OCFS-2136. Runaway and Homeless Youth-Interim Family Home Annual Report

Form OCFS-2136, the Runaway and Homeless Youth-Interim Family Home Annual Report, is a form used by Interim Family Homes (IFH) to report information to the New York State Office of Children and Family Services (OCFS). The form is necessary for IFHs to maintain their licensure in New York. It is also used to monitor, evaluate, and improve the quality of care provided by IFHs.

The form is divided into several sections and fields. It requires information on the license of the IFH, the number of clients served, the services provided, the staff employed, the hours of operation, and the total cost of care. It also requires an affidavit attesting to the accuracy of the information provided. The form must be signed and dated by the Executive Director or a designee of the IFH.

The information provided on this form is important for assessing the quality of care provided by the IFH. It is also important for ensuring the safety and well-being of the youth served. The form must be filled out accurately and completely in order for the IFH to maintain its licensure. Inaccurate or incomplete information may result in the revocation of the IFH's license.

An example of a situation where this form would be used is when an IFH is up for renewal of its license. The form must be completed and submitted to the OCFS in order for the license to be renewed. The form is also used to provide information about the IFH's services and operations to the OCFS so that it can monitor and evaluate the quality of care provided by the IFH.

In addition to this form, the IFH must also provide other documents, such as financial statements, client records, and incident reports. These documents must be provided to the OCFS in order for the IFH to maintain its licensure. There are also other forms related to the OCFS-2136 form, such as the Runaway and Homeless Youth-Interim Family Home Quarterly Report Form, which must also be completed and submitted.