Report 2013-110 Recommendation 37 Responses

Report 2013-110: Child Welfare Services: The County Child Welfare Services Agencies We Reviewed Must Provide Better Protection for Abused and Neglected Children (Release Date: April 2014)

Recommendation #37 To: San Francisco Human Services Agency, City and County of

To ensure that its social workers and supervisors are performing required activities in a timely and effective manner, the San Francisco County CWS agency should follow through on its plans to develop a quality assurance unit. The unit should regularly review and report to management on the degree of compliance with, and effectiveness of, the agencys policies and procedures.

1-Year Agency Response

The Continuous Quality Improvement Unit (CQI) was fully staffed in 12/2014. The Unit has completed the CFSR Case Review training and we expect that they will be certified later this month. Once the CQI unit is firmly established and trained, they will supplement the monthly CFSR Case Reviews with targeted reviews to ensure supervisory compliance with the new FCS polices. The CQI unit reports to the CQI & Policy Manager, who provides the Management Team with ongoing updates.

Status: Completed

California State Auditor's Assessment of 1-Year Status: Fully Implemented


6-Month Agency Response

Please see response #2 on current status of CQI. Once CQI begins reviewing cases as part of the CSFR Pilot, reports on the degree of compliance with, and effectiveness of the agency's policies and procedures will be provided to the management team for feedback and further planning.

California State Auditor's Assessment of 6-Month Status: Pending


60-Day Agency Response

We are waiting for approval to hire 6 Quality Assurance (Q.A.) staff including 1 supervisor and 5 analysts to ensure compliance with new policies.

Once Q.A. is established, it will conduct random quarterly reviews and will monitor child welfare staff and supervisors for quality, accuracy and timeliness of assessments, visits, CWS/CMS input, supervisory oversight and other key areas of service delivery in accordance with FCS policies and procedures.

Q.A. will provide ongoing reports to the management team addressing degree of staff compliance with policies and procedures. Q.A. will also provide recommendations for ongoing improvement.

California State Auditor's Assessment of 60-Day Status: Pending


All Recommendations in 2013-110

Agency responses received are posted verbatim.