court after January 1, 1998.
SGH
There is a permanency goal of guardianship that is expected to be achieved within
12 months for the child.
IND
There is a permanency goal of independence that is expected to be achieved within
12 months for the child.
AGE
Child is age 18 or over.
CON
Child age 14 or over will not consent to be adopted.
RJ1
Within past six months, the case has been rejected at legal pre-screening (Cook
County only) or screening either for lack of grounds for termination of parental
rights or more time is needed to meet the statutorily required grounds.
RJ2
The State’s Attorney has within the last six months rejected a petition to terminate
parental rights based on the best interests of the child.
OTH
Adoption has been ruled out for another compelling reason documented by the
worker and approved by the Clinical Services Manager or in the case of a purchase
of service agency, a supervisor in the office holding a Masters in Social Work
degree (example: the child has mental health problems that would make a change
in placement very traumatic to the child).
It is anticipated that use of this
compelling reason will be rare. Frequent use will trigger an inquiry requesting
further information.
CLO
Child’s case is closed.
ARR
Department has adoptive rights for the child.
HMP
Child is currently living in the home of a parent.
2
SUB
Child has never been placed in a substitute care placement.
ILO
Child is currently placed in an independent living arrangement (ILO).
If no reason code has been checked, has this case been screened to determine the appropriateness for filing
a TPR petition?
If Yes, include:
Pre-screening date (Cook):
Screening date (Downstate):
If No, explain why not:
3.
If this case has passed legal screening:
Is the minor placed in an identified adoptive placement?
Yes
No
If no, has an adoptive placement been identified for the minor?
Yes
No
If no, is the child listed with AICI?
If Yes, include AICI confirmation #:
AICI confirmation #:
If No, explain why not:
Describe the efforts being made to find an adoptive home for the child:
3
4.
If this case has passed legal screening/prescreening, has a TPR petition been filed for this case?
If Yes, include filing date:
Filing Date:
If No, explain why not:
5.
List any additional supporting comments or recommendations:
6.
List any additional tasks or documents that need to be completed:
Additional Comments:
Case Worker Signature
Supervisor Signature
Date
Date
4
ADOPTION AND SAFE FAMILES ACT (ASFA)
SURVEY
FOR ADMINISTRATIVE CASE REVIEW
Child’s Name:
Today’s Date:
ID#:
CASE REVIEWER
Did the worker bring a completed Adoption and Safe Families Act Survey to the administrative case
review?
Yes
No
Did the worker bring any documents to substantiate a child being excluded form the survey?
Yes
No
Did the worker bring the necessary documents to substantiate filing a TPR?
Yes
No
Does the service plan contain tasks and objectives necessary to prepare the case for filing a TPR petition by
the next ACT?
Yes
No
List any additional tasks or documents the worker needs to complete or obtain.
List any additional supporting comments or recommendations.
Case Reviewer
Date
5
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