Or. Admin. Code § 411-348-0045 - In-Residence Caregiver Applicant Study
(1) A program provider submitting an
application for licensure of a Host Home must complete and submit an
In-Residence Caregiver Applicant Study. The In-Residence Caregiver Applicant
Study must contain documentation of all of the following:
(a) The names and ages of all occupants of
the home, including identification of which adults shall be responsible for
providing care and support to children residing in the home and which, if any,
adults residing in the home are dependent upon care.
(b) Reports of all criminal charges, arrests,
or convictions, including the date of the offense and the resolution of those
charges, for all occupants of the home. If minor children of an in-residence
caregiver are residing in the home, the In-Residence Caregiver Applicant Study
must also list reports of all criminal or juvenile delinquency charges,
arrests, or convictions, including the date of the offense and the resolution
of those charges.
(c) Founded
reports of child abuse or substantiated abuse, including dates, locations, and
resolutions of those reports, for all occupants of the home.
(d) Names and addresses of any agencies in
the Unites States where any occupant of the home has been licensed or certified
to provide care to children or adults and the status of such license or
certification, including license or certification for foster or residential
care or nursing.
(e) Any
professional licenses or certifications currently or previously held by the
in-residence caregiver or other adult occupants of the home, and the status of
each license or certificate.
(f)
Copy of the in-residence caregiver's current driver's license and proof of
insurance coverage on all vehicles used by the in-residence caregiver to
provide transportation to children.
(g) Disclosure of any current or past
Medicaid Provider Enrollments or Medicaid Provider Identifications held by
occupants of the home, including a report of the status of each enrollment. Any
reported termination of Medicaid enrollment or identification must include a
description of the reason for the termination.
(h) Completed character reference checks for
the in-residence caregiver. There must be four character reference check
sources for each in-residence caregiver who have known the in-residence
caregiver for two years or more and can attest to the character of the
in-residence caregiver and the in-residence caregiver's ability to care for
children. Three of the reference check sources may not be related to the
in-residence caregiver.
(i) A
physician's statement for the in-residence caregiver that the in-residence
caregiver is physically and mentally capable of providing care, to the extent
that there are no known issues that prevent or interfere with the in-residence
caregiver's ability to provide care to a child.
(j) A disclosure of all past residences in
the last five years for the in-residence caregiver. The disclosure must include
the address, city, state, and zip code.
(k) A statement from the program provider
recommending the in-residence caregiver based on the belief the in-residence
caregiver has the necessary skills, knowledge of child development,
temperament, and resources to provide a stable and nurturing family home
environment for a child placed in the Host Home. The program provider must
assess the in-residence caregiver's ability to demonstrate all of the following
attributes:
(A) Responsible, stable,
emotionally mature adult who exercises sound judgment.
(B) Interest, motivation, and ability to
nurture, support, and meet the mental, physical, developmental, and emotional
needs of a child placed in the Host Home.
(C) Willing to receive training and have the
ability to learn and use effective child-rearing practices to enable a child
placed in the Host Home to grow, develop, and build positive personal
relationships and self-esteem.
(D)
Demonstrates the knowledge and understanding of positive supports and ways of
helping a child build positive personal relationships, self-control, and
self-esteem.
(E) Respects a child's
relationship with their parents and siblings and is willing to work in
partnership with family members, agencies, and schools involved with a child
placed in the Host Home to attain the goals as listed in the child's IEP, ISP,
and other care plans.
(F) Respects
a child's privacy in accordance with the child's age and care needs.
(G) Has supportive ties with others who might
support, comfort, and provide advice, such as family, friends, neighborhood
contacts, churches, or community groups.
(H) Demonstrates a lifestyle and personal
habits free from abuse or misuse of alcohol or drugs.
(I) Is able to realistically evaluate which
children the in-residence caregiver may accept, work with, and integrate into
their family home.
(2) Adults (other than the in-residence
caregiver and program provider) having regular contact with a child placed in a
Host Home, including volunteers, family members, acquaintances of the
in-residence caregiver, and any subject individual as defined in OAR
407-007-0210, must also be
identified and documentation of a completed background check must be submitted
to the Department with the In-Residence Caregiver Applicant Study. Regular
contact applies to visitors who have any role in supervising or providing
direct care to children in the home, regardless of frequency of visit to the
home.
(3) The Department may
require documentation of an approved background check on members of an
in-residence caregiver's household who are under the age of 18 if there is
reason to believe that a minor household member may pose a risk to children
placed in the home. Background checks required by the Department for minor
household members must be included in the In-Residence Caregiver Applicant
Study.
(4) The Department may not
proceed with the licensing of a Host Home if the In-Residence Caregiver
Applicant Study is not complete.
(5) Falsification or omission of any of the
information of the In-Residence Caregiver Applicant Study may be grounds for
denial or revocation of a Host Home license.
Notes
Statutory/Other Authority: ORS 409.050, 427.104, 441.715, 443.450 & 443.455
Statutes/Other Implemented: ORS 427.104, 441.705-441.720, 441.740, 441.745, 443.384, 443.392, 443.400-443.445, 443.450, 443.455, 443.880, 443.881 & 443.991
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