Instructions: Use the checklist below to assess and note whether the Statewide Assessment adequately addresses key areas. Then, considering the information collected through that assessment process, identify the following in section VI below: (1) issues requiring revisions to the Statewide Assessment and (2) issues requiring further review on site.

Is there evidence of adequate consultation with youth in foster care in preparing the Statewide Assessment?

   Yes        No

Comments:

Is there evidence of adequate consultation with tribes in preparing the Statewide Assessment?

   Yes        No

Comments:

Is there evidence of adequate consultation with the courts in preparing the Statewide Assessment?

   Yes      No

Comments:

Is there evidence of adequate consultation with the Court Improvement Program (CIP) in preparing the Statewide Assessment?

  Yes      No

Comments:

Is there evidence of adequate consultation with other key parties outside the child welfare agency in preparing the Statewide Assessment?

  Yes       No

Comments:

Are the stakeholders who were consulted identified in the Statewide Assessment?

  Yes        No

Comments:

Are the stakeholders who are involved in other State child welfare planning and reform efforts, such as the Child and Family Services Plan (CFSP) and subsequent Annual Progress and Services Reports (APSRs) also engaged in the Statewide Assessment?  

   Yes     No

Comments:

Does the current Statewide Assessment show that the State has evaluated the progress made in the outcomes and systemic factors since the previous Statewide Assessment?

   Yes       No

Comments:

Does the Statewide Assessment show that the State has evaluated the impact of its Program Improvement Plan (PIP) activities by, for example (1) indicating the status of the State's performance when beginning the PIP, (2) outlining the PIP accomplishments, and (3) documenting the status of the State's current performance?

   Yes        No

Comments:

Does the Statewide Assessment show that the State used a variety of information sources, for example:

Data profiles

   Yes        No

Comments:

State Automated Child Welfare Information System (SACWIS) or other management information system data

   Yes        No

Comments:

Results of quality assurance reviews

   Yes        No

Comments:

Consultations with external partners

   Yes        No

Comments:

Surveys

   Yes        No

Comments:

CIP re-assessment

   Yes        No

Comments:

Community-Based Child Abuse Prevention (CBCAP) reports/information

   Yes        No

Comments:  

Citizen review panel reports

   Yes        No

Comments:

Other:

 Yes        No

Comments:

Does the Statewide Assessment show that the State has reviewed their Adoption and Foster Care Analysis and Reporting System (AFCARS) and National Child Abuse and Neglect Data System (NCANDS) data, or alternate safety data, to ensure that the data are correct?

   Yes         No

Comments:

Does the Statewide Assessment include a discussion of relevant program and practice issues, based on the data pertaining to each section of the document?

   Yes       No

Comments:

Does the Statewide Assessment provide sufficient information for selecting sites for the onsite review?

   Yes        No

Comments:

Does the Statewide Assessment provide a solid overview of the agency's policies and practices for use by the Onsite Review Team?

   Yes        No

Comments:

Will the Statewide Assessment inform and help the State appropriately target subsequent PIPs?

   Yes        No

Comments:

Safety:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Permanency:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Well-being:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Information system:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Case review system:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Training:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Agency responsiveness to the community:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Licensing/recruitment/retention:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Quality assurance:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site:
  
  

Service array:

• Issues requiring revisions to the Statewide Assessment:
  
  
• Issues requiring further review on site: