Attachment 5.pdf
PDF 586 KB Posted
- Attached to
- CASE MANAGEMENT SYSTEM State and local contract opportunity
- Solicitation number
- 5400023964
- Issued by
- Richland County, South Carolina
About this file
This is a GAL (Guardian ad Litem) Monthly Child Well-Being Assessment Report form (DCA-GAL Form 510B, Rev. 01/2023) used by the South Carolina Department of Children's Advocacy to monitor the welfare of children in foster care. The form serves as a standardized monthly reporting tool for court-appointed guardians ad litem to document their face-to-face visits with assigned children, track contact hours, and assess the children's current placement and overall well-being. The form requires guardians ad litem to record specific information including the date, location, and duration of each child visit; total hours spent on court attendance, foster care reviews, and other case-related activities; any changes in child placements; the child's appearance and demeanor; school or daycare performance; current medications; visitation with parents or siblings; and any concerns regarding the placement or services needed. The form also includes sections for documenting whether children were seen alone, whether placements were contacted, and any other relevant information related to the child's treatment plan progress and wishes.
The form does not specify pricing, set-asides, incumbents, or funding sources, as it is a monitoring and reporting instrument rather than a procurement document. The tool is designed to ensure consistent, comprehensive documentation of guardian ad litem activities and child welfare assessments across South Carolina's child protection system. It serves as a foundational record for case management and judicial oversight of children in foster care, supporting compliance with state and federal child welfare requirements.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 6.xlsx | XLSX spreadsheet | |
| Attachment 4.pdf | ||
| Amendment 2.rtf | RTF text file | |
| Amendment 1.rtf | RTF text file | |
| CMS Solicitation.rtf | RTF text file | |
| Attachment 3.pdf |
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Text version
GAL Monthly Monitoring Report DCA-GAL Form 510B
(Rev. 01/2023)
GAL Monthly Child Well-Being Assessment Report
Month/YR _______Case Name:_________ Docket #: ________ GAL Name: __________ Mileage: ______ Face to Face Contacts with children:
Name of child Location (i.e., foster home, school, virtual) Date of Contact:
1.
2.
3.
4.
5.
6.
If you did not have a face-to-face visit with your child(ren), please explain here: (if the visit was virtual, please include why here)
Total Face to Face Hours visiting children…………………………………………..…………………Hours: _____
Other Hours: Attended Court (including waiting and travel)……………………………Hours: _____ Attended Foster Care Review:……………………………………………………Hours: _____ Other: (Include phone, mail, report writing, meetings, travel)……Hours: _____ ……………………………………………………………………………...Total: _____
Has the child(ren)’s placement changed since your last visit? ☐No ☐Yes
If so, please list child(ren)’s name and new address with phone number: _______________________
How did the child(ren) appear? _________________________________________________________
Was child(ren) seen alone? ☐ Yes ☐No If not, please state why: ________________________
Was the current placement contacted? ☐Yes ☐No
Any concerns with the placement? _______________________________________________________
Is the child(ren) on any new medication? ☐Yes ☐No
If yes, list child(ren) and new medication: ________________________________________________
How is the child(ren) doing in school/daycare? _____________________________________________
Are there any services the child(ren) needs? (i.e. medical, therapeutic, educational) ☐Yes ☐No
If yes, what are they? _________________________________________________________________
Is the child(ren) visiting their parents/siblings (if applicable)? If no, why not? How is visitation going? ______________________________________________________________________________
Any other information you feel is important to note? i.e., Progress on treatment plans, other concerns. Please include child(ren)’s wishes here: __________________________________________
About This Form: This is a child-visitation form and includes the basic information that should be collected at each visit. However, it is not a comprehensive list so there may be additional information that you need to ask or collect during your visits.
File details come from the government source that posted it. Updated .