MAY 17, 2002
Name of Child
Date of Birth_____________: SS#_____________ Court Case #___________

(Child) has been in foster care since birth. To my knowledge he has been in 3 foster homes.

The first placement was with (Name). (Child) was with Ms. (Name) from June 9, 2000 until December 27, 2001. This placement was supposed to be a kinship placement, but it was eventually discovered that Ms. (Name) was not a kin. While (Child) was in the care of Ms. (Name) he'd been moved from place to place 7 known times. (Child) was removed from the care of Ms. (Name) on December 27, 200 due to neglect.

On December 28, 2001, (Child) was taken as an emergency placement to the foster home of (Name). He was with the (Name) family from December 28, 2001 until March 29, 2002.

(Child) was placed with his current foster parents, (Name), on March 29, 2002. We live at (Address). Our phone number is (XXX). We have obtained our foster care license specifically to take (Child) into our home. We have also signed a permanency plan showing our interest in adopting (Child). A copy of both the license and permanency plan are included with this summary.

I only know of 3 caseworkers since (Child) entered foster care:
(Worker): From (Date unknown) until December, 2001
(Worker): From December, 2001 until March 8th, 2002
(Worker): From March 11th, 2002 until current
(Worker) phone number is XXX

Medical Concerns and Therapy:
Pediatrician:
(Dr. Name)
(Address)
(Phone)

(Child) had been seen by Dr. (Name) three times that I know of while in the care of the (Name) family. I've spoken to Dr. (Name) on the phone asking if she'd take him as a patient while with us, which she's agreed to do. She hasn't seen (Child) as of the date of this summary. He's scheduled to be seen on (Date). The most recent exam (Child) had since his surgery was done by the WIC office on (Date). A copy of that evaluation is included with this summary.

Specialist:
(Dr. Name)
(Address)
(Phone)

(Child) saw Dr. (Name) along with his surgery already having been scheduled prior to his coming to live with us. Surgery for a Hypospadia repair was performed on (Date). (Child) has seen the surgeon for follow up visits on (Date) and (Date). His next appointment is on (Date).

Specialist:
(Name) Rehabilitation Services
(Address)
(Phone)

(Child) receives occupational and speech therapies at this time. He was evaluated for physical therapy, but it was determined he doesn't need their services at this time. Copies of the reports are included with this summary.

Dentist:
(Child) is not seeing a dentist at this time.

Immunizations:

(Child) immunizations are up-to-date as of (Date). A copy of his immunization record is included with this summary.

List of Significant Concerns:

My main concern at this time is (Child) continued recovery from his surgery for Hypospadia repair, which was done on April 10th, 2002. The surgeon wants me to try to find out if (Child) is urinating in one stream or two by his next visit, which is scheduled for (Date). Another concern is that (Child) would have a follow-up venous blood test after a finger poke lead test done before he was placed with the (Name) family showed he had a slightly elevated lead count of 11. The limit for the finger poke test is 10. A letter the (Name) family received from the Dept. of Health and Human Services of (Name) County was turned over to me. The nurse I spoke to about this on (Date) stated that it's not uncommon for there to be a false positive with this kind of test, but the blood draw should be done to make certain of (Child) blood lead level. I will ask Dr. (Name) to order this blood test when (Child) sees her on (Date).

Therapists at this time are:
Occupational Therapist: once a week
(Name) (Phone)
Speech Therapist: once a month
(Name) (Phone)
Physical Therapist: treatment not needed at this time
(Name) (Phone)

Psychiatrist:

(Child) has no psychiatrist at this time. The concerns I have in this area is that (Child) has an issue regarding food that I believe can and will affect his behavior as he grows. I have (Child) on a very good schedule of eating to help him with this issue. I'm also concerned about (Name) ability to attach to his main caregiver(s). (Child) calls anyone that can meet his needs "Mom" -- men and women alike.

School:

(Child) is not in school at this time so there is nothing to report in this area. We are, however, currently working on preschool skills at home.

Brief summary of behavior and observations while child has been in foster care:

(Child) has come a long way since his emergency placement with the (Name) family, whom he was with from December 28, 2001 until March 29, 2002, at which time (Child) came to live with us. I had the opportunity of getting to know (Child) quite well while he was with the (Name) family as I am the family's baby-sitter.

When (Child) was first placed with the (Name) family he was quite aggressive in his behavior. He was quite attached to his bottle, drooled excessively, and ate like he had never eaten before. This concerned both the (Name) family and myself. I had an opportunity to talk to (Child) birth father on (Date) while we were waiting for (Child) to come out of surgery. Mr. (Name) confirmed what the (Name) family and I had suspected -- that (Child) hadn't been given a lot of solid foods and that he'd been given a lot of bottles at his placement prior to the (Name) family. The (Name) family worked on getting (Child) off the bottle, having him drinking more from a sippy cup, and his eating more slowly so as not to choke himself. (Child) still has a problem with stuffing himself too full at times, but has improved. His drooling has decreased dramatically. He seems to do that most when very tired or while cutting teeth.

(Child) behavior had improved quite a bit since he was first placed with the (Name) family and now with us. He's not nearly as aggressive and responds well to given guidelines of behavior unless it pertains to food. He can be quite unreasonable in that area no matter how much or how often you feed him.

(Child) was while evaluated at the (Name) family for both occupational and speech therapies. He's been seen once a week by both therapists in these areas for several months now. His improvement in both areas has been steady since starting the therapies. Just recently his occupational therapy was reduced from once a week to once a month. (Child) was evaluated for physical therapy after he was placed with us. The therapist found he wasn't in need of her services at this time, but would re-evaluate him if I have any concerns as he ages.

(Child) still does not sleep through the night, but isn't waking as often as when first placed with the (Name) family and now us. He was waking 4-5 times a night crying, but now wakes only 1-2 times a night. I used to have to go in and console him every time, but now I have no need of going in to him unless he's had a nightmare. He'll wake and fuss, but calms himself back to sleep.

Summary of visits and phone calls:

I'm not sure how many visits (Child) had with his birth parents while with the (Name) family. I know he missed one or two due to being sick with an ongoing ear infection. The caseworker on the case at that time said he could stay home and miss the visit(s). (Child) has since been given an new caseworker. (Name – last foster mother) did report to me when he was placed with her that he didn’t take the visits well. He cried when picked up by the driver, came home aggressive and uncooperative, and woke more often during the night.

Until the time of this report, (Child) was to have visits with his birth parents on 4/8/02, 4/22/02, and 5/6/02. He attended 1 out of 3 visits. Below is a summary of each of those visits:

(Child) went to the 4/8/02 visit. He was picked up by the driver, Jackie Ivy. He cried when he left, but he came back smiling. Jackie reported the visit went well and that (Name) had interacted more than in during past visits. (Child) was quite aggressive towards us and the animals throughout the evening. He was also combative and moody. He finally calmed down towards bedtime. (Child) woke up many times during the night screaming. He didn’t calm himself as he normally does. I had to go in and soothe him. This behavior lasted a couple of days.

(Child) missed the 4/22/02 visit due to still having a lot of post-surgical pain from his surgery on 4/10/02. He was still screaming at diapers changes, especially when a bowel movement was involved. I called his caseworker about it. She told me I could keep him home that day and that she would inform the birth parents.

(Child) missed the 5/6/02 visit due to being ill with what I thought was a virus. It was discovered a day or two later that he’s cutting his bottom molars. The driver, Jackie, had called about 11:00 a.m. that morning to find out if (Child) was going for his visit. When I told her he was going, but not feeling well, she stated that she didn’t want to have to deal with a sick child as it’s a long ride. She told me the final decision was mine to make. I went ahead and made the decision not to send him. I regret this decision as later in the afternoon (Worker) called asking what the doctor had said. I stated that I hadn’t taken him in just for fussing and diarrhea (at the time I didn’t know he was cutting molars). She said that his visits were court ordered and that

(Child) was to have a doctor’s excuse if he were going to miss any future visits. This was later restated in a letter sent to me by (Worker). The letter was dated 5/9/02.

(Child) receives, nor makes any phone calls, so there’s nothing to report in this area.

This summary was done by (Current foster mother) on 5/16/02. My phone number is XXX-XXX-XXXX.

Signature: ________________________________________________________

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