Ten Great Websites For Children Facing Difficulties With Adoption Or Foster Care System

Adoption and foster care arrangements can be terrific alternative for children with troubled backgrounds.  After all, children living in these type of arrangements may be blessed with a loving family.  If you are looking for insights one these family situations, you've come to the right place.

1)Thin Q Fitness http://www.thinqfitness.com/blog.asp?z1060Brn4=al8rzor4-FDED

Fitness regimens that are on video that has something for everyone's fitness ability level. Contact Fiona Russell at info@thinqdigitalmedia.com.

2) Adoption Blogs http://www.adoptionblogs.com

This is a blog about parents of adopted children and what they go through parenting a child who is not biologically theirs. Stories include meeting birth parents, holidays, families and much more.

3) Adoptions Together Birth Parent Blog http://www.birthparentblog.com

Detailed accounts are discussed from people who are considering putting their children up for adoption. The process of emotions the birth parents can go through are described in detail.

4) Never a Dull Moment http://fletcherclan.blogspot.com

Claudia, author, chronicles her life as a professional in the adoption industry as well as an adoptive parent of foster children. She discusses day to day life and struggles personally and professionally.

5) Carrie’s Adoption Blog by Carrie Craft http://adoption.about.com/bl

A professional in the foster care/adoption field, Carrie discusses her personal and professional life as well as what is going on around the world with adoptions. Through work and experience, Carrie uses foster care to assist these children in their lives while in protective custody, long and short term care and respite homes.

6) My Adoption Chronicles Blogs http://www.myadoptionchronicles.com/

These are stories about people (many of them single) in different stages of the adoption process.

7) My Life in a Foster Care Space Warp http://fostercarespacewarp.blogspot.com/

This is a very personal blog written by a mother who fosters children in the dependency system. She writes of the ups and downs of the foster process for the kids she fosters.

8) Kate and Joel’s Adoption Blog http://kateandjoelsadoption.com/

This is the personal story of Kate and Joel’s adoption of a baby girl, Holly. It chronicles life after they get Holly to the present day.

9) My Crazy Adoption http://mycrazyadoption.org

Stories in this blog come from a family who live life to the fullest and celebrate everyday. The author is a mom of three and total proponent of adoption and features adoption videos monthly for inspiration for adoption.

10) Production not Reproduction http://www.productionnotreproduction.com/

This blog is written by a mother of two children, both adopted through open adoption. Open adoption means that the biological and adoptive parents meet each other and in some cases, the biological parents remain part of the adoptive families lives. This is the story of their lives and how open adoption worked for them.

Have a child-related blog or website that you find useful? Please send me a link and I will include it in our next round of web-related resources.

Rosenfeld Injury Lawyers is proud to have national recognition for our work on behalf of children injured or abused in a variety of setting including: foster care, adoption services, day care, Religious institutions, camps and schools.  Our experience has allowed us to develop a network of some of the most respected names in fields of: counselling and therapy services.  We would honor the opportunity to speak to you regarding the legal rights of your children. (888) 424-5757

Foster Care Abuse Lawsuit Seeks Damages From Placement Agency

Three young men who allege to have been sexually abused by their foster care father have filed civil lawsuits against both the individual and the foster care placement company.  

The foster care father, faces criminal charges for the sexual abuse of seven adolescent boys at his Last Chance Farm compound.  The man and his wife were part of Mentor Maryland, an organization that provides foster care to children and adolescents with: mental disabilities, at-risk children and people with brain and spinal cord injuries.

The lawsuits all allege that Mentor Maryland was negligent for failing to take action after they had notice of the alleged acts of involving sexual abuse from children under the care of the same foster care parent.

If found negligent, the foster care agency may face a substantial payout to these young victims of abuse. 

Foster Care Agencies Duty To Protect Children

Children and adolescents involved in foster care programs frequently come from troubled backgrounds where they may already been exposed to physical or emotional abuse that will impact them during their development.  When placed into a foster care environment, they should have every expectation--- and assurance that such misery will not be perpetrated against them on another occasion.

Foster care agencies are indeed in the best position to ensure the well being of the children in their program.  Most foster care agencies have strict policies concerning the training of foster care parent, placement of children into foster care environments and monitoring the monitoring each child as they develop.  

Having worked on a number of foster care abuse cases, I've seen case workers grossly overworked and inadequately trained in how to detect potential mistreatment.  Moreover, policies to protect children in foster care get ignored.  

Related:

Even After Foster Care System Overhaul; Children Remain At Risk For Abuse & Neglect

$10 Million Settlement For Child Abused By Foster Parent Demonstrates Lapses In Oversight System

3rd foster abuse lawsuit filed, Delmarva.com, July 16, 2011

Reporting Child Abuse: Not Just The Right Thing To Do-- But Also The Law

child abuseIn many situations, a child may be unable or unwilling to report their own abuse or neglect.  Therefore, it is important that the network of adults in a child’s life are vigilant advocates, giving abused children a voice.  A child may not report abuse because they cannot talk, do not understand what is happening, are afraid, or have no one to talk to. 

That is why there are mandated reporters, people and professions who have a legal requirement to report child abuse or neglect to the State.  Many times, these people are in the best position to recognize signs of possible abuse (325 ILCS 5/4; 720 ILCS 5/11-20.2). 

Mandated reporters of child abuse include:

  • Doctors
  • Nurses
  • Teachers
  • Social workers
  • Psychologists
  • Police officers
  • Members of the clergy
  • Child care personnel. 

If a mandated reporter fails to report suspected abuse, they can face disciplinary action (325 ILCS 5/4). 

These are not the only people who should report child abuse or neglect.  Anyone who even suspects child abuse or neglect should call the Child Abuse Hotline at (800) 25-ABUSE or 1-800-252-2873 or (217)524-2606 if calling from outside Illinois. 

In Illinois, about two-thirds of calls come from mandated reporters.  If a hot-line worker determines that the report qualifies as child abuse/neglect, it is reported to the Department of Children and Family Services (DCFS), where a social worker opens an investigation within 24 hours.  If the investigator determines that the report was made in good faith or the reported abuse did occur, a formal investigation is opened.  In 2008, Illinois had 111,890 reports of child abuse/neglect, and 30,047 indicated/confirmed cases.

During the investigation, the child can be placed in protective custody if the investigator determines that they are at imminent risk.  The investigator makes a decision on the case within 60 days (unfounded or confirmed).  In Illinois, over a quarter of all cases are confirmed.  DCFS must report the case to local law enforcement if it involves a serious allegation (death, sexual abuse, torture, internal injuries, and head injuries, among others. 

A person who is accused of child abuse/neglect (the perpetrator) can appeal of the indicated finding in the DCFS’ Administrative Hearing Unit.  The Administrative Law Judge (ALJ) makes a recommendation to the Director of DCFS, who then issues a final decision.  If the appeal is denied, the perpetrator can appeal in circuit court.    

Child Injuries v. Child Abuse

Children are active and adventurous and their activities can lead to accidental injuries.  Common accidental injuries include: broken bones from falls, choking, and sickness from ingesting toxic substances.  However, children can also suffer injuries from abuse and neglect.  Therefore, it is important to learn the signs of abuse so you can report it.

Child care facilities must take precautions to ensure that the physical property is free of hazards in order to prevent dangerous falls and accidents.  This includes proper radiator covers, no loose electrical cords, picking up toys and keeping the play area clean, wiping up spills, keeping walkways clear, storing cleaning products and toxic substances out of the reach of children.  Even a caregiver’s purse can pose a risk to young children, keys and makeup can be choking hazards, medicine can be lethal for a small child. 

Illness and disease is another factor to consider with child care settings.  Children do not appreciate or understand germs.  They chew on toys, put things in their mouths, and share toys.  Caretakers must ensure that children only play with toys suitable for their age group, inspect toys for deterioration or loose parts, and clean toys and surfaces regularly.  

Related Child Injury Law Blog Entries:

Toddler Receives Burns In Daycare Due To Caregiver's Poor Judgment

Foster Care System Failing To Protect Those Who Need It The Most

Despite The Recent Publicity, Children Continue To Remain Susceptible To Abuse From Clergy

Preventing Institutional Child Abuse By Carefully Selecting A Facility

daycare.jpgChildren, like the elderly, are a vulnerable group that requires oversight, protection, and regulations to protect them.  (See “Children in Day Care Are Susceptible to Many of the Same Problems Our Elderly Nursing Home Patients Encounter”)

Choosing a Child Care Provider

When choosing a child care facility, there are a number of factors to keep in mind.  It is important to find a high-quality facility, where you feel your children are receiving the best care and attention.  (Trust Your Instinct When Placing a Child in Daycare with Potential Hazards)

When you visit potential child care centers, you should look for:

  • A positive and safe environment
  • Good communication between the parents and staff
  • Long-term caregivers with experience or training in child development
  • A small caregiver to child ratio, to ensure that your child receives proper attention

The group, Child Care Aware, lists five recommendations when choosing a child care facility:

  1. Start early – Give yourself enough time to look at multiple child care facilities and properly weigh your options
  2. Call local child care resources and referral (CCR&R) agencies
  3. Ask questions when you visit a facility – look around, check for hazards, count the number of children/caregivers, and ask about training and background checks
  4. Make a decision
  5. Stay involved

Child care is expensive, so naturally, price will be one factor in your decision.  In two-parent households, 10.6% of the family income goes toward child care.  There are some state assisted child care programs funded by the Child Care and Development Fund (CCDF), and some families may be eligible for tax benefits (Earned Income Tax Credit (EITC), Child Tax Credit, and Child and Dependent Care Credit).

Child Care Options

The United States has more than 335,000 licensed child care facilities that offer supervised, regular care of children for a fee.  (Type and number of licensed child care facilities by state).  Child care options include:

  • Child Care Centers – Nonresidential facilities
  • Family Child Care/ Group Day Care Home/Day Care Home – Residential facilities
  • Family/Friend/Neighbor Care – Relative/friend/neighbor provides care in their own home or the child’s home
  • Nanny/Au Pair – One person cares for child in the child’s home, sometimes also living there

The Survey of Income and Program Participation (SIPP) has a table showing the distribution of child care arrangements for children younger than 15 years of age. 

Arrangement Type

Percentage Distribution

Relative Care

47.4

     Mother

4.3

     Father

17.2

     Grandparent

19.4

     Sibling or other relative

6.4

Organized Care Facility

23.8

     Day care center

18.1

     Nursery or preschool

5.0

     Head Start

0.8

Other Nonrelative Care

15.6

     In child’s home

3.6

     In provider’s home

12.0

     Family day care

7.4

     Other nonrelative

4.6

Other

13.2

     Other arrangement

2.5

     No regular arrangement

10.8

Total

100.00

Early education programs offer an alternative to child care.  The programs work on developing skills to prepare the children for school.  These programs include:

  • Early Head Start (EHS) – Federally funded program for low income families with young children (Head Start Locator)
  • Head Start – Same as EHS but for older children, 3-5 years old.
  • State-funded prekindergarten programs – For children 3-4 years of age

Federal Regulation

Individual states regulate and license child care.  Federal law does require that states regulate child care facilities to prevent infectious disease, require premise safety, and health and safety training.  As expected, regulations vary from state to state. 

Regulations generally include: licensing requirements, inspections, child to staff ratio, background checks, health and safety requirements, child development, and parent communication/involvement.  (State licensing requirements)

 

Age Groups

Developmental Stage

Age

Functional Definition

Infant

0-12 months

Birth to ambulation

Toddler

13-35 months

Ambulation to accomplishment of self-care routines such as use of the toilet

Pre-schooler

36-50 months

From achievement of self-care routine to entry into regular school

School-Age Child

5-12 years

Entry into regular school, including kindergarten through 6th grade

State Regulation - Illinois

The Department of Children and Family Services (DCFS) regulates Illinois licensing and standards (Illinois child care Rules).  There were 2,907 licensed day care facilities, 473 group day care homes, and 10,050 licensed day care homes in Illinois in 2007.  These facilities have the capacity to serve over 295,000 children.  (Illinois Daycare Listings)

Illinois regulations set forth minimum standards for child care facilities and institutions.  The Illinois Child Care Act (225 ILCS 10) has standards, licensing requirements, background checks, and responsibilities (Child Care Act Study Guide).  (See “Day Care Worker Leaves Children Unattended in Gym – Situation Demonstrates the Need for More Regulation of Child Care in Alternative Settings”)

The Illinois Administrative Code includes rules covering the licensing standards for child care facilities:

Understanding The Regulations Pertaining To Day Care Facilities Is Crucial To Protecting Your Child

girlwithsun.jpgDay Care Centers are facilities that provide child care for less than 24 hours/day for over eight children if it is a family home or over three children in a non-home facility. 

In Illinois, these Centers are regulated by the Part 407 (Licensing Standards for Day Care Centers) of the Illinois Administrative Code.  DCFS inspects and licensees these facilities (license valid for three years). 

Day Care Centers must meet certain health and safety guidelines including but not limited to: ensuring that all children are supervised at all times, emergency drills, first aid kit, sanitary and hazard free conditions, hazardous substances kept out of reach.  In addition, depending on the time of day and length of stay, the facility must provide nutritious food and snacks. 

Day care centers require a director (at least 21 years old with 2 years of college or experience and 15 hours of training/year), and each caregiver must have a medical report as well as a background check.  The children to staff ratios can be found in the following table:

 

Age of Children

Provider to Child Ratio for Child Care Centers in Illinois

Maximum Group Size

Infants

1:4

12

Toddlers

1:5

15

2 Years

1:8

16

3 Years

1:10

20

4 Years

1:10

20

Preschool (5 years)

1:20

20

School Age (kindergarteners present

1:20

30

Mixed Age Group

Ratio for youngest child in group

30

Day Care Homes

Day Care Homes are homes that provide care for more than three, but less than twelve children for less than 24 hours a day.  These homes are regulated by Part 406 (Licensing Standards for Day Care Homes) of Illinois’ Administrative Code.  It lists licensing standards and how to apply.  As part of the licensing process, DCFS has to inspect the facility to ensure that it meets requirements.  The license is valid for three years. 

The facility/home must meet safety guidelines including but not limited to: fire extinguisher and smoke detector, first aid kit, no chipping paint or lead paint, hazardous materials kept out of reach, child proofing, and clean and sanitary conditions.  The facility must also provide adequate daily nutrition, which varies depending on the time of day and length of stay. 

The caregiver of a day care home must be at least 18 years of age and must complete fifteen hours of training/year.  They must also provide proof that they are free of transmissible diseases and undergo a background check.  The children to staff ratios for group homes are:

  • ≤ eight children under 12 years of age, where only six can be under 5 years of age, and only two can be younger than 30 months, or
  • ≤ eight children under 12 years of age, where only five can be under 5 years of age, and only three can be younger than 24 months, or
  • Eight school-aged children
  • A part-time assistant can provide care for four additional school-aged children
  • If there is a full-time assistant, they can care for ≤ eight children under 5 years old where only five can be younger than 24 month

Group Day Care Homes

Group Day Care Homes provide care for 3-16 children for less than 24 hours/day.  These Homes are regulated by Part 408 (Licensing Standards for Group Day Care Homes) of Illinois Administrative Code.  The Code includes licensing requirements (license valid for three years, inspected yearly by DCFS).   

These homes must meet health and safety guidelines including; emergency supplies (first aid kit, flashlight), child proofing, smoke detectors, working phones, and a clean and safe environment.  There are also guidelines about night care; these guidelines cover bathing, beds and sleeping arrangements, and food. 

Caregivers at group day care homes must be at least 21 years old, full-time assistants must be at least 18 years old, and part-time assistants must be at least 14 years old.  Caregivers are required to undergo background checks.  The caregiver must have one year of college credit or equivalent work experience, and must undergo 15 years of training every year. 

A day care home cannot provide care for more than 16 children.  Children to staff ratios are as follows:

1 caregiver (alone) may provide care for:

  • ≤ eight children under 12 years old, where only six can be under 5 years old and only two younger than 30 months, or
  • ≤ eight children under 12 years old, where only five can be under 5 years old and only three can be younger than 24 months, or
  • ≤ eight pre-school aged children, where none are younger than 3 years old, or 
  • ≤ twelve school age children.

1 caregiver + one assistant (at least 18 years of age) may care for:

  • ≤ twelve children 3-6 years old, or
  • ≤ twelve children under 6 years old, where only six can be younger than 30 months and only four can be younger than 15 months

1 caregiver + 1 part-time assistant may care for:

  • Four more children before or after school

Abuse/Neglect In Child Care Facilities

Unfortunately, child abuse and neglect does occur at child care facilities.  In some situations, there are merely too many children for the caregivers to safely monitor, which leads to unsafe conditions and neglect.  In other situations, intentional abuse can occur.  That is why it is so important that facilities conduct criminal background checks on all employees and monitors its employees. 

The Federal Child Abuse Prevention and Treatment Act (CAPTA) defines child abuse and neglect as:

  • An act or failure to act by a parent or caregiver that results in death, serious injury (physical or emotional), sexual abuse, or exploitation, or
  • An act or failure to act that creates a situation of imminent danger

States are left with the task of providing more specific definitions for child abuse and neglect.  Most states include definitions in regulatory code (mandatory child abuse reporting statutes (criminal and civil), criminal statutes, and juvenile court statutes).  In Illinois, these definitions are found in Child Protection, 325 ILCS 2, 5,15 and  Child Welfare 20 ILCS 505, 520; 705 ILCS 405

Illinois’ licensing requirements specifies what type of behavior and actions are not allowed at day care homes, day care centers, and group day care homes.  Prohibited behavior includes, but is not limited to:

  • Corporal punishment
  • Humiliation or making derogatory comments about a child’s family
  • Abusive or profane language
  • Emotional abuse
  • Punishment for toilet accidents
  • Depriving or threatening to deprive a child of a meal
  • Time-out that exceeds the time in minutes of a child’s age in years

Physical Abuse (325 ILCS 5/3)

The ANCRA (Abused and Neglected Child Reporting Act) includes a definition of physical abuse.  The definition includes situations where a parent or caretaker inflicts or causes to be inflicted death, disfigurement, or impairment, creates a high risk of physical injury, tortures, or inflicts excessive bodily punishment. 

If a parent/caretaker does not take reasonable steps to stop sexual abuse/physical abuse/exploitation (325 ILCS 5/3), then they can also be charged with abuse.  Sexual abuse is the sexual penetration of the child (including vaginal, oral, and anal sex).  Sexual exploitation is defined by DCFS as the “sexual use of a child for sexual arousal, gratification, advantage, or profit” (includes child porn, verbal enticements, masturbating to a child’s presence, or forcing a child to watch sexual acts).  Sexual molestation is “sexual conduct with a child when such contact, touching, or interaction is used for arousal or gratification of sexual needs or desires” (fondling a child, having a child touch the perpetrator in a sexual manner). 

Neglect (325 ILCS 5/3) occurs when a parent or caretaker fails to provide or denies a child of adequate food, clothes, shelter, or medical treatment, or leaves a child unsupervised or under the care of a person who is unable to supervise. 

In situations where you are unsure whether or not abuse/neglect has occurred, ask yourself whether the child has been harmed or is at risk of harm.  The laws and regulations are in place to protect a child’s safety and well-being. 

Rosenfeld Injury Lawyers, utilizes all applicable laws to assist in the prosecution of cases involving abuse and injury at day care facilities.  Put our experience to work for you today. As always, our personal injury consultations are free and completely confidential.

Special thanks to Heather Keil, J.D. for her work on this Child Injury Laws Blog entry.

Even After Foster Care System Overhaul; Children Remain At Risk For Abuse & Neglect

Acknowledging the problems with its foster care system, New Jersey pledged to make improvements with an investment of more than $1 billion and improved oversight of the system with a federal judge.  Despite its admirable intentions, a recent article on NJ.com confirms that supervisory problems continue to threaten the well being of children that the system is intended to protect. 

With more than 7,000 children living in licensed foster care and group homes, New Jersey’s Division of Youth and Family Services has the responsibility to supervise and protect children living in the states foster care system.   Even with the system overhaul in place, a recent NJ.com article documents the problems with the system as evidenced by several lawsuits brought on behalf of foster children who were abused or killed while under the care of their foster parents.

Many of these foster care tragedies have resulted in civil lawsuits against the agency for failing to ensure safety and well being of the children.  Amongst the recent foster care lawsuits, the article described: 

  • A boy who had been shuffled between 22 different living situations during his tenure in the system.  During his rapid-fire transitions, the boy was regularly abused--- and returned to his foster mother where he was again abused by the woman’s son.  New Jersey paid $1.2 million to settle that matter
  • New Jersey paid $4.5 million to settle another case where a boy was sexually abused by his parents over the course of several years.
  • $800,000 was paid to the family of a 21-month-old girl who overdosed on a methadone that was left unsecured in the foster home she was staying in.  The investigation determined that the state failed to intervene with the child’s foster parent after reports she was improperly storing her medication.

Compared with cases of abuse or neglect in institutional settings such as day care centers or camps, statistics tell us that children in the foster care system are more likely to suffer mistreatment.  At the heart of the problem, is the supervisory system, which relies on caseworkers that may be overworked and physically unable to follow up on all allegations involving improper care.

As a lawyer who represents children who have been mistreated in a foster care or adoptive setting, I feel somewhat torn about anytime a state implements an ‘overhaul’ of the system.  On one hand, I commend the state for acknowledging the problem, but--- on the other, I fear that sometimes large-scale overhauls fail to acknowledge the ‘little things’ like caseworkers ‘regular’ visits with foster children and ‘spot-checks’ ensure compliance.  Until, caseworkers are given these freedoms and relieved of some of the burdens associated with heavy caseloads, the proposed reforms will have little impact.

Related:

Foster Care System Failing To Protect Those Who Need It The Most

$10 Million Settlement For Child Abused By Foster Parent Demonstrates Lapses In Oversight System

$10 Million Settlement For Child Abused By Foster Parent Demonstrates Lapses In Oversight System

A significant settlement in a foster care abuse lawsuit demonstrated the defects in regulatory system meant to protect vulnerable children and infants.  The lawsuit was brought on behalf of a 5-year-old boy who was placed into the foster care system after his birth mother was deemed unfit to care for the baby by her family.

From the time the boy was placed in the custody of his foster mother, he was repeatedly physically abused by the woman.  An ancillary criminal trial of the foster mother demonstrated that repeated episodes of physical abuse resulted in a permanent brain injury to the boy.

At issue in the civil lawsuit against the District of Columbia, was the poor judgment of the regulatory agency that was responsible for ensuring the safety and health of children placed into a foster care setting. In this case, the Child and Family Services Agency failed to identify tell-tale problems of abuse-- that if identified  earlier--- could like have prevented the boy's brain damage.

Though the foster mother had difficulty caring for another child placed in her care and was forced to return the child to the the state agency, months later she was recruited to care for this child.  Even after the child placed in a potentially troubled environment, the agency failed to conduct regular assessments of the child's situation.

According to court documents, a social worker who was responsible for supervising the boys transition to the family, made a visit just once in the first 43 days that the boy was placed into custody compared with the weekly visits stated in the agencies protocols.

Similarly, the woman was accepted for the foster care program despite the fact that her finances were so significantly strained that she relied on government subsidies to provide food for her family.

The boy’s brain damage will necessitate round-the-clock medical care and special accommodations to his families home to accommodate his physical needs. In order to ensure the the money from the settlement will last to provide this care, the judge overseeing the case has utilized a structured settlement arrangement.

I don't think there's a group more vulnerable to mistreatment than children placed in the foster care system.  Many of the children who enter these programs already have a history of coming from troubled homes and deserve the assurance of not getting placed into another situation where they further put at risk.

Ensuring children get proper care in a foster care situation is an issue I feel passionate about.  I plan on discussing how we can improve the foster care system in future Child Injury Law Blog entries.

Related:

D.C. settles for $10 million in foster care abuse case The Washington Post by Henri E. Cauvin November 8, 2010

Lawsuit filed in 2009 Edmond foster child's death NewsOK

Children Lost Within the Foster Care System- Can Wraparound Service Strategies Improve Placement Outcomes? (PDF) Journal of Child and Family Studies, VoL 5, No. L 1996, pp. 39-54 Hewitt B. Clark, Ph.D., 1,3 Barbara Lee, Ph.D., 2 Mark E. Prange, Ph.D., 2 and Beth A. McDonald, M.A. 2

Illinois Department of Children and Family Services: Foster Care

Foster Care System Failing To Protect Those Who Need It The Most

holdinghands.jpgIn the United States, there are more than 500,000 children living in foster care.  Foster care is the temporary placement of children because of abuse, neglect, family problems, or dependency. 

A child may be placed because their home is no longer safe, their parents or guardians are no longer able to provide proper care, or the child no longer has a parent or guardian to care for them.  The primary goal of foster care is to return the child to its home, if possible. 

Foster care is intended to be a temporary solution for children who suffer from abuse or neglect, no longer have a parent or family capable of taking care of them, or need a temporary home. 

Foster homes are supposed to be a safe but temporary home for the child, with the long-term goal of finding a permanent family and home for the child. 

A foster parent’s responsibilities include the responsibility to:

  • Communicate and share information about the child with the child welfare team.
  • Respect the confidentiality of information concerning foster children and their families
  • Advocate for children in the foster parent’s care
  • Treat children in the foster parent’s care with dignity, respect, and consideration
  • Recognize the foster parent’s own individual and familial strengths and limitations when deciding whether to accept a child into care
  • Be aware of the benefits of relying on and affiliating with other foster parents and associations
  • Assess the foster parent’s ongoing individual needs and take action to meet those needs
  • Promote foster parenting in a positive way
  • Serve as a mandated reporter of suspected child abuse or neglect under the Abused and Neglected Child Reporting Act
  • Provide care and services that are respectful of and responsive to the child’s cultural needs

The Children’s Bureau, U.S. Department of Health and Human Services (DHHS), Adoption and Foster Care Analysis and Reporting System (AFCARS) released a preliminary 2009 report on foster care data.  The report includes the placement settings of children in foster care (423,773 children were in foster care on September 30, 2009):

  • 48% Foster Family Home (non-relative)
  • 24% Foster Family Home (relative)
  • 10% Institution
  • 6%   Group Home
  • 5%   Trial Home Visit
  • 4%   Pre-Adoptive Home
  • 2%   Runaway
  • 1%   Supervised Independent Living

Case goals of children in foster care (255,418 children entered foster care in 2009):

  • 49% Reunify with Parent(s) or Principal Caretaker(s)
  • 25% Adoption
  • 8%  Long Term Foster Care
  • 6%  Emancipation
  • 5%  Case Plan Goal Not Yet Established
  • 4%  Guardianship
  • 4%  Live With Other Relative(s)

Outcomes for children exiting foster care during 2009 (272,266 exited foster care in 2009):

  • 51% Reunification with Parent(s) or Primary Caregiver(s)
  • 20% Adoption
  • 11% Emancipation
  • 8%   Living with Other Relative(s)
  • 7%   Guardianship
  • 2%   Transfer to Another Agency
  • 1%   Runaway
  • *0%  Death of a Child (*417 children)

Problems With The Foster Care System

Although foster care is supposed to be temporary, many youth stay in the system for extended periods of time, never gaining that permanent and supportive family home.  In 2006, 26,181 foster home youth “aged out” of the system without ever being placed in a permanent home (see figure below).  This number accounts for roughly 9% of all children leaving foster care.  Illinois ranked 7th in the list of the states with the highest percentage of youth aging out in 2006 (783 youths aged out – 14.2% of total exits). 

These children spent, on average, five years in the system; whereas, children who left the foster care system through reunification, adoption, guardianship, or other means spent less than two years in the system. 

The children, who aged out of the system, have no family to rely on and face these disheartening statistics:

  • 25% did not have a high school diploma or GED
  • Over 50% experienced homelessness or unstable housing
  • Almost 30% had been incarcerated
  • Increased rates of unemployment or underemployment

Although foster care is supposed to provide a safe and supportive environment for a child, sometimes the foster home becomes yet another source of abuse.  Abuse can include physical, sexual, or emotional abuse, and neglect.  Children who live in foster care are a vulnerable population.  These children are isolated because of their situation. 

Oftentimes, the children are moved between several foster homes over the course of their stay in foster care, have already suffered from abuse and neglect, lack a familial support system, are sometimes separated from their siblings, and the system is overloaded with work.  (See previous posts on “Children Are frequent Targets of Abuse In A Group Home Setting” and “Sexual Abuse of Children By Caregivers: A Varied & Widely Unknown Impact”) 

In Los Angeles County, DCFS may have not have properly counted up to 21 child deaths from abuse or neglect over the last two years.  A 2008 California law (SB39) requires the Department to report child deaths that result from abuse or neglect.  DCFS was focused on reducing the number of children in foster homes through reforms.  This year, there are 15,000 children in foster homes, compared to the 30,000 that were in foster homes in 2003. 

However, it might  be this almost single-minded determination to reduce the number of children in foster care, which allowed more child deaths to occur and fail to be accounted for.  In one case, an eleven-year-old boy committed suicide.  DCFS ruled that the death was not subject to SB39 disclosure. 

In court, DCFS stated that the boy’s death was the result of abuse or neglect, which does make it subject to SB39 public disclosure.  Shortcomings such as these can make it more difficult to determine the welfare of children living in foster care; which, in turn, makes it more difficult to protect these children without a clear picture of their situation. 

Liability in Child Placement

In Illinois, the Department of Children and Family Services (DCFS) is responsible for placing children in substitute care.  The Department’s substitute care services include: Foster Family Care, Relative Care, Group Home, and Institutional Care.  The DCFS website emphasizes the Department’s early intervention services, which are in place to prevent the need for a child to be placed into substitute care. 

DCFS is also responsible for determining whether persons and families are eligible to become a foster care providers.  Potential foster care persons must fill out an application and a medical form for each member of their family.  DCFS fingerprints applicants and runs criminal background checks on all applicants, as well as contacting applicant references.  In order to ensure that foster care providers provide proper care, they must attend training classes.  DCFS social workers must be a licensed clinical social worker.

The Department (DCFS) has the power to initiate injunction proceedings if it appears to the Director of Children and Family Services that any person, group of persons, or corporation is engaged or about to engage in any acts or practices that constitute or will constitute a violation of the Child Care Act of 1969

While a child is in foster care, that child continues to be the state’s duty.  It is not until the child is legally adopted that the state relinquishes guardianship.  If DCFS places a child with foster parents where the state knew or suspected that the foster parents were child abusers, the responsible state officials could be held liable. 

The United States Court of Appeals, Seventh Circuit, held that in the situation of child placement by an adoption agency, the agency officials and case workers are liable if they violated the right of a child in custody by placing the child with a foster parent or other custodian, whom the state knew or suspected to be a child abuser.  And, it is only in this narrow situation, where the foster parents are considered an “instrument” of the state for child abuse. 

Furthermore, a single instance of abuse may not create a situation requiring immediate state action on a child’s behalf without more evidence of the severity of the consequences.  An instance of hitting (slapping or spanking) may raise a red flag, but it does not necessarily constitute abuse. 

The Abused and Neglected Child Reporting Act specifies that abuse requires a finding of death, disfigurement, impairment of physical or emotional health, or loss or impairment of any bodily function, substantial risk of such injury, or excessive corporal punishment. 

If a child is placed by a private child welfare agency, the agency must first determine whether any other children who are wards of the Department have been placed in that home, whether a child who has been placed in that home is still in the home or has been transferred.  Then, the agency must conduct a site visit every 30 days to verify the child’s safety and well-being.

If a foster family home is implicated in a report under the Abused and Neglected Child Reporting Act, DCFS must immediately conduct a re-examination of the foster family home.  DCFS must determine whether the home continues to meet the minimum standard for licensure.  The Department must also review the child placement records of all private child welfare agency placements at least once every six months. 

The foster care system is failing many of our nation’s children, many of whom have already been subjected to situations that no child should have to face.  Child services is incapable of providing adequate screening and supervision to children placed in foster homes.  The socials are overworked and disillusioned by the system. 

Our current system leaves many children vulnerable to further instances of abuse and neglect.  The system requires more funding, more workers, more oversight, and more penalties for situations where child services and social workers knowingly place children in dangerous situations in order to better protect the children. 

Special thanks to Heather Kiehl J.D. for her assistance with this Child Injury Laws entry.

Resources:

Office of the Inspector General: Illinois Department of Children and Family Services

Lifting the Veil: A Critical Look At The Foster Care System, How Widespread a Problem?

National Coalition for Child Protection Reform: Foster Care vs. Family Preservation - The Track Record on Safety and Well-Being

Adoption Information Center of Illinois

Lutheran Social Services of Illinois - Foster Care

Illinois Foster and Adoptive Parent Association

First Star

University of Chicago - Chapin Hall: Center for State Foster Care and Adoption Data

The Pew Charitable Trusts: Foster Care Reform

DCFS: Foster Care

Child Care Association of Illinois

University of Maryland - Welfare Reform Academy: Malpractice in Child Placement – Civil Liability for Inadequate Foster Care Services

Frontline: Failure To Protect

Daily News Los Angeles: Answers Sought in Child Deaths

Nursing Homes Abuse Blog: Children Are frequent Targets of Abuse In A Group Home Setting

Nursing Homes Abuse Blog: Sexual Abuse of Children By Caregivers: A Varied & Widely Unknown Impact

US  Court of Appeals – 7th Circuit: Lewis v. Anderson

Nursing Home Abuse: The Deaths Of 13 Children Linked To Poor Care At Chicago Nursing Home

kidswheelchair.jpgThe Chicago Tribune ran one of the more disturbing investigative stories I've seen in a long-time when it chronicled the poor care given to disabled children living at Alden Village North located on Chicago's north-side.

The Tribune used public records and government documents to uncover the names and details of care provided to children living with physical and mental handicaps, including: cerebral palsy and downs syndrome.  

In looking though the roll call of child-residents who have died at this Alden facility, it is readily apparent that this facility didn't just provide improper care--- they uniformly failed to provide any care at all.

Among the grim conditions found at this predominately child-related facility include:

  • Dislodged tracheotomy tubes
  • Unsanitary conditions-- many times patients were left in soiled clothes
  • Medical alarms that went unresponded to by staff
  • Delays in transferring obviously ill children to local hospitals
  • Inadequate internal investigations
  • Allowing tube-fed children to lay flat during feedings

After reading the details of downright abusive conditions that were permitted to exist at Alden Village North for the past 10 years, I was shocked that that the state continues to allow this facility to keep its door open.  As an advocate for children, I am frustrated by the lack of regulatory muscle exhibited by the state in allowing this long-term pattern of horrific care to continue.

As with many of the Tribune's articles regarding nursing home abuse, some officials have gotten the hint and implemented policies to change these embarrassing conditions.  As I type, I learned that Governor Quinn is having legislation drafted to protect these handicapped children living at this facility and others at similar facilities throughout Illinois. Additionally, the Governor is appointing a monitor at Alden Village North to ensure the safety of the patients.

According to Governor Quinn, "The administration takes the oversight of the state's care facilities very seriously," his office said in a statement. "Even one tragedy is intolerable."

Time will tell....

Related:

Center where kids died gets monitor, Tribune series spurs Quinn to order visits by state overseer to safeguard residents, Chicago Tribune October 12, 2010, By Sam Roe and Jared S. Hopkins

Children In Nursing Homes: Truly The Most Vulnerable, Nursing Homes Abuse Blog

Children Are Frequently Targets Of Abuse In A Group Home Setting Nursing Homes Abuse Blog

Alden Village North Charged With Neglect After Child Dies Due To Inadequate Nursing Care, Nursing Homes Abuse Blog, July 10, 2009

About Jonathan Rosenfeld

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About Jonathan Rosenfeld My law practice is focused on representing the most vulnerable members of our society in claims and lawsuits...

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