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Services Provided to Parent or Custodian
Based on the most current assessment of the parent's needs, select any applicable or identified areas of need, and if known, list the name of the current or possible service providers as well as the status of the service:
(Select all that apply)
Current Needs | Specific Service Provider(s) | Status of Service
Participation in Family Group Decision Making | (Safety Meetings) KCHHS | Currently participating
Mental health services | TBD | Not completed
Chemical health assessment | TBD | Not completed
Further explanation of reasonable/active efforts | Supervised Visitation at KCHHS or Harmony Visitation Center | Currently participating
Support and Services for Child Detail
What are the child's identified safety, well-being, and permanency needs while in out-of-home placement?
The child is in need of a home that is free from all drugs not prescribed to them and care givers and household members that are not under the influence or using drugs in the home. The child also needs to attend any medical and educational appointments.
What specific services, programs, and supports will the child participate in to meet their safety, well-being, and permanency needs? Include the agency's reasonable or active efforts to locate and utilize culturally and tribally appropriate services:
-Supervised Visitation
-Court
-Safety planning meetings
-Church
What reasonable or active efforts will the agency make to support the child's ability to engage and participate in services?
-Case planning
-Supervised Visitation
-Transportation help
How frequently will the child's participation in services be reviewed to ensure their safety and well-being needs are appropriately met and that adequate progress is made towards timely permanency?
Formally every 6 months and informally every visit.
Services Provided to Child
Based on the most current assessment of the child's needs, select any applicable or identified areas of need, and if known, list the names of the current or tentative service providers, as well as the status of the service:
(Select all that apply)
Current Needs | Specific Service Provider(s) | Status of Service
Child development assessment | PSC | Not completed
Establishing and maintaining connections | Supervised visitation (KCHHS or Harmony Visitation Center) | Currently participating
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Support and Services for Foster Providers Detail
(Includes both foster homes and facilities)
What are the needs of the foster care provider(s) related to supporting placement stability and ensuring the child's safety, well-being, and permanency needs are met while in out-of-home placement?
Shelter 1 has not identified any needs to assist with the child's safety or wellbeing. The agency will be making referrals to any services that may be needed and assist with supervised visitation and transportation as needed.
What specific services, programs, and supports will be provided to the foster care provider to ensure their ability to meet the child's safety, well-being, and permanency needs? Include the agency's reasonable or active efforts to locate and utilize culturally and tribally appropriate services:
-Monthly foster care payments
-Foster care licensing
What will the agency do to support the foster care provider's ability to engage and participate in services?
The agency will have at least monthly contact with Shelter 1 regarding any services or help that may be needed.
How frequently will their participation in services be reviewed to ensure the child's safety and well-being needs are appropriately met and adequate progress is being made towards timely permanency?
Progress will be reviewed every month during home visits.
Services Provided for Foster Care Providers
Based on the most currents assessment of the foster care provider's needs, select any applicable or identified areas of need, and if known, list the names of the current or tentative service providers, as well as the status of the services. This may include the foster care provider's own respective needs, as well as services needed to support their ability to meet the child's needs while the child is in out-of-home placement:
(Select all that apply)
Current Needs | Specific Service Provider(s) | Status of Service
Monthly caseworker visits | KCHHS | Currently participating
Supportive and Important Relationships and Connections
What are the relationships to establish, maintain, and support between the child and their parents, legal guardians, relatives, members of their tribe, other important people who are considered family members, and other committed adults:
(Select all that apply)
*Child has a relationship with a birth parent or legal guardian where continuing contact is needed
*Child has sibling(s) living in the same home
*Child has a relationship with a birth relative, kin, or other important person where continuing contact is needed
*Child has a positive relationship with their current foster care provider
Specifically describe how the foster care provider supports contact with the birth family and other people important to the child:
Shelter 1 has coordinated for the children to spend time with [redacted] Shelter 1 is also supportive of visitation with Mr. And Mrs. Rekieta and is willing to supervise visitation.
To assist with supporting and preserving this child's relationships and connections to their parents, siblings and relatives, and other important people, the agency:
*Shall maintain visitation between the child and their parents, their siblings, or their other relatives in order to support preserved relationships.
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Visitation Status and Plan
Detail individuals with whom the child may have an existing important relationship or with whom the child would like to establish a relationship who may have contact and/or visit with the child, This may include, but is not limited to, the child's minor or adult siblings and relatives, including non-biological relatives/kin and/or either individuals with whom the child has lived or has a significant relationship as defined in Minnesota Statutes, Section 260C.007.
Detail who will visit the child, the frequency of the visits, where the visits will take place, the transportation plan for the child and the visitor, and if needed due to safety and/or well-being concerns, who will supervise the visits:
Visitor/Contact | Contact Type | Location | Supervised?
Relationship | Frequency | Transportation Plan | Supervisor
[redacted] | In person, phone | At their home or foster parents home | No
[redacted] | TBD | TBD | N/A
Nick and Kayla Rekieta | In person, zoom, phone |Agency or Harmony Visitation Center | Yes
Parents | (In person) 1-2x/week | Foster Parents | KCHHS or Harmony Visitation Center
If the agency has identified safety concerns about specific individuals with whom the child has an important relationship and contact and/or visitation is determined to be in the child's best interests, with appropriate conditions, detail the specific concerns for each individual and the agency's efforts to support an appropriate level of contact and/or visitation that adequately maintains the child's safety and well-being:
The agency has concerns regarding the drugs found in the home around the children and that the children would be endangered when sobriety isn't established.
Health Care Providers
Medical Providers
[Not transcribing this because it is not significant to discussion here, one physician (probably primary care or pediatrician) is listed]
Health Status
(Select all that apply)
*Screening identified no physical health needs and child only requires routine care and follow-up
*Screening identified no dental health needs and child only requires routine care and follow-up
*Screening identified no vision needs and child only requires routine care and follow-up
*Screening identified no hearing needs and child only requires routine care and follow-up
*Screening identified no need for mental health services
*Has no known allergies
Allergies or medical problems
*Takes medication for ADHD
Specifically describe the child's medical (physical, vision, hearing), dental, mental, and chemical health care. Include information about the selected areas of health needs, the frequency of care or required interventions or treatments:
The child only requires regular medical appointments.
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Immunization and Medication Information
Immunization Record
Child is current on all age-recommended immunizations? Yes
Agency has a copy of the child's immunization record? Yes
Medication
Is the child prescribed psychotropic medication? Yes
If yes, how many psychotropic medications is the child taking concurrently: 1
Provide detail regarding the child's medication, including the type/name, dosage, and frequency: Prescribed Methylphenidate
Summarize the plan to ensure oversight of prescription medication for mental or behavioral health issues, including ensuring a foster child is seen regularly by a physician and regular follow up with the foster parents/caregivers and foster child about administering medication appropriately and the child's experience (possible side effects) with the medication:
Shelter 1 will administer the medications for the child and will participate in any medical appointments for the child. Shelter 1 will ensure that the children are taking all prescribed medications on time and as prescribed by following the instructions on the medicine container.
Education Detail
Education Status
(Select all that apply)
*Other setting
Describe the alternative education setting and plan:
The parents home school the children.
Permanency Plan
Length of Time in Foster Care
Statewide cumulative placement: 11
Days in current continuous placement: 11
Primary Permanency Plan
Plan Name: Reunify with parent(s) or legal guardian(s)
Plan established date: 05/23/2024
Concurrent Permanency Plan
Plan Name: Not yet determined
Plan established date: 05/23/2024
Describe the agency's reasonable or active efforts to involve the child, parent(s), siblings, relatives and extended family, and tribe in developing an appropriate permanency plan:
The agency has started a relative search and the children are placed in a concurrent relative placement.
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Monthly Caseworker Visitation Plan
Detail the plan for who will be responsible for conducting monthly visits with the child/youth to ensure their safety, well-being and permanency needs are met while in placement. This includes both agency caseworkers AND, if applicable, another person from a separate agency whom the responsible social services agency has designated to be responsible for monthly caseworker visits:
[Two Agents listed from KCHHS, not Aleisha Sweep, I am not sure they are significant to discussion]
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[blank]
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[Signature Setup form with Nick, Kayla, the Guardian ad litem, Foster care provider, caseworkers and their supervisor listed]
