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Cabinet for Health and Family Services Department for Community Based Services Division of Protection and Permanency Search Table of Contents DEFINITIONS Abuse The infliction of physical pain, mental injury, or injury of APS an adult. Abused or A child whose health or welfare is harmed or threatened Neglected Child with harm when his parent, guardian, or other person CPS exercising custodial control or supervision of the child: (a) Inflicts or allows to be inflicted upon the child physical or emotional injury as defined in KRS 600.020 by other than accidental means; (b) Creates or allows to be created a risk of physical or emotional injury as defined in this section to the child by other than accidental means; (c) Engages in a pattern of conduct that renders the parent incapable of caring for the immediate and ongoing needs of the child including, but not limited to, parental incapacity due to alcohol and other drug abuse as defined in KRS 222.005(12); (d) Continuously or repeatedly fails or refuses to provide essential parental care and protection for the child, considering the age of the child; (e) Commits or allows to be committed an act of sexual abuse, sexual exploitation, or prostitution upon the child; (f) Creates or allows to be created a risk that an act of sexual abuse, sexual exploitation, or prostitution will be committed upon the child; (g) Abandons or exploits the child; or (h) Does not provide the child with adequate care, supervision, food, clothing, shelter, and education or medical care necessary for the child's well-being. A parent or other person exercising custodial control or supervision of the child legitimately practicing the person's religious beliefs shall not be considered a negligent parent solely because of failure to provide specified medical treatment for a child for that reason alone. This exception shall not preclude a court from ordering necessary medical services for a child; or (i) Fails to make sufficient progress toward identified goals as set forth in the court approved case plan to allow for the safe return of the child to the parent that results in the child remaining committed to the Division of Protection and Permanency Page 1 of 30 cabinet and remaining in foster care for fifteen (15) of the most recent twenty-two (22) months. Administrative Administrative hearing" or "hearing" means any type of Hearing formal adjudicatory proceeding conducted by an agency as required or permitted by statute or regulation to adjudicate the legal rights, duties, privileges, or immunities of a named person. Adolescent Means a youth who resides in the home of an individual household who applies for approval or has been approved to provide member foster and adoptive services; and is age twelve (12) Resource Homes through age seventeen (17); and is not placed in the home by a state agency. Adoption The legal process by which a child becomes the child of a CPS person or persons other than biological parents. Adoption Payment of a monthly maintenance to assist in meeting Assistance the special needs of a child whom was placed by the CPS Cabinet. Assistance may also include payment of nonrecurring adoption expenses and reimbursement of extraordinary medical expenses. Adoption An agreement setting forth the scope and limits of the Assistance adoption assistance signed by the adoptive parents and Agreement the Secretary of the Cabinet or designee. CPS Adoption The discontinuance of a child's placement after signing of Disruption adoption placement agreement with a prospective CPS adoptive family and prior to the finalization/legalization of the adoption. Adoption The discontinuance of an adoption at any point in time Dissolution after the adoption has been finalized/legalized. CPS Adoption The decree of the Circuit/Family Court granting and Judgment legalizing/finalizing the adoption (KRS 199.520). CPS Adoption The document filed with Circuit/Family Court by the Petition person or persons initiating the process to adopt a CPS particular child (KRS 199.470, 199.480, and 199.490). Division of Protection and Permanency Adult 1) A person eighteen (18) years of age or older who has APS a mental or physical dysfunction, is not able to manage their own money or resources, or carry out the activities of living, or is not able to protect themselves from a neglectful or a hazardous or abusive situation if they do not have the assistance from others and who may be in need of some type of protective services; 2) A person without regard to age who is the victim of abuse and neglect that is inflicted by the spouse; or 3) A person in an ongoing, cohabiting and intimate relationship who is eighteen (18) years of age or older and the victim of alleged abuse by a partner. (Ireland v Davis, Ky. App., 957 S. W. 2nd 310 (1997)). Adult household Means an adult who resides in the home of an individual member who applies for approval to provide foster or adoptive Resource Homes services, and is age eighteen (18) of age or older. Agency Those planned and handled by any licensed child-placing Adoptions adoption agency. CPS Circuit Court Commitment is an Order of Judgment Terminating Parental Rights (TPR) granting permanent custody of a child to the Cabinet or another child-placing adoption agency until permanency or majority is achieved for a child. (KRS Chapter 625.043 and 625.100). Aggravated The existence of one (1) or more of the following Circumstances conditions: CPS (a) The parent has not attempted or has not had contact with the child for a period of not less than ninety (90) days; (b) The parent is incarcerated and will be unavailable to care for the child for a period of at least one (1) year from the date of the child's entry into foster care and there is no appropriate relative placement available during this period of time; (c) The parent has sexually abused the child and has refused available treatment; (d) The parent has been found by the cabinet to have engaged in abuse of the child that required removal from the parent's home two (2) or more times in the past two (2) years; or (e) The parent has caused the child serious physical injury; Division of Protection and Permanency Alternate care Means a level of care, licensed by the Division of APS Licensing and Regulation, as follows: (a) Skilled nursing facility, or "SNF"; (b) Nursing facility, or "NF"; (c) Intermediate care facility, or "ICF"; (d) Personal care home, or "PCH"; (e) Family care home, or "FCH"; and (f) Intermediate Care Facility for the Mentally Retarded, or "ICF-MR". Annual Is a periodic joint evaluation process used by DCBS and Strength/Needs resource home parents to assess the changes in the Assessment family, review the family's ability to meet the needs of Resource Homes children, and determine continuing compliance with standards and expectations. Applicant means an individual or family, subject to approval by the Family Prep. cabinet as a resource home; Beyond Control A child who has repeatedly failed to follow the reasonable Status directives of his or her parents, legal guardian, or person exercising custodial control or supervision other than a state agency, which behavior results in danger to the child or others, and which behavior does not constitute behavior that would warrant the filing of a petition under KRS Chapter 645. Boarding Home A privately owned and operated home for the boarding CPS/Status and lodging of individuals which is approved by the Department of Juvenile Justice or the cabinet for the placement of children committed to the department or the cabinet. Business Refers to a person or entity who, on behalf of the Cabinet Associate for Health and Family Services and other than in the HIPAA capacity of workforce staff: performs or assists in the performance of a function or activity that involves the use or disclosure of protected health information (PHI), or; provides legal, actuarial, accounting, consulting, data aggregation, management, administrative, accreditation, or financial services. Cabinet Means the Cabinet for Health and Family Services CAPTA Child Abuse Prevention Treatment Act Care Plus Formerly Family Treatment Resource Homes. Care Plus Resource Home Resource Homes provides services to a child who: CPS (a) Is due to be released from a treatment facility; Division of Protection and Permanency (b) Is at risk of being placed in a more restrictive setting; (c) Is at risk of institutionalization; (d) Has experienced numerous placement failures; (e) Has an emotional or behavioral problem; or (f) Displays aggressive, destructive, or disruptive behaviors. Care Plus resource parents coordinate treatment services with community providers as developed with the SSW, but do NOT provide treatment services. Caretaker 1. A person who is responsible for the supervision and Def 1: CPS well-being of a child. Def 2: APS 2. An individual or institution who has the responsibility for the care of the adult as a result of family relationship, or who has assumed the responsibility for the care of the adult person voluntarily, or by contract, or agreement. Caretaker The deprivation by a caretaker of services, which are neglect needed to maintain health and welfare. The caretaker APS arrangement can be formal (e.g., contractual, institution, etc.) or informal (e.g., voluntary agreement with family member, friend, etc.). The caretaker neglect can be either "passive" (unintentional) or "active" (intentional) in nature related to the provision of services (e.g., food, clothing, shelter, social contact, personal needs, medical care, etc.) and may include, but is not limited to: 1) Lack of adequate food or health related services due to the caretaker's inadequate skills or knowledge; 2) Abandonment or lack of supervision; 3) Unmet personal or medical needs, including bedsores, malnourishment, dehydration, inappropriate clothing, poor hygiene, uses medicines incorrectly, lack of food or inadequate food; 4) Withholding or deprivation of food/water or health services; 5) Over medicating or under medicating; 6) Forcing isolation; 7) Not obtaining needed mental health or medical services/treatment; or Permitting unnecessary pain. Case A document identifying decisions made by the cabinet, Permanency for Plan both the biological family and the child, concerning action CPS which needs to be taken to assure that the child in foster care expeditiously obtains a permanent home. Division of Protection and Permanency Case Progress A written record of goals that have been achieved in the Report case of a child. CPS Case record A cabinet file of specific documents and a running record CPS of activities pertaining to the child. Certified Individuals who meet the qualifications of, and who have Juvenile Facility completed a course of education and training in juvenile Staff detention developed and approved by, the Department of CPS/Status Juvenile Justice after consultation with other appropriate state agencies. Child Any person who has not reached his eighteenth birthday, CPS/Status unless otherwise provided. Child Care Child-care center means any child-care center which Center provides full or part-time care, day or night, to at CPS least seven (7) children who are not the children, grandchildren, nieces, nephews, or children in legal custody of the operator. Childcare center" shall not include any child-care facility operated by a religious organization while religious services are being conducted, or a youth development agency. For the purposes of KRS, KAR, and SOP, "youth development agency" means a program with tax-exempt status under 26 U.S.C. sec. 501(c)(3), which operates continuously throughout the year as an outside- school-hours center for youth who are six (6) years of age or older, and for which there are no fee or scheduled-care arrangements with the parent or guardian of the youth served. Child Protective Preventive and corrective services directed toward: Services (CPS) (a) Safeguarding the rights and welfare of an abused, CPS neglected or dependent child; (b) Assuring for each child a safe and nurturing home; (c) Improving the abilities of parents to carry out parental responsibilities; (d) Strengthening family life; and assisting a parent or other person responsible for the care of a child in recognizing and remedying conditions detrimental to the welfare of the child. Child-Caring Any facility or group home other than a state facility, Facility Department of Juvenile Justice contract facility or group CPS/Status home, or one certified by an appropriate agency as operated primarily for educational or medical purposes, providing residential care on a twenty-four (24) hour basis to children not related by blood, adoption, or marriage to the person maintaining the facility. Division of Protection and Permanency Child-Placing Any agency, other than a state agency, which supervises Agency the placement of children in foster family homes or child- CPS/Status caring facilities or which places children for adoption. Children's An agency that advocates on behalf of children alleged to Advocacy Center have been abused; that assists in the coordination of the CPS investigation of child abuse by providing a location for forensic interviews and medical examinations, and by promoting the coordination of services for children alleged to have been abused; and that provides, directly or by formalized agreements, services that include, but are not limited to, forensic interviews, medical examinations, mental health and related support services, court advocacy, consultation, training, and staffing of multidisciplinary teams. Clinical means a facility with more than eight (8) beds Treatment designated by the Department of Juvenile Justice or the Facility cabinet for the treatment of mentally ill children. The CPS/Status treatment program of such facilities shall be supervised by a qualified mental health professional. Conflict of A situation in which a public official's (employee) Interest decisions are influenced by the official's (employee) personal interests. Commitment An order of the court which places a child under the CPS/Status custodial control or supervision of the Cabinet for Health and Family Services, Department of Juvenile Justice, or another facility or agency until the child attains the age of eighteen (18) unless the commitment is discharged under KRS Chapter 605 or the committing court terminates or extends the order. Committee A person appointed by the court prior to July 1, 1982, to APS have full care, custody, and control of a disabled person and his estate. . Community- Any nonsecure, homelike facility licensed, operated, or Based Facility permitted to operate by the Department of Juvenile CPS/Status Justice or the cabinet, which is located within a reasonable proximity of the child's family and home community, which affords the child the opportunity, if a Kentucky resident, to continue family and community contact. Division of Protection and Permanency Complaint A verified statement setting forth allegations in regard to CPS/Status the child which contain sufficient facts for the formulation of a subsequent petition. Complaint Refers to any concern communicated by a person HIPAA questioning any act or failure to act relating to an individual's rights to access to his/her health information, to maintain the privacy of his/her health information, to request restrictions on uses or disclosures of his/her PHI, to request confidential communications regarding his/her PHI, to request amendment of his/her PHI, or to receive an accounting of disclosures of his/her PHI. Concurrent The Cabinet simultaneously plans for reunification of a Planning child with the birth family and permanent removal of the CPS child if the prognosis for reunification is poor. Consent to Is a written, signed and sworn statement granting Adoption permission to the child's adoption by the authorized CPS representative of the agency having permanent legal custody of the child, or other person's having permanent legal custody. (KRS 199.011(14) and KRS 199.500). Consent to The Cabinet may accept custody of a child who is Voluntary voluntarily committed by the child's parent, guardian, or Commitment other person having legal custody. CPS Conservator An individual, agency, or corporation appointed by the APS court to manage the financial resources of a disabled person Court The juvenile session of District Court unless a statute CPS/Status specifies the adult session of District Court or the Circuit Court. Court Report Is a written report, which is the responsibility of the CPS Cabinet or designee, submitted to the Circuit/Family Court judge on a proposed adoption after the adoption petition has been filed. The purpose of the court report is to summarize the facts of the case and recommendation(s) if adoption by the petitioner is in the best interest of the child. (KRS 199.510). Court- That organization or individual delegated by the Designated Administrative Office of the Courts for the purposes of Worker (CDW) placing children in alternative placements prior to CPS/Status arraignment, conducting preliminary investigations, and formulating, entering into, and supervising diversion agreements and performing such other functions as authorized by law or court order. Division of Protection and Permanency Covered Entity A health plan, a health care clearinghouse, or a health HIPAA care provider that transmits any health information in verbal, written or electronic form relating to any covered transaction. Crisis A set of factors that: CPS a. Jeopardizes a child's placement in a resource home; and b. Creates a risk for removal of the child from the resource home to a more restrictive setting, including institutionalization. Deadly Weapon As defined by KRS 500.08, means any of the following: CPS (a) A weapon of mass destruction; (b) Any weapon from which a shot, readily capable of producing death or other serious physical injury, may be discharged; (c) Any knife other than an ordinary pocket knife or hunting knife; (d) Billy, nightstick, or club; (e) Blackjack or slapjack; (f) Nunchaku karate sticks; (g) Shuriken or death star; or (h) Artificial knuckles made from metal, plastic, or other similar hard material. Department Department for Community Based Services of the APS Cabinet for Health and Family Services. Dependent Child Any child, other than an abused or neglected child, who CPS/Status is under improper care, custody, control, or guardianship that is not due to an intentional act of the parent, guardian, or person exercising custodial control or supervision of the child. Detention The safe and temporary custody of a juvenile who is CPS/Status accused of conduct subject to the jurisdiction of the court who requires a restricted environment for his or her own or the community's protection. Detention A hearing held by a judge or trial commissioner within Hearing twenty-four (24) hours, exclusive of weekends and CPS/Status holidays, of the start of any period of detention prior to adjudication. Developmental A severe, chronic disability of a person which: disability (a) Is attributable to a mental or physical impairment or APS combination of mental and physical impairments, including pervasive developmental disorder. (b) Is manifested before the person attains age twenty- Division of Protection and Permanency two (22); (c) Is likely to continue indefinitely; (d) Results in substantial functional limitations in three (3) or more of the following areas of major life activity: 1. Self-care; 2. Receptive and expressive language; 3. Learning; 4. Mobility; 5. Self-direction; 6. Capacity for independent living; and 7. Economic self-sufficiency; and (e) Reflects the person's need for a combination and sequence of special interdisciplinary or generic care, treatment, or other services which are of lifelong or extended duration and are individually planned and coordinated. Disabled Means a legal, not a medical disability, and is measured APS by functional inabilities. It refers to any person fourteen (14) years of age or older who is: (a) Unable to make informed decisions with respect to his personal affairs to such an extent that he lacks the capacity to provide for his physical health and safety, including but not limited to health care, food, shelter, clothing, or personal hygiene; or (b) Unable to make informed decisions with respect to his financial resources to such an extent that he lacks the capacity to manage his property effectively by those actions necessary to obtain, administer, and dispose of both real and personal property. Such inability shall be evidenced by acts or occurrences within six (6) months prior to the filing of the petition for guardianship or conservatorship and shall not be evidenced solely by isolated instances of negligence, improvidence, or other behavior. Disclosure Refers to the release, transfer, and provision of access to HIPAA or divulging in any other manner of information outside the entity holding the information. District Court Is an order of District Court granting temporary custody Commitment of a child to the Cabinet or in Kinship Care cases to the CPS relative. The District Court may also grant permanent custody to relatives in Kinship Care cases. Emancipation as defined for ASFA Family Court. Diversion An agreement entered into between a court-designated Agreement worker and a child charged with the commission of Division of Protection and Permanency CPS/Status offenses set forth in KRS Chapters 630 and 635, the purpose of which is to serve the best interest of the child and to provide Redress for those offenses without court action and without the creation of a formal court record. Division of The CHFS Office of Inspector General, Division of Regulated Child Regulated Child Care (DRCC) is Kentucky's regulatory Care (DRCC), agency for licensing, reviewing, and monitoring, all day OIG cares, long-term care facilities, and child adoption/child- placing agencies in the commonwealth. DRCC should NOT be confused with the DCBS Division of Child Care who provides information regarding professional development opportunities for day care staff and other child care professionals, as well as coordinates several subsidy programs. Division of Child DCBS Division of Child Care (DCC) provides information Care (DCC), regarding professional development opportunities for day DCBS care staff and other child care professionals, as well as coordinates several subsidy programs. DCC should not be confused with the Office of Inspector General's Division of Regulated Child Care is who licenses and monitors all day cares, long-term care facilities, and child adoption/child-placing agencies in the commonwealth. Emergency Means that an adult is living in conditions, which present APS a substantial risk of death or immediate and serious physical harm to himself or others. Drug Testing Drug testing is done through a nine (9) panel test with CPS/APS Oxycodone. (9) Panel with Oxycodone A nine (9) panel includes testing for the following items: (a) Marijuana Metabolite; (b) Cocaine Metabolite; (c) Opiates; (d) Amphetamines; (e) Phencyclidine (PCP) (f) Morphine; (g) Methadone; (h) Benzodiazepines; (i) Barbiturates. Oxycodone is a synthetic opiate similar to morphine and must be tested separately. This group of controlled prescription pain medications include: Endocodone®; OxyContin®; Oxydose®; OxyFast®; OxyIR®; Division of Protection and Permanency Percolone®; Roxicodone®; and Roxicodone® Intensol® Emergency Protective services furnished an adult in an emergency. Protective Services APS Emergency Is a group home, private residence, foster home, or Shelter similar homelike CPS/Status Facility, which provides temporary or emergency care of children and adequate staff and services consistent with the needs of each child. Emergency Emergency shelter foster care services are provided to a Shelter Resource child age twelve (12) and above who needs immediate, Home unplanned care for less than fourteen-day (14) days. Family Prep. Emotional injury An injury to the mental or psychological capacity or CPS emotional stability of a child as evidenced by a substantial and observable impairment in the child's ability to function within a normal range of performance and behavior with due regard to his age, development, culture, and environment as testified to by a qualified mental health professional. Essential Needs As described by Maslow's hierarchy of needs, would be CPS safety planning, food supplies, shelter requirements, emergency supplies, etc. Exploitation The improper use of an adult or the adult's resources for APS the profit or advantage of another person. This includes financial, material and sexual exploitation, which can be accomplished by force, through misrepresentation, threats, coercion or deception. These may include, but are not limited to: 1) Misuse of assets (e.g., unpaid bills that profit the payee or responsible party). 2) Excessive charges for food, shelter, care or services; 3) Unauthorized or fraudulent use of monies; 4) Stolen personal belongings or household items missing; or 5) Taking sexual advantage of mentally or physically impaired individuals. Family Care Means a home that meets the requirements and provides Home (FCH) services established in 902 KAR 20:041. APS Division of Protection and Permanency Family Child Means an owner, operator, or person who provides Care Home care for pre-school children, school aged children, or CPS both, inside their own home for less than twenty-four (24) hours per day who is Certified for operation by the DCBS Division of Child Care under 922 KAR 2:100 to care for six (6) or fewer children who are not the children, siblings, stepchildren, grandchildren, nieces, nephews, or children in legal custody of the provider. Please note that this is different than a Licensed Day Care (Child Care Center) regulated by 922 KAR 2:090. Family member Defined by KRS 403.720(2) as a spouse, including a APS former spouse, a parent, a child, a stepchild, or any other person related by consanguinity or affinity within the second degree. Family-in-need- A process of collecting information and evaluating risk of-services factors in order to determine strengths and needs of a assessment family. (FINSA) CPS Firearm As defined by KRS 237.060 and 527.010; means any CPS weapon which will expel a projectile by the action of an explosive. Food-related Includes nonalcoholic beverages and food purchases at expenses the grocery, convenient and specialty stores, restaurants, Resource Homes and household expenditures on school meals. Foster care The provision of temporary twenty-four (24) hour care CPS for a child for a planned period of time when the child is: (a) Removed from his parents or person exercising custodial control or supervision and subsequently placed in the custody of the cabinet; and (b) Placed in a foster home or private child-caring facility or child-placing agency but remains under the supervision of the cabinet. means a private home in which children are placed for Foster Family foster family Home care under supervision of the cabinet or a licensed child- CPS placing agency. Foster Home Is the written contract, OOHC 111, and supplement, Contract OOHC 111A, which details mutual expectations of DCBS Resource Homes and the resource home for the twenty-four (24) hour care of a child. Division of Protection and Permanency Foster or Is the assessment process used by DCBS when factors Adoptive Family are identified which may put the family under stress and Review may affect a child's placement Resource Homes Found and An investigatory finding of physical abuse, sexual abuse, Substantiated neglect or dependency not originally reported by the CPS referral source but was found and substantiated during the investigation. General Adult means a voluntary preventive service aimed at assisting: Services (a) An adult to attain and function at his highest level of APS self-sufficiency and autonomy; and (b) In maintaining the adult in the community. Group Is the joint assessment process used by DCBS and the Preparation and applicant for the purpose of determining whether the Selection (GPS) family can serve children whom DCBS has made available Resource Homes for placement, and how they can best meet these children's needs. Guardian Any individual, agency, or corporation appointed by the APS court to have full care, custody, and control of a disabled person and to manage his financial resources. Habitual Any child who has been found by the court to have been Runaway absent from his place of lawful residence without the CPS/Status permission of his custodian for at least three (3) days during a one (1) year period. Habitual truant Any child who has been found by the court to have been CPS/Status reported as a truant as defined in KRS 159.150 three (3) or more times during a one (1) year period. Health A Federal Act to amend the Internal Revenue Code of Insurance 1986 to improve portability and continuity of health Portability and insurance coverage in the group and individual markets, Accountability to combat waste, fraud and abuse in health insurance Act (HIPAA) of and health care delivery. HIPAA provides the first 1996 comprehensive federal protection for the privacy of HIPAA health care information. Health Oversight A governmental agency or authority, or a person or Agency entity acting under a grant of authority from or a HIPAA contract with such a public agency, including the employees or agents of the public agency, its contractors and those to whom it has granted authority, that is authorized by law to oversee the public or private health care system or government programs in which health information is necessary to determine eligibility or Division of Protection and Permanency compliance. Health means a person actively licensed as a: professional (a) Physician as defined by KRS 311.720(9); Family Prep (b) Physician's assistant as defined by KRS 311.840(3); (c) Advanced registered nurse practitioner as defined by KRS 314.011(7); or (d) Registered nurse under the supervision of a physician as defined by KRS 314.011(5). Hoarding An extensive collection and retention of things or animals until they interfere with day to day functions such as home, health, family, work and social life and which causes safety and/or health hazards. Hospital Except for purposes of KRS Chapter 645, a licensed CPS private or public facility, health care facility, or part thereof, which is approved by the cabinet to treat children. Housing Includes the costs of shelter, utilities, household expenses furnishings and equipment Resource Homes Human Service Means a degree in a clinically related field that requires a or Related Field. one (1) academic year practicum of as part of the Also noted as educational training. The following nine (9) degrees are social or the industry standard for human services: behavioral 1. Social work fields. 2. Psychology COA and TCM 3. Psychiatric nursing 4. Psychiatry 5. Mental Health Counseling 6. Rehabilitation Counseling 7. Pastoral Counseling 8. Marriage and Family Therapy 9. Human Services *Note: Due to the vast number of University programs, other related degrees may be applicable. Division of Protection and Permanency Imminent risk Means immediate threat of injury or harm to a child. Imminent risk applies as well when there is an immediate threat of injury or harm to a child, and no interventions appear to have occurred, or will likely occur, to protect the child. Additionally, the SSW consults the FSOS and/or requests a Utilization Review Consult (URC) to determine if a child is at imminent risk and if removal is needed for the child's protection as specified in SOP 1B.7 within 24 hours of the initial report. (1)The worker may use the following in determining imminent risk: (a) Children with or indications of serious injuries from physical abuse, particularly those in critical areas of the body or children ages five (5) and younger; (b) Children suffering from acute untreated medical condition(s) that demand urgent attention whose parent(s) is refusing to obtain treatment or cannot be located; (c) Self-referral from a parent or guardian who states they are currently unable to cope or feel they may harm their children; (d) Children who express fear of their current circumstances; (e) Sexual abuse allegations where the perpetrator has immediate access to the alleged victim or other children in the home; (f) Physical abuse or neglect appears imminent: (g) Children presently receiving bizarre forms of punishment, e.g. locked in closets or tied to a chair or bed; (h) Children at risk of immediate harm from parents who are in a psychotic episode or are behaving in a bizarre manner; (i) Abandoned children who are currently without supervision of a responsible adult; (Abandonment is defined as leaving without any intent to return); (j) Children who are currently without supervision by a responsible person and who are at risk of harm based on their age, environment, etc; (The investigation shall determine the child's level of maturity, development and ability to function safely alone and whether the family has an established plan of action in case of emergency.) (k) Situations involving weapons; or, (l) Other situations which in the judgment of the FSOS and SSW constitute immediate risk to a child. Agency history and the age of the children should also be taken into consideration. Division of Protection and Permanency In-Home Visit Any visit that takes place at an individuals current residence, including but not limited to homeless shelters, domestic violence shelters, prisons, etc. The visit may only be accepted as meeting SOP requirements if the visit accomplishes case-specific intervention tasks, as well as: (a) Providing the family with information about their child, especially placement and well-being issues; (b) Conducts initial and ongoing family assessments; (c) Reviews the family's progress toward accomplishment of their case planning tasks, goals, and those of other service providers; (d) Evaluates the family's visitation with the child; (e) Preparing for a Case Planning Conference, Periodic Review, or Court Hearing; (f) Obtaining additional assessment and/or planning information; (g) (When appropriate) preparing an Aftercare Plan. Independent Are those in which the placement of the child is arranged Adoptions and made by a person or persons other than the Cabinet CPS or a licensed child-placing adoption agency. Independent adoptions consist of two categories: relative and non-relative placements. (KRS 199.473 and 199.590). Independent Those activities necessary to assist a committed child to Living establish independent living arrangements. Daily Living CPS/Status/ Skills include knowledge of such items as: Family Prep Menu planning, shopping, cooking and serving; Basic laundry and house cleaning; Basic health care and personal hygiene; Accessing local community resources; Developing appropriate leisure time activities; Basic money management and consumerism; Basic employment; and Basic housing. Soft skills includes knowledge of such items as: Anger management; Decision-making; Problem-solving; Time management; Positive attitudes and communication; Positive self-concept and self-esteem; Development of good interpersonal relationships; Self-control; and Social etiquette. Division of Protection and Permanency Independent means services provided to youth to assist them in the living services transition from the dependency of childhood to living Family Prep independently. Indian Child A federal law that regulates placement proceedings Welfare Act involving "Indian" (Native American) children. If the child (ICWA) is a member of a tribe or eligible for membership in a CPS tribe, the family has the right to protection under the ICWA. These rights apply to any child protective case, adoption, guardianships, termination of parental rights action, runaway or truancy matter or voluntary placement of children. Informal An agreement reached among the parties, with Adjustment consultation, but not the consent, of the victim of the CPS/Status crime or other persons specified in KRS 610.070 if the victim chooses not to or is unable to participate, after a petition has been filed, which is approved by the court, that the best interest of the child would be served without formal adjudication and disposition. Initial An evaluation of risk factors using the CPS Multiple Determination Response Matrix to determine immediate safety and risk CPS of harm resulting in a decision whether to proceed with: (a) An investigation; or (b) A family-in-need-of-services assessment. Initiate Face-to-face contact with a reported victim/s within CPS timeframes. When a physical attempt to locate the alleged victim is not achieved within the required time frames, the record must identify that "legitimate" attempts were made to locate the alleged victim, i.e. negative home visits, collateral contacts such as family support for verification of address, utility company, etc. or visits to a school, if appropriate, or visits to resource homes. Document when face-to-face contact was made (If all FSW efforts, to locate the victim/s failed, FSOS must be contacted within 24 hours for consultation, including weekends). Intentionally With respect to a result or to conduct described by a CPS statute which defines an offense, that the actor's conscious objective is to cause that result or to engage in that conduct. Interdisciplinary Means a report of an evaluation of a respondent Evaluation performed pursuant to the provisions of KRS 387.540 to Report determine whether he is partially disabled or disabled as APS defined herein. Interested person or entity means an adult relative or friend of the respondent or ward, an official or representative of a public or private agency, corporation, Division of Protection and Permanency or association concerned with that person's welfare, or any other person found suitable by the court. Intermediate Defined by 907 KAR 1:022, Section 1(3). Service Care Facility for provisions are established in 902 KAR 20:051. License the Mentally provisions are established in 902 KAR 20:056. Retarded (ICF- MR) APS Intermittent A physically secure setting, which is entirely separated Holding Facility from sight and sound from all other portions of a jail CPS/Status containing adult prisoners, in which a child accused of a public offense may be detained for a period not to exceed twenty-four (24) hours, exclusive of weekends and holidays prior to a detention hearing as provided for in KRS 610.265, and in which children are supervised and observed on a regular basis by certified juvenile facility staff. Interstate The Compact which has the force of law within and Compact on among the member states. It provides for uniformity Adoption and and consistency of policy and procedures when a family Medical in another state adopts a child with special needs, or the Assistance adoptive family moves to another state. (ICAMA) CPS Investigation 1. A process: Def 1: CPS (a) Of collecting information and evaluating risk factors to Def 2: APS determine if a child has been abused or neglected, or is dependent; (b) Based upon the initial determination that moderate to high risk factors exist. 2. Includes, but is not limited to, a personal interview with the individual reported to be abused, neglected, or exploited. When abuse, or neglect is allegedly the cause of death, a coroner's or doctor's report shall be examined as part of the investigation. Juvenile holding A physically secure facility, approved by the Department facility of Juvenile Justice, which is an entirely separate portion CPS/Status or wing of a building containing an adult jail, which provides total sight and sound separation between juvenile and adult facility spatial areas and which is staffed by sufficient certified juvenile facility staff to provide twenty-four (24) hours per day supervision. Legitimate An attempt at making a visit to the location where the Division of Protection and Permanency Attempt child is believed to be located currently or where the referral source has stated the child can be located. After repeated attempts to reach the child at these locations have failed, a contact is made with a collateral that could help to verify an address or help locate the family, such as Family Support, court records, neighbors, Child Support, family members, law enforcement or other agencies who might have information. Least Restrictive Except for purposes of KRS Chapter 645, that the Alternative program developed on the child's behalf is no more CPS/Status harsh, hazardous, or intrusive than necessary; or involves no restrictions on physical movements nor requirements for residential care except as reasonably necessary for the protection of the child from physical injury; or protection of the community, and is conducted at the suitable available facility closest to the child's place of residence. Level IV child A Level IV child: CPS (a) Has behavioral and physical, mental or social needs that may present a moderate risk of causing harm to himself or others; (b) Requires a structured supportive setting with: 1. Therapeutic counseling available by professional staff; and 2. A physical, environmental, and treatment program designed to improve social, emotional, and educational adaptive behavior. Level V child A Level V child: CPS (a) Has a severe impairment, disability, or need; (b) Is consistently unable or unwilling to cooperate in his own care; (c) Presents a severe risk of causing harm to himself or others; and (d) Requires Level IV services and a: 1. Highly structured program with twenty-four (24) hour supervision; or 2. Specialized setting that provides safe and effective care for a severe, chronic medical condition, behavioral disorder, or emotional disturbance. Division of Protection and Permanency Licensed As defined by KRS 314.011(9) means one who is licensed Practical Nurse to perform of acts requiring knowledge and skill such as Family Prep. are taught or acquired in approved schools for practical Nursing in: (a) The observing and caring for the ill, injured, or infirm under the direction of a registered nurse, a licensed physician, or dentist; (b) The giving of counsel and applying procedures to safeguard life and health, as defined and authorized by the board; (c) The administration of medication or treatment as authorized by a physician, physician assistant, dentist, or advanced registered nurse practitioner and as further authorized or limited by the board which is consistent with the National Federation of Licensed Practical Nurses or with Standards of Practice established by nationally accepted organizations of licensed practical nurses; (d) Teaching, supervising, and delegating except as limited by the board; and (e) The performance of other nursing acts which are authorized or limited by the board and which are consistent with the National Federation of Practical Nurses' Standards of Practice or with Standards of Practice established by nationally accepted organizations of licensed practical nurses; Lifebook Is a therapeutic process, which helps the child to CPS discover his/her history and identity in simple, age appropriate terms to better enable the child to accept his/her permanency outcome throughout the child's life. The lifebook is usually developed in the form of a scrapbook, with pictures, drawings, and children's narratives of their experience and their feelings about these experiences. Although the use of lifebooks originated within adoption, they are required for all children in out-of-home care. (Link to SOP 2.1.4 – Preparing the Child for Adoption) (Link to Tip Sheet for Developing and Maintaining Lifebooks) Limited An individual, agency, or corporation appointed by the Conservator court to assist in managing the financial resources of a APS partially disabled person and whose powers and duties have been specifically enumerated by court order. Division of Protection and Permanency License Holder Individual, partnership, corporation or other entity authorized to operate a child-caring facility or child- placing agency, including a board of directors and authorized person for decision making. Limited Guardian A guardian who possesses fewer than all of the legal APS powers and duties of a full guardian, and whose powers and duties have been specifically enumerated by court order. Managed Care Contact person who assures Medicaid receives Liaison appropriate documentation from DCBS to ensure continuance of medical benefits and to resolve any issues or questions regarding any children who qualify for Passport Health Plan and who are in the custody of the Cabinet. MEDICALLY means a child who has a medical condition that is: FRAGILE a. Documented by a physician that may become CPS unstable and change abruptly resulting in a life- threatening situation; b. Chronic and progressive illness or medical condition; c. A need for special service or ongoing medical support; or d. A health condition stable enough to be in a home setting only with monitoring by an attending: 1. Health Professional; 2. Registered nurse as defined by KRS 314.011(5); or 3. Licensed practical nurse as defined by KRS 314.011(9). May only be determined by the Medical Support Section. Mental Injury Is the infliction of mental anguish caused by actions or APS verbal assaults against a person's well being that may result in an adverse change in behavior. The abuse can be spontaneous, protracted or systematic efforts to dehumanize the person and/or instill fear and may include, but is not limited to: 1) Threats of violence against victim, self or others; 2) Threats with a weapon(s), including objects used as a weapon; 3) Forced isolation or imprisonment; 4) Involuntary placement; 5) Destruction or threats to destroy property and/or pets; 6) Forcing to perform degrading acts; 7) Controlling activities such as sleep, eating habits, access to money or social relationships; 8) Verbal assaults and attacks on the person's self esteem, including name-calling, insulting, degrading Division of Protection and Permanency remarks, custody threats or threats to abduct/abscond with the child(ren); or 9) Stalking. Mentally ill A person with substantially impaired capacity to use self person control, judgment, or discretion in the conduct of his APS affairs and social relations, associated with maladaptive behavior or recognized emotional symptoms where impaired capacity, maladaptive behavior, or emotional symptoms can be related to physiological, psychological, or social factors. Motor Vehicle Any violation of the non-felony provisions of KRS Offense Chapters 186, 189, or 189A, KRS 177.300, 304.39-110, CPS or 304.39-117; Multidisciplinary Local teams operating under protocols governing roles, Team responsibilities, and procedures developed by the CPS Kentucky Multidisciplinary Commission on Child Sexual Abuse pursuant to KRS 431.600. Multi-Ethnic Federal requirements established to prohibit Placement Act discrimination, whether Directed at children in need of and Inter-Ethnic appropriate, safe homes, at prospective parents, or at Placement Act previously "underutilized" communities who could be (MEPA/IEPA) resources for placing children. The three basic mandates CPS include: 1) Prohibition from delaying or denying a child's foster care or adoptive placement on the basis of the child's or the prospective parent's race, color, or national origin; 2) Prohibition from denying to any individual the opportunity to become a foster or adoptive parent on the basis of the prospective parent's or the child's race, color, or national origin; and, Diligent recruitment of foster and adoptive parents who reflect the racial and ethnic diversity of the children in the state who need foster and adoptive homes. Multiple or Dual Intimate, social, or other nonprofessional Relationships contacts/relationships with clients, family members, foster parents, colleagues and supervisors that could have an impact on their professional objective judgment and performance. Dual or multiple relationships can occur simultaneously or consecutively (friendships, dating, etc). Near fatality An injury that, as certified by a physician, places a child CPS in serious or critical condition. Needs of the Necessary food, clothing, health, shelter, and education. Division of Protection and Permanency child Newborn Infant Defined by KRS 211.951, KRS 216B.190, KRS 405.075, and KRS 620.350 as an infant who is medically determined to be less than seventy-two (72) hours old. Non-accidental The perpetrator meant to take the action that caused the CPS injury. They do not necessarily need to have intent to cause the injury, such as a bruise, broken bone, or abrasion, etc. For instance, if a perpetrator hit a child with a piece of board but did not intend for the child to have a gash on his head as a result, that would not be an accident. However, if turning around to place a board on a table the person inadvertently hits a child (not realizing that the child was standing there) and causes the gash this would be accidental. Nonsecure A facility which provides its residents access to the Facility surrounding community and which does not rely primarily CPS/Status on the use of physically restricting construction and hardware to restrict freedom. Nonsecure A nonsecure facility or a residential home, including a setting child's own home, where a child may be temporarily CPS/Status placed pending further court action. Children before the court in a county that is served by a state operated secure detention facility, who are in the detention custody of the Department of Juvenile Justice, and who are placed in a nonsecure alternative by the Department of Juvenile Justice, shall be supervised by the Department of Juvenile Justice. Nursing Facility Defined at 907 KAR 1:022, Section 1(7). (NF) APS Oxycodone See Definition of Drug Testing Parent The biological or adoptive mother or father of a child. Partially Refers to an individual who lacks the capacity to manage disabled some of his personal affairs and/or financial resources as APS provided in subsection (8) of this section, but who cannot be found to be fully disabled as provided therein. Permanence A relationship between a child and an adult which is CPS intended to last a lifetime, providing commitment and continuity in the child's relationships and a sense of belonging. Person A person or agency that has assumed the role and exercising responsibility of a parent or guardian for the child, but custodial control that does not necessarily have legal custody of the child. or supervision Division of Protection and Permanency CPS/Status Personal care Defined at KRS 216.750(2). home (PCH) APS Personal A person who has authority under applicable law to make Representative decisions related to health care and other needs on HIPAA behalf of an adult or an emancipated minor, or the parent, guardian, or other person acting in loco parentis who is authorized under law to make health care decisions on behalf of an unemancipated minor, except where the minor is authorized by law to consent, on his/her own or via court approval, to a health care service, or where the parent, guardian or person acting in loco parentis has assented to an agreement of confidentiality between the provider and the minor. Petition A verified statement, setting forth allegations in regard to CPS/Status the child, which initiates formal court involvement in the child's case. Petitioner Means a person who institutes a proceeding under KRS APS 387.530. Physical Abuse The infliction of physical pain or injury caused by the APS offender to the person's body. These are acts, which cause or are intended to cause physical harm and may include, but are not limited to: 1) Physical assault, including pushing, kicking, hitting, slapping, punching, strangling, pinching, burning, hair pulling, shoving, stabbing, shooting, beating, battering during pregnancy, striking with an object and/or complaints of pain as a result of the assault; 2) Physical restraint against one's will; 3) Rough handling, including forced feeding, roughness when transferring individual from bed to chair or during bathing, etc; or, 4) Inappropriate use of physical or chemical restraints. Physical injury Substantial physical pain or any impairment of physical CPS condition. Physically A facility that relies primarily on the use of construction secure facility and hardware such as locks, bars, and fences to restrict CPS/Status freedom. Placement for The planned date the child and all of his/her belongings Adoption move into the adoptive family's residence and the CPS Adoptive Placement Agreement DCBS-195 is signed. Placement shall be based upon the needs of the individual children available for adoption and the ability Division of Protection and Permanency of the adoptive applicants to meet these needs. Postlegalization Provided to the adopted person, the adoptive parents Services and/or birth parents, by the agency providing adoption CPS services or another community resource, after an adoption has been legalized/finalized in Circuit/Family Court. Postplacement Provided by the agency completing the adoptive Adoption placement, either directly or through referral, to the Services adoptive parents, adopted child, or the birthparents after CPS a child has been placed for adoption but before the adoption is legalized. Preplacement Provided to the child, the adoptive parents and/or birth Services parents by the agency providing adoption services or CPS another community resources prior to the legalization/finalization of the adoption Preponderance Means that, in order to support a finding that a particular of Evidence person has committed child abuse or neglect, the CPS evidence shall be sufficient to allow a reasonable person APS to conclude that it is more likely than not that: (a) The child in question was abused or neglected, or is dependent; and (b) The alleged perpetrator committed an act, or fail to act, as established by KRS 600.020(1). Preventive Those services which are designed to help maintain and Services strengthen the family unit by preventing or eliminating CPS the need for removal of children from the family. Professional Means paid employment or volunteer work in a setting Experience where there is supervision and periodic evaluation. Family Prep. Protected Health - Individually identifiable health information related to Information past, present or future physical or mental health or (PHI) condition of an individual, provision of health care to an HIPAA individual or the past, present or future payment for health care provided to an individual. Protective Means the transfer of an adult from his present living Placement arrangement to another. APS Protective Means agency services undertaken with or on behalf of Services an adult in need of protective services who is being APS abused, neglected, or exploited. These services may include, but are not limited to conducting investigations Division of Protection and Permanency of complaints of possible abuse, neglect, or exploitation to ascertain whether or not the situation and condition of the adult in need of protective services warrants further action; social services aimed at preventing and remedying abuse, neglect, and exploitation; and services directed toward seeking legal determination of whether or not the adult in need of protective services has been abused, neglected, or exploited and to ensure that he obtains suitable care in or out of his home. Public Agency Adoptions arranged by the Cabinet Adoptions CPS Provide Case means a resource home application or case where the Family Prep Cabinet is requesting for the home to "provide" alternative care (OOHC). Public offense An action, excluding contempt, brought in the interest of action a child who is accused of committing an offense under CPS/Status KRS Chapter 527 or a public offense which, if committed by an adult, would be a crime, whether the same is a felony, misdemeanor, or violation, other than an action alleging that a child sixteen (16) years of age or older has committed a motor vehicle offense. Qualified Mental Means: Health (a) A physician licensed under the laws of Kentucky to Professional practice medicine or osteopathy, or a medical officer (QMHP) of the government of the United States while engaged CPS in the performance of official duties; (b) A psychiatrist licensed under the laws of Kentucky to practice medicine or osteopathy, or a medical officer of the government of the United States while engaged in the practice of official duties, and who is certified or eligible to apply for certification by the American Board of Psychiatry and Neurology, Inc.; (c) A psychologist with the health service provider designation, a psychological practitioner, a certified psychologist, or a psychological associate licensed under the Provisions of KRS Chapter 319; (d) A licensed registered nurse with a master's degree in psychiatric nursing from an accredited institution and two (2) years of clinical experience with mentally ill persons, or a licensed registered nurse with a bachelor's degree in nursing from an accredited institution who is certified as a psychiatric and mental health nurse by the American Nurses Association and who has three (3) years of inpatient or outpatient clinical experience in psychiatric nursing and who is currently employed by a hospital or forensic psychiatric facility licensed by the Commonwealth or a Division of Protection and Permanency psychiatric unit of a general hospital or a regional comprehensive care center; (e) A licensed clinical social worker licensed under the provisions of KRS 335.100, or a certified social worker licensed under the provisions of KRS 335.080 with three (3) years of inpatient or outpatient clinical experience in psychiatric social work and currently employed by a hospital or forensic psychiatric facility licensed by the Commonwealth or a psychiatric unit of a general hospital or a regional comprehensive care center; (f) A marriage and family therapist licensed under the provisions of KRS 335.300 to 335.399 with three (3) years of inpatient or outpatient clinical experience in psychiatric mental health practice and currently employed by a hospital or forensic psychiatric facility licensed by the Commonwealth, a psychiatric unit of a general hospital, or a regional comprehensive care center; or (g) A professional counselor credentialed under the provisions of KRS 335.500 to 335.599 with three (3) years of inpatient or outpatient clinical experience in psychiatric mental health practice and currently employed by a hospital or forensic facility licensed by the Commonwealth, a psychiatric unit of a general hospital, or a regional comprehensive care center; Reasonable The exercise of ordinary diligence and care by the Efforts department CPS to utilize all preventive and reunification services available to the community in accordance with the state plan for Public Law 96-272 which are necessary to enable the child to safely live at home. Registered As defined by KRS 314.011(5) and (6), means: one who Nurse is licensed to perform acts requiring substantial Family Prep. specialized knowledge, judgment, and nursing skill based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in: (a) The care, counsel, and health teaching of the ill, injured, or infirm; (b) The maintenance of health or prevention of illness of others; (c) The administration of medication and treatment as prescribed by a physician, physician assistant, dentist, or advanced registered nurse practitioner and as further authorized or limited by the board, and which are consistent either with American Nurses' Association Standards of Practice or with Standards of Practice Division of Protection and Permanency established by nationally accepted organizations of registered nurses. Components of medication administration include but are not limited to: 1. Preparing and giving medications in the prescribed dosage, route, and frequency, including dispensing medications only as defined in subsection of KRS 314.011(17)(b); 2. Observing, recording, and reporting desired effects, untoward reactions, and side effects of drug therapy; 3. Intervening when emergency care is required as a result of drug therapy; 4. Recognizing accepted prescribing limits and reporting deviations to the prescribing individual; 5. Recognizing drug incompatibilities and reporting interactions or potential interactions to the prescribing individual; and 6. Instructing an individual regarding medications; d. The supervision, teaching of, and delegation to other personnel in the performance of activities relating to nursing care; and e. The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nurses' Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Resource Home means a home in which a parent is approved by the CPS cabinet to: a. Provide foster care services for a child placed in out- of-home care by the cabinet; b. Adopt a child: 1. Whose parental rights have been terminated; and 2. Who is under the custodial control of the cabinet. Request Case means a client case where the Cabinet has been Family Prep "requested" to open for services. Resource refers to the children residing in the family's home such Home's "own as biological and adopted children and those of extended children" relatives and friends who are living in the home. Family Prep. Residential A facility or group home with more than eight (8) beds Treatment designated by the Department of Juvenile Justice or the Facility cabinet for the treatment of children. CPS/Status Division of Protection and Permanency Resource home Means a home in which a parent has been certified to provide: foster care services for a child placed in out-of- home care by the Cabinet; adopt a child whose parental rights have been terminated and is under the custodial control of the Cabinet; provide respite service for a family approved to care for a child under the custodial control of the Cabinet; or provide any combination of the services outlined above. Respite Care means temporary care provided by a provider to: Family Prep a. Provide relief to the Resource Home parents; or b. Allow for an adjustment period for the child in OOHC. Respondent An individual alleged to be a partially disabled or disabled APS person. Retain in After a child has been taken into custody, the continued Custody holding of the child by a peace officer for a period of time CPS/Status not to exceed twelve (12) hours when authorized by the court or the court-designated worker for the purpose of making preliminary inquiries. Reunification Remedial and preventive services, which are, designed to Services strengthen the family unit, to secure reunification of the CPS family and child where appropriate, as quickly as practicable, and to prevent the future removal of the child from the family. Service Appeal For resolution of a matter not subject to review through an administrative hearing. Service A matter not subject to review through an administrative Complaint hearing or service appeal. School Expenses Includes school supplies and school fees. Specific items Resource Homes needed in a classroom to enable a child to benefit from a public education are the responsibility of the school (e.g., large print textbooks, teacher's aides, special transportation, etc.). School Those certified persons under the supervision of the local Personnel public or private education agency. Secretary Means the secretary of the Cabinet for Health and Family APS Services. Secure Juvenile Any physically secure facility used for the secure Detention detention of children other than any facility in which adult Division of Protection and Permanency Facility prisoners are confined. CPS/Status Self-neglect A situation in which the adult is unable to perform or APS obtain services, which are necessary to maintain health or welfare. Self-neglect includes, but is not limited to: 1) Failure by the adult to address or make arrangements for his/her individual care needs; 2) Unmet personal or medical needs, including bedsores, malnourishment, dehydration, inappropriate clothing, poor hygiene, using medicines incorrectly, lack of food or inadequate food; 3) Refusing or being unable to access medical or mental health care/treatment; 4) Living in an unsafe environment, such as fire/safety hazard, roach/rat/insect infested dwelling or condemned building; 5) Living alone and in life-threatening conditions; 6) Being unable to manage ones own resources; or, 7) A new onset of confusion and/or disorientation. Serious physical Physical injury which creates a substantial risk of death injury or which causes serious and prolonged disfigurement, CPS prolonged impairment of health, or prolonged loss or impairment of the function of any bodily member or organ;. Sexual abuse These are acts, which cause or are intended to cause APS physical harm and may include, but are not limited to: 1) Forced sexual relations, including rape, forced sex with others, animals or foreign objects; and, 2) Unwanted fondling or touching. Sexual abuse Includes, but is not necessarily limited to, any contacts CPS or interactions in which the parent, guardian, or other person having custodial control or supervision of the child or responsibility for his welfare, uses or allows, permits, or encourages the use of the child for the purposes of the sexual stimulation of the perpetrator or another person. Sexual Includes, but is not limited to, a situation in which a exploitation parent, guardian, or other person having custodial CPS control or supervision of a child or responsible for his welfare, allows, permits, or encourages the child to engage in an act which constitutes prostitution under Kentucky law; or a parent, guardian, or other person having custodial control or supervision of a child or responsible for his welfare, allows, permits, or encourages the child to engage in an act of obscene or pornographic photographing, filming, or depicting of a child as provided for under Kentucky law. Division of Protection and Permanency Site Safety An officer who has been trained to oversee safety during Officer clandestine laboratory operations. CPS APS Skilled Nursing Defined at 907 KAR 1:022, Section 1(2), as "high Facility Intensity nursing care service". APS Social Service Any employee of the cabinet or any private agency Worker designated as such by the secretary of the cabinet or a CPS/Status/APS social worker employed by a county or city who has been approved by the cabinet to provide, under its supervision, services to families and children. Special Needs Is a specific team utilized by the Cabinet to provide Adoption consultation to staff and families and to recruit Program (SNAP) perspective families for Kentucky's waiting children. CPS Specialized Means a child determined by the cabinet to have a Medically Fragile medical condition, documented by a physician, that is Child severe enough to require placement with a Resource Family Prep. Home parent who is a: (a) Health professional;or (b) Licensed practical nurse as defined in KRS 314.011(9). Spouse/partner Relates to the infliction of physical pain, injury or mental Abuse injury by an individual's spouse or cohabiting partner. APS Spouse or partner abuse may take many forms and varies with respect to the frequency and severity of the violence. Spouse/partner The deprivation of services needed for health and welfare Neglect and may include, but is not limited to: APS 1) Actively prohibiting the spouse or partner from obtaining needed medical care; and 2) Controlling the environment to the extent that it prohibits the person from carrying out activities of daily living. Staff Secure Any setting which assures that all entrances and exits are Facility for under the exclusive control of the facility staff, and in Residential which a child may reside for the purpose of receiving Treatment treatment. CPS/Status Standby Conservator means a person or entity designated by the Guardian court to assume the powers and duties assigned to a APS limited guardian, guardian, limited conservator, or conservator upon his death, resignation, removal, or incapacity. Division of Protection and Permanency State Citizen A state citizen board created by KRS 620.310 to review Foster Care cases. Review Board CPS Status Offense Any action brought in the interest of a child who is Action accused of committing acts, which if committed by an CPS/Status adult, would not be a crime. Such behavior shall not be considered criminal or delinquent and such children shall be termed status offenders. Status offenses shall not include violations of state or local ordinances which may apply to children such as a violation of curfew or possession of alcoholic beverages. Substantiated Means: CPS (a) An admission of abuse, neglect, or dependency by the person responsible; or (b) A judicial finding of child abuse, neglect, or dependency; or (c) A preponderance of evidence exists that abuse, neglect, or dependency was committed by the person alleged to be responsible. SWIFT A state mandate aimed at expediting the adoption CPS process for every child whose goal is adoption. (KRS 199.565) Take Into The procedure by which a peace officer or other Custody authorized person initially assumes custody of a child. A CPS/Status child may be taken into custody for a period of time not to exceed two (2) hours. Testamentary Conservator means an individual, agency, or corporation Guardian nominated in the will of a limited guardian, guardian, APS limited conservator, or conservator to succeed the testator in that capacity upon his death. The Adoption Establishes goals of safety, permanency, child well being and Safe and outcomes in the areas of safety and stability while in Families Act placement. Permanency is to be achieved in a limited (ASFA) amount of time while engaging appropriate physical, CPS mental and educational services for children served. In order to meet ASFA goals and achieve its outcomes, adoption services must: 1) Consider the needs of birth parents; 2) Focus on the child and his/her need for safety, permanency and well-being; 3) Recognize the critical role of foster parents; and, 4) Prepare, select and support adoptive parents. Division of Protection and Permanency Therapeutic The term Therapeutic as used for SOP 3.17 Need Exceptions to the Number of Children in Resource CPS Homes on forms DPP-112A and DPP-112B, means a documented DSM therapeutic disorder, a specific medical condition, or specific community connection that demonstrates the placement would be of a therapeutic benefit to the child. Transition The period of a child's adjustment from a more restrictive CPS out-of-home care placement to a resource home. Treatment, Includes all of the following: Payment and 1. Treatment - The provision, coordination, or Health Care management of health care and related services, Operations consultation between providers relating to an (TPO) individual, or referral of an individual to another HIPAA provider for health care. 2. Payment - Activities undertaken to obtain or provide reimbursement for health care, including determinations of eligibility or coverage, billing, collection activities, medical necessity determinations and utilization review. 3. Health Care Operations - Includes functions such as quality assessment and improvement activities, reviewing competence or qualifications of health care professionals, conducting or arranging for medical review, legal services and auditing functions, business planning and development, and general business and administrative activities. Unable to Locate Means: CPS (a) Identifying information about the family is insufficient for locating them; or (b) The family has moved and their new location is not known Unsubstantiated Means there is insufficient evidence, indicators, or CPS justification present for substantiation of abuse, neglect, or dependency. Universal As defined by the Center for Disease Control (CDC), are a Precautions set of precautions designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and other bloodborne pathogens when providing first aid or health care. Under universal precautions, blood and certain body fluids are considered potentially infectious for HIV, HBV and other bloodborne pathogens. The following web sites may be useful: http://www.cdc.gov/ncidod/hip/Blood/UNIVERSA.HTM Division of Protection and Permanency http://www.realage.com/Connect/healthadvisor/adulthea lth/crs/unipre.htm http://pediatrics.aappublications.org/cgi/content/abstract /101/3/e13 Use Refers to, with respect to individually identifiable health HIPAA information, the sharing, employment, application, utilization, examination or analysis of such information within an entity that maintains such information. Valid Court A court order issued by a judge to a child alleged or Order found to be a status offender: CPS (a) Who was brought before the court and made subject to the order; (b) Whose future conduct was regulated by the order; (c) Who was given written and verbal warning of the consequences of the violation of the order at the time the order was issued and whose attorney or parent or legal guardian was also provided with a written notice of the consequences of violation of the order, which notification is reflected in the record of the court proceedings; and (d) Who received, before the issuance of the order, the full due process rights guaranteed by the Constitution of the United States. Valid court order A court order issued by a judge to a child alleged or Status found to be a status offender: (a) Who was brought before the court and made subject to the order; (b) Whose future conduct was regulated by the order; (c) Who was given written and verbal warning of the consequences of the violation of the order at the time the order was issued and whose attorney or parent or legal guardian was also provided with a written notice of the consequences of violation of the order, which notification is reflected in the record of the court proceedings; and (d) Who received, before the issuance of the order, the full due process rights guaranteed by the Constitution of the United States. Violation Any offense, other than a traffic infraction, for which a CPS sentence of a fine only can be imposed. Ward A person for whom a limited guardian, guardian, limited APS conservator, or conservator has been appointed. Wardship and Is a Circuit Court document necessary when both birth Custody Order parents are deceased and the child is committed to the Division of Protection and Permanency CPS Cabinet through District Court and Termination of Parental Rights has not occurred. Workforce Staff Employees, volunteers, trainees and other persons whose HIPAA conduct, in the performance of work for the Division of Protection and Permanency (DPP), its offices, programs or facilities, is under the direct control of DPP, office, program or facility, regardless of whether they are paid by the entity. Youth A nonsecure facility, approved by the Department of Alternative Juvenile Justice, for the detention of juveniles, both prior Center to adjudication and after adjudication, which meets the CPS/Status criteria specified in KRS 15A.320. Youthful Any person regardless of age, transferred to Circuit Court Offender under the provisions of KRS Chapter 635 or 640 and who CPS/Status is subsequently convicted in Circuit Court. Division of Protection and Permanency
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subset: commoncrawl


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The so-called 'scientific consensus' about global warming was crafted from manipulated data, expressed as a lie that says 97% of the world's climate scientists agree that the science of warming is settled. The pundits and press passed it on to a believing public.
Except it's wrong. And the public that believed it are looking like fools. Here's how the ruse happened, acccording to Lawrence Soloman in Financial Post.
There are 2500 scientists associated with the IPCC (Intergovernmental Panel on Climate Change). All 2500, the media believed, endorsed the IPCC's position on catastrophic global warming predictions. Bad factoid #1: the 2500 scientists were only associated with the IPCC. They did not endorse the IPCC's position. Some even vehemently disagreed.
Seeking a powerful number they could use more easily, the pundits found a study conducted by the University of Illinois. More than 10,000 earth scientists participated in the study, but the researchers conducting the study highlighted the views of only a cherry-picked 77 of them. Of those, 75 stated their belief of human-caused global warming. Voila! 75 is 97% of 77. Bad factoid #2: The press passed this off as 97% of the world's scientists believe in manmade climate change. Wow. That's a big number that's easy to pass on.
Once the eminently quotable percentage was out, other studies either used faked data or manufactured concurring results on the number of scientists believing in manmade global warming.
One such study, conducted at the University of Toronto, determined which scientists were credible enough to participate with their 'scientific' opinions on climate. Such 'scientists' included Al Gore, self-proclaimed "Inventor of the Internet," and NASA's Jim Hansen, noted especially for choosing the data that shows what he wants. Of 615 participating scientists in the Toronto study, only 14 were climate skeptics.
While we have an unknowing media that seeks to spread stories that sell of horrific global warming, we have complicit studies that purport to show the science as settled and a near monopoly of scientists settled on false facts. Media spreads word of 'consensus' among so-called experts. The world believes the lie and quotes it freely, as a University of Colorado commenter does here.
We believe a lie when it's all that we hear and when it is repeated often enough. Too bad it's not true. Among those in the know, we look like fools lured to imbibe the climate Kool Aid while some face the music and admit suspicion on the story.
Those fools include the general public, which relies on repeating the lies that pass for news by mainstream media. Those without scientific backgrounds have no choice but to believe the pundits, who too have no background in science. Pundits in turn get their data from favored sources despite that the data cannot be trusted for being manipulated, cajoled, and cherry-picked to produce the desired global warming picture.
Ladies and gentlemen, we've been had on global warming.


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2009 DOE Integrated Safety Management Conference ARRA Interfaces with the 2009 SRNS ISMS Phase II Verification Jeffrey Allison, Manager Savannah River Operations Office August 26-27, 2009 The Savannah River Site • 198,334 acres, or about 310 square miles • SRS workforce: Approximately 11,000 – DOE-SR and DOE- NNSA – SRNS – SRR – Parsons – WSI-SRS – Shaw AREVA MOX Services 2 SRS History (1950-present) H Canyon H Canyon • Produce and recover nuclear materials and HB Line – Tritium – Plutonium 238 – Plutonium 239 • Facilities – Five reactors – Two chemical separations plants – Heavy water extraction plant – Nuclear fuel and target fabrication facility – Waste management facilities • SRS produced about 36 metric tons of M&O Contractors plutonium from 1953-1988 – about one - E.I. du Pont de Nemours: 1950-1989 third of the nation's weapons-grade - Westinghouse/Washington Savannah River plutonium Company: 1989-2008 • End of Cold War meant a whole different - Savannah River Nuclear Solutions: 2008-present philosophy and approach to the nuclear Peak employment arsenal - Historical: 38,000 in early 1950s (construction) - Modern: 25,000 in early 1990s (reactor restart) 3 Current SRS Missions EM NNSA • Management, stabilization and disposition of • Tritium operations neptunium, uranium, plutonium and other nuclear and extraction materials • Non-proliferation • Management and disposition of solid and • Uranium blending transuranic wastes and shipping • Liquid Waste Disposition and Tank Closure • Foreign fuel • Receipt and management of spent fuel receipts • Savannah River National Laboratory operations • Mixed Oxide Fuel • Excess facility demolition Fabrication Facility • Environmental remediation • Site Security 75 percent 25 percent 4 American Recovery and Reinvestment Act • Funds provided: Over $1.6 billion • Jobs to be created/saved: ~3000 • States impacted: South Carolina & Georgia • Project duration: Completion by 2011 • Reduce the EM footprint (operating facilities) at SRS approximately 40 percent, or 79,000 acres, by September 2011 • Clean up of legacy nuclear weapons production enables reuse of DOE resources, including land and infrastructure 5 Safety Strategy • Follow existing safety programs – no short cuts or blanket exemptions for ARRA work • Expand work scope in areas with proven experience – TRU Waste, facility D&D, and Soil Groundwater remediation • ARRA specific safety performance metrics – expect performance equal to base work scope • Integrated Project Team – DOE and contractor line personnel focused on ARRA in respective areas of responsibility • Utilization of established Subcontract Management mechanisms including Subcontract Technical Representatives • Ensure ARRA workers are integrated into the existing site safety culture through training and mentoring 6 SRS Footprint Reduction • Accelerate Area Completion in P, R, M, and D Areas, including decommissioning of P and R Reactors • Eliminate 90 percent of Pu 238 source term in 235-F • Ship / stage / make ready 4500 m3 legacy TRU waste for offsite disposal • Ensure the reduction of environmental risk with large return on investment • Achieve ~40% reduction of the site footprint 7 ARRA Organization Taxpayers Regulators Project Joint Based Chuck Munns Jeff Allison Effort DOE-SR Manager SRNS Sandra Johnson President and CEO DOE-SR Deputy Mgr. Rich Slocum Helen Belencan Recovery Act Portfolio DOE-SR Project Manager Tactical Portfolio Manager Karen Guevara DOE-SR Strategic Portfolio Manager J.D. Chiou Keith Atkinson Area Closure & Infrastructure Solid Waste Management Charlie Malarkey Robert Edwards Greg Ryan HR Kevin Kostelnik Procurement ESH&Q Carl Everatt Security Tom Fekete OSQA Finance Jack Goldenberg Paivi Nettamo Terry Ortner Lance Schlag Nuclear Safety Elaine Nix Logistics Public Affairs Contracts Jim Giusti Project Controls/ Clif Webb Rob Trimble Public Affairs Integration Don Metcalf Public Affairs Program Reporting James Hendrix Project Controls Ricky Bell Engineering Wade Whitaker Ben Gould Dewitt Beeler Project Management Jeff Krogh Area Completions Infrastructure Operations Assurance IT Tom Gutmann Internal Audit Waste Disposition 8 Accountability and Transparency Regulatory Agency Involvement • Air, Water, and RCRA permit planning & processing • FFA & STP • Process modifications – Accelerated review schedules – Co-location • End State planning 9 Oversight of ARRA • SRNS conducted ISMS Phase II Verification Review – Review addressed base work and ARRA activities – Mature program in place, however, numerous improvement opportunities • DOE-SR Validation of ISMS Verification – Shadow oversight of contractor verification – Independent verification of selected areas – Concluded contractor conducted comprehensive and candid assessment • SRNS FEB Independent Assessment – Readiness evaluations prior to starting work – Periodic Evaluations during conduct of ARRA activities – Early training effectiveness review found knowledge retention deficiencies in new hires • Experienced DOE FR/SME Oversight augmented by support service contract personnel 10 Safety Metrics M&O ARRA OPERATIONS (April 1, 09 to Aug. 3, 09) TRC DART FY09 No. 1 1 FY09 Rate 0.52 0.52 FY09 Goal 0.55 0.19 M&O BASE OPERATIONS (Oct. 1, 08 to Aug. 3, 09) TRC DART FY09 No. 23 6 FY09 Rate 0.48 0.13 FY09 Goal 0.55 0.19 11 Summary • Safety remains top priority • Site ISMS programs are in place and effective • ARRA work is being conducted using the existing ISMS programs • No relaxation of safety expectations 12 SRS Website • For further information and follow of progress at SRS on ARRA, visit www.srs.gov/recovery 13
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"Savannah River Site Today"Please download to view full document


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Novelist Stephen Elliot launched his club two years ago through The rumpus, the online culture magazine that he founded.
His work has also appeared at The rumpus, The Millions, and The Washington Independent Review of Books.
1764, of unknown origin, "prob. a fanciful formation" [OED], possibly an alteration of robustious "boisterous, noisy" (1540s; see robust). First record of rumpus room "play room for children in a family home" is from 1938.
A disturbance; uproar; ruckus
[1764+; origin unknown]


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You can now invite anyone to meet at your favorite Starbucks.
Limited-time feature
30 year old man | San Bernardino, CA, USA | Seeking women 22-31 within 50 miles
Limited Edition
Realizing that I may have a very mild case of A.D.D., the following summary took me about 3 hours to write which mostly consisted of me staring blankly into the screen and distracting myself with any opportunity that prese...Minesweeper! Sorry, where was I? Right now I'm really into fitness and running. Nothing clears my head like a long distance run. I'm training for my second Half Marathon in Feb. I also like to read and consume a fair amount books. I also dabble in Guitar and Piano but have since loss a bit of practice. Although I intend to pick it up again. Oh and for the sake of being completely random, I started learning Japanese. Most of all I try to be a good guy. I believe in honesty and I know how important it is to be reliable, loyal and transparent. Oh! and I almost forgot the most vital and undeniably important thing about me. I totally... Oh look! an ad for... So yeah like I was saying, I have great organization skills and I am a team leader. I can type 60 words per minute... Wait, what am I filling out? D'oh!
Camping , Coffee and conversation , Dining out , Movies/Videos , Music and concerts , Exploring new areas , Playing sports , Video games
Basketball, Cycling, Running, Soccer, Swimming, Tennis / Racquet sports, Walking / Hiking, Weights / Machines
I exercise 3-4 times per week.
Don't display my sign
I have Cats, Dogs
I have a cat and a dog but what I really like to have one day is a Raccoon. Is that even legal? I don't know but I want one. I'd call him Bandit
San Grogornio Peak, Castle Rock, All over Mexico (I've been to most places), Oak Glen, Yosemite National Park, Disneyland, Target for some reason, Barnes and Noble, any place with good food and being by your side (This is my attempt at being suave)
Breakfast, waking up without an alarm blasting, competition, friendly debates, Iphone, cold winter days, fresh air, getting green lights and people watching.
I'm really into tennis right now. I also read like a fiend, fiction mostly. I like hanging out with friends and family. I also play the guitar, piano and video games are thing. Discovering new places. Hiking, running, weight lifting and all that.
To Kill a Mockingbird
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What he is looking for
|5'9" (175cms)
|5'0" (152cms) to 6'3" (190cms)
|Body type:
|About average
|Slender, About average, Curvy, Athletic and toned
|Black, Blue, Brown, Grey, Green, Hazel
|Light brown
|Auburn / Red, Black, Light brown, Dark brown, Blonde, Dark blonde
|No Way
|No Way
|Social Drinker
|Social Drinker
|Executive / Management
|No preference
My sister and I started a Home Health Agency that only provides Physical, Occupational and Speech Therapy. I working on getting my own P.T. license so we can branch out and slowly take over southern California! bwahaha
|I'll tell you later
|No preference
|Never Married
|Never Married, Divorced
|Have kids:
|Yes, and they sometimes live at home, No, Yes, and they live away from home, Yes, and they live at home
|Wants kids:
|No preference
|Latino / Hispanic
|Asian, Black / African descent, East Indian, Latino / Hispanic, Middle Eastern, Native American, Pacific Islander, White / Caucasian, Other
|Christian / Protestant
|Christian / Protestant
|English, Japanese, Spanish
|Some college
|No preference
Working on it


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Wednesday, March 6, 2013 - Qantas flight.
Light amber almost orange colour, large rim. Big butterscotch nose, not alcohol dominated - very attractive. Raisins and nuts on the palate. Not too sweet. Nice long finish with alcohol only showing at the very end. I enjoyed this - works well at altitude.


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Even though the Seattle Seahawks have already indicated that defensive end Chris Clemons will not play in this week's season opener, he will practice on Wednesday, according to head coach Pete Carroll, per ProFootballTalk.com.
"We're really excited about that. He's had a great preparation to get back, and it'll be light on Wednesday, but he's been really busting it," said Carroll.
It sounds like there's a chance Clemons could be back on the field by week two or three.


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Key Alta supplier files for bankruptcy protection
A company that makes bikes and other equipment for Alta Bike Share has filed for bankruptcy protection.
PBSC Urban Solutions has debts of about $50 million in Canadian dollars, according to various reports.
The Canadian company designs and builds bikes for Alta and other bike-sharing systems.
A message on the voice mail system at Alta's Southeast Portland office revealed that the company is seeking a new space and that company representatives weren't available.
PBSC was spun off from the city of Montreal. The company will continue to operate in the short term, according to the New York Times. The paper reported that Bixi, which is the company's Canadian name, owes its suppliers about $9 million but that Montreal is giving the company $1.5 million so that operations can continue.
Alta's Mia Birk told SBO last summer the company is looking to land a local sponsor that would help the company launch its Portland operations.


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Sports Illustrated's 'Racist' Swimsuit Issue
Everything is racist these days. Even the Sports Illustrated swimsuit issue, apparently. At least that is the latest tempest in a teapot being stirred by our busy race merchants.
The website Jezebel is the latest to stir the pot claiming that because SI used locations on all seven continents and featured people in native garb as a back drop for its swimsuit models, why the magazine must be racist.
The photos shot in Spain featured matadors. In China the model was photographed surrounded by young girls in traditional Chinese garb. In another shot in China an older man in a bamboo cooley hat made ready to pole-push a homemade raft as the model sat alluringly by. In Namibia a white model was shown next to a black man in traditional garb.
Was it highlighting beauty and celebrating diversity? Or was it just stereotyping? Whatever its intent, with its "diverse" photos, SI can't seem to win.
The website claimed it was all about race, saying, "using people of color as background or extras is… very distasteful."
The Namibia shoot was particularly galling, it appears.
"But even more upsetting are the shots taken in Namibia, in which a black man is a prop," Jezebel complained.
Imagine, showing a black man in Namibia, Africa! Why the impertinence of Sports Illustrated.
What won't the race merchants warp to suit their purposes?
Also see...
Facebook62.5kTwitter76Email1 Considering how often we see horrific stories of animals being abused and murdered by sadistic monsters, it's a nice break to see the often unnoticed acts of kindness towards...Read More
Warner Todd Huston
Warner Todd Huston is a Chicago-based freelance writer, has been writing opinion editorials and social criticism since early 2001 and is featured on many websites such as Andrew Breitbart's BigGovernment.com, BigJournalsim.com and all Breitbart News' other sites, RightWingNews.com, CanadaFreePress.com, and many, many others. Additionally, he has been a frequent guest on talk-radio programs across the country to discuss his opinion editorials and current events as well as appearing on TV networks such as CNN, Fox News, Fox Business Network, and various Chicago-based news programs. He has also written for several history magazines and appears in the book "Americans on Politics, Policy and Pop Culture" which can be purchased on amazon.com. He is also the owner and operator of PubliusForum.com. Feel free to contact him with any comments or questions : EMAIL Warner Todd Huston and follow him on Twitter, on Google Plus , and Facebook.
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On 10 June, at a joint press briefing that followed bilateral talks with Valdis Dombrovskis, Latvian Prime Minister, Joaquín Almunia, Member of the EC in charge of Economic and Monetary Affairs, said that clear commitments were expected from the Latvian government and political forces to continue the painful economic adjustments in order to receive financial support from the European Union and other international bodies.
The Commission was confident that the Latvian authorities will be able to make the required budget cuts of 500 million lats in 2009 and 2010. There is no alternative, said Joaquin Almunia.
Valdis Dombrovskis said his country was concentrating on a medium-term strategy for the coming years in order to allow his country to join the euro area.