GUARDIAN ad Litem REPORT TO COURT - CASA Kane County Website

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GUARDIAN ad Litem REPORT TO COURT

Case Numbers(s)

Temporary Custody Date:

MM slash DD slash YYYY

Adjudication Date:

MM slash DD slash YYYY

Disposition Date:

MM slash DD slash YYYY

Last PRH Date:

(Leave blank if not applicable)

MM slash DD slash YYYY

Date of Goal Change :

(Leave blank if not applicable)

MM slash DD slash YYYY

Last Child/Family Team Meeting:

(Leave blank if not applicable)

MM slash DD slash YYYY

Hearing Date

MM slash DD slash YYYY

Type of Hearing

Children:

Name

Age

Mother

Legal/Putative Father

Interviewed for this Reporting Period:

Name

Title

Reports and Materials Reviewed

Date

MM slash DD slash YYYY

Title

Dates of Child Visits:

Name

Dates of visits since last court hearing

in person or virtual

Were there any months where the child was not visited either in person or virtual?

If Yes, provide the name of the child and the reason the visit was not completed

ICWA:

This case does or does not have Indian Child Welfare Act involvement.

Yes

No

ICWA Information

Case History:

Foster Placement History:

Child First Name

Child Last Name

Placement No.

First Name

Last Initial

Type

When to When

Findings for the Children:

Information should be included for each heading listed below.

Child 1

Name

DOB

MM slash DD slash YYYY

Age

Age

Placement/Living Situation

Daycare/School

Medical and Health

Services

Visitation with Parent(s)

Visitation with Sibling(s)

Additional Information

Child 2

Name

Age

DOB

MM slash DD slash YYYY

Placement/Living Situation

Daycare/School

Medical and Health

Services

Visitation with Parent(s)

Visitation with Sibling(s)

Additional Information

Child 3

Name

Age

DOB

MM slash DD slash YYYY

Placement/Living Situation

Daycare/School

Medical and Health

Services

Visitation with Parent(s)

Visitation with Sibling(s)

Additional Information

Child 4

Name

Age

DOB

MM slash DD slash YYYY

Placement/Living Situation

Daycare/School

Medical and Health

Services

Visitation with Parent(s)

Visitation with Sibling(s)

Additional Information

Child 5

Name

Age

DOB

MM slash DD slash YYYY

Placement/Living Situation

Daycare/School

Medical and Health

Services

Visitation with Parent(s)

Visitation with Sibling(s)

Additional Information

Hidden

Findings for the Children:

Information should be included for each heading listed below.

Name

Age

Placement/Living Situation

Daycare/School

Medical and Health

Services

Visitation with Parent(s)

Visitation with Sibling(s)

Additional Information

Overview for the Parent(s):

Information should be included for each heading listed below.

Number Of Parents

Please enter a number from 1 to 5.

Parent 1

Name

(title and child’s name)

Legal or Putative

Services/Referrals

Obstacles to Child Visits

Additional Information

Parent 2

Name

(title and child’s name)

Legal or Putative

Services/Referrals

Obstacles to Child Visits

Additional Information

Parent 3

Name

(title and child’s name)

Legal or Putative

Services/Referrals

Obstacles to Child Visits

Additional Information

Parent 4

Name

(title and child’s name)

Legal or Putative

Services/Referrals

Obstacles to Child Visits

Additional Information

Hidden

Overview for the Parent(s):

Information should be included for each heading listed below.

Name

(title and child’s name)

Services

First Name

Last Name

Visitation and Obstacles to Child Visits

CASA/GAL identifies issues appropriate for Mediation

Yes

No

MEDIATION REVIEW:

RECOMMENDATIONS:

Hidden

Minor be made a ward of the court.

Yes

No

Hidden

Custody and guardianship should be granted to

Minor to be made a ward of the court. Custody and guardianship should be granted to DCFS.

Hidden

For the minor, the court should consider the permanency goal of ______ _

For the minor, the court should consider the permanency goal of ______

Return home within five (5) months

Return home within twelve (12) months

Return home pending status hearing

Substitute care pending determination of termination of parental rights

Adoption

Private guardianship

Substitute care pending independence

Substitute care due to developmental disabilities or mental illness, or because the minor is a danger, to self or others

Hidden

Parent / child visitation should be supervised_

Yes

No

Parent / child visitation should ______

Be supervised

Continue to be supervised

Be changed to unsupervised

Please state why unsupervised visits are not being recommended at this time

The Client Service Plan and services are appropriate

Yes

No

Please state why the Client Service Plan is not appropriate

Each additional recommendation is focused on previous recommendations that have not been addressed, services that have not started, and/or new recommendations being made.

Recommendations

Respectfully submitted by CASA/GAL:

Date

MM slash DD slash YYYY

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