California Wraparound County Plan Approval and Provider Certification

Procedures Ensure: (a) First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child)., (b) Teams complete a Wraparound Plan of Care within 30 calendar days from start of services, (c) Teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days, (d) Teams update the plan of care, distribute to all team members, and document the updated plan in the child or youth’s file at least every 90 days and more often as needed, (e) Staff and their supervisors are provided with feedback on their ability to meet timelines for CQI purposes, (f) Staff are trained to timely engagement strategies that include encouraging alternate strategies when contact with the family is difficult

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 1. Casa Esperanza provides prompt services, through its visits and the completion of the Plan of Care. The HFW Manager tracks due dates of activities to ensure their timely completion.

Procedures Ensure: (a) Elicitation and use of families’ perspectives, including Tribes in the case of an Indian child (including development and documentation of the Family Vision and Team Mission statements), (b) Family values, culture, expertise, capabilities, interests and skills are elicited and clearly documented in the youth’s case file, (c) Supervisors/Coaches routinely observe HFW team meetings and review documentation to gather and provide feedback to staff to reinforce practice expectations, build skills, and increase confidence, (d) Feedback from families is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) to share their experience of the Wraparound process.

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Fidelity Indicators, page 2. HFW staff obtain information from the beginning of care about their values, culture, experiences, skills, and strengths and is reported in their words.

Procedures Ensure: (a) A strengths inventory is developed and updated for every member of the team, includes other resources in the family’s local community, and is posted at HFW team meetings., (b) The identification of individualized strengths must include, but not be limited to, the strengths identified in the IP-CANS, (c) Staff receive ongoing coaching and training in providing strengths-based, solution-focused services., (d) Feedback from families regarding their experience of strengths-based services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 2. Casa Esperanza HFW uses a strengths inventory form reflecting information from the IP-CANS.

Procedures Ensure: (a) Underlying needs are identified and prioritized before goals and strategies are established for the youth and family., (b) Staff receive ongoing training and coaching in identifying needs, developing needs statements that are reflective of the underlying reasons why problematic situations or behaviors are occurring, and utilizing needs-focused planning over problematic behavior-focused planning., (c) The identification of individualized needs must include, but not be limited to, the needs identified in the IP-CANS, (d) Transition is planned according to team and family agreement that needs are sufficiently met.

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Fidelity Indicators, pages 2 and 3. The IP-CANS is used by the HFW Family Specialist, along with family information, to elicit the family’s needs.

Procedures Ensure: (a) Forms/documentation allow for sufficient flexibility in creating individualized plans for each child/youth and family., (b) Staff receive ongoing training and coaching in providing flexible, creative, and highly individualized services and strategies., (c) Facilitators receive ongoing training and coaching in leading the HFW team to customize the HFW process and the HFW plan of care according to each youth and family’s individual needs, strengths, values, culture, and preferences., (d) HFW plans of care are routinely reviewed and assessed for use of individualized strengths, needs, outcomes, and strategies and for the presence of strategies that capitalize on the assets of the family’s community and informal networks., (e) Family feedback regarding their experience of receiving customized services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

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Fidelity Indicators, page 3. The HFW Facilitator reviews the family’s information as they describe it to ensure their individual preferences are included in the Plan of Care.

Procedures Ensure: (a) A natural and community supports inventory is developed and updated for every family., (b) Staff receive ongoing training and coaching identification, engagement, and integration of natural supports in the HFW process and in decreasing reliance on formal supports., (c) HFW plans of care are routinely reviewed and assessed for the inclusion of natural supports in the plan and for use of community and natural supports in the assigning of strategies and action items., (d) Family feedback regarding their experience of having natural supports engaged on their team is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 3. Casa Esperanza HFW uses a natural and community support inventory to incorporate the family’s resources and develop their informal and natural supports.

Procedures Ensure: (a) A strengths, needs, culture discovery is completed before the HFW plan of care is developed and is clearly documented in the child or youth’s case file, (b) Staff receive ongoing coaching and training in the elicitation and use of family and culture in planning and service delivery and in providing culturally respectful and relevant strategies., (c) Feedback from families regarding their experience of culturally relevant and respectful services and strategies is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

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Fidelity Indicators, page 4. The HFW Facilitator discusses the youth and family’s cultural views on their traditions and beliefs to incorporate them into the Plan of Care.

Procedures Ensure: (a) Team agreements are created for each HFW team and documented in the youth’s file., (b) Feedback from families and HFW team members regarding their experience of team engagement and collaboration is routinely elicited (e.g., through meeting observation, satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.)., (c) This feedback is used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes., (d) HFW plans of care and meeting minutes are routinely reviewed and assessed for the shared ownership and follow through on strategies and action items.

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Fidelity Indicators, page 4. Each HFW team initiated for the youth and family has created a team agreement that includes the information all team members need on the process.

Procedures Ensure: (b) Action item completion is tracked by facilitators and updated at HFW team meetings, or more often as needed., (c) Forms and processes allow strategies and action items to be adjusted or changed as needed. These changes are communicated to all team members., (d) There is a process in place for who will complete the IP-CANS and how the IP-CANS will be shared amongst all team members (please specify in your description who will be responsible for completion of the IP-CANS assessment), (e) Data from the IP-CANS is used to support tracking and team decision-making, but does not replace using tracking of needs, goal completion, and action item completion to plan for transition.

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Fidelity Indicators, page 4. The Plan of Care includes strategies that are specific, measurable, achievable, relevant, and time-bound.

Procedures Ensure: (a) Teams are supported to keep working with a youth and family even when faced with setbacks or limited progress until the HFW team (with preference given to family voice and choice) agrees that services should end., (b) There are clear processes for teams to access help when facing challenges including how to request additional coaching or supervision, how to access/request flexible funding, and how to access additional support., (c) Facilitators receive ongoing training and coaching in post-crisis safety planning, conflict resolution, and in leading teams in effective brainstorming and ongoing plan revision.

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Fidelity Indicators, page 4. If HFW families have made limited progress or setbacks, the HFW staff will meet to discuss the causes of these actions and develop plans to overcome the barriers.

Procedures Ensure: (a) HFW teams are able to provide adequate transitions and families do not experience sudden loss of services due to adverse events or due to administrative requirements., (b) Transitions out HFW are celebrated according to the youth and family’s culture, values, and preferences and administrative structures are supportive of engaging in celebration including access to flex funds, accommodating staff time for community resourcing, developing community partnerships, and ensuring staff are available to attend celebrations.

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Fidelity Indicators, pages 4 and 5.The HFW staff ensure that no gaps in service occur. If the youth or family misses meetings or other activities, the HFW Family Specialist or HFW Parent Partner reaches out to the family to connect with them and reschedule meetings.

Policies and procedures are in place to record and evaluate children, youth, and parent satisfaction with their Wraparound experience. Yes

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Expected Outcomes, page 1. The HFW Manager creates satisfaction surveys for the youth and family to provide information and feedback on the services on a quarterly basis.

Policies and procedures are in place to record and evaluate school attendance and performance. Yes

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Expected Outcomes, page 1. The HFW Family Specialist connects with the youth’s school to gather and retrieve school information regularly to track the youth’s academic progress and make contact with school staff on the youth’s performance.

Policies and procedures are in place to record and evaluate youth utilization of emergency medical services, frequency of contact with law enforcement, and engagement and community activities. Yes

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Expected Outcomes, pages 1 and 2. The HFW Facilitator develops a list of the youth’s activities to track their attendance, progress, and participation.

Policies and procedures are in place to record and evaluate the interpersonal functioning of families. Yes

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Expected Outcomes, page 2. The HFW staff will use the IP-CANS as a measurement for interpersonal functioning along with family interviews.

Policies and procedures are in place to record and evaluate the caregiver’s confidence in their abilities and connectedness to resources in their community. Yes

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Expected Outcomes, page 2. The family satisfaction surveys will be used quarterly to determine how comfortable the family is in their parenting skills and their itneractions with the youth.

Policies and procedures are in place to record and evaluate the frequency of and types of placement changes when they occur. Yes

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Expected Outcomes, page 2. The HFW Manager tracks the youth’s placement status to monitor placement stability.

Policies and procedures are in place to record and evaluate the frequency of hospital visits. Yes

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Expected Outcomes, page 3. The HFW Manager tracks the youth’s admissions to emergency departments or inpatient psychiatric hospitalizations.

Policies and procedures are in place to record frequency of crises and level of involvement of professional support when crises occur. Yes

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Expected Outcomes, page 3. The HFW Manager tracks the youth’s involvement with crisis intervention services, law enforcement, or with the county’s crisis unit.

Policies and procedures are in place to record and evaluate when and why families exit HFW.Yes

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Expected Outcomes, page 3. The HFW Manager will track the youth and family’s discharge status.

Procedures Ensure: (a) The HFW process is fully explained to every family including an overview of the principles and phases, legal and ethical considerations, and the role of each team member including the family, natural supports, and Tribes in the case of an Indian child.

The explanation minimally includes: (a) an overview of the principles and phases, (b) legal and ethical considerations, (c) the role of each team member including the family and natural supports and Tribes in the case of an Indian child

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Engagement, page 1. Each youth and family receives an orientation about HFW, including its phases, guiding principles, and ethical considerations.

Procedures Ensure: (a) Initial crisis and safety concerns are discussed during engagement. If pressing concerns are brought forward, the team develops an immediate crisis response plan which is provided to the family and is documented in the chart., (b) The crisis plan is used to inform, but not replace, the HFW Safety Plan developed during the Plan Development phase., (c) All families are provided with information regarding how to access 24/7 crisis response when needed.

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Engagement, page 1. The HFW Manager or designee develops an initial crisis response plan for youths with safety risks.

Procedures Ensure: (a) A Family Vision is completed with every family and documented in the youth’s chart during the Engagement phase., (b) A Strengths, Needs, Culture Discovery document is initiated with every youth, and family, is included in the youth’s chart, is updated at least every 90 days, and the team adds new strengths, needs, and cultural preferences as they are discovered. The document is provided to new team members as they are identified.

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Engagement, page 2. The HFW Facilitator meets with the family during the engagement process to discuss their strengths, needs, cultural preferences, and family vision.

Procedures Ensure: (a) A natural supports inventory is completed with all youth and families and is documented in the child or youth’s case file., (b) Children’s System of Care partners who should be included on the HFW team are identified and engaged., (c) The HFW team works with the youth and family to identify potential team members (including formal, natural supports and Tribes, in the case of an Indian child) and discusses their role on the team., (d) Engagement and team building activities are documented in the youth’s file (for example, but not required, in meeting minutes or in case notes).

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Engagement, page 2. The HFW Facilitator meets with the youth and family, and HFW team members to assess who are natural supports of the youth and family, and which ones could be included in the team member process.

Procedures Ensure: (a) Staff are flexible in working hours and scheduling meeting times and locations to accommodate family and Wraparound Team needs., (b) Staff are trained to work collaboratively with families and the other members of the HFW team to schedule meetings that are in alignment with family needs and preferences as well as maximize participation.

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Engagement, page 2. Casa Esperanza HFW staff, as part of their duties, are to be flexible in their working hours so that meetings with the youth and family may occur during evenings or weekends if necessary.

Procedures Ensure: Before the Wraparound plan of care is developed: (a) Before the HFW plan of care is developed, team agreements, a team strengths inventory, and a mission statement are completed with each family and documented in the youth’s file., (b) The youth’s and family members’ strengths identified in engagement are updated to reflect any additionally discovered strengths as they are identified and are documented in the youth’s file.

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Plan of Care Development, page 1. Before the POC is created, the HFW Facilitator ensures that team agreements, strengths, needs, culture, vision discovery documents, inventories, and mission statements are completed and documented in the youth’s file.

Procedures Ensure: (a) Before the HFW plan of care is developed, underlying needs are identified and prioritized for each family and are documented in the youth’s file., (b) Measurable goals and outcomes are developed from these identified needs (as opposed to behavior or deficit-based goal development), (c) These goals and outcomes are developed collaboratively with the youth, family, and the rest of the HFW team., (d) Multiple individualized brainstormed strategies are documented in the youth’s file (e.g., in the HFW Plan of Care, in a form, in meeting minutes, or in progress notes) that can be referred to as needed., (e) Facilitators are trained to lead teams in identifying, prioritizing, and selecting strategies and developing action items., (f) These steps are utilized to develop the individualized HFW Plan of Care in a team-based, collaborative environment.

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Plan of Care Development, page 1. While the youth and family’s needs are discussed and approved by the team members, the HFW Facilitator then discusses the goals and outcomes with them, using SMART goals (specific, measurable, achievable, relevant, and time-bound) and are developed based on the needs.

Procedures Ensure: (a) Facilitators receive ongoing training and coaching to engage the team in a planning process that elicits multiple perspectives, builds trust and shared vision, and demonstrates the HFW principles., (b) The Plan of Care comprehensively integrates goals and objectives identified by all Children’s System of Care partners., (c) The Plan of Care is documented in the child/youth’s file, is distributed to all team members, and meets all the criteria defined above (items 1-6), (d) Procedures are in place to review Plans of Care for continuous quality improvement and to provide feedback to staff and supervisors/coaches for training and coaching purposes.

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Plan of Care Development, pages 1 and 2. The HFW conducts the POC process, integrating the goals and objectives identified by the team members. All team members agree and approve the POC.

Procedures Ensure: (a) An individualized crisis and safety plan is documented in the youth’s file, which identifies potential safety, high risk and crisis situations with proactive and reactive crisis management strategies chosen by the family members and including who should be called for support 24/7., (b) The development of the plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (c) Crisis and safety plans are reviewed for individualized strategies, proactive and reactive progression of strategies, cultural relevancy, and the use of natural supports for continuous quality improvement and training and coaching purposes.

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Plan of Care Development, page 2. The HFW Facilitator, supported by the HFW Clinical Supervisor, takes the information from the initial crisis response plan developed in the engagement phase and expands it into a Crisis and Safety Plan.

Procedures Ensure: (a) The facilitator leads the team to review strategies and action items at HFW team meetings (e.g., use of meeting agendas and meeting minutes that address action item completion and document progress), track individual assignments, check-in to support meeting timelines and deliverables, and adjust strategies and action items as needed., (b) Staff receive training and coaching on implementing the plan of care in alignment with the HFW principles. Training and processes address celebrating successes as they occur.

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Implementation, page 1. The HFW Facilitator will lead the team members in implementing the POC. Once the POC has been completed, reviewed, approved, and all team members have received copies, the HFW Facilitator will track the individual assignments and action items from the POC.

Procedures Ensure: (a) Reviews of strategies, progress, and action items occurs in a HFW team meeting setting., (b) The facilitator leads the team to adjust the plan accordingly as successes occur, as new needs are identified, or as new strategies and action items are selected, and the updated plan is documented in the youth’s file., (c) The facilitator documents and communicates completion of tasks and new assignments, team attendance, use of formal and natural supports, use of flex funds, and updates to the plan. These updates are communicated to all team members, at a minimum, through the use of team meeting minutes., (d) Forms are able to be updated and individualized to meet the youth, family, and team’s changing needs.

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Implementation, page 1. When the HFW team meeting occurs, the POC is reviewed, including its strategies, progress, and action items.

Procedures Ensure: (a) Team agreements are utilized, reviewed regularly, and present at HFW team Meetings., (b) Facilitators receive ongoing training and coaching on building, engaging, and maintaining effective teams., (c) Use of natural supports are monitored over time and teams are provided feedback through coaching and supervision., (d) There are processes for orienting new team members (including formal and natural supports) to the team which include explaining the HFW process, reviewing current plans and strategies, and engaging in team building exercises.

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Implementation, pages 1 and 2. The HFW Facilitator utilizes team agreements during the HFW phases, regularly reviewing them with team members, updating them as needed, and presenting them at team meetings.

Procedures Ensure: (a) The facilitator leads the team in identifying when the youth and family are ready for transition based on benchmarks and indicators that the team has been monitoring and adapting throughout the HFW process., (b) Once this determination has been made, the facilitator leads the team in creating an individualized transition plan that identifies needs, services, and supports, distributes the plan to all team members, and documents the plan in the youth’s file., (c) The development of the individualized transition plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (d) The team verifies that services and supports identified in the transition plan will persist past formal HFW and that the family is able to access them, including post adoption services if applicable.

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Transition from the Fourth Phase of Wraparound, page 1. The HFW team, comprised of the youth and family, along with formal and informal supports, decides when the youth and family have achieved the goals of the HFW Plan of Care (POC).

Procedures Ensure: (a) The individualized crisis and safety plan is updated to reflect transition (or a new transition crisis and safety plan is completed) and documented in the youth’s file. The plan identifies potential crisis situations that may occur after transition and includes proactive and reactive crisis management strategies that maximize use of natural support and that are chosen by the family., (b) The development of the crisis and safety transition plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (c) Processes are in place to review crisis and safety plans for individualized strategies, proactive and reactive progression of strategies, cultural relevancy, and the use of natural supports for continuous quality improvement and training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 1. Using the existing Crisis and Safety Plan developed during the HFW process, the HFW Facilitator then adapts it to reflect the youth and family’s needs during and after transition. If necessary, a new Crisis and Safety Plan is created.

Procedures Ensure: (a) Transitions out of the Wraparound process are celebrated according to the family’s culture, values, and preferences., (b) Administrative structures are supportive of engaging in celebration (e.g., access to flex funds, time for community resourcing, community partnerships, ensuring staff are available to attend celebrations, etc.).

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Transition from the Fourth Phase of Wraparound, page 2. During the transition planning, the HFW Facilitator meets with the youth, family, and HFW team members to discuss the type of celebration they would like. The celebration ceremony and process are conducted with the youth and family’s culture, values, and preferences.

Procedures Ensure: (a) There are mechanisms in place for families to participate in decisions regarding local HFW implementation, (b) Family feedback is used in the decision-making regarding service planning and implementation, policy and procedure development, workforce development and quality improvement

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HFW Program and Community Leadership, page 1. Casa Esperanza will develop an advisory board for HFW. It will be comprised of volunteer youths and families that have or are actively participating in the HFW process.

County Procedures Ensure : N/A (Providers only)

Provider Procedures Ensure : (a) There is an identified representative who actively participates on the Community Leadership Team

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HFW Program and Community Leadership, page 1. The HFW Manager or designee will be Casa Esperanza’s participant in any HFW Community Leadership team.

County Procedures Ensure: N/A (Providers only)

Provider Procedures Ensure : (a) Youth that meet established eligibility criteria are able to receive services and are not excluded based on the severity or nature of their needs., (b) Staffing is planned to ensure appropriate case load assignments that support the intensity and frequency of services necessary to meet families’ complex needs and enable staff to provide 24/7 support to families in crisis.

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HFW Program and Community Leadership, page 1. The Casa Esperanza HFW team is adequately staffed to provide HFW services for all youths and their families who transition from the STRTP program.

Contracts outline rates that reflect the inclusion of: (a) High fidelity direct services and supports to meet the immediate individualized needs of youth and families, (b) Required workforce development and staffing including required roles or functions from Workforce Development standard 9.3, (c) Required data collection and/or data management systems.

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Fiscal, page 1. The HFW Manager, together with the Casa Esperanza Executive Director, regularly reviews the HFW contract with the appropriate county to ensure that sufficient funds are available to meet the needs of youth and families, support workforce development and staffing, fund data collection, CQI activities, flex funding, and other necessary resources.

County Procedures Ensure: N/A (Providers including AAP funded providers only)

Description of Practice, Name of Supporting Documentation and Page #:

Procedures Ensure: N/A (Providers including AAP funded providers only and if cost-savings are unavailable)

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Fiscal, page 2. The HFW Manager oversees the approval of all flex funds. Each flex fund request is documented and communicated to the youth and family, the HFW team, Casa Esperanza leadership, and the county’s HFW team.

Procedures Ensure: (a) Flexible funds are available and included as a part of the funding plan for HFW., (b) Processes to access and manage flexible funds are articulated and at a minimum include:
     1) Timely access for families that meet urgent needs
     2) A defined approval process that includes the evaluation criteria defined above
     3) A process to appeal denied requests which include communication with teams, youth, and families, regarding why the funds were denied.

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Fiscal, page 1. The flex funds for Casa Esperanza HFW youths and families are included in the program’s budget process. Each family qualifies for these flex funds.

Procedures Ensure: (a) Flex fund use and availability is documented and transparently communicated to funders and providers, including information regarding the amount, purpose and HFW team recommendation of the request., (b) Flex funds are pooled and held to meet the needs of all families served

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Fiscal, page 2. The HFW Manager oversees the approval of all flex funds. Each flex fund request is documented and communicated to the youth and family, the HFW team, Casa Esperanza leadership, and the county’s HFW team.

Procedures Ensure: (a) Flex funds and program resources are funded by braiding of available System of Care funding to ensure their availability, (b) When funding limitations exist in a single funding source, alternate funding options are explored or reliance on other funding sources is increased to fill gaps, (c) Requirements of any single funding source do not prohibit families from accessing flexible funds to meet their needs

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Fiscal, page 2. The Casa Esperanza Executive Director and the HFW Manager work together to ensure that flex funds are available to each family.

Procedures Ensure: (a) The demographic composition of the population served is monitored and processes are in place to recruit/hire staff according to population needs, (b) When unable to recruit/hire according to cultural, racial, and linguistic needs, efforts are made to meet families’ needs for cultural representation through alternative means such as engaging natural or formal supports on the HFW team, (c) When unable to provide a staff member who can provide services in the family’s language, a translator or natural support person is utilized

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Workforce Development and Human Resource Management, page 1. The Casa Esperanza Executive Director compiles statistical information about clients in the facility, including cultural background, age, gender, language of the family, and other factors.

Leadership (including managers and supervisors) are committed to and have specific processes or structures in place to promote staff creativity and flexibility in providing services and meeting families’ needs: (a) Staff are trained on tribal sovereignty, traditions, and values, as well as how to ensure respectful communication, collaboration, and advocacy., (b) When serving an Indian child, HFW teams build partnerships with tribal representatives, encouraging participation in tribal traditions and ceremonies and understanding the value of services and supports that the Tribe can offer.

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Workforce Development and Human Resource Management, pages 1 and 2. The Casa Esperanza HFW staff will receive training on the Indian Child Welfare Act (ICWA) to assist them in understanding Native American culture.

Procedures Ensure: (a) Program quality and improvement, (b) Cohesion (minimally including creating a positive team environment), (c) Open communication, (d) Creating a clear sense of mission and compliance with HFW philosophy (principles, values, phases and activities)

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Workforce Development and Human Resource Management, page 2. HFW is a program that stresses the “Whatever It Takes” approach, which means that the services must adapt to the needs of the youth and family. Examples include having meetings on weekends or evenings, arranging unique services and activities, and reflecting the needs of youth and families in the plan of care.

Procedures Ensure:(a) Each of the above roles or functions are met within the HFW program either through a unique position or through combining positions with clearly defined role descriptions and responsibilities., (b) The description and responsibilities of each role minimally includes the role purpose, functions and qualities (including skills, competencies and attributes) specific to each role or function. Examples of role descriptions can be found in the Wraparound Standards Toolkit, (c) Job descriptions for all required positions are specific to HFW and reflect the attitudes, skills, knowledge, and experience most likely to identify individuals who will be successful in the position., (d) The hiring process includes opportunities that allow candidates to demonstrate specific attitudes and skills essential to the position., (e) Employees are provided clear expectations for their performance and receive frequent feedback and coaching to support their success.

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Workforce Development and Human Resource Management, pages 2, 3, and 4. Due to small caseloads, one staff member may have duties for more than one position; however, the HFW Manager will ensure that sufficient staff are available to maintain all the responsibilities and requirements for HFW.

Human resources management in the organization has implemented strategies and processes that result in the maintenance of a stable workforce which minimally include: (a) Matching wages to cost of living in the location of the organization/service implementation area, (b) Maintaining manageable workloads for staff, (c) Having clearly communicated and accessible promotion/advancement structures that are not prohibitive for those with lived experience, (d) Providing wage increases or leadership opportunities that do not require a position change to achieve

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Workforce Development and Human Resource Management, pages 4 and 5. The Casa Esperanza Human Resources Department provides the assets necessary to maintain a stable workforce. The Human Resources Department will survey other HFW agencies in the area to ensure that the agency’s salary is competitive.

Procedures Ensure: (a) All staff receive an initial HFW training using one of three options (select option that applies to your organization): click to expand options

Selected Option: 1) HFW staff are trained externally by attending the Statewide Standardized Foundational HFW training through the UC Davis RCFFP,

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. The HFW Manager will coordinate the staff training calendar for the HFW courses in conjunction with the UC Davis RCFFP.

Procedures Ensure: (a) Youth, families and peer partners with current or prior Wraparound experience are meaningfully incorporated into the delivery of required Wraparound trainings., (b) Community partners are invited to attend Wraparound trainings or are offered trainings on Wraparound to strengthen their participation on HFW teams or to strengthen their role in supporting HFW within the System of Care.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. Although training courses are mandatory for HFW employees, those offered through UC Davis RCFFP provide excellent opportunities for those involved in the HFW process.

Procedures Ensure: (a) All staff are provided with an initial apprenticeship that covers values, skills, and knowledge related to HFW principles, phases and activities, and the effective use of flex funds to meet a family’s needs., (b) Staff have access to supervision or coaching 24/7 as needed.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. The HFW Fidelity Coach, HFW Manager, and HFW Clinical Supervisor offer numerous opportunities for staff to receive initial and ongoing coaching and supervision.

Description of Practice, Name of Supporting Documentation and Page #: (e) N/A (Providers only)

Procedures Ensure: (a) Data is utilized to improve practice with youth and families, including giving staff timely feedback from data or reports relevant to their service provision and using data to identify staff training needs., (b) Data is utilized to identify and address program needs to better serve families and improve overall program effectiveness., (c) Data is utilized to identify and communicate system barriers to the Community Leadership Team which impacts the HFW implementation.

Description of Practice, Name of Supporting Documentation and Page #:

Utility- Focused Data and Outcomes Process, page 1. The HFW program conducts internal data collection activities overseen by the HFW Manager, using satisfaction surveys, WFI, phone calls, and other measures to inform staff of program effectiveness.

Date Started: October 16, 2025

Date Submitted: October 16, 2025

Certification Status: Under Review

Procedures Ensure: (a) First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child)., (b) Teams complete a Wraparound Plan of Care within 30 calendar days from start of services, (c) Teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days, (d) Teams update the plan of care, distribute to all team members, and document the updated plan in the child or youth’s file at least every 90 days and more often as needed, (e) Staff and their supervisors are provided with feedback on their ability to meet timelines for CQI purposes, (f) Staff are trained to timely engagement strategies that include encouraging alternate strategies when contact with the family is difficult

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 1. Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, offers prompt services through visits and completing the Plan of Care. The HFW Manager monitors activity due dates to ensure they are completed on time.

Procedures Ensure: (a) Elicitation and use of families’ perspectives, including Tribes in the case of an Indian child (including development and documentation of the Family Vision and Team Mission statements), (b) Family values, culture, expertise, capabilities, interests and skills are elicited and clearly documented in the youth’s case file, (c) Supervisors/Coaches routinely observe HFW team meetings and review documentation to gather and provide feedback to staff to reinforce practice expectations, build skills, and increase confidence, (d) Feedback from families is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) to share their experience of the Wraparound process.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 2. HFW staff gather information at the start of care regarding their values, culture, experiences, skills, and strengths, documenting it in their own words.

Procedures Ensure: (a) A strengths inventory is developed and updated for every member of the team, includes other resources in the family’s local community, and is posted at HFW team meetings., (b) The identification of individualized strengths must include, but not be limited to, the strengths identified in the IP-CANS, (c) Staff receive ongoing coaching and training in providing strengths-based, solution-focused services., (d) Feedback from families regarding their experience of strengths-based services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 2. Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP HFW, uses a strengths inventory form based on information from the IP-CANS.

Procedures Ensure: (a) Underlying needs are identified and prioritized before goals and strategies are established for the youth and family., (b) Staff receive ongoing training and coaching in identifying needs, developing needs statements that are reflective of the underlying reasons why problematic situations or behaviors are occurring, and utilizing needs-focused planning over problematic behavior-focused planning., (c) The identification of individualized needs must include, but not be limited to, the needs identified in the IP-CANS, (d) Transition is planned according to team and family agreement that needs are sufficiently met.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, pages 2 and 3. The HFW Family Specialist uses the IP-CANS, along with family information, to identify the family’s needs.

Procedures Ensure: (a) Forms/documentation allow for sufficient flexibility in creating individualized plans for each child/youth and family., (b) Staff receive ongoing training and coaching in providing flexible, creative, and highly individualized services and strategies., (c) Facilitators receive ongoing training and coaching in leading the HFW team to customize the HFW process and the HFW plan of care according to each youth and family’s individual needs, strengths, values, culture, and preferences., (d) HFW plans of care are routinely reviewed and assessed for use of individualized strengths, needs, outcomes, and strategies and for the presence of strategies that capitalize on the assets of the family’s community and informal networks., (e) Family feedback regarding their experience of receiving customized services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 3. The HFW Facilitator reviews the family’s information as they describe it to ensure their individual preferences are incorporated into the Plan of Care.

Procedures Ensure: (a) A natural and community supports inventory is developed and updated for every family., (b) Staff receive ongoing training and coaching identification, engagement, and integration of natural supports in the HFW process and in decreasing reliance on formal supports., (c) HFW plans of care are routinely reviewed and assessed for the inclusion of natural supports in the plan and for use of community and natural supports in the assigning of strategies and action items., (d) Family feedback regarding their experience of having natural supports engaged on their team is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 3. Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP HFW, utilizes a natural and community support inventory to include the family’s resources and foster their informal and natural supports.

Procedures Ensure: (a) A strengths, needs, culture discovery is completed before the HFW plan of care is developed and is clearly documented in the child or youth’s case file, (b) Staff receive ongoing coaching and training in the elicitation and use of family and culture in planning and service delivery and in providing culturally respectful and relevant strategies., (c) Feedback from families regarding their experience of culturally relevant and respectful services and strategies is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. The HFW Facilitator explores the youth and family’s cultural perspectives on their traditions and beliefs to integrate them into the Plan of Care.

Procedures Ensure: (a) Team agreements are created for each HFW team and documented in the youth’s file., (b) Feedback from families and HFW team members regarding their experience of team engagement and collaboration is routinely elicited (e.g., through meeting observation, satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.)., (c) This feedback is used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes., (d) HFW plans of care and meeting minutes are routinely reviewed and assessed for the shared ownership and follow through on strategies and action items.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. Each HFW team formed for the youth and family has developed a team agreement containing all essential information about the process for all members.

Procedures Ensure: (a) The HFW plan of care includes specific, measurable strategies and action items with timeframes., (b) Action item completion is tracked by facilitators and updated at HFW team meetings, or more often as needed., (c) Forms and processes allow strategies and action items to be adjusted or changed as needed. These changes are communicated to all team members., (d) There is a process in place for who will complete the IP-CANS and how the IP-CANS will be shared amongst all team members (please specify in your description who will be responsible for completion of the IP-CANS assessment), (e) Data from the IP-CANS is used to support tracking and team decision-making, but does not replace using tracking of needs, goal completion, and action item completion to plan for transition.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. The Plan of Care includes strategies that are specific, measurable, achievable, relevant, and time-bound.

Procedures Ensure: (a) Teams are supported to keep working with a youth and family even when faced with setbacks or limited progress until the HFW team (with preference given to family voice and choice) agrees that services should end., (b) There are clear processes for teams to access help when facing challenges including how to request additional coaching or supervision, how to access/request flexible funding, and how to access additional support., (c) Facilitators receive ongoing training and coaching in post-crisis safety planning, conflict resolution, and in leading teams in effective brainstorming and ongoing plan revision.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. If HFW families experience limited progress or setbacks, the HFW staff will convene to analyze the reasons behind these issues and create strategies to address and overcome the barriers.

Procedures Ensure: (a) HFW teams are able to provide adequate transitions and families do not experience sudden loss of services due to adverse events or due to administrative requirements., (b) Transitions out HFW are celebrated according to the youth and family’s culture, values, and preferences and administrative structures are supportive of engaging in celebration including access to flex funds, accommodating staff time for community resourcing, developing community partnerships, and ensuring staff are available to attend celebrations.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, pages 4 and 5. The HFW staff make sure there are no gaps in service. If a youth or family misses meetings or activities, the HFW Family Specialist or Parent Partner contacts them to reconnect and reschedule.

Policies and procedures are in place to record and evaluate children, youth, and parent satisfaction with their Wraparound experience. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 1. The HFW Manager develops quarterly satisfaction surveys for youth and family to gather feedback and insights on the services.

Policies and procedures are in place to record and evaluate school attendance and performance. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 1. The HFW Family Specialist regularly communicates with the youth’s school to collect and review academic information and to coordinate with school staff regarding the youth’s performance.

Policies and procedures are in place to record and evaluate youth utilization of emergency medical services, frequency of contact with law enforcement, and engagement and community activities. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, pages 1 and 2. The HFW Facilitator creates a list of the youth’s activities to monitor their attendance, progress, and engagement.

Policies and procedures are in place to record and evaluate the interpersonal functioning of families. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 2. The HFW staff will utilize the IP-CANS to assess interpersonal functioning, complemented by family interviews.

Policies and procedures are in place to record and evaluate the caregiver’s confidence in their abilities and connectedness to resources in their community. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 2. Family satisfaction surveys will be conducted quarterly to assess the family’s comfort with their parenting skills and their interactions with the youth.

Policies and procedures are in place to record and evaluate the frequency of and types of placement changes when they occur. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 2. The HFW Manager tracks the youth’s placement status to monitor placement stability.

Policies and procedures are in place to record and evaluate the frequency of hospital visits. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 3. The HFW Manager tracks the youth’s admissions to emergency departments or inpatient psychiatric hospitalizations.

Policies and procedures are in place to record frequency of crises and level of involvement of professional support when crises occur. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 3. The HFW Manager tracks the youth’s involvement with crisis intervention services, law enforcement, or the county’s crisis unit.

Policies and procedures are in place to record and evaluate when and why families exit HFW.Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 3. The HFW Manager will track the youth and family’s discharge status.

Procedures Ensure: (a) The HFW process is fully explained to every family including an overview of the principles and phases, legal and ethical considerations, and the role of each team member including the family, natural supports, and Tribes in the case of an Indian child.

The explanation minimally includes: (a) an overview of the principles and phases, (b) legal and ethical considerations, (c) the role of each team member including the family and natural supports and Tribes in the case of an Indian child

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 1. Each youth and family receives an orientation about HFW, including its phases, guiding principles, and ethical considerations.

Procedures Ensure: (a) Initial crisis and safety concerns are discussed during engagement. If pressing concerns are brought forward, the team develops an immediate crisis response plan which is provided to the family and is documented in the chart., (b) The crisis plan is used to inform, but not replace, the HFW Safety Plan developed during the Plan Development phase., (c) All families are provided with information regarding how to access 24/7 crisis response when needed.

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 1. The HFW Manager or designee develops an initial crisis response plan for youths with safety risks.

Procedures Ensure: (a) A Family Vision is completed with every family and documented in the youth’s chart during the Engagement phase., (b) A Strengths, Needs, Culture Discovery document is initiated with every youth, and family, is included in the youth’s chart, is updated at least every 90 days, and the team adds new strengths, needs, and cultural preferences as they are discovered. The document is provided to new team members as they are identified.

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 2. The HFW Facilitator meets with the family during the engagement process to discuss their strengths, needs, cultural preferences, and family vision.

Procedures Ensure: (a) A natural supports inventory is completed with all youth and families and is documented in the child or youth’s case file., (b) Children’s System of Care partners who should be included on the HFW team are identified and engaged., (c) The HFW team works with the youth and family to identify potential team members (including formal, natural supports and Tribes, in the case of an Indian child) and discusses their role on the team., (d) Engagement and team building activities are documented in the youth’s file (for example, but not required, in meeting minutes or in case notes).

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 2. The HFW Facilitator meets with the youth, family, and HFW team members to identify natural supports for the youth and family and determine who can be integrated into the team process.

Procedures Ensure: (a) Staff are flexible in working hours and scheduling meeting times and locations to accommodate family and Wraparound Team needs., (b) Staff are trained to work collaboratively with families and the other members of the HFW team to schedule meetings that are in alignment with family needs and preferences as well as maximize participation.

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 2. Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, requires HFW staff to be flexible with their working hours to accommodate meetings with youth and families during evenings or weekends if needed.

Procedures Ensure: Before the Wraparound plan of care is developed: (a) Before the HFW plan of care is developed, team agreements, a team strengths inventory, and a mission statement are completed with each family and documented in the youth’s file., (b) The youth’s and family members’ strengths identified in engagement are updated to reflect any additionally discovered strengths as they are identified and are documented in the youth’s file.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, page 1. Before creating the POC, the HFW Facilitator confirms that team agreements, strengths, needs, culture, vision discovery documents, inventories, and mission statements are completed and recorded in the youth’s file.

Procedures Ensure: (a) Before the HFW plan of care is developed, underlying needs are identified and prioritized for each family and are documented in the youth’s file., (b) Measurable goals and outcomes are developed from these identified needs (as opposed to behavior or deficit-based goal development), (c) These goals and outcomes are developed collaboratively with the youth, family, and the rest of the HFW team., (d) Multiple individualized brainstormed strategies are documented in the youth’s file (e.g., in the HFW Plan of Care, in a form, in meeting minutes, or in progress notes) that can be referred to as needed., (e) Facilitators are trained to lead teams in identifying, prioritizing, and selecting strategies and developing action items., (f) These steps are utilized to develop the individualized HFW Plan of Care in a team-based, collaborative environment.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, page 1. As team members discuss and approve the youth and family’s needs, the HFW Facilitator reviews the goals and outcomes with them, ensuring they are SMART: specific, measurable, achievable, relevant, and time-bound, developed based on those needs.

Procedures Ensure: (a) Facilitators receive ongoing training and coaching to engage the team in a planning process that elicits multiple perspectives, builds trust and shared vision, and demonstrates the HFW principles., (b) The Plan of Care comprehensively integrates goals and objectives identified by all Children’s System of Care partners., (c) The Plan of Care is documented in the child/youth’s file, is distributed to all team members, and meets all the criteria defined above (items 1-6), (d) Procedures are in place to review Plans of Care for continuous quality improvement and to provide feedback to staff and supervisors/coaches for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, pages 1 and 2. The HFW carries out the POC process, aligning it with the goals and objectives set by the team members. All team members concur and approve the POC.

Procedures Ensure: (a) An individualized crisis and safety plan is documented in the youth’s file, which identifies potential safety, high risk and crisis situations with proactive and reactive crisis management strategies chosen by the family members and including who should be called for support 24/7., (b) The development of the plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (c) Crisis and safety plans are reviewed for individualized strategies, proactive and reactive progression of strategies, cultural relevancy, and the use of natural supports for continuous quality improvement and training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, page 2. The HFW Facilitator, with assistance from the HFW Clinical Supervisor, builds upon the initial crisis response plan created during the engagement phase to develop a comprehensive Crisis and Safety Plan.

Procedures Ensure: (a) The facilitator leads the team to review strategies and action items at HFW team meetings (e.g., use of meeting agendas and meeting minutes that address action item completion and document progress), track individual assignments, check-in to support meeting timelines and deliverables, and adjust strategies and action items as needed., (b) Staff receive training and coaching on implementing the plan of care in alignment with the HFW principles. Training and processes address celebrating successes as they occur.

Description of Practice, Name of Supporting Documentation and Page #:

Implementation, page 1. The HFW Facilitator will oversee the team’s execution of the POC. After completion, review, approval, and distribution of copies to all team members, the Facilitator will monitor individual tasks and action items derived from the POC.

Procedures Ensure: (a) Reviews of strategies, progress, and action items occurs in a HFW team meeting setting., (b) The facilitator leads the team to adjust the plan accordingly as successes occur, as new needs are identified, or as new strategies and action items are selected, and the updated plan is documented in the youth’s file., (c) The facilitator documents and communicates completion of tasks and new assignments, team attendance, use of formal and natural supports, use of flex funds, and updates to the plan. These updates are communicated to all team members, at a minimum, through the use of team meeting minutes., (d) Forms are able to be updated and individualized to meet the youth, family, and team’s changing needs.

Description of Practice, Name of Supporting Documentation and Page #:

Implementation, page 1. During the HFW team meeting, the POC is reviewed, including its strategies, progress, and action items.

Procedures Ensure: (a) Team agreements are utilized, reviewed regularly, and present at HFW team Meetings., (b) Facilitators receive ongoing training and coaching on building, engaging, and maintaining effective teams., (c) Use of natural supports are monitored over time and teams are provided feedback through coaching and supervision., (d) There are processes for orienting new team members (including formal and natural supports) to the team which include explaining the HFW process, reviewing current plans and strategies, and engaging in team building exercises.

Description of Practice, Name of Supporting Documentation and Page #:

Implementation, pages 1 and 2. The HFW Facilitator regularly reviews, updates, and shares team agreements during meetings throughout all HFW phases.

Procedures Ensure: (a) The facilitator leads the team in identifying when the youth and family are ready for transition based on benchmarks and indicators that the team has been monitoring and adapting throughout the HFW process., (b) Once this determination has been made, the facilitator leads the team in creating an individualized transition plan that identifies needs, services, and supports, distributes the plan to all team members, and documents the plan in the youth’s file., (c) The development of the individualized transition plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (d) The team verifies that services and supports identified in the transition plan will persist past formal HFW and that the family is able to access them, including post adoption services if applicable.

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 1. The HFW team, which includes the youth, family, and both formal and informal supports, determines when the youth and family have met the goals outlined in the HFW Plan of Care (POC).

Procedures Ensure: (a) The individualized crisis and safety plan is updated to reflect transition (or a new transition crisis and safety plan is completed) and documented in the youth’s file. The plan identifies potential crisis situations that may occur after transition and includes proactive and reactive crisis management strategies that maximize use of natural support and that are chosen by the family., (b) The development of the crisis and safety transition plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (c) Processes are in place to review crisis and safety plans for individualized strategies, proactive and reactive progression of strategies, cultural relevancy, and the use of natural supports for continuous quality improvement and training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 1. The HFW Facilitator updates the existing Crisis and Safety Plan created during the HFW process to better match the youth and family’s needs during and after transition. If needed, a new Crisis and Safety Plan is developed.

Procedures Ensure: (a) Transitions out of the Wraparound process are celebrated according to the family’s culture, values, and preferences., (b) Administrative structures are supportive of engaging in celebration (e.g., access to flex funds, time for community resourcing, community partnerships, ensuring staff are available to attend celebrations, etc.).

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 2. During the transition planning, the HFW Facilitator convenes with the youth, family, and HFW team to discuss their preferred type of celebration. The ceremony and process are carried out in accordance with the youth and family’s culture, values, and preferences.

Procedures Ensure: (a) There are mechanisms in place for families to participate in decisions regarding local HFW implementation, (b) Family feedback is used in the decision-making regarding service planning and implementation, policy and procedure development, workforce development and quality improvement

Description of Practice, Name of Supporting Documentation and Page #:

HFW Program and Community Leadership, page 1. Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, will establish an advisory board for HFW. It will consist of volunteer youths and families who are or have been actively involved in the HFW process

County Procedures Ensure : N/A (Providers only)

Provider Procedures Ensure : (a) There is an identified representative who actively participates on the Community Leadership Team

Description of Practice, Name of Supporting Documentation and Page #:

HFW Program and Community Leadership, page 1. The HFW Manager or their designee will participate from Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, on any HFW Community Leadership team.

County Procedures Ensure: N/A (Providers only)

Provider Procedures Ensure : (a) Youth that meet established eligibility criteria are able to receive services and are not excluded based on the severity or nature of their needs., (b) Staffing is planned to ensure appropriate case load assignments that support the intensity and frequency of services necessary to meet families’ complex needs and enable staff to provide 24/7 support to families in crisis.

Description of Practice, Name of Supporting Documentation and Page #:

HFW Program and Community Leadership, page 1. The Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, has sufficient staff to deliver HFW services to all youths and their families transitioning from the STRTP program.

Contracts outline rates that reflect the inclusion of: (a) High fidelity direct services and supports to meet the immediate individualized needs of youth and families, (b) Required workforce development and staffing including required roles or functions from Workforce Development standard 9.3, (c) Required data collection and/or data management systems.

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 1. The HFW Manager, in collaboration with the Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP Executive Director, routinely reviews the HFW contract with the relevant county. This ensures that there are enough funds to serve youth and families, support workforce growth and staffing, cover data collection, CQI activities, flex funding, and other essential resources.

County Procedures Ensure: N/A (Providers including AAP funded providers only)

Description of Practice, Name of Supporting Documentation and Page #:

Procedures Ensure: N/A (Providers including AAP funded providers only and if cost-savings are unavailable)

Description of Practice, Name of Supporting Documentation and Page #:

Procedures Ensure: (a) Flexible funds are available and included as a part of the funding plan for HFW., (b) Processes to access and manage flexible funds are articulated and at a minimum include:
     1) Timely access for families that meet urgent needs
     2) A defined approval process that includes the evaluation criteria defined above
     3) A process to appeal denied requests which include communication with teams, youth, and families, regarding why the funds were denied.

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 1. The program’s budget process includes flex funds for Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP HFW, for youths and families. Each family is eligible for these flex funds.

Procedures Ensure: (a) Flex fund use and availability is documented and transparently communicated to funders and providers, including information regarding the amount, purpose and HFW team recommendation of the request., (b) Flex funds are pooled and held to meet the needs of all families served

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 2. The HFW Manager is responsible for approving all flex fund requests. Each request is documented and shared with the youth and family, the HFW team, Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP leadership, and the county’s HFW team.

Procedures Ensure: (a) Flex funds and program resources are funded by braiding of available System of Care funding to ensure their availability, (b) When funding limitations exist in a single funding source, alternate funding options are explored or reliance on other funding sources is increased to fill gaps, (c) Requirements of any single funding source do not prohibit families from accessing flexible funds to meet their needs

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 2. The Executive Director of The Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, collaborates with the HFW Manager to guarantee that flex funds are accessible to every family.

Procedures Ensure: (a) The demographic composition of the population served is monitored and processes are in place to recruit/hire staff according to population needs, (b) When unable to recruit/hire according to cultural, racial, and linguistic needs, efforts are made to meet families’ needs for cultural representation through alternative means such as engaging natural or formal supports on the HFW team, (c) When unable to provide a staff member who can provide services in the family’s language, a translator or natural support person is utilized

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 1. The Executive Director of Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, gathers statistical data about the clients, such as cultural background, age, gender, language spoken by the family, and other relevant factors.

Leadership (including managers and supervisors) are committed to and have specific processes or structures in place to promote staff creativity and flexibility in providing services and meeting families’ needs: (a) Staff are trained on tribal sovereignty, traditions, and values, as well as how to ensure respectful communication, collaboration, and advocacy., (b) When serving an Indian child, HFW teams build partnerships with tribal representatives, encouraging participation in tribal traditions and ceremonies and understanding the value of services and supports that the Tribe can offer.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, pages 1 and 2. The staff at Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP, will undergo training on the Indian Child Welfare Act (ICWA) to enhance their understanding of Native American culture.

Procedures Ensure: (a) Program quality and improvement, (b) Cohesion (minimally including creating a positive team environment), (c) Open communication, (d) Creating a clear sense of mission and compliance with HFW philosophy (principles, values, phases and activities)

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 2. HFW is a program centered on the “Whatever It Takes” philosophy, requiring services to be flexible and responsive to the needs of youth and families. This includes scheduling meetings on weekends or evenings, creating tailored services and activities, and ensuring the care plan reflects the specific needs of the youth and families.

Procedures Ensure:(a) Each of the above roles or functions are met within the HFW program either through a unique position or through combining positions with clearly defined role descriptions and responsibilities., (b) The description and responsibilities of each role minimally includes the role purpose, functions and qualities (including skills, competencies and attributes) specific to each role or function. Examples of role descriptions can be found in the Wraparound Standards Toolkit, (c) Job descriptions for all required positions are specific to HFW and reflect the attitudes, skills, knowledge, and experience most likely to identify individuals who will be successful in the position., (d) The hiring process includes opportunities that allow candidates to demonstrate specific attitudes and skills essential to the position., (e) Employees are provided clear expectations for their performance and receive frequent feedback and coaching to support their success.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, pages 2, 3, and 4. Due to small caseloads, a staff member might handle multiple roles; however, the HFW Manager will ensure enough staff are present to fulfill all HFW responsibilities and requirements.

Human resources management in the organization has implemented strategies and processes that result in the maintenance of a stable workforce which minimally include: (a) Matching wages to cost of living in the location of the organization/service implementation area, (b) Maintaining manageable workloads for staff, (c) Having clearly communicated and accessible promotion/advancement structures that are not prohibitive for those with lived experience, (d) Providing wage increases or leadership opportunities that do not require a position change to achieve

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, pages 4 and 5. The Tender Loving Care Home For Boys, Inc., dba Corinthians Helping Hand STRTP Human Resources Department supplies essential resources to sustain a stable workforce. Additionally, it will review salary data from other HFW agencies in the vicinity to ensure the agency’s pay remains competitive.

Procedures Ensure: (a) All staff receive an initial HFW training using one of three options (select option that applies to your organization): click to expand options

Selected Option: 1) HFW staff are trained externally by attending the Statewide Standardized Foundational HFW training through the UC Davis RCFFP,

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. The HFW Manager will organize the staff training schedule for the HFW courses in collaboration with the UC Davis RCFFP.

Procedures Ensure: (a) Youth, families and peer partners with current or prior Wraparound experience are meaningfully incorporated into the delivery of required Wraparound trainings., (b) Community partners are invited to attend Wraparound trainings or are offered trainings on Wraparound to strengthen their participation on HFW teams or to strengthen their role in supporting HFW within the System of Care.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. While training courses are compulsory for HFW employees, the offerings through UC Davis RCFFP present excellent opportunities for individuals involved in the HFW process.

Procedures Ensure: (a) All staff are provided with an initial apprenticeship that covers values, skills, and knowledge related to HFW principles, phases and activities, and the effective use of flex funds to meet a family’s needs., (b) Staff have access to supervision or coaching 24/7 as needed.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. The HFW Fidelity Coach, HFW Manager, and HFW Clinical Supervisor offer numerous opportunities for staff to receive initial and ongoing coaching and supervision.

Description of Practice, Name of Supporting Documentation and Page #: (e) N/A (Providers only)

Procedures Ensure: (a) Data is utilized to improve practice with youth and families, including giving staff timely feedback from data or reports relevant to their service provision and using data to identify staff training needs., (b) Data is utilized to identify and address program needs to better serve families and improve overall program effectiveness., (c) Data is utilized to identify and communicate system barriers to the Community Leadership Team which impacts the HFW implementation.

Description of Practice, Name of Supporting Documentation and Page #:

Utility- Focused Data and Outcomes Process, page 1. The HFW program conducts internal data collection, managed by the HFW Manager, using satisfaction surveys, WFI, phone calls, and other methods to assess and inform staff about the program’s effectiveness.

Date Started: October 21, 2025

Date Submitted: October 21, 2025

Certification Status: Under Review

Procedures Ensure: (a) First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child)., (b) Teams complete a Wraparound Plan of Care within 30 calendar days from start of services, (c) Teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days, (d) Teams update the plan of care, distribute to all team members, and document the updated plan in the child or youth’s file at least every 90 days and more often as needed, (e) Staff and their supervisors are provided with feedback on their ability to meet timelines for CQI purposes, (f) Staff are trained to timely engagement strategies that include encouraging alternate strategies when contact with the family is difficult

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 1. Inner Circle Foster Family Agency provides services through visits and completion of the Plan of Care. The HFW Manager monitors due dates to ensure activities are completed on schedule.

Procedures Ensure: (a) Elicitation and use of families’ perspectives, including Tribes in the case of an Indian child (including development and documentation of the Family Vision and Team Mission statements), (b) Family values, culture, expertise, capabilities, interests and skills are elicited and clearly documented in the youth’s case file, (c) Supervisors/Coaches routinely observe HFW team meetings and review documentation to gather and provide feedback to staff to reinforce practice expectations, build skills, and increase confidence, (d) Feedback from families is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) to share their experience of the Wraparound process.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 2. HFW staff collect information at the start of care about values, culture, experiences, skills, and strengths and document this in the individual’s own words.

Procedures Ensure: (a) A strengths inventory is developed and updated for every member of the team, includes other resources in the family’s local community, and is posted at HFW team meetings., (b) The identification of individualized strengths must include, but not be limited to, the strengths identified in the IP-CANS, (c) Staff receive ongoing coaching and training in providing strengths-based, solution-focused services., (d) Feedback from families regarding their experience of strengths-based services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 2. Inner Circle Foster Family Agency HFW utilizes a strengths inventory form based on data from the IP-CANS.

Procedures Ensure: (a) Underlying needs are identified and prioritized before goals and strategies are established for the youth and family., (b) Staff receive ongoing training and coaching in identifying needs, developing needs statements that are reflective of the underlying reasons why problematic situations or behaviors are occurring, and utilizing needs-focused planning over problematic behavior-focused planning., (c) The identification of individualized needs must include, but not be limited to, the needs identified in the IP-CANS, (d) Transition is planned according to team and family agreement that needs are sufficiently met.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, pages 2 and 3. The HFW Family Specialist applies the IP-CANS along with family data to determine the family’s needs.

Procedures Ensure: (a) Forms/documentation allow for sufficient flexibility in creating individualized plans for each child/youth and family., (b) Staff receive ongoing training and coaching in providing flexible, creative, and highly individualized services and strategies., (c) Facilitators receive ongoing training and coaching in leading the HFW team to customize the HFW process and the HFW plan of care according to each youth and family’s individual needs, strengths, values, culture, and preferences., (d) HFW plans of care are routinely reviewed and assessed for use of individualized strengths, needs, outcomes, and strategies and for the presence of strategies that capitalize on the assets of the family’s community and informal networks., (e) Family feedback regarding their experience of receiving customized services is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 3. The HFW Facilitator reviews family information as described by the family to incorporate individual preferences into the Plan of Care.

Procedures Ensure: (a) A natural and community supports inventory is developed and updated for every family., (b) Staff receive ongoing training and coaching identification, engagement, and integration of natural supports in the HFW process and in decreasing reliance on formal supports., (c) HFW plans of care are routinely reviewed and assessed for the inclusion of natural supports in the plan and for use of community and natural supports in the assigning of strategies and action items., (d) Family feedback regarding their experience of having natural supports engaged on their team is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 3. Inner Circle Foster Family Agency HFW uses a natural and community support inventory to document family resources and facilitate informal supports.

Procedures Ensure: (a) A strengths, needs, culture discovery is completed before the HFW plan of care is developed and is clearly documented in the child or youth’s case file, (b) Staff receive ongoing coaching and training in the elicitation and use of family and culture in planning and service delivery and in providing culturally respectful and relevant strategies., (c) Feedback from families regarding their experience of culturally relevant and respectful services and strategies is routinely elicited (e.g., through satisfaction surveys, use of the WFI or TOMS, quality assurance phone calls, etc.) and used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. The HFW Facilitator examines the youth and family’s cultural perspectives, including traditions and beliefs, for integration into the Plan of Care.

Procedures Ensure: (a) Team agreements are created for each HFW team and documented in the youth’s file., (b) Feedback from families and HFW team members regarding their experience of team engagement and collaboration is routinely elicited (e.g., through meeting observation, satisfaction surveys, use of the WFI or TOM 2.0, quality assurance phone calls, etc.)., (c) This feedback is used for continuous quality improvement including providing feedback to staff and their supervisors for training and coaching purposes., (d) HFW plans of care and meeting minutes are routinely reviewed and assessed for the shared ownership and follow through on strategies and action items.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. Each HFW team formed for the youth and family creates a team agreement outlining process information for all members.

Procedures Ensure: (a) The HFW plan of care includes specific, measurable strategies and action items with timeframes., (b) Action item completion is tracked by facilitators and updated at HFW team meetings, or more often as needed., (c) Forms and processes allow strategies and action items to be adjusted or changed as needed. These changes are communicated to all team members., (d) There is a process in place for who will complete the IP-CANS and how the IP-CANS will be shared amongst all team members (please specify in your description who will be responsible for completion of the IP-CANS assessment), (e) Data from the IP-CANS is used to support tracking and team decision-making, but does not replace using tracking of needs, goal completion, and action item completion to plan for transition.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. The Plan of Care includes strategies that are specific, measurable, achievable, relevant, and time-bound.

Procedures Ensure: (a) Teams are supported to keep working with a youth and family even when faced with setbacks or limited progress until the HFW team (with preference given to family voice and choice) agrees that services should end., (b) There are clear processes for teams to access help when facing challenges including how to request additional coaching or supervision, how to access/request flexible funding, and how to access additional support., (c) Facilitators receive ongoing training and coaching in post-crisis safety planning, conflict resolution, and in leading teams in effective brainstorming and ongoing plan revision.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, page 4. If families experience limited progress or setbacks, HFW staff convene to analyze reasons and develop strategies to address barriers.

Procedures Ensure: (a) HFW teams are able to provide adequate transitions and families do not experience sudden loss of services due to adverse events or due to administrative requirements., (b) Transitions out HFW are celebrated according to the youth and family’s culture, values, and preferences and administrative structures are supportive of engaging in celebration including access to flex funds, accommodating staff time for community resourcing, developing community partnerships, and ensuring staff are available to attend celebrations.

Description of Practice, Name of Supporting Documentation and Page #:

Fidelity Indicators, pages 4 and 5. HFW staff work to eliminate gaps in service. Should meetings or activities be missed, the HFW Family Specialist or Parent Partner contacts families to reconnect and reschedule.

Policies and procedures are in place to record and evaluate children, youth, and parent satisfaction with their Wraparound experience. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 1. The HFW Manager creates quarterly satisfaction surveys for youth and families to gather feedback and insights.

Policies and procedures are in place to record and evaluate school attendance and performance. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 1. The HFW Family Specialist communicates with the youth’s school to collect and review academic information and coordinate with school staff regarding performance.

Policies and procedures are in place to record and evaluate youth utilization of emergency medical services, frequency of contact with law enforcement, and engagement and community activities. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, pages 1 and 2. The HFW Facilitator maintains a list of youth activities to monitor attendance, progress, and engagement.

Policies and procedures are in place to record and evaluate the interpersonal functioning of families. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 2. HFW staff use the IP-CANS to assess interpersonal functioning, supplemented by family interviews.

Policies and procedures are in place to record and evaluate the caregiver’s confidence in their abilities and connectedness to resources in their community. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 2. Family satisfaction surveys are conducted quarterly to evaluate comfort with parenting skills and interactions with the youth.

Policies and procedures are in place to record and evaluate the frequency of and types of placement changes when they occur. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 2. The HFW Manager tracks placement status to monitor stability.

Policies and procedures are in place to record and evaluate the frequency of hospital visits. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 3. The HFW Manager tracks admissions to emergency departments or inpatient psychiatric hospitalizations.

Policies and procedures are in place to record frequency of crises and level of involvement of professional support when crises occur. Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 3. The HFW Manager monitors involvement with crisis intervention services, law enforcement, or the county crisis unit.

Policies and procedures are in place to record and evaluate when and why families exit HFW.Yes

Description of Practice, Name of Supporting Documentation and Page #:

Expected Outcomes, page 3. The HFW Manager tracks discharge status for youth and families.

Procedures Ensure: (a) The HFW process is fully explained to every family including an overview of the principles and phases, legal and ethical considerations, and the role of each team member including the family, natural supports, and Tribes in the case of an Indian child.

The explanation minimally includes: (a) an overview of the principles and phases, (b) legal and ethical considerations, (c) the role of each team member including the family and natural supports and Tribes in the case of an Indian child

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 1. Each youth and family receives orientation to HFW, covering its phases, guiding principles, and ethical considerations.

Procedures Ensure: (a) Initial crisis and safety concerns are discussed during engagement. If pressing concerns are brought forward, the team develops an immediate crisis response plan which is provided to the family and is documented in the chart., (b) The crisis plan is used to inform, but not replace, the HFW Safety Plan developed during the Plan Development phase., (c) All families are provided with information regarding how to access 24/7 crisis response when needed.

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 1. The HFW Manager or designee prepares an initial crisis response plan for youths presenting safety risks.

Procedures Ensure: (a) A Family Vision is completed with every family and documented in the youth’s chart during the Engagement phase., (b) A Strengths, Needs, Culture Discovery document is initiated with every youth, and family, is included in the youth’s chart, is updated at least every 90 days, and the team adds new strengths, needs, and cultural preferences as they are discovered. The document is provided to new team members as they are identified.

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 2. The HFW Facilitator meets with families to discuss strengths, needs, cultural preferences, and family vision during the engagement phase.

Procedures Ensure: (a) A natural supports inventory is completed with all youth and families and is documented in the child or youth’s case file., (b) Children’s System of Care partners who should be included on the HFW team are identified and engaged., (c) The HFW team works with the youth and family to identify potential team members (including formal, natural supports and Tribes, in the case of an Indian child) and discusses their role on the team., (d) Engagement and team building activities are documented in the youth’s file (for example, but not required, in meeting minutes or in case notes).

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 2. The HFW Facilitator meets with the youth, family, and HFW team members to identify natural supports and determine who will participate in the team process.

Procedures Ensure: (a) Staff are flexible in working hours and scheduling meeting times and locations to accommodate family and Wraparound Team needs., (b) Staff are trained to work collaboratively with families and the other members of the HFW team to schedule meetings that are in alignment with family needs and preferences as well as maximize participation.

Description of Practice, Name of Supporting Documentation and Page #:

Engagement, page 2. Inner Circle Foster Family Agency requires HFW staff to adjust their working hours to accommodate meetings with youth and families in the evenings or on weekends when necessary.

Procedures Ensure: Before the Wraparound plan of care is developed: (a) Before the HFW plan of care is developed, team agreements, a team strengths inventory, and a mission statement are completed with each family and documented in the youth’s file., (b) The youth’s and family members’ strengths identified in engagement are updated to reflect any additionally discovered strengths as they are identified and are documented in the youth’s file.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, page 1. Before developing the Plan of Care (POC), the HFW Facilitator ensures that all team agreements, strengths assessments, needs, cultural backgrounds, vision discovery materials, inventories, and mission statements are thoroughly completed and documented in the youth’s file.

Procedures Ensure: (a) Before the HFW plan of care is developed, underlying needs are identified and prioritized for each family and are documented in the youth’s file., (b) Measurable goals and outcomes are developed from these identified needs (as opposed to behavior or deficit-based goal development), (c) These goals and outcomes are developed collaboratively with the youth, family, and the rest of the HFW team., (d) Multiple individualized brainstormed strategies are documented in the youth’s file (e.g., in the HFW Plan of Care, in a form, in meeting minutes, or in progress notes) that can be referred to as needed., (e) Facilitators are trained to lead teams in identifying, prioritizing, and selecting strategies and developing action items., (f) These steps are utilized to develop the individualized HFW Plan of Care in a team-based, collaborative environment.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, page 1. As the team reviews and approves the identified needs of the youth and family, the HFW Facilitator evaluates the associated goals and outcomes with the team to confirm that they are SMART —specific, measurable, achievable, relevant, and time-bound—and that each goal and outcome is constructed based on these needs.

Procedures Ensure: (a) Facilitators receive ongoing training and coaching to engage the team in a planning process that elicits multiple perspectives, builds trust and shared vision, and demonstrates the HFW principles., (b) The Plan of Care comprehensively integrates goals and objectives identified by all Children’s System of Care partners., (c) The Plan of Care is documented in the child/youth’s file, is distributed to all team members, and meets all the criteria defined above (items 1-6), (d) Procedures are in place to review Plans of Care for continuous quality improvement and to provide feedback to staff and supervisors/coaches for training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, pages 1 and 2. The HFW Facilitator conducts the POC process, ensuring alignment with objectives and targets established collaboratively by team members. Whole agreement and approval from all team members are required for the finalized POC.

Procedures Ensure: (a) An individualized crisis and safety plan is documented in the youth’s file, which identifies potential safety, high risk and crisis situations with proactive and reactive crisis management strategies chosen by the family members and including who should be called for support 24/7., (b) The development of the plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (c) Crisis and safety plans are reviewed for individualized strategies, proactive and reactive progression of strategies, cultural relevancy, and the use of natural supports for continuous quality improvement and training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Plan of Care Development, page 2. In collaboration with the HFW Clinical Supervisor, the HFW Facilitator expands upon the initial crisis response strategy formulated during the engagement phase to develop a robust Crisis and Safety Plan.

Procedures Ensure: (a) The facilitator leads the team to review strategies and action items at HFW team meetings (e.g., use of meeting agendas and meeting minutes that address action item completion and document progress), track individual assignments, check-in to support meeting timelines and deliverables, and adjust strategies and action items as needed., (b) Staff receive training and coaching on implementing the plan of care in alignment with the HFW principles. Training and processes address celebrating successes as they occur.

Description of Practice, Name of Supporting Documentation and Page #:

Implementation, page 1. The HFW Facilitator leads the team in implementing the approved POC, overseeing task execution, and ensuring that all steps are reviewed, approved, and disseminated appropriately to each team member. Ongoing monitoring of individual tasks and actionable items is maintained.

Procedures Ensure: (a) Reviews of strategies, progress, and action items occurs in a HFW team meeting setting., (b) The facilitator leads the team to adjust the plan accordingly as successes occur, as new needs are identified, or as new strategies and action items are selected, and the updated plan is documented in the youth’s file., (c) The facilitator documents and communicates completion of tasks and new assignments, team attendance, use of formal and natural supports, use of flex funds, and updates to the plan. These updates are communicated to all team members, at a minimum, through the use of team meeting minutes., (d) Forms are able to be updated and individualized to meet the youth, family, and team’s changing needs.

Description of Practice, Name of Supporting Documentation and Page #:

Implementation, page 1. During HFW team meetings, the POC—including its strategies, progress, and action items—is systematically reviewed.

Procedures Ensure: (a) Team agreements are utilized, reviewed regularly, and present at HFW team Meetings., (b) Facilitators receive ongoing training and coaching on building, engaging, and maintaining effective teams., (c) Use of natural supports are monitored over time and teams are provided feedback through coaching and supervision., (d) There are processes for orienting new team members (including formal and natural supports) to the team which include explaining the HFW process, reviewing current plans and strategies, and engaging in team building exercises.

Description of Practice, Name of Supporting Documentation and Page #:

Implementation, pages 1 and 2. The HFW Facilitator routinely assesses, updates, and communicates team agreements during meetings across all phases of HFW.

Procedures Ensure: (a) The facilitator leads the team in identifying when the youth and family are ready for transition based on benchmarks and indicators that the team has been monitoring and adapting throughout the HFW process., (b) Once this determination has been made, the facilitator leads the team in creating an individualized transition plan that identifies needs, services, and supports, distributes the plan to all team members, and documents the plan in the youth’s file., (c) The development of the individualized transition plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (d) The team verifies that services and supports identified in the transition plan will persist past formal HFW and that the family is able to access them, including post adoption services if applicable.

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 1. The HFW team—comprising the youth, family members, and both formal and informal supports—collectively determines when the goals specified in the HFW Plan of Care have been satisfactorily achieved.

Procedures Ensure: (a) The individualized crisis and safety plan is updated to reflect transition (or a new transition crisis and safety plan is completed) and documented in the youth’s file. The plan identifies potential crisis situations that may occur after transition and includes proactive and reactive crisis management strategies that maximize use of natural support and that are chosen by the family., (b) The development of the crisis and safety transition plan occurs in a team based, collaborative environment and facilitators receive training and coaching to this process., (c) Processes are in place to review crisis and safety plans for individualized strategies, proactive and reactive progression of strategies, cultural relevancy, and the use of natural supports for continuous quality improvement and training and coaching purposes.

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 1. The HFW Facilitator updates the existing Crisis and Safety Plan created during the HFW process to better match the youth and family’s needs during and after transition. If needed, a new Crisis and Safety Plan is developed.

Procedures Ensure: (a) Transitions out of the Wraparound process are celebrated according to the family’s culture, values, and preferences., (b) Administrative structures are supportive of engaging in celebration (e.g., access to flex funds, time for community resourcing, community partnerships, ensuring staff are available to attend celebrations, etc.).

Description of Practice, Name of Supporting Documentation and Page #:

Transition from the Fourth Phase of Wraparound, page 2. During the transition planning, the HFW Facilitator convenes with the youth, family, and HFW team to discuss their preferred type of celebration. The ceremony and process are carried out in accordance with the youth and family’s culture, values, and preferences.

Procedures Ensure: (a) There are mechanisms in place for families to participate in decisions regarding local HFW implementation, (b) Family feedback is used in the decision-making regarding service planning and implementation, policy and procedure development, workforce development and quality improvement

Description of Practice, Name of Supporting Documentation and Page #:

HFW Program and Community Leadership, page 1. Inner Circle Foster Family Agency will establish an advisory board for HFW. It will consist of volunteer youths and families who are or have been actively involved in the HFW process.

County Procedures Ensure : N/A (Providers only)

Provider Procedures Ensure : (a) There is an identified representative who actively participates on the Community Leadership Team, N/A (Counties with contracted providers only)

Description of Practice, Name of Supporting Documentation and Page #:

HFW Program and Community Leadership, page 1. The HFW Manager or their designee will participate in any HFW Community Leadership team from Inner Circle Foster Family Agency.

County Procedures Ensure: N/A (Providers only)

Provider Procedures Ensure : (a) Youth that meet established eligibility criteria are able to receive services and are not excluded based on the severity or nature of their needs., (b) Staffing is planned to ensure appropriate case load assignments that support the intensity and frequency of services necessary to meet families’ complex needs and enable staff to provide 24/7 support to families in crisis.

Description of Practice, Name of Supporting Documentation and Page #:

HFW Program and Community Leadership, page 1. The Inner Circle Foster Family Agency has sufficient staff to deliver HFW services to all youths and their families transitioning from the STRTP program.

Contracts outline rates that reflect the inclusion of: (a) High fidelity direct services and supports to meet the immediate individualized needs of youth and families, (b) Required workforce development and staffing including required roles or functions from Workforce Development standard 9.3, (c) Required data collection and/or data management systems.

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 1. The HFW Manager, in collaboration with the Inner Circle Foster Family Agency Executive Director, routinely reviews the HFW contract with the relevant county. This ensures there are enough funds to serve youth and families, support workforce growth and staffing, cover data collection and CQI activities, fund flex funding, and support other essential resources.

County Procedures Ensure: N/A (Providers including AAP funded providers only)

Description of Practice, Name of Supporting Documentation and Page #:

Procedures Ensure: N/A (Providers including AAP funded providers only and if cost-savings are unavailable)

Description of Practice, Name of Supporting Documentation and Page #:

Procedures Ensure: (a) Flexible funds are available and included as a part of the funding plan for HFW., (b) Processes to access and manage flexible funds are articulated and at a minimum include:
     1) Timely access for families that meet urgent needs
     2) A defined approval process that includes the evaluation criteria defined above
     3) A process to appeal denied requests which include communication with teams, youth, and families, regarding why the funds were denied.

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 1. The program’s budget process includes flex funds for Inner Circle Foster Family Agency HFW, for youths and families. Each family is eligible for these flex funds.

Procedures Ensure: (a) Flex fund use and availability is documented and transparently communicated to funders and providers, including information regarding the amount, purpose and HFW team recommendation of the request., (b) Flex funds are pooled and held to meet the needs of all families served

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 2. The HFW Manager is responsible for approving all flex fund requests. Each request is documented and shared with the youth and family, the HFW team, Inner Circle Foster Family Agency leadership, and the county’s HFW team.

Procedures Ensure: (a) Flex funds and program resources are funded by braiding of available System of Care funding to ensure their availability, (b) When funding limitations exist in a single funding source, alternate funding options are explored or reliance on other funding sources is increased to fill gaps, (c) Requirements of any single funding source do not prohibit families from accessing flexible funds to meet their needs

Description of Practice, Name of Supporting Documentation and Page #:

Fiscal, page 2. The Executive Director of The Inner Circle Foster Family Agency collaborates with the HFW Manager to guarantee that flex funds are accessible to every family.

Procedures Ensure: (a) The demographic composition of the population served is monitored and processes are in place to recruit/hire staff according to population needs, (b) When unable to recruit/hire according to cultural, racial, and linguistic needs, efforts are made to meet families’ needs for cultural representation through alternative means such as engaging natural or formal supports on the HFW team, (c) When unable to provide a staff member who can provide services in the family’s language, a translator or natural support person is utilized

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 1. The Executive Director of Inner Circle Foster Family Agency collects statistical data on clients, including cultural background, age, gender, the language spoken by the family, and other pertinent factors.

Leadership (including managers and supervisors) are committed to and have specific processes or structures in place to promote staff creativity and flexibility in providing services and meeting families’ needs: (a) Staff are trained on tribal sovereignty, traditions, and values, as well as how to ensure respectful communication, collaboration, and advocacy., (b) When serving an Indian child, HFW teams build partnerships with tribal representatives, encouraging participation in tribal traditions and ceremonies and understanding the value of services and supports that the Tribe can offer.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, pages 1 and 2. Staff at Inner Circle Foster Family Agency participate in training on the Indian Child Welfare Act (ICWA) to improve their understanding of Native American culture.

Procedures Ensure: (a) Program quality and improvement, (b) Cohesion (minimally including creating a positive team environment), (c) Open communication, (d) Creating a clear sense of mission and compliance with HFW philosophy (principles, values, phases and activities)

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 2. The HFW program is based on the “Whatever It Takes” philosophy, requiring that services remain flexible and responsive to the needs of youth and families. This may include scheduling meetings during weekends or evenings, providing customized services and activities, and ensuring care plans reflect individual needs.

Procedures Ensure:(a) Each of the above roles or functions are met within the HFW program either through a unique position or through combining positions with clearly defined role descriptions and responsibilities., (b) The description and responsibilities of each role minimally includes the role purpose, functions and qualities (including skills, competencies and attributes) specific to each role or function. Examples of role descriptions can be found in the Wraparound Standards Toolkit, (c) Job descriptions for all required positions are specific to HFW and reflect the attitudes, skills, knowledge, and experience most likely to identify individuals who will be successful in the position., (d) The hiring process includes opportunities that allow candidates to demonstrate specific attitudes and skills essential to the position., (e) Employees are provided clear expectations for their performance and receive frequent feedback and coaching to support their success.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, pages 2, 3, and 4. Due to smaller caseloads, staff members may have multiple roles; however, the HFW Manager maintains adequate staff coverage to meet all HFW requirements.

Human resources management in the organization has implemented strategies and processes that result in the maintenance of a stable workforce which minimally include: (a) Matching wages to cost of living in the location of the organization/service implementation area, (b) Maintaining manageable workloads for staff, (c) Having clearly communicated and accessible promotion/advancement structures that are not prohibitive for those with lived experience, (d) Providing wage increases or leadership opportunities that do not require a position change to achieve

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, pages 4 and 5. The Human Resources Department at Inner Circle Foster Family Agency provides necessary resources to maintain workforce stability and reviews salary data from other local HFW agencies to ensure competitive compensation.

Procedures Ensure: (a) All staff receive an initial HFW training using one of three options (select option that applies to your organization): click to expand options

Selected Option: 1) HFW staff are trained externally by attending the Statewide Standardized Foundational HFW training through the UC Davis RCFFP,

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. The HFW Manager coordinates staff training schedules for HFW courses and collaborates with UC Davis RCFFP.

Procedures Ensure: (a) Youth, families and peer partners with current or prior Wraparound experience are meaningfully incorporated into the delivery of required Wraparound trainings., (b) Community partners are invited to attend Wraparound trainings or are offered trainings on Wraparound to strengthen their participation on HFW teams or to strengthen their role in supporting HFW within the System of Care.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. Training courses are required for HFW employees, and those provided through UC Davis RCFFP are available to individuals involved in the HFW process.

Procedures Ensure: (a) All staff are provided with an initial apprenticeship that covers values, skills, and knowledge related to HFW principles, phases and activities, and the effective use of flex funds to meet a family’s needs., (b) Staff have access to supervision or coaching 24/7 as needed.

Description of Practice, Name of Supporting Documentation and Page #:

Workforce Development and Human Resource Management, page 5. The HFW Fidelity Coach, HFW Manager, and HFW Clinical Supervisor facilitate opportunities for staff to receive coaching and supervision, both initially and on an ongoing basis.

Description of Practice, Name of Supporting Documentation and Page #: (e) N/A (Providers only)

Procedures Ensure: (a) Data is utilized to improve practice with youth and families, including giving staff timely feedback from data or reports relevant to their service provision and using data to identify staff training needs., (b) Data is utilized to identify and address program needs to better serve families and improve overall program effectiveness., (c) Data is utilized to identify and communicate system barriers to the Community Leadership Team which impacts the HFW implementation.

Description of Practice, Name of Supporting Documentation and Page #:

Utility-Focused Data and Outcomes Process, page 1. The HFW program collects internal data, overseen by the HFW Manager, utilizing satisfaction surveys, WFI, phone calls, and other approaches to evaluate and communicate the program’s effectiveness to staff.

Date Started: October 28, 2025

Date Submitted: October 28, 2025

Certification Status: Under Review

Procedures Ensure: (a) First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child)., (b) Teams complete a Wraparound Plan of Care within 30 calendar days from start of services, (c) Teams review the plan within the context of a HFW team meeting at least every 30-45 calendar days, (d) Teams update the plan of care, distribute to all team members, and document the updated plan in the child or youth’s file at least every 90 days and more often as needed, (e) Staff and their supervisors are provided with feedback on their ability to meet timelines for CQI purposes, (f) Staff are trained to timely engagement strategies that include encouraging alternate strategies when contact with the family is difficult

Description of Practice, Name of Supporting Documentation and Page #:

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Description of Practice, Name of Supporting Documentation and Page #:

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Description of Practice, Name of Supporting Documentation and Page #:

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Policies and procedures are in place to record and evaluate children, youth, and parent satisfaction with their Wraparound experience.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate school attendance and performance.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate youth utilization of emergency medical services, frequency of contact with law enforcement, and engagement and community activities.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the interpersonal functioning of families.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the caregiver’s confidence in their abilities and connectedness to resources in their community.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the frequency of and types of placement changes when they occur.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the frequency of hospital visits.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record frequency of crises and level of involvement of professional support when crises occur.

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

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Description of Practice, Name of Supporting Documentation and Page #:

Date Started: October 31, 2025

Date Submitted:

Certification Status: Certified

Procedures Ensure: (a) First contact with families is made as soon as possible, but no later than 10 calendar days after referral (or self-referral in the case of AAP eligible child).

Description of Practice, Name of Supporting Documentation and Page #:

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Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

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Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate children, youth, and parent satisfaction with their Wraparound experience.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate school attendance and performance.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate youth utilization of emergency medical services, frequency of contact with law enforcement, and engagement and community activities.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the interpersonal functioning of families.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the caregiver’s confidence in their abilities and connectedness to resources in their community.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the frequency of and types of placement changes when they occur.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record and evaluate the frequency of hospital visits.

Description of Practice, Name of Supporting Documentation and Page #:

Policies and procedures are in place to record frequency of crises and level of involvement of professional support when crises occur.

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

Description of Practice, Name of Supporting Documentation and Page #:

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Date Started: December 9, 2025

Date Submitted: December 9, 2025

Certification Status: Under Review