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Contact us
Rainbow Valley Foster Care
2841 G Street
Merced, CA 95340-2133
Office hours: 9-5pm, M-F
209-722-0202
email address:
information@
rainbowvalleyfostercare.org
Mabel Patten, Director
Kiley Carrillo, Group Homes Admin.
Serving families in Central California - Merced, Madera, Stanislaus, Tuolumne, Calavaras
and Mariposa Counties.
Donate to Rainbow Valley with Paypal
Forms
Foster Parent Forms
Centrally Stored Medication and Destruction Record (pdf)
Client/Resident Personal Property and Valuables (pdf)
Dental Examination (Word)
Health Record (pdf)
Medical Examination (pdf)
Monthly Medication Record (Excel)
Unusual Incident/Injury Report (Word)
Group Home Forms
Centrally Stored Medication and Destruction Record (pdf)
Client/Resident Personal Property and Valuables (pdf)
Confiscated Items (Word)
Dental Examination (Word)
Monthly Medication Record (Excel)
Staff Availability (Word)
Unusual Incident/Injury Report (Cavalaire) (Word)
Personnel FORMS
Child abuse central index check (pdf)
Criminal record statement (pdf)
Health screen report (pdf)
Personnal record-employee application (pdf)
Request for live scan (pdf)
Statement reporting suspected child abuse (pdf)
CHILD
Affidavit re: client cash resources (pdf)
Appraisal needs and services plan (pdf)
Centrally stored medication and destruction record (pdf)
Client personal property and valuables (pdf)
Identification and emergency information (pdf)
Personal Rights (pdf)
Physican's report (pdf)
Pre-placement appraisal information (pdf)
Record of client cash resources (pdf)
Social Worker Forms
Admit (Word)
Appraisal/Needs and Services Plan (Word)
Check Request Form (Word)
Consent Form (Word)
Consent for Examination and Treatment (Word)
Essential Information (Word)
Face Sheet (Word)
Foster Parent Agreement (Word)
Identification and Emergency Information (Word)
Personal Rights - Community Care Facilities (Word)
Placement Cavalaire (Word)
Placement Joerg (Word)
Policy Statement (Word)
Preplacement Appraisal Information (Word)
Release of Information (Word)