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family services programs to ensure substantial conformity with the state plan requirements in Titles IV-Band IV-E of the Act. This review is known as the CFSR. After receiving the results of the CFSR review,States must enter a Program Improvement Plan (PIP) to address areas that the Children’s Bureaudetermines require improvement (45 CFR 1355.34 and 1355.35). CFSR reviews are completed by CBC and DCF staff and consist of a case file review, interviewingcase participants, and completing the on-line review instrument. In addition, these casesreceive 2nd level reviews by the Office of Child Welfare and at times, 3rd level reviews by theAdministration for Children and Families to ensure each case was accurately rated.The results of the CFSR are considered baseline performance and the PIP goal is the level ofimprovement needed to avoid financial penalties. Therefore, the PIP goal may be lower than the overallfederal and state expectation of 95%. The Department expects CBC agencies to strive toward 95%performance expectation on all CQI measures with focused activity around the federal PIP goals.The quality ratings used throughout this report are based on the Department’s CQI case reviews,including CQI/CFSR reviews and Rapid Safety Feedback reviews. The CFSR On Site Review Instrumentand Instructions and the Rapid Safety Feedback Case Review Instrument are both available on theCenter for Child Welfare website and provide details on how ratings are determined.CONTRACT AND CBC SCORECARD MEASURESDuring FY 17/18, Our Kids has met or exceeded their established contract target, federal standards andstatewide performance in nine of the thirteen measures including: M01: Rate of abuse per 100,000 days in foster careM02: % of children who are not neglected or abused during in-home servicesM03: % of children who are not neglected or abused after receiving servicesM04: % of children under supervision who are seen every 30 daysM06: % of children exiting to a permanent home within 12 months for those in care 12 to 23monthsM09: % of children in out-of-home care who received medical service in the last 12 monthsM10: % of children in out-of-home care who received dental services within the last sevenmonthsM11: % of young adults in foster care at age 18 that have completed or are enrolled insecondary educationAdoption Measure: Number of children with finalized adoptionsThese measures were successfully met in FY 16/17. (See Table 5) M02: % of children who are not neglected or abused during in-home servicesM03: % of children who are not neglected or abused after receiving servicesM04: % of children under supervision who are seen every 30 daysFY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 20197 P age

M05: % of children exiting to a permanent home within 12 months of entering careM06: % of children exiting to a permanent home within 12 months for those in care 12 to 23monthsM09: % of children in out-of-home care who received medical service in the last 12 monthsM10: % of children in out-of-home care who received dental services within the last sevenmonthsM11: % of young adults in foster care at age 18 that have completed or are enrolled insecondary educationAdoption Measure: Number of children with finalized adoptionsIn the remaining four measures, Our Kids did not meet the established targets for FY 17/18. Thesemeasures are: M05:M07:M08:M12:% of children exiting to a permanent home within 12 months of entering care% of children who do not re-enter care w/in 12 months of moving to a permanent homePlacement moves per 1,000 days in foster care% of sibling groups where all siblings are placed togetherFY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 20198 P age

Performance MeasuresContract Targets Compared to Federal Standards and Statewide PerformanceFY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 20199 P age

CHILD SAFETYThe figures and tables on the follow pages depict Our Kids‘ performance related to safety in thefollowing areas:1.2.3.4.5.6.Rate of Abuse in Foster CareNo maltreatment after Family Support ServicesNo maltreatment during in-home servicesNo maltreatment after receiving servicesChildren seen every 30 daysQualitative Case ReviewsOver FY 16/17 and FY 17/18, Our Kids has consistently shown positive performance on scorecardmeasures related to safety, however, quality reviews show a significant decrease in performance. Over75% of the cases reviewed had insufficient assessments and safety plans and only a third of casesreviewed showed sufficient quality in the contacts with the children.Analysis of the trends in performance for scorecard measures over the last 8 quarters, still show targetbeing consistently met, however there is recent negative trend related to abuse or neglect while infoster care. Despite the negative trend, this measure is still under target.RATE OF ABUSE IN FOSTER CARERate of abuse or neglect per day while in foster care (Scorecard Measure M01): This graph depictsthe rate at which children are the victimsof abuse or neglect while in foster care(per 100,000 bed days). This national dataindicator measures whether the state childwelfare agency ensures that children donot experience abuse or neglect while inthe state’s foster care system. It should benoted that this measure includes bothlicensed foster care and relative/nonrelative placements.Our Kids’ performance on this measure iscurrently below the performance targetand has been so in all the past eightquarters. Performance has been trendingnegatively in the past four quarters. (See Figure 2) Further, qualitative reviews show that despite anincrease from FY 16/17, Our Kids’ performance was below the federal performance improvement plan(PIP) goal in FY 17/18 for CQI Item 3, making concerted efforts to address risk and safety. (See Table 7)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201910 P a g e

NO MALTREATMENT AFTER FAMILY SUPPORT SERVICESPercent of children not abused or neglected within six months of termination of family supportservices. This graph depicts thepercentage of children who did not have averified maltreatment during the reportperiod. This is a Florida indicator thatmeasures the CBC’s success in enhancingthe protective factors in a family to ensurethe children remain safe after familysupport services have ended. Our Kids’performance has exceeded the state in fiveof the past eight quarters. (See Figure 3)NO MALTREATMENT DURING IN-HOME SERVICESPercent of children not abused orneglected while receiving in-homeservices (Scorecard Measure M02): Thi sgraph depicts the percentage of childrenwho did not have a verified abuse orneglect maltreatment while receiving inhome services. This indicator measureswhether the CBC was successful inpreventing subsequent maltreatment of achild while a case is open, and the CBC isproviding in-home services to the family.Our Kids has shown consistently strongperformance on this measure. In all thepast eight quarters, Our Kids exceeded theperformance target and outperformed thestate. (See Figure 4) Further, qualityreviews show that Our Kids improved FY17/18 performance by 6.3% in making concerted efforts toassess and address the risk and safety concerns relating to the child(ren) in their own homes or while infoster care. However, Our Kids’ improvement on this measure did not meet the federal PIP goal andwas below the statewide performance. (See Table 7)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201911 P a g e

CHILDREN WHO ARE NOT NEGLECTED/ABUSED AFTER RECEIVING SERVICESPercent of children not maltreated within six months of termination of supervision (ScorecardMeasure M03): This graph de pi cts thepercent of children who were not thevictims of abuse or neglect in the sixmonths immediately followingtermination of supervision.Our Kids also showed strong, consistentperformance on this measure,exceeding the performance target andstatewide performance in all the pasteight quarters. (See Figure 5) Qualityreviews show a 10.8% improvement inFY 17/18 in the agency makingconcerted efforts to provide services tothe family to prevent children’s entryinto foster care or re-entry afterreunification. (See Table 7)CHILDREN SEEN EVERY 30 DAYSChildren under supervision who are seen every 30 days (Scorecard Measure M04): This measurede picts the rate at which children are seen every 30 days while in foster care or receiving in-homeservices during the report period. Data for this measure was temporarily unavailable at the time of thisreport.FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201912 P a g e

QA CASE REVIEW DATAThe tables in this section provide the current performance in items related to child safety that are basedon qualitative case reviews. In FY 17/18, qualitative RSF reviews showed a decline in performancerelated to sufficiency of familyassessments and safety plans and inquality visits between the casemanager and child(ren). (See Table6). Although, Our Kids improvedperformance in FY17/18 CQIreviews related to child safety, casereview data indicates that Our Kidscase managers were makingconcerted efforts to assess andaddress the risk and safety concernsrelated to the children in their ownhomes or while in foster care (CQIItem 3) in only 56.3% of sampledcases which is below both thestatewide performance and theFederal PIP Goal. (See Table 7)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201913 P a g e

PERMANENCYThe graphs and tables on the follow pages depict Our Kids’ performance related to permanency in thefollowing areas:1.2.3.4.5.6.7.Permanency in 12 monthsPermanency in 12-23 monthsPermanency after 24 monthsPlacement stabilityPercent not re-entering careSiblings placed togetherQualitative case reviewsIn FY 17/18, Our Kids’ performance on measures related to permanency declined overall. Scorecardmeasures related to permanency show a decline in three of the five measures, remained steady inplacement moves and slightly improved in re-entry within 12 months. Our Kids’ FY17/18 performanceon qualitative measures declined in eight of the eleven measures and underperformed the State in tenof the eleven measures. Two qualitative measures have a federal PIP goal (CQI Item 4 and CQI Item 6).Our Kids failed to meet the federal PIP goal in both measures.PERMANENCY IN 12 MONTHSPercent of children exiting foster care to a permanent home within 12 months of entering care(Scorecard Measure M05): This graph depicts the percentage of children who entered foster careduring the report period where the childachieved permanency within 12 monthsof entering foster care.Our Kids has seen an overall negativetrend in performance for this measureover the last eight quarters, withperformance falling well below target.(See Figure 7) This correlates with the16.1% decline in performance onquality reviews on concerted efforts toestablish a permanency goal. (SeeTable 9)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201914 P a g e

PERMANENCY IN 12 – 23 MONTHSPercent of children exiting foster care to a permanent home in 12 months for children in foster care12 to 23 months (Scorecard Measure M06): This graph provides the percentage of children in fostercare whose length of stay is betweentwelve 12 and 23 months as of thebeginning of the report period whoachieved permanency within twelvemonths of the beginning of the reportperiod.Our Kids has consistanlty met and oftensignificantly exceeded the target for thismeasure which is aligned with theirdecrease in performance for permanencyin 12 months. (See Figure 8) In addition toa decline in qualitative performancementioned above, Our Kids’ performancedeclined 4.5% in making concerted effortsto achieve reunification, guardianship,adoption, or other planned permanent living arrangement for the child. (See Table 9)PERMANENCY AFTER 24 MONTHSPercent of children in foster care for 24 or more months exiting to a permanent home: This graphdepicts the percentage of children whowere in foster care for 24 or moremonths and achieved permanency uponexiting foster care.The graph shows that Our Kids hasconsistently performed under thestatewide rate but in recent monthsperformance is trending upward overall.(See Figure 9) CQI Item 6 shows a 4.5%reduction in FY 17/18 in makingconcerted efforts to achievereunification, guardianship, adoption orother planned permanent livingarrangement for the child. (See Table 9)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201915 P a g e

PERCENT NOT RE-ENTERING INTO CAREPercent of children who do not re-enter foster care within 12 months of moving to a permanenthome (Scorecard Measure M07): Thisgraph de pi cts the percentage of exitsfrom foster care to permanency for acohort of children who entered fostercare during the report period andexited within 12 months of enteringand subsequently do not re-enterfoster care within 12 months of theirpermanency date.Our Kids’ has consistently met thetarget and performed better that thestate for the past eight quarters.Quality reviews also show positiveresults in concerted efforts to preventremoval and re-entry afterreunification. (See Figure 10)PLACEMENT STABILITYPlacement moves per 1,000 days in foster care (Scorecard Measure M08): This graph de pi cts the rateat which children change placements while in foster care during the report period.Our Kids has seen an overall negativetrend in performance and have failedto meet the performance target inthe past eight quarters. (See Figure11) Additionally, quality reviewsshowed a decline in performance,falling below the federal PIP goal, inFY17/18. (See Table 9).FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201916 P a g e

SIBLINGS PLACED TOGETHERPercent of sibling groups where all siblings are placed together (Scorecard Measure M12): Thisgraph depicts the percentage of sibling groups with two or more children in foster care as of the endof the report period where allsiblings are placed together.Our Kids has failed to meet theperformance target and hasunderperformed the state in all thepast eight quarters. (See Figure 12)Our Kids’ qualitative performancedeclined 8.7% in FY 17/18 in ensuringshared sibling placement unlessseparation was necessary to meetthe needs of one of the siblings. (SeeTable 9).QA CASE REVIEW DATAThe table below provides the current performance in items related to permanency that are based onqualitative case reviews. In FY17/18, qualitative RSFreviews showed a decline in performance related toquality visits between the case manager and parentsand child(ren). (See Table 8). Our Kids improvedperformance in FY17/18 in three of eight CQI reviewsrelated to permanency. And, Our Kids failed to meetthe federal PIP goal in either of the two measures thatcurrently have a PIP goal. (See Table 9)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201917 P a g e

FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201918 P a g e

WELL-BEINGThe graphs and tables on the follow pages depict Our Kids’ performance related to well-being in thefollowing areas:1. Children receiving medical care2. Children receiving dental care3. Young adults enrolled in secondary education4. Qualitative case reviewsOur Kids is performing well on all quantitative and qualitative measures related to child well-being.Despite an increase in performance, Our Kids did not meet the PIP goal for making concerted effortsinvolving children and parents in the case planning process (CQI Item 13).CHILDREN RECEIVING MEDICAL CAREPercent of children in foster care who received medical care in the previous 12 months (ScorecardMeasure M09):This graph depicts the percentage ofchildren in foster care as of the end ofthe report period who have received amedical service in the last 12 months.Our Kids exceeded the performancetarget in all the past eight quartersand exceeded the state in seven of thepast eight quarters. (See Figure 13)Further, FY 17/18 qualitative reviewsshow a 27.9 % improvement inensuring the physical health needs ofthe children are met and a 29.0%improvement in addressing themental/behavioral health needs of thechildren. (See Table 10)FY 18/19 Desk ReviewOur Kids of Miami-Dade/Monroe, Inc., KJ114June, 201919 P a g e

CHILDREN RECEIVING DENTAL CAREPercent of children in foster care who received a dental service in the last 7 months (ScorecardMeasure M10): This graph depicts thepercentage of children in foster care asof the end of the report period whohave received a dental service in the last7 months.Our Kids exceeded the statewideperformance in all of the past eightquarters

FY 18/19 Desk Review 1 Page Our Kids of Miami -Dade/Monroe, Inc., KJ114 June, 2019 EXECUTIVE SUMMARY The Department's Community Based Care Monitoring Team performed a Desk Review for Our Kids of Miami-Dade/Monroe, Inc. ( Our Kids ), Contract KJ114. Our Kids provides child weflare servcies for