Email: Phone Number: License Number: Family Foster Home Family
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Any request for exception may be granted if the secretary determines that the exception is in
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 408 Foster Family Home Exception Request.pdf
HI - Home Interview OI - Office Interview CMA - Case Management Activities ET- E-mail To
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From LT - Letter To LF - Letter From EF- E-mail From
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10200.pdf
https://www.dcf.ks.gov/services/PPS/FCL/Documents/Congregate Care Facility Orientation Online 2022.pdf
Email
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B. Type of Agency ☐Public ☐Private Non-Profit ☐Private Profit
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C. Official Authorized to Sign Application
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F. Type of Application ☐New ☐Revision ☐Continuation of Grant
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https://www.dcf.ks.gov/services/RS/Documents/OIB_AttachmentA.pdf
*physical address required, including 9-digit zip code
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This grant shall remain in effect, subject to the terms and conditions stated in the original Notification of Grant
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/HRADAC Renewal 1 and 2 SFY23.pdf
My Plan for Successful Adulthood State of Kansas PPS 3059 Department for Children and
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for keeping a schedule, setting up an e-mail, and communicating in a professional manner
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.pdf
Chapter 2: Family Foster Home Descriptions
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Levels of Service (Level of Care/LOC
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Intensive Family Foster Home (Intensive 1 & Intensive 2
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HCBS Waiver Family Foster Home (HCBS – I/DD
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https://www.dcf.ks.gov/services/PPS/Documents/CWHandbookofServices/Placement _Standards_July_2021.pdfView duplicates
FCL 001 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas
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Facility Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Compliance Action Plan FCL 001.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (ALN) Number (93.472 and 93.558
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Topeka, KS 66603 Phone: 785-506-7178 Email: Jennifer.goodman@ks.gov (2) To Grantee: Kansas
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/KCSL HFA Family First SFY24 NOGA.pdf
Section 11 / Part 1 Effective Date: April
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Work phone, home phone, fax and e-mail of the vendor
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Name Address City State ZIP E-Mail FAX # Tax ID# Work Phone FEIN/SSN Home Phone License
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Provider_Agreement_Packet.pdf