This letter transmits the release of revised and updated Private Child Placing Agency (PCPA) and Private Noncustodial Agency (PNA) Data Entry Forms for Micro-FACSIS and new Form Instructions. The forms have been revised to enable the department to collect data from PCPAs and PNAs to satisfy the requirements of the federal Adoption and Foster Care Analysis Reporting System (AFCARS) and additional data collection required by the federal Adoption and Safe Families Act (ASFA). The revised forms include all previous events collected on the older versions of the forms and new Resource Events and Client Events. However, please note that some previous event information on the JFS 01639 is now optional.
Due to the critical importance of the data to be collected, these revised forms will immediately replace the PCPA and PNA Data Entry Forms for Micro-FACSIS (Rev 9/1993). Please note that these forms will be printed on NCR paper; agencies should send the original white copy to ODJFS and retain the pink copy for your agency's files. Enclosed with this letter is a blank Form Requisition (JFS 09510) for your agency to use to order the appropriate forms in the desired quantity for your agency's use.
Also enclosed with this letter is a Micro-FACSIS Code Sheet which is a compilation of all Values to be used in entering the appropriate Events onto these new forms. This Code Sheet replaces the Values being printed on the back of each of the data entry forms. Please note that additional Values have been added for use in these forms. For a more complete description and definitions of these Values, please refer to the Micro-FACSIS Usage Document and the Micro-FACSIS Glossary, both of which have been updated recently. These two documents can be assessed and printed from the ODJFS website at http://www.state.oh.us/odjfs/ocf/FACSIS/usage and http://www.state.oh.us/odjfs/ocf/FACSIS/glossary/
On-line Tutorial Presentations are currently being created to assist users in completing these revised forms. When the on-line Tutorial Presentations are published in the near future, a letter will be sent to your agency with instructions on how to access the Tutorials.
Instructions:
The following chart identifies what materials (forms) are to be obsoleted and what materials (forms) will now become a part of the Family, Children and Adult Services Manual (FCASM). Please note that the old forms may not be part of your FCASM, but have been in general use by PCPAs and PNAs since about 1991.
| Location | File as Obsolete | Insert/Replacement |
|---|
| Index of Forms | Index of Forms | Index of Forms (4/8/2002) |
| Forms | ODHS 1622 (Rev 1/1995) |
JFS 01622 (Rev. 04/2002)
(Client Registration)
|
| | ODHS 1627 (Rev 9/1993) |
JFS 01627 (Rev. 04/2002)
(Custody and Substitute Care)
|
| | ODHS 1628 (Rev 9/1993) |
JFS 01628 (Rev. 04/2002)
(Reviews and Court Activities)
|
| | ODHS 1629 (Rev. 9/1993) |
JFS 01629 (Rev. 04/2002)
(OAPL-Child Listing Activities/Sibling Group Activities)
|
| | ODHS 1633 (Rev 1/1995) |
JFS 01633 (Rev. 04/2002)
(OAPL - Family Listing Activities)
|
| | ODHS 1638 (Rev 9/1993) |
JFS 01638 (Rev. 04/2002)
(Sibling Group Resource Data and Events)
|
| | ODHS 1639 (Rev 9/1993) |
JFS 01639 (Rev. 04/2002)
(Own Agency Foster Home-Resource 01)
|
| | ODHS 1648 (Rev 1/1995) |
JFS 01648 (Rev. 04/2002)
(Own Agency Adoptive Home-Resource 40)
|
| | ODHS 1657 (Rev 9/1993) |
JFS 01657 (Rev. 04/2002)
(Resource Data Form - General)
|
| TRANSMITTAL |
Transmittal Letter Index Starting with No.116 |
Transmittal Letter Index Starting with No.116 |
| Transmittal | | FCASMTL No. 124 |
Attachments
Click here to view the Micro-FACSIS Code Sheet
Click here to view the Form Requisition (JFS 09510)