Form Rfa 809 - Resource Family Visit Record Page 2
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2STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
RESOURCE FAMILY VISIT RECORD – The RFA 809 is to be used to document all visits or meetings
conducted between a Resource Family, other individuals residing in the home, and the County. Care
should be taken not to disclose personal or confidential information. If you have any questions regarding
these records, please contact the Resource Family worker at the address and telephone number listed on
the front.
ANNUAL UPDATE VISITS – shall begin no sooner than 60 days prior to the anniversary date of the
Resource Family approval and shall be completed no later than 30 days after. The Resource Family worker
shall update the approval of a Resource Family by using form RFA 06: Resource Family Written Update
Report or an equivalent form.
CORRECTIVE ACTION PLAN VISIT – is a plan developed by the County which describes how the
Resource Family is not meeting the requirements of one or more of the Written Directives or any applicable
law, and the steps the Resource Family and the County will take to ensure that the Resource Family meets
the requirements of the Written Directives or any applicable law. The County is encouraged to request input
from the Resource Family in developing a Corrective Action Plan (CAP). A Corrective Action Plan visit can
also be made to determine if those deficiencies previously identified in a CAP have been corrected. The
CAP will be documented on the RFA 809C.
CASE MANAGEMENT VISITS – are made for the following reasons: (1) The Resource Family requests a
visit to consult with the Resource Family worker or to provide supportive services to the family, (2) There are
concerns regarding the Resource Family that the Resource Family worker needs to discuss with the
Resource Family or other individual(s) residing in the home, (3) During a complaint investigation, additional
deficiencies were observed, and (4) Other.
CENSUS – The number of children or nonminor dependents a Resource Family has under their care at the
time of the visit.
RFA 809 (9/17)
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