STATE OF WISCONSIN
Department of Health and Family Services
Division of Children and Family Services

                DCFS Memo Series 2002 - 13
                October 17, 2002

       Re:    DATA COLLECTION SYSTEM
                FOR DENIALS, REVOCATIONS
                AND NON-RENEWALS OF
                FOSTER HOME AND TREATMENT
                FOSTER HOME LICENSES BASED
                ON CH. HFS 12, ADM. CODE

 

To:

Area Administrators/Assistant Area Administrators
Bureau Directors
County Departments of Community Programs Directors
County Departments of Developmental Disabilities Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
Licensing Chiefs/Section Chiefs
Tribal Chairpersons/Human Services Facilitators

From:

Susan N. Dreyfus
Administrator

Document Summary

This memo explains the Children's License Denial data system and reporting procedures concerning denials, revocations or non-renewals based upon HFS 12, Adm. Code, violations.

 

The Department, in conjunction with the Departments of Justice and Workforce Development, has developed a data collection system related to information on individuals who have had a foster home or treatment foster home license denied, revoked or not renewed on the basis of a conviction or substantiation articulated in 
s. 48.685(4m)(a), Stats., or Ch. HFS 12, Adm. Code, related to criminal backgrounds. (Ch. HFS 12 and Appendix A to that rule which lists the pertinent offenses can be found at the Department's Web site at http://www.dhfs.state.wi.us/caregiver/index.htm).

The Department's data collection system is interfaced with the Department of Justice (DOJ) system so that when you submit a criminal background check request to DOJ, the request will automatically be referred to the Children's License Denial (CLD) system. You will receive a letter from the CLD system whether or not the name submitted for a background check is included on the system.

All agencies are required to provide this information to the Department in accordance with state statute and administrative rule. This information must be sent using the attached form as soon as possible after a substantiation or conviction. In the case that an appeal overturns a finding or conviction, resend the form indicating that the original finding or conviction was overturned. The database will then be modified so that the individual does not appear on a background check.

A revised form has been developed in conjunction with the Bureau of Regulation and Licensing and the Office of Child Care. The HFS 12 Negative Action Notice form (CFS-2191) is available for order at the Forms Unit, DHFS/DCFS, P. O. Box 8916, Madison, WI 53708-8916. It can also be accessed on the Internet at following site: www.dhfs.state.wi.us/forms/dcfs/CFS2191.pdf

Using the attached form, send or fax the information to the appropriate address below. All fields on the form must be completed in order to be entered into the CLD system. Public agencies send this form to the Bureau of Programs and Polices (BPP) and private child placing agencies send this form to the Bureau of Regulation and Licensing (BRL).

HFS 12 Negative Action Notice
DHFS/DCFS/BPP
P.O. Box 8916
Madison, WI 53708-8916
FAX: (608) 264-6750

HFS 12 Negative Action Notice
DHFS/DCFS/BRL
P. O. Box 8916
Madison, WI 53708-8916
FAX: (608) 267-7252

Thank you very much for your cooperation with this important effort.

REGIONAL OFFICE CONTACT:

Area Administrator

CENTRAL OFFICE CONTACT:

S. Kate Johnson
Out of Home Care Planner
DHFS/DCFS/BPP
P.O. Box 8916
Madison, WI 53708-8916
Phone: (608) 266-6874
FAX: (608) 264-6750
E-Mail: johnsk@dhfs.state.wi.us

c:      County Foster Care Coordinators


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