OCFS-2196. Plan of Safe Care

Form OCFS-2196 Plan of Safe Care is a form used by the New York State Office of Children and Family Services (OCFS) to create a plan for a safe and secure environment for a child or young person who has been abused, neglected, or is at risk of abuse or neglect.

This form must be completed by a qualified professional who is familiar with the child or young person's needs, such as a doctor, social worker, or counselor. It must also be signed by the parent or guardian of the child or young person. The form includes sections for basic identifying information, the safety plan, the roles of the involved parties, and any special considerations or accommodations.

Important fields in this form include the child or young person's name, date of birth, parent or guardian's name, and any other pertinent identifying information. Additional sections include the safety plan, which outlines the steps to be taken to ensure the safety of the child or young person, and the roles and responsibilities of the involved parties. The form also includes a section for any special considerations or accommodations that may be needed in order to ensure the safety of the child or young person.

An example of when this form would be used is if a child or young person is in danger of abuse or neglect. The form would be filled out by a qualified professional who is familiar with the child or young person's needs in order to ensure the safety of the child or young person. The benefits of using this form are that it allows for all parties involved to have a clear understanding of the safety plan and the roles and responsibilities of each party.

Additional documents that may be needed in order to complete this form include any medical records, court orders, or other documents that detail the child or young person's situation. Related forms or alternatives include the OCFS-2197 Plan of Safe Care Implementation Record, which is used to document the implementation of the safety plan, and the OCFS-2198 Plan of Safe Care Follow-up Record, which is used to document any follow-up visits that are required for the safety plan.