Transfer Overview
This triggers a transfer. Name 1
Changes in child needs, safety concerns, medical needs, or other placement factors
What is the core placement rule for ORR?
Each child must be placed in the least restrictive setting that is in the child’s best interests.
The timeline for medical clearance once ORR identifies a transfer need
Within three (3) business days
Documentation about disability-related needs and services is stored in _________. Name 1
The child’s case file, Evidentiary Record, and Individualized Section 504 Service Plan
How often must restrictive placements be reviewed at minimum?
Every 30 days, with additional review at 90 days and beyond for secure/RTC.
This is the required timeframe within which a transfer must be requested after the need has been identified.
Within three (3) business days
These factors are considered for level of restrictiveness. Name 1
Danger to self, danger to others, and risk of running away.
_____ decides if the child is fit for travel when a child is not medically cleared in 3 days
ORR reviews and determines if the child is fit for travel.
This plan must be documented for children with disabilities in restrictive placement
Individualized Section 504 Service Plan
This standard is required to place a child in a restrictive facility
Clear and convincing evidence that restrictive placement is required.
This kind of setting must always be considered when transferring a child
The least restrictive setting that is in the best interests of the child
Staff must plan for this if a child is in a restrictive setting
The services provided to support a child’s step-down to a less restrictive setting when they are ready
This happens if ORR decides the child is not fit for travel
ORR notifies the care provider of the denial and a timeframe for re-evaluation
Before placing a child with a disability in a restrictive setting, what must be documented?
Why the child’s needs cannot be met in a more integrated and less restrictive setting with services/supports.
What is a “step-down” in ORR placement?
A transfer to a less restrictive level of care.
These are the sources of information that care providers consider when making transfer recommendations. Name 1
Referring federal agency, child assessment tools, interviews, location of sponsor or family in the U.S., records from local, state, and federal agencies, staffing with Case Coordinator, and input from the LSP/child advocate.
A type of restrictive placement. Name 1
Secure facility, Residential Treatment Center (RTC), or heightened supervision facility
These health-related documents must accompany a transfer
All health records and a 30-day supply of medication, if applicable
If a child is being placed in secure/RTC due to danger to self/others and has not been identified with a disability, what must occur?
The child must be referred for an evaluation to determine whether they have a disability
True or False: A significant incident report alone justifies a step-up or refusal to step-down
False, a significant incident report cannot be used as the sole basis for a step-up or refusal to step-down