This letter transmits amendments to forms JFS 01409 and JFS 01409i related to the safety plan for children and the instructions for completing the safety plan. These forms have been revised as a result of recommendations received from county partners. Both forms will become effective 6/1/2023.

The following is a brief explanation of the changes:

JFS 01409 entitled Comprehensive Assessment Planning Model Safety Plan for Children has been updated to align with Ohio SACWIS language and formatting. Sections have been added to include safety plan type and the ability to capture name, date, and time of verbal authorization provided by a custodial parent, legal guardian, legal custodian, or responsible person not physically present to sign the JFS 01409. 

JFS 01409i entitled Comprehensive Assessment Planning Model Safety Plan for Children Instructions has been updated to align with the changes made to the JFS 01409 and to further clarify requirements of a safety plan set forth in OAC Rule 5101:2-37-02 PCSA requirements for completing the safety plan.

INSTRUCTIONS:

The following chart indicates the materials that should be removed from the Family, Children and Adult Services Manual (FCASM) and the materials that should be added.