PFC-08 E01-16
MANDATORY
SUPERVISED VISIT and/or SUPERVISED EXCHANGESADDITIONAL INFORMATION Page 1 of 2
Superior Court of California, County of Fresno
Family Court Services
SUPERVISED VISIT and/or SUPERVISED EXCHANGES
ADDITIONAL INFORMATION
Name of Site Location(s):
Site Location Address (if different from cover sheet):
Hours and Days available for supervised visits:
Hours and Days available for supervised exchanges:
Costs/Fee Schedule:
Provide/Require the parties to participate in an Orientation: Yes
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No
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If yes, describe:
Any Pre-requisites? Yes
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No
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If yes, describe:
Contact Name: Email:
Phone for Publication: Direct Phone or Cell:
What type of training, topics, and for how many hours are provided for those supervising? (May
attach separate sheet):
Please describe grievance process for parents (May attach separate sheet):
For Supervised Visit Programs:
Does your program…
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Follow all Standard 5.20 - Uniform Standards of Practice for Providers of Supervised Visitation
requirements of the California Rules of Court, revised January 1, 2014?
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Completed background checks for all employees?
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Use “professional providers” and follow all required qualifications?
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Use “therapeutic providers” and follow all required qualifications?
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State in writing and inform participants of safety procedures in advance?
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Have an intake procedure that includes a written contract outlining the terms and
conditions of the visitation signed by the parties?
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Advise the parties before commencement of supervised visits that no confidential
privilege exists?
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Obtain during intake and keep on file copies of any protective order, current court orders,
report of any written records of allegations of domestic violence or abuse and an
account of the child’s heath needs if the child has a chronic health condition?
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Have written procedures to follow if a child is abducted during supervised visitation?
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Suspend or terminate supervised visitation if you determine that risk factors are present
that place in jeopardy the safety and welfare of the child or provider?
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Staff maintain neutrality and avoid conflict of interest
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Staff speaks languages of the parties. Please list languages spoken:
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Staff allow no discussion of the court case or the possible future outcome?
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Have private child friendly places for visits? Indicate how many:
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Have a formula to determine your children to provider ratio?
