REFUGE HOUSE, INC.
| Procedure Information | Details |
|---|---|
| PROCEDURE NAME | Admission Matching & Criteria for Child Placement |
| PROCEDURE NUMBER | FC6-01.1 |
| ORIGINATED | 6/04 |
| DEPARTMENT OWNER | Foster Care Department |
| APPROVED BY | Executive Director |
| EFFECTIVE DATE | 5/15/25 |
| LAST UPDATED | 5/15/2026 |
| LAST APPROVED | 5/22/2026 |
| DATE(S) OF REVISION | 6/04, 8/05, 7/06, 4/20/07, 5/26/07, 2/25/08, 8/5/08, 1/22/09, 8/29/09, 1/1/10, 3/23/10, 8/1/11, 1/16/12, 5/15/25, 7/09/25.2, 6/15/26 |
RELATIONSHIP BETWEEN POLICY AND PROCEDURE:
This procedure operationalizes Policy FC6-01 Admission Matching & Criteria for Child Placement by providing specific implementation steps, timelines, and responsibilities for matching children with appropriate foster families. While the policy establishes the framework and principles for placement matching, this procedure details the sequential actions required to ensure comprehensive assessment, appropriate matching, and successful placement coordination.
PURPOSE:
To provide detailed operational guidance for implementing the admission matching process that ensures children are placed with foster families best equipped to meet their specific needs, support their permanency goals, and provide trauma-informed care within the requirements of the T3C system.
PROCEDURE:
1. INITIAL REFERRAL RECEIPT
Purpose and Overview
The initial referral receipt phase establishes the foundation for successful placement matching. During this critical first contact, staff gather essential information that will guide all subsequent matching decisions. As stated in our policy, "The matching process utilizes the comprehensive information gathered during screening and assessment to ensure that each placement referral is evaluated to determine the most appropriate match based upon all known factors at the time of referral."
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department | Receive referral from CPU/DFPS/SSCC through:
|
24/7 availability | Office/On-call phone | DFPS 24-Hr RCC Requirements (FY26) |
| Intake Department | Document referral receipt:
|
Immediately upon receipt | Radius - Referral Log | FC 1.01 |
| Intake Department | Acknowledge receipt to referring party:
|
Within 15 minutes | Phone/Email | DFPS 24-Hr RCC Requirements (FY26) |
2. INFORMATION GATHERING
Purpose and Overview
Comprehensive information gathering ensures placement decisions are based on complete understanding of the child's needs. Our policy emphasizes attention to "the child's history, behaviors, needs, personality and strengths, with special attention given to trauma history and its impact on placement needs." This phase operationalizes that requirement through systematic collection of all relevant information.
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department | Gather comprehensive child information:
|
During initial screening call | Radius - Initial Intake Form | TAC §749.1107, §749.1101 FC 1.01 |
| Intake Department | 3. Placement Information: - Current placement status - Number of previous placements - Permanency plan - Estimated length of stay 4. Medical Information: - Chronic conditions/allergies - Current medications - Medicaid status | During screening | Radius | TAC §749.1107 FC 1.01c |
| Intake Department | 5. Psychological/Psychiatric Information: - Current diagnoses - Recent evaluations - Special needs 6. Educational/Developmental: - Current school/grade - Special education needs - Birth/developmental history | During screening | Radius | TAC §749.1107 |
| Intake Department | 7. Behavioral Assessment: - HIGH RISK BEHAVIORS (harm to self/others) - Known contraindications to restraints - Ability to participate safely in family/community - Need for heightened supervision 8. Document using RH Individual Crisis Management Screening Tool for high-risk behaviors | During screening | Radius BSM Screening Tool | CRITICAL: TAC §749.1101b DFPS 24-Hr RCC Requirements (FY26); BSM 2.04, 2.05 |
| Intake Department | 9. Biological Family/Tribal Information: - Visitation requirements - Transportation needs - Sibling information and placement - Tribal affiliation and contacts 10. Agency Placement Justification: - Matching family recommendations - Special considerations needed | During screening | Radius | FC 1.01 ICWA Requirements |
| Intake Department | 11. Trauma History Information: - Previous placement disruptions - Known trauma triggers - Successful strategies from past - Support needs Complete Trauma-Informed Intake Supplement | During screening | Radius supplement | TAC §749.1107 TBRI Principles |
3. PLACEMENT MATCHING PROCESS
Purpose and Overview
The placement matching process represents the crucial link between understanding a child's needs and finding the right foster family to meet those needs. Our policy emphasizes that "Refuge House completes a thorough foster home screening and verification process prior to any family home becoming licensed," ensuring we have detailed knowledge of each family's strengths and capabilities. This knowledge, combined with the child's assessment information, allows us to make informed matches that support placement stability and child well-being. Special consideration is given to maintaining sibling connections, cultural identity, and community ties whenever possible.
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department | Assess child's needs against available foster homes:
|
Following initial assessment | Radius - Home Database | DFPS 24-Hr RCC Requirements (FY26); TAC §749.1101; FC 6.02 |
| Intake Department | For sibling groups:
|
During matching | Radius | CRITICAL: FC 6.03a TAC §749.1101 |
| Intake Department | For Native American children:
|
During matching | Radius ICWA tracking | CRITICAL: ICWA §1915 FC 6.03b FC 6.04 |
| Intake Department | Special needs considerations:
|
During matching | Radius | FC 6.02 FC 6.07 TAC §749.1101 |
3A. ☑ MENTAL & BEHAVIORAL HEALTH SUPPORT SERVICES MATCHING:
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department with Clinical Team | Review clinical assessment requirements:
|
During matching for Mental & Behavioral Health referrals | Radius Clinical Notes | T3C Blueprint Pages 76-86 |
| Intake Department | Verify foster family therapeutic competencies:
|
During matching | Training Database Home Study | T3C Blueprint Mental & Behavioral Health Requirements |
| Intake Department with Program Director | Assess crisis response capabilities:
|
During matching | Home Study Crisis Plan | DFPS 24-Hr RCC Requirements (FY26); BSM Requirements |
| Intake Department | Evaluate support network adequacy:
|
During matching | Support Network Assessment | T3C Blueprint Mental & Behavioral Health |
3B. ☑ IDD/AUTISM SPECTRUM DISORDER SUPPORT SERVICES MATCHING:
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department with Nursing Staff | Review developmental support requirements:
|
During matching for IDD/Autism referrals | Radius Medical Records | T3C Blueprint Pages 123-135 |
| Intake Department | Verify foster family IDD/Autism competencies:
|
During matching | Training Database Competency Checklist | T3C Blueprint IDD/Autism Requirements |
| Intake Department with Facilities | Assess environmental adaptations:
|
During matching or within 48 hours | Environmental Assessment Tool | T3C Blueprint |
| Intake Department with Nursing | Evaluate medical management capacity:
|
During matching | Medical Competency Assessment | T3C Blueprint IDD/Autism Medical Requirements |
| Intake Department with Education Liaison | Assess educational advocacy capacity:
|
During matching | Educational Support Assessment | T3C Blueprint |
4. PLACEMENT COORDINATION
Purpose and Overview
Effective placement coordination ensures smooth transitions and sets the stage for successful placements. This phase involves clear communication with all parties - the foster family, DFPS/SSCC, and other stakeholders. By sharing comprehensive information and coordinating logistics carefully, we help minimize the trauma of transition and give placements the best chance of success. The process emphasizes transparency and collaboration, recognizing that everyone involved shares the goal of supporting the child's well-being.
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department | Contact potential foster families:
|
After matching decision | Phone/secure email | TAC §749.1255 |
| Intake Department | Coordinate with referring worker:
|
Within 2 hours of match | Phone/email | TAC §749.1251; DFPS 24-Hr RCC Requirements (FY26) |
| Case Management | Prepare foster family for placement:
|
Prior to placement | Phone/in-person | TAC §749.1253 |
| Case Management | Coordinate placement logistics:
|
Day of placement | Various | TAC §749.1253 |
5. PLACEMENT CONFIRMATION
Purpose and Overview
The placement confirmation phase ensures all parties are aligned and prepared for the placement. This final step before physical placement provides opportunity to address any last-minute concerns and confirm that all necessary supports are in place. Clear documentation at this stage protects all parties and provides a reference point for future planning.
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Supervisor | Review and approve match by confirming:
|
Before placement confirmation | Radius | TAC §749.1101 FC 6.01 |
| Intake Department | Document matching decision including:
|
At placement decision | Radius - Matching Documentation | TAC §749.1101 |
| Case Management | Complete placement agreement outlining:
|
At or before placement | Placement Agreement Form | TAC §749.1109 |
6. QUALITY ASSURANCE
Purpose and Overview
Quality assurance in the matching process ensures continuous improvement and accountability. By monitoring outcomes and gathering feedback, the agency can refine its matching practices to better serve children and families. This ongoing evaluation process directly supports our policy commitment to maintaining "a high level of importance on ensuring all children are matched to families within our Agency who are stable, steadfast in their commitment to foster, financially secure, and capable of providing quality care."
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Program Director | Monitor placement outcomes through:
|
Per timeline | Radius Reports | FC 6.01 COA FC 6.07 |
| Case Manager / Treatment Team | Complete the quarterly placement-stability review for each child in placement (also captured in periodic status updates), documenting:
|
Quarterly (and per status-update cycle) | Radius / Quarterly Review | TAC §749.1281 FC 6.06, FC 6.07 |
| Quality Assurance Team | Analyze matching effectiveness by:
|
Quarterly | QA Database | DFPS 24-Hr RCC Requirements (FY26); COA Standards (historical) |
| Case Management | Conduct post-placement evaluation:
|
30 days post-placement | Radius Post-Placement Tool | FC 6.07 |
7. EXCEPTION HANDLING
Purpose and Overview
Exception handling procedures ensure the agency can respond appropriately when standard matching processes cannot be followed. These situations require careful documentation and additional oversight to ensure child safety while maintaining flexibility to meet urgent needs.
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Supervisor | For emergency placements when full matching cannot occur:
|
During emergency referrals | Radius Emergency Log | TAC §749.1101; DFPS 24-Hr RCC Requirements (FY26) |
| Program Director | For placement exceptions (child needs exceed typical parameters):
|
When standard placement not appropriate | Exception Documentation | T3C Blueprint COA Standards |
8. CHILD/CAREGIVER RATIOS AND SUPERVISION
Purpose and Overview
Before placing or sub-placing any child, the home environment is reviewed for safety, supervision capacity, and verified capacity under the Minimum Standards. This protects placement stability and ensures each child's needs can be met within the home's current configuration.
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department | Confirm the placement is within the home's verified capacity before any placement/sub-placement:
|
Prior to placement/sub-placement | Radius / One-Page Home Study Snap Shot | CRITICAL: TAC §749.2551, §749.2555 FC 6.05 |
| Intake Department | Apply the applicable T3C Service Package limit where it is stricter than the general standard: Short-Term Assessment — no more than 4 children at one time (unless needed to keep a sibling group together); Treatment Foster Family Care — no more than 2 children. Where the Minimum Standards, the package, and the contract differ, the strictest applicable limit controls | Prior to placement/sub-placement | Radius / Home Database | CRITICAL: T3C Blueprint (STASS / TFFC capacity) |
| Intake Department with Treatment Director | When a home would exceed six children (7–8 permitted only to keep a sibling group together, maintain an established relationship, keep a parenting youth with their child, or provide special-skills care for a severe disability):
|
Before the placement offer | Foster home record / Radius | CRITICAL: TAC §749.2551(b) FC 6.05a |
| Intake Department | For any capacity beyond §749.2551(b), obtain an approved variance under 26 TAC Chapter 745, Subchapter J; clear the Heightened Monitoring / Probation / 6+ Children pre-approval checkpoint before extending any placement offer | Before the placement offer | Radius | TAC §749.2551(d), §749.2557; DFPS 24-Hr RCC Requirements (FY26) |
9. MINIMIZING PLACEMENT MOVES AND SUBSEQUENT PLACEMENTS
Purpose and Overview
Every move compounds a child's trauma. Refuge House prevents moves without proper cause and, when a move is unavoidable, plans it carefully and involves the child throughout (FC 6.06).
SSCC-2INGAGE — addition start (provider-specific requirement; remove this block if the 2INgage contract ends)
For any child placed through 2INgage, Refuge House does not initiate a placement change — including moving a child from respite into placement, or any subsequent or sub-placement move — without prior approval from 2INgage. The case manager contacts 2INgage Intake & Placement at cmd@2INgage.org to set up the required staffing, and does not conduct pre-placement visits or introductions for a placement change without 2INgage permission. This applies in addition to the DFPS Managing Conservator approval required in the steps below. (2INgage Provider Manual Rev. 1.2026 §4, p.19)
SSCC-2INGAGE — addition end
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake / Case Management / Treatment Team | Consider a subsequent placement only after exhausting supports and resources and re-assessing the child's needs; revolving subsequent placements and administrative disruptions are reserved for emergencies | When a move is contemplated | Radius | CRITICAL: FC 6.06, FC 6.06b TAC §749.1281 |
| Intake / Case Management | When a move is unavoidable:
|
Upon decision to move | Radius / Phone | TAC §749.1281 §749.1251 FC 6.06a, FC 6.07a–c |
| Case Management | Inform the child of a move no later than four days before discharge; in emergencies (psychiatric hospitalization or detention with too-high-risk behaviors) provide a 24-hour notice of discharge per contract terms | Per move timeline | Radius / Phone | FC 6.07a; RCC (FY26) §8200 |
| Case Manager | Subsequent placement within the Agency (move from one Refuge House home to another):
|
Before / at the subsequent placement | Radius | CRITICAL: TAC §749.1281, §749.1333 Contract Terms 26.A–D, 26.F, 43.A |
10. SUPPORT FOR CHILDREN WITH MULTIPLE PLACEMENTS
Purpose and Overview
A child with a history of multiple placements is treated as a Routine Admission and matched with a family specifically equipped to meet high-risk and permanency needs while minimizing further trauma (FC 6.07).
| Who | How | When | Where | Regulatory Reference |
|---|---|---|---|---|
| Intake Department | Match to a family with the skill sets, specialized training, proactive problem-solving, and temperament to minimize trauma; confirm the family understands the additional supports/services required and that commitment may limit additional placements | During matching | Radius / One-Page Home Study Snap Shot | CRITICAL: FC 6.07b |
| Intake Department | Present the placement with all known information; allow the family approximately 2–4 hours to make an informed decision, then follow up | During matching | Phone | FC 6.07 |
| Intake Department | Offer pre-placement visits in coordination with the CPS worker; if pre-placement cannot be arranged, document efforts in the Initial Intake Information Form | Before placement | Phone / In-person | TAC §749.1251 FC 6.07 |
| Intake / Case Management | Implement, before or at placement, a safety plan and a highly structured supervision plan to ensure safety and comfort in the home | Prior to / at placement | Radius | CRITICAL: FC 6.07 |
| Intake Department | Where required information is unobtainable, document at least three properly spaced attempts (date, time, method, outcome) and escalate unresolved gaps to the Intake Supervisor before matching | During screening/matching | Reasonable Efforts Log | TAC §749.1137 |
SSCC-EMPOWER — addition start (provider-specific; remove this block if the EMPOWER contract ends)
For EMPOWER children, Refuge House does not initiate a placement change — including moving a child from respite into placement or any subsequent/sub-placement move — without prior approval from EMPOWER (staffing arranged via placement@3empower.org), in addition to DFPS Managing Conservator approval (EMPOWER Provider Manual Rev. 1.2026 §4, p.22).
SSCC-EMPOWER — addition end
SSCC-OCOK — addition start (provider-specific; remove this block if the OCOK contract ends)
For OCOK children, Refuge House does not initiate a placement change — including respite-to-placement or any sub-move — without prior approval from OCOK; the case manager contacts the OCOK Permanency Specialist or Therapeutic Services Coordinator to set up a staffing (OCOK Network Management Operations Manual Rev. 7-1-2025 §5.04, p.116).
SSCC-OCOK — addition end
SSCC-BELONG — addition start (provider-specific; remove this block if the Belong contract ends)
For Belong children, Refuge House does not initiate a placement change without Belong Permanency Specialist/supervisor approval, and documents efforts to maintain the placement over the prior 30 days before requesting a removal (Belong Stage I & II Provider Manual, pp.14–15).
SSCC-BELONG — addition end
SSCC-STFRANCIS — addition start (provider-specific; based on the publicly-sourced July-2020 SFCS manual — confirm against the current SFCS manual; remove this block if the SFCS contract ends)
For SFCS children, Refuge House does not initiate a placement change without prior SFCS approval (contact the SFCS Child Case Manager to set up a staffing) (SFCS Placement Provider Manual, July 2020 §2.1.4, p.15).
SSCC-STFRANCIS — addition end
DEFINITIONS:
Same as Policy FC6-01
REFERENCES:
Same as Policy FC6-01
SSCC alignment (FY-26): 2INgage Provider Manual Rev. 1.2026 — §4 Assessing, Conducting and Managing Placements (p.19, placement-change prior-approval gate). Cross-reference: FC-CQI-01 Continuous Quality Improvement Policy; FY-26 SSCC coverage tracker (temporary-reference/fy26-sscc-joint-monitoring/sscc-alignment/).
SSCC alignment (FY-26) — EMPOWER: EMPOWER Provider Manual Rev. 1.2026 — §4 (p.22 placement-change gate). Cross-reference: FC-CQI-01 Continuous Quality Improvement Policy; FY-26 SSCC variance matrix.
SSCC alignment (FY-26) — OCOK: OCOK Network Management Operations Manual Rev. 7-1-2025 — §5.04 (p.116 placement-change gate). Cross-reference: FC-CQI-01 Continuous Quality Improvement Policy; FY-26 SSCC variance matrix.
SSCC alignment (FY-26) — 4Kids: 4Kids4Families Joint Operations Manual (Dec 2025) / Subcontractor Agreement — reviewed; aligned (4Kids items here are casework/Minimum-Standards-level), no additional provider-specific provisions required in this document. Cross-reference: FC-CQI-01 Continuous Quality Improvement Policy; FY-26 SSCC variance matrix.
SSCC alignment (FY-26) — Belong: Belong Stage I & II Provider Manual (Aug 2025) / Provider Services Agreement — pp.14–15 placement-change approval. Cross-reference: FC-CQI-01 Continuous Quality Improvement Policy; FY-26 SSCC variance matrix.
SSCC alignment (FY-26) — SFCS: SFCS Placement Provider Manual (July 2020, publicly-sourced — currency unconfirmed) / 2019 Affiliate Provider Agreement — Manual §2.1.4 (placement-change approval). Confirm against the current SFCS provider manual. Cross-reference: FC-CQI-01 Continuous Quality Improvement Policy; FY-26 SSCC variance matrix.
RELATED DOCUMENTS:
- FC6-01 Admission Matching & Criteria for Child Placement Policy
- Initial Intake Information Form
- RH Individual Crisis Management Screening Tool
- Mental & Behavioral Health Foster Family Assessment Tool
- IDD/Autism Environmental Adaptation Checklist
- One-Page Home Study Snap Shot
- T3C Placement Exception Documentation Form
- Post-Placement Evaluation Tool
This procedure document operationalizes the principles established in the corresponding policy by providing specific implementation details (who, when, where, and how). While policies require Board approval and remain relatively stable, procedures may be updated by the Executive Director to adapt to regulatory changes, technological advancements, or operational improvements without requiring Board approval, provided such changes maintain alignment with the policy's intent.