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Procedure Title: Conflict of Interest Procedure for CAF Employees regarding Respite Care, Relative Caregiver, Employee Foster Parent, Adoptive Parent, and Legal Guardian 
Procedure Number: DHS-060-002-02
Version:
1.0
Effective Date:
12/08/2006

Approved By: DHS Chief Administrative Officer
Approved Date: 12/08/2006


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Procedure

Step

Responsible Party

Action

1.

New and current Employee

Completes and submits a signed DHS 0103, Exception Request for Review and Determination form to immediate supervisor for permission to apply for an exception, if currently or seeking to be a foster parent, relative caregiver, respite provider, adoptive parent, or legal guardian for a child in DHS custody.

2.

Immediate Supervisor / District Manager

Reviews the DHS 0103 form to ensure request meets the policy exception guidelines.  If the guidelines are met, immediate supervisor and District Manager will sign and submit the exception form to the Deputy Assistant Director of Field Services or designee and the Senior Human Resources Manager for CAF.

3.

Deputy Assistant Director of Field Services or designee / Senior Human Resources Manager for CAF

Reviews the “Exception Request for Review and Determination Form” and provide a written decision approving or denying the request to both the CAF employee and the employee’s supervisor.

4. Immediate Supervisor / District Manager Notifies the Deputy Assistant Director of Field Services or designee and the Senior Human Resources Manager for CAF when the exception is no longer valid.
Annual Review
1. Office of Human Resources Generates notice to Immediate Supervisor and District Manager regarding annual review for exception on one-year anniversary date and annually thereafter.
2. Immediate Supervisor / District Manager Reviews the DHS 0103, Exception Request for Review and Determination form after receiving notice for request of continuance.  If guidelines are still met and a continuance is sought, a new DHS 0103 form must be completed and signed by the employee, immediate supervisor, and District Manager.  The new form will be submitted to the Deputy Assistant Director of Field Services or designee and the Sr. H.R. Manager for CAF for renewal.
3. Deputy Assistant Director of Field Services or designee / Senior Human Resources Manager for CAF Reviews the new DHS 0103 form and provides written decision to the CAF employee and the employee’s supervisor approving or denying the continuance request. 
Appeal of Denials
1. CAF Employee After receiving denial from immediate supervisor or the District Manager, the employee asks for a review from the Senior Human Resources Manager for CAF.
2. Senior Human Resources Manager for CAF Completes review of the denial at the local level and provides written decision to the CAF employee and the employee’s supervisor.

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Oregon Department of Human Services
500 Summer St. NE E25, Salem, OR 97301-1098
Phone: (503) 945-5944
Fax: (503) 378-2897
TTY: (503) 947-5330