Licensing and SOR's
A) How often do Fire Drills need to be conducted?
B) If two children move into a home the same month, what is the Fire Drill procedure?
A) Once a month
B) All new youth to the home need to participate in a fire drill within the first 24 hours and learn the Fire Drill procedure. If two youth move into a home in the same month, minimum two drills need to be completed.
Within how many days should the home develop an ICMP (Individual Crisis Management) for a youth?
An ICMP should be developed within the first 30 days a youth moves to a home.
Please list 4 unacceptable discipline practices:
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Some examples of unacceptable discipline practices include:
- Deprivation of basic needs
- Prolonged withholding of emotional response
- Locking the youth in a room
- Tying the youth up, or restraining movement
- Threatening to kick the youth out
- Corporal punishment
- Deliberate verbal abuse
- Destruction of youth's property
- Drugging the youth
- Denying family, or circle of care contact
- Using food as consequence
When is a Duty to Report required?
When a youth discloses emotional, physical, or sexual abuse, or is likely to experience such harm. Perpetrators can include adults, or peers.
How often are you required to speak to the youth about their rights?
Rights are required to be reviewed with the youth at their 30 Day Plan of Care, again at their 90 Day Plan of care, and then every 90 days thereafter.
In regards to Confidentiality, who can staff speak to about a youth's behaviour and needs in a home?:
A) Child Service Worker
B) Child's Parents
C) School Personnel
D) Other Staff
E) All of the above
A) Child Service Worker
All other notifications and discussions with the youth's circle of care, need to be approved by the child. The child can provide written and verbal consent (written in always better) for discussions to take place, and can revoke that permission at any time as well. Generally the worker will follow up with extended members of the youth's circle of care.
Please list 4 Code of Conduct requirements of a Storey Homes employee.
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The following are some examples of Storey Homes Code of Conduct requirements:
- Staff should be punctual and arrive on shift dressed appropriately and prepared
- Staff are required to abide by the Child and Family Service Act and abide by the Duty to Report obligations
- Staff are required to protect the confidentiality of the youth and the home
- Staff are prohibited from engaging in sexual activity with the youth or their family
- Staff are prohibited from engaging in illegal drugs and alcohol during their shift, or while working with clients
- If a staff is prescribed medication that will effect their system, a medical note needs to be provided
- Staff are required to utilize TCI while working with the clientele
- Youth are the homes primary concern, therefore the personal needs of employees come secondary
- Staff are required to participate in mandatory training
- Staff are required to keep their hiring documents in good standing
- etc.
Please list 4 examples of acceptable discipline practices:
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Some examples of acceptable discipline practices include:
- Processing with the youth about what they did wrong
- Time Away
- Natural Consequences
- Withholding or withdrawing privleges (WIFI, community time, toys, etc.)
- Redirections/Distractions
- Planned support systems (earning points, etc.)
- Planned ignoring
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Who do you contact when a youth discloses they have suffered, or is likely to suffer abuse? Please state in the correct order.
A)
B)
C)
D)
Staff have to contact the following people/agencies when abuse is suspected in the following order:
A) LOCAL CAS (Not necessarily the agency the youth is associated with, but local agency to the home)
B) Storey Homes On Call Supervisor
C) Police (if required)
D) The youth's Child Service Worker
E) Parents (if required)
Can a youth be interviewed by police on their own?
Best practice would dictate a trusted adult sit with the youth during an interview to ensure the youth's right's are not violated. In regards to a youth being interviewed as a suspect, staff are to remind the youth of their rights, and encourage them to ask for a lawyer. Staff should thoroughly document the incident and provide the information to the youth's CSW and the home supervisor. If a youth is being interviewed as a victim, police may request to speak with the youth alone and provide victims services to support the youth during their interview. Any interactions with police should be closely monitored by staff to ensure the youth's rights are respected and staff are aware of what is going on.
How often do you need to update and provide the following to your supervisor?
1) Medical Forms
2) Vulnerable Sector Checks
3) First Aid and CPR
Staff need to update and provide the below documentation within the following time frames:
1) Medical Forms (every three years, or as vaccinations renew)
2) Vulnerable Sector Checks (every three years, or as a staff's criminal record changes)
3) First Aid and CPR as it expires
What are the timelines of Plan of Cares?
The timelines for Plan of Cares are as follows:
- 30 Day POC
- 90 Day POC
- 180 Day POC
- 1 Year POC
- Every 6 months there after (1.5, 2, 2.5, 3, 3.5, etc.)
Who needs to be notified in the case of a youth complaint?
How long does this individual have to respond to the initial complaint?
The home supervisor, or on call supervisor needs to be advised of the youth's complaint. Complaint forms can be found on the house USB.
The home supervisor needs to begin working on the complaint within 24hours of the complaint being received and respond to the complaint if they can. A response needs to be provided within thirty days.
The Nantucket home is located in the Brampton area. What CAS would you contact if a youth disclosed abuse to you when working at the Nantucket home?
A) DCAS (Durham Children's Aid Society)
B) PCS (Peel Children's Services)
True or False, the youth has a right to review their personal file?
TRUE
The youth does have a right to review their personal file; however, this is done in a planned way. The youth needs to make a written request, detailing the document they wish to review. This request is then reviewed by the youth's circle of care to determine if this is a reasonable request and not detrimental to the youth's wellbeing. If the request is deemed reasonable, the youth will be able to review the contents of the document they requested, but only the requested document.
There are 2 levels when it comes to the serious nature of an SOR. Level one notifications are considered more emergent than level twos. In the case of a Level 1 SOR, the SOR needs to be submitted to the ministry within 1 hour of the incident. In the case of a Level 2 SOR, the SOR needs to be submitted to the ministry within 24 hours.
Staff are required to make a therapeutic milieu for each individual youth in a home to create positive setting conditions. What are the 5 therapeutic milieu spaces?
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The 5 therapeutic milieu spaces are:
1) Ideological Space
2) Emotional Space
3) Physical Space
4) Cultural Space
5) Social Space
If a youth requests to make a rights related complaint, who do they contact?
If a youth wishes to make a complaint about their placement situation, who do they contact?
Rights related complaints are directed to the Ombudsman. The youth has the right to contact the Ombudsman, anytime day, or night. The number has to be posted in the home for easy access.
Complaints regarding a youth's living situation are directed to RPAC (Residential Placement Advisory Committee). This organization is only accessible during regular business hours (Monday-Friday, 9am-5pm).
A youth is refusing to take their prescribed psychotropic medication, what do you do?
Youth have the RIGHT to refuse their prescribed medications. As a staff, you can encourage them to take their medication and explain the possible side effects to them, but we cannot force the youth to consume their meds. If a youth refuses, staff are to contact the pharmacy and alert them that the youth has refused their medication and ask for further instructions. An IR will also need to be completed outlining the refusal and sent to a supervisor. The CSW should also be alerted.
In case of negative side effects, staff should monitor the youth's health and contact medical services as required. Any emergent medical needs due to medication refusal, will need to be dealt with as would any emergent medical concern. An SOR would need to be conducted in this instance.
Staff should remember to document an "R" for refusal on the Medication Administration Sign Off form.
Please list 4 of the youth's "Rights".
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Some examples of the youth's "Rights" include:
- The right to practice their culture and chosen religion
- The right to receive an education
- The right to privacy and receive unopened mail
- The right to medical attention
- The right to make a complaint and have their concerns addressed
- The right to participate in their Plan of Cares and decisions about their life
- The right to identify as their chosen sexuality, gender, pronouns, etc.
- Etc.
Please list 4 categories of SOR reporting:
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The following are the SOR reporting categories:
- Death
- Serious Injury
- Serious Illness
- Serious Individual Action
- Restrictive Intervention
- Abuse or Mistreatment
- Error or Omission
- Serious Complaint
- Disturbance, Service Disruption, Emergency Situation or Disaster
Please list 4 items you are required to document in a youth's daily log.
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Your are required to document the following items in a youth's daily log:
- If the youth attended any appointments
- If the youth had any visitors, or visited with anyone
- What the youth ate in the day
- Any noteworthy events or incidents (both good and bad)
- Any therapeutic activity, or time spent with staff
- Any school issues, concerns, achievements, etc.
- Their general attitude and behaviour throughout the day
- If they participated in any fire drills
- If they utilized community time
If a complaint is made against a staff, or the home in general, how long does a supervisor have to respond to said complaint, and what are the timelines?
If a complaint is made against a staff, or the home in general, the supervisor is required to get as much information as possible in written format within the first 72 hours. The supervisor is required to work on the complaint within the first 5 business days that the complaint is made and complete the inquiry withing 10 days after the initial complaint is made.
Please state the proper medication administration protocol.
Medication should be administered in a safe, secluded area. One youth at a time should be provided their medication. Medication should be administered by staff in a medication cup, or other clean container/medication lid. The youth should be provided with a glass of water, or other liquid in order to swallow their medication. Staff need to ensure they are administering the right medication, to the right youth, at the right time, prior to administering. Staff need to witness the youth consume their medication. Staff then need to sign off on the appropriate date and time the medication was administered on the Medication Administration form. Not following the above procedure is grounds for disciplinary action.
What is a resource person?
A Resource Person, is someone chosen by the youth to assist them in advocating for themselves and making decisions about their life. This chosen person can be anyone the youth identifies as a support, and this person should be invited to Plan of Cares, school meetings, etc. as the youth requests.