Appendix A - NonSub Change - Form P10

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Overview

Transfer Request
Placement Confirmation

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Sheet 1: Transfer Request

Section	Field	Modifications	Notes
Minor's Profile
Minor's Profile	Height (ft & inches)	Removed	Unnecessary
Minor's Profile	Eye Color	Removed	Unnecessary
Minor's Profile	Weight (lbs)	Removed	Unnecessary
Minor's Profile	Identification Marks	Removed	Unnecessary
Request Details		Reworded	Original Wording: "Transfer Request"
Request Details	Requested Program Type	Reworded	Original Wording: "Type of Program Requested"
	Shelter	No Change
	Long Term Foster Care	No Change
	Transitional Foster Care	No Change
	Staff Secure	No Change
	Secure	No Change
	Residential Treatment Center	No Change
	Therapeutic Staff Secure	No Change
	Therapeutic Group Home	Added	Added so dropdown options reflect all current program types; option already present in UC Path version of this form
	Group Home	No Change
	Influx Care Facility	Added	Added so dropdown options reflect all current program types; option already present in UC Path version of this form
Request Details	Requesting Party	Removed	Redundant; Already captured in Requester Name and Requester Title fields
Request Details	Requester Name	No Change
Request Details	Requester Title	No Change
Request Details	Requester Phone	No Change
Reason for Transfer Request		No Change
Reason for Transfer Request	Transfer Type	Reorganized	Reorganized checkboxes around restriction level and program-type related reasons into a transfer type dropdown
	Step Up	Reorganized and reworded	Moved from Any Program Type field; Original Wording: "To provide a less restrictive setting (transfer only)
	Step Down	Reorganized and reworded	Moved from Any Program Type field; Original Wording: "To provide a more restrictive setting (transfer only)
	Lateral	Reorganized and reworded	Moved from Shelter & Foster Care Only field; Original Wording: "Standard Placement"
	Influx	Reorganized	Moved from Any Program Type field
	Virtual	Added	Added so dropdown options reflect all current transfer types
Reason for Transfer Request	To Any Program Type	Reworded	Original Wording: "Any Program Type:"
	To Provide Less Restrictive Setting	Reworded	Original Wording: "To Provide Less Restrictive Setting (transfer only)"
	To Provide More Restrictive Setting	Reworded	Original Wording: "To Provide More Restrictive Setting (transfer only)"
	Minor's Medical Health	No Change
	Minor's Mental Health	No Change
	Violent/Threatening Behavior	No Change
	Disruptive Behavior	No Change
	Minor's Safety	No Change
	Runaway Risk	Reworded	Original Wording: "Flight Risk"
Reason for Transfer Request	To Restrictive Placements	Reworded	Original Wording: "Secure & Staff Secure Only"
	Convicted as Adult	No Change
	Adjudicated Delinquent	No Change
	Criminal Charges	No Change
	Chargeable	No Change
Reason for Transfer Request	Between Programs	Added	Subcategory to organize reasons unrelated to step ups or step downs; Will ensure that between this field, To Any Program Type and To Restrictive Placements, all reasons a transfer may occur are represented
	Program Capacity	Added
	Proximity to UC Relative
	Proximity to Potential Sponsor	Added
	ICF Ineligible	Added
	Physical Placement in Program	Added
Legal Information		Reorganized	Moved legal information fields currently in Reason for Transfer Request section into their own section
	Minor Has Attorney of Record?	Added	Added to faciliate progressive disclose; Other fields in this section only appear if "yes" is selected for this field
Legal Information	Attorney of Record	Reorganized	Moved from Reason for Transfer Request section
Legal Information	Attorney Phone	Reorganized	Moved from Reason for Transfer Request section
Casefile Summaries
Casefile Summaries	Information Relating to Casefile	No Change
	Pregnancy	No Change
	Injury	No Change
	Illness	No Change
	Non-Diagnosed Behavior / Illness w/o Medications	Reorganized	Turned into a subcategory for "Illness"
	Non-Diagnosed Behavior / Illness w/ Medications	Reorganized	Turned into a subcategory for "Illness"
	Diagnosed Behavior / Illness w/o Medications	Reorganized	Turned into a subcategory for "Illness"
	Diagnosed Behavior / Ilness w/ Medications	Reorganized	Turned into a subcategory for "Illness"
	Non-Violent Conviction	No Change
	Non-Violent Charge	No Change
	Charge(s) Dropped	No Change
Casefile Summaries	Minor’s Medical Health Summary	Reorganized	Original Wording: "Minor’s Medical and Mental Health Summary"; split into two separate textboxes
Casefile Summaries	Minor’s Mental Health Summary	Reorganized	Original Wording: "Minor’s Medical and Mental Health Summary"; split into two separate textboxes
Casefile Summaries	Behavior Summary (Runaway Risk, Aggressive/Assaultive and Sexually Inappropriate Behaviors)	Reworded	Original Wording: "Behavior Summary (Flight Risk, Aggressive/Assaultive and Sexually Inappropriate Behaviors)"
Casefile Summaries	Current Status of Family Reunification	No Change
Casefile Summaries	Immigration Court Status	No Change
Case Manager Recommendation		Reworded	Original Wording: "Case Manager Transfer Comments and Recommendation"
Case Manager Recommendation	Case Manager Name	No Change
Case Manager Recommendation	Date of Case Manager Comments	No Change
Case Manager Recommendation	Case Manager Comments	Reworded	Original Wording: "Case Manager Transfer Comments and Recommendation"
Case Manager Recommendation	Case Manager Suggests Transfer?	No Change
Case Coordinator Third Party Review		Reworded	Original Wording: "Case Coordination"
Case Coordinator Third Party Review	Case Coordinator Name	No Change
Case Coordinator Third Party Review	Date of Case Coordinator Review	Reworded	Original Wording: "Recommended Date"
Case Coordinator Third Party Review	Case Coordinator Comments	Reworded	Original Wording: "Comments"
Case Coordinator Third Party Review	Concur with Requesting Party?	No Change
Case Coordinator Third Party Review	Type of Program Recommended	Removed	Redundent; Info already captured in Request Details section
ORR Transfer Request Decision		Reworded	Original Wording: "ORR/DCS Decision"
ORR Transfer Request Decision	ORR Decision Maker Name	Reworded	Original Wording: "Name of ORR Decision Maker"
ORR Transfer Request Decision	Date of ORR Decision	Reworded	Original Wording: "Date of Decision"
ORR Transfer Request Decision	ORR Decision Maker Comments	Reworded	Original Wording: "Comments"
ORR Transfer Request Decision	ORR Decision	Reworded	Original Wording: "Decision"
	Pending	Removed	Option no longer needed
	Approve	No Change
	Disapprove	No Change
	On Hold (Provide Detail in Comments)	Reworded	Original Wording: "Remand (Provide Detail in Comments)"
Cancel		Added	Only appears when user click the "Cancel" button
Cancel	Select Cancellation Reason	Added	Only appears when user click the "Cancel" button
	Reunited with Sponsor	Added	Only appears when user click the "Cancel" button
	Level of Care No Longer Applicable	Added	Only appears when user click the "Cancel" button
	Created by Mistake	Added	Only appears when user click the "Cancel" button

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Sheet 2: Placement Confirmation

Section	Field	Modifications	Notes
Request Details		Duplicated	Data will be entered in Transfer Request and auto-populates here
Request Details	Requested Program Type	Duplicated	Data will be entered in Transfer Request and auto-populates here
Request Details	Requester Name	Duplicated	Data will be entered in Transfer Request and auto-populates here
Request Details	Requester Title	Duplicated	Data will be entered in Transfer Request and auto-populates here
Request Details	Requester Phone	Duplicated	Data will be entered in Transfer Request and auto-populates here
Placement Details		Reorganized	New section containing a field located in another section of UC Portal version and fields from UC Path version
Placement Details	Receiving Program	Reorganized and reworded	Original Wording: "Case Coordinator Proposed Program"; Moved from Tranfer Request (Case Coordination section)
Placement Details	Date Placement Accepted	Reorganized and reworded	Original Wording: "Transfer Designation Date"; Taken from UC Path version of Transfer Request (Transfer Designation section)
Placement Details	Receiving Program POC Name	Reorganized	Taken from UC Path version of Transfer Request (Related tab, Entry Team section); The receiving program POC (usually program support staff) would have been entered here
Placement Details	Receiving Program POC Phone	Reorganized	Taken from UC Path version of Transfer Request (Related tab, Entry Team section); The receiving program POC (usually program support staff) would have been entered here; Phone would have been auto-populated in UC Path but user will need to manually enter here
ORR Placement Confirmation Decision		Duplicated	Original Wording: "ORR/DCS Decision"; ORR/DCS Decision section of Tranfer Request currently used to make two decisions: 1) whether a transfer is warranted, and 2) where the child should be placed. Splitting the Tranfer Request into two forms means this section needs to be present in both forms to document these two decisions.
ORR Placement Confirmation Decision	ORR Decision Maker Name	Duplicated
ORR Placement Confirmation Decision	Date of ORR Decision	Duplicated
ORR Placement Confirmation Decision	ORR Decision Maker Comments	Duplicated
ORR Placement Confirmation Decision	ORR Decision	Duplicated
	Approve	Duplicated
	Disapprove	Duplicated
	On Hold (Provide Detail in Comments)	Duplicated
COA-COV		Reorganized	Section moved from Tranfer Request into this form
COA-COV	Change Type	Reorganized and reworded	Original Wording: "Request Type"; Moved from Tranfer Request
	Change of Address	Reorganized
	Change of Venue	Reorganized
COA-COV	Scheduled Transfer Date	Reorganized and reworded	Original Wording: "Transfer Sch. To Take Place on"; Moved from Tranfer Request
COA-COV	Minor's Attorney Contacted	Reorganized and reworded	Original Wording: "Has the Minor's Attorney of Record Been Contacted?"; Moved from Transfer Request (Reason for Tranfer Request section)
COA-COV	Next Scheduled Court Appearance	Reorganized and reworded	Original Wording: "Next Sch. Court Appearance"; Moved from Tranfer Request
COA-COV	Provide reason if there is less than 48 hours notice to ICE:	Reorganized and reworded	Original Wording: "Reason for less than 48 hours notice to ICE (if applicable)"; Moved from Tranfer Request
COA-COV	Good cause exists to change venue in this matter pursuant to 8 C.F.R & 1003.20 (b) for the following reasons:	Reorganized	Moved from Tranfer Request
	ORR has decided to relocate the respondent to an area where space is available or appropriate services can be provided, since juvenile detention space is limited.	Reorganized and reworded	Original Wording: "ORR has decided to relocate the respondent to an area where space is available/ appropriate services can be provided, since Juvenile detention space is limited in"; Moved from Tranfer Request
	The child has a special need (e.g. pregnancy, medical health, etc.) please specify:	Reorganized and reworded	Original Wording: "The minor has a special need (e.g. pregnancy of juvenile, medical needs, etc.) please specify:";Moved from Tranfer Request
	Other, please specify:	Reorganized	Moved from Tranfer Request
Departure/Arrival Information		Reorganized	Section moved from Tranfer Request into this form
Departure/Arrival Information	Departure Date	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Departure Time	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Transporting Staff Name	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Transporting Staff Title	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Transporting Staff Comments	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Arrival Date	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Arrival Time	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Receiving Staff Name	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Receiving Staff Title	Reorganized	Moved from Tranfer Request
Departure/Arrival Information	Receiving Staff Comments	Reorganized	Moved from Tranfer Request
Cancel		Added	Only appears when user click the "Cancel" button
Cancel	Reason for Cancellation	Added	Only appears when user click the "Cancel" button
	Reunited with Sponsor	Added	Only appears when user click the "Cancel" button
	Level of Care No Longer Applicable	Added	Only appears when user click the "Cancel" button
	Created by Mistake	Added	Only appears when user click the "Cancel" button