Excel Sample Sheet 32726 | Soc405xpv4 15 (validation Matrix)

Partial file snippet.

Sheet 1: Report Form

	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
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		Outcomes for Nonminor Dependents Probation Foster Youth 
Exiting Foster Care  
Quarterly Statistical Report
SOC 405XP
		

		
 
		
		

		

		

		

		

		

		

		

		

		

		

	
	
		
 
		
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		Select County Name 
		
		Initial 
		
		Select Year 
		
		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Part A.  Outcomes for Nonminor Dependents Probation Foster Youth Exiting Foster Care  
		Youth Who Exit at 
Age 18
		NMD 
Age 18
		NMD 
Age 19
		NMD 
Ages 20-21
		Re-Entry 
NMD
Ages 18-21
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		(A)
		(B)
		(C)
		(D)
		(E)
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		1
		Youth exiting Foster Care during the quarter (Item 1 includes non-parental youth not included 
		1
		

		2
		

		3
		

		4
		

		5
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		in Items 1a, 1b, 1c and 1d below; AND Item 1 equals the sum of Item 2 plus Item 3)………………………………………………………………………………………………………………………………………….
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		a.
		Of the youth in Item 1, females who are a custodial parent of one child…………………………………….……………………………………...……………………………………………………………………………………………………………………………………………………….
		6
		

		7
		

		8
		

		9
		

		10
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		b.
		Of the youth in Item 1, females who are a custodial parent of two or more children…………………………………………………………………………………………………………..…………………..
		11
		

		12
		

		13
		

		14
		

		15
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		c
		Of the youth in Item 1, males who are a custodial parent of one child……………………………………….…………………………………………………………………………………………………………………………………………………………
		16
		

		17
		

		18
		

		19
		

		20
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		d.
		Of the youth in Item 1, males who are a custodial parent of two or more children………………………………………………………………………………...…………………………..
		21
		

		22
		

		23
		

		24
		

		25
		

		

		Youth entered in Item 2 must NOT be entered 
in Parts A - E below.
		

		

		

		

		

	
	
		

		

		2
		Youth whose whereabouts are unknown and could not be contacted during the quarter…………………….…………………………………………………………………………………………………………………………………………………………
		26
		

		27
		

		28
		

		29
		

		30
		

		

		

		

		

		

		

	
	
		

		

		3
		Youth whose whereabouts are known during the quarter (Item 1 minus Item 2)…………………………………………………………………………………………………………………………
		31
		

		32
		

		33
		

		34
		

		35
		

		

		Youth entered in Item 3 MUST BE entered 
in each Part (Parts A - E) below.
		

		

		

		

		

	
	
		

		

		

		(Items 4 - 48 below provide information about the youth entered in Item 3)
		0 
		0 
		0 
		0 
		0 
		

		

		

		

		

		

	
	
		

		

		Part B.  Educational Attainment/Enrollment
For Items 4 - 18 select all that apply for each youth.  The sum of Items 4 - 18 must be greater than or equal to Item 3.                                                                                                                                
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		4
		Youth who completed high school or equivalency (Item 4a plus Item 4b)………………….…………………………………………………......................................................................................................................................
		36
		0 
		37
		0 
		38
		0 
		39
		0 
		40
		0 
		

		Item 3 - Part B Validation Matrix
		

		

		

		

		

	
	
		

		

		

		a.
		Youth who received a high school diploma………………………………………………………………………………………………………………………………………………………………………………………………………………………...………………………………………………………………………………………………
		41
		

		42
		

		43
		

		44
		

		45
		

		

		The sum of Items 4 - 18 must be greater than or equal to Item 3.
Also, if Item 3 is zero, then Items 4 through 18 must be zero.
		

		

		

		

		

	
	
		

		

		 
		b.
		Youth who received a General Equivalency Degree (GED)……………………………………………………………………………………………………………………………………………………………..
		46
		

		47
		

		48
		

		49
		

		50
		

		

		

		

		

		

		

	
	
		

		

		5
		Youth enrolled in an educational program in order to continue to pursue their high school education 
		51
		

		52
		

		53
		

		54
		

		55
		

		

		Youth Who Exit at 
Age 18 (A)
		NMD 
Age 18 (B)
		NMD 
Age 19 (C)
		NMD 
Ages 20-21 (D)
		Re-Entry 
NMD Ages 18-21 (E)
		

		

		

		

		

	
	
		

		

		

		(e.g., high school diploma, GED)………………………………………………………………………………………………………………………………………………………
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		6
		Youth who dropped out of high school…………………………………...…………………………………………………………………………………………………….
		56
		

		57
		

		58
		

		59
		

		60
		

		

		0
		0
		0
		0
		0
		

		

		

		

		

	
	
		

		

		7
		Youth who plan to enroll in college during the next available quarter/semester…………………………………………………………..
		61
		

		62
		

		63
		

		64
		

		65
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		8
		Youth enrolled in college (Item 8a plus Item 8b)……………………………………………………………………………………………………………………………………………………………………………………………………
		66
		0 
		67
		0 
		68
		0 
		69
		0 
		70
		0 
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		a.
		Youth in a two-year community college……………………………………………………………………………………………………………………………………………………………………………………………………..
		71
		

		72
		

		73
		

		74
		

		75
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		b.
		Youth in a four-year college………………………………………………………………………………………………………………………………………………………………………………………………………….
		76
		

		77
		

		78
		

		79
		

		80
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		0
		

		9
		Youth who attended one year of college……………………………………………………………………………………………………………….
		81
		

		82
		

		83
		

		84
		

		85
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		10
		Youth who attended two years of college………………………………………………………………………………………………………………………………………………….……………………………………………….
		86
		

		87
		

		88
		

		89
		

		90
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		11
		Youth who received a college degree……………………………………………………………………………………………………………………………………………………..……………………………………………………….
		91
		

		92
		

		93
		

		94
		

		95
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		12
		Youth who completed three or more years of college…………………………………………………………………………………………………….
		96
		

		97
		

		98
		

		99
		

		100
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		13
		Youth who dropped out of college……………………………………………………………………………………………………………………………………………………………………………………..…………………………
		101
		

		102
		

		103
		

		104
		

		105
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		14
		Youth who plan to enroll in on-the-job training, certificate program or vocational education during the 
		106
		

		107
		

		108
		

		109
		

		110
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		next available quarter/semester……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		15
		Youth enrolled in on-the-job training, certificate program or vocational education…………………………………………………………………………………………………………………………………………………………………
		111
		

		112
		

		113
		

		114
		

		115
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		16
		Youth who completed on-the-job-training, certificate program or vocational education (Item 16a plus Item 16b)…………………………………………………………………..………………………………
		116
		0 
		117
		0 
		118
		0 
		119
		0 
		120
		0 
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		a.
		Youth who completed on-the-job training…………………………………………………………………………………………………….
		121
		

		122
		

		123
		

		124
		

		125
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		b.
		Youth who completed certificate program or vocational education……………………………………………………………………………………………………………………………………………………………………………………………
		126
		

		127
		

		128
		

		129
		

		130
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		17
		Youth who dropped out of on-the-job-training, certificate program or vocational education………………………………………………………………………………………
		131
		

		132
		

		133
		

		134
		

		135
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		18
		Youth for whom no information is known about their education……………………………………………………………………………………….
		136
		

		137
		

		138
		

		139
		

		140
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Part C.  Means of Financial Support and/or Other Financial Resources
For Items 19 - 31 select all that apply for each youth.   The sum of Items 19 - 31 must be greater than or equal to Item 3.
		

		Item 3 - Part C Validation Matrix
		

		

		

		

		

	
	
		

		

		19
		Youth who obtained employment (Item 19a plus Item 19b)………………………………………………………………………………………………………………………………………………………………………………
		141
		0 
		142
		0 
		143
		0 
		144
		0 
		145
		0 
		

		The sum of Items 19 - 31 must be greater than or equal to Item 3.
Also, if Item 3 is zero, then Items 19 through 31 must be zero.
		

		

		

		

		

	
	
		

		

		

		a.
		Youth who obtained full-time employment………………………………………………………………………………………………………………………………………………………………………………………..
		146
		

		147
		

		148
		

		149
		

		150
		

		

		

		

		

		

		

	
	
		

		

		  
		b.
		Youth who obtained part-time employment…………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
		151
		

		152
		

		153
		

		154
		

		155
		

		

		Youth Who Exit at 
Age 18 (A)
		NMD 
Age 18 (B)
		NMD 
Age 19 (C)
		NMD 
Ages 20-21 (D)
		Re-Entry 
NMD Ages 18-21 (E)
		

		

		

		

		

	
	
		

		

		20
		Youth enlisted in the military, Job Corps, California Conservation Corps or AmeriCorps…………………………………………………………………………………………………………………………………………………………
		156
		

		157
		

		158
		

		159
		

		160
		

		

		

		

		

		

		

	
	
		

		

		21
		Youth with a savings account .……………………………………………………………………………………………………………………………………………………………………………………………………………………
		161
		

		162
		

		163
		

		164
		

		165
		

		

		0
		0 
		0
		0
		0
		

		

		

		

		

	
	
		

		

		22
		Youth with a checking account…...……….………………………………………………………………………………………………………………………………………………………………………………………..
		166
		

		167
		

		168
		

		169
		

		170
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		23
		Youth who are receiving or have applied for Supplemental Security Income (SSI)………………………………..…………………………………………………………………………………………………………………………………………………
		171
		

		172
		

		173
		

		174
		

		175
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		24
		Youth who have applied for CalWORKs…………………………………………………………………………………………………………………………………………………………………………….
		176
		

		177
		

		178
		

		179
		

		180
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		25
		Youth who have applied for General Assistance/General Relief (GA/GR)………………………………………………………………………………………………………………………………………………………………………………………………….
		181
		

		182
		

		183
		

		184
		

		185
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		26
		Youth who have applied for CalFresh…………………………………………………………………………………………………………………………………………………………………………………………….
		186
		

		187
		

		188
		

		189
		

		190
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		27
		Youth who are receiving or have applied for Subsidized Child Care………………………………………………………………………….…………………..…..……………………………………………………………………....
		191
		

		192
		

		193
		

		194
		

		195
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		28
		Youth who are receiving or have applied for Temporary Financial Assistance (Independent Living Program,  
		196
		

		197
		

		198
		

		199
		

		200
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		Emancipated Youth Stipend, other)……………………………………………………………………………………………………………………………………………………………….
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		29
		Youth who are receiving financial support or assistance from another source other than those listed above…………………………………………….
		201
		

		202
		

		203
		

		204
		

		205
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		30
		Youth with no means of financial support……………………………………………………………………………………………………………………………………………………………………………………………
		206
		

		207
		

		208
		

		209
		

		210
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		31
		Youth for whom no information is known about their financial situation………………………………………………………………
		211
		

		212
		

		213
		

		214
		

		215
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Part D.  Housing Arrangements
For Items 32 - 40 select only ONE item for each youth.  The sum of Items 32 - 40 must be equal to Item 3.
		Youth Who Exit at 
Age 18
		NMD 
Age 18
		NMD 
Age 19
		NMD 
Ages 20-21
		Re-Entry 
NMD
Ages 18-21
		

		Item 3 - Part D Validation Matrix
		

		

		

		

		

	
	
		

		

		

		(A)
		(B)
		(C)
		(D)
		(E)
		

		The sum of Items 32 - 40 must be equal to Item 3.
Also, if Item 3 is zero, then Items 32 through 40 must be zero.
		

		

		

		

		

	
	
		

		

		32
		Youth who have made arrangements to rent their own housing or to pay rent to or share rent with another
		216
		 
		217
		 
		218
		 
		219
		 
		220
		 
		

		

		

		

		

		

	
	
		

		

		

		person…………………………………………………………………………………………………………………………………………………….
		

		

		

		

		

		

		Youth Who Exit at 
Age 18 (A)
		NMD 
Age 18 (B)
		NMD 
Age 19 (C)
		NMD 
Ages 20-21 (D)
		Re-Entry 
NMD Ages 18-21 (E)
		

		

		

		

		

	
	
		

		

		33
		Youth who have made arrangements to live free of rent with another individual…………………………………………………...…………………………………………
		221
		

		222
		

		223
		

		224 
		

		225
		

		

		

		

		

		

		

	
	
		

		

		34
		Youth who have made arrangements to live in supportive transitional housing…………………………………………………………..
		226
		

		227
		

		228
		

		229 
		

		230
		

		

		0 
		0 
		0 
		0 
		0 
		

		

		

		

		

	
	
		

		

		35
		Youth who have made arrangements to receive subsidized housing………………………………………………………………..…………………………………………………………………………………………………………………………………………….
		231
		

		232
		

		233
		

		234
		

		235
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		36
		Youth who have made arrangements to reside in an emergency shelter………………………………………………………………………………………
		236
		

		237
		

		238
		

		239
		

		240
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		37
		Youth who have made arrangements to live in a college dorm the next available quarter/semester………………………………………………………………………………………………………………………………………………………………………………………
		241
		

		242
		

		243
		

		244
		

		245
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		38
		Youth who have made housing arrangements other than those listed above (e.g., military, Job Corps,
		246
		

		247
		

		248
		

		249
		

		250
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		California Conservation Corps or AmeriCorps)…………………………………………………………………………………………………………………………………..
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		39
		Youth who have no housing arrangements.…………………………………………………………………………………………………………………………………………………………………….
		251
		

		252
		

		253
		

		254 
		

		255
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		40
		Youth for whom no information is known about their housing arrangements………………………………………………………….
		256
		

		257
		

		258
		

		259
		

		260
		

		

		Item 3 - Part E Validation Matrix
		

		

		

		

		

	
	
		

		

		Part E.  Health Care Insurance
For Items 41 - 45 select all that apply for each youth.  The sum of Items 41 - 45 must be greater than or equal to Item 3.
		

		The sum of Items 41 - 45 must be greater than or equal to Item 3.
Also, if Item 3 is zero, then Items 41 through 45 must be zero.
		

		

		

		

		

	
	
		

		

		41
		Youth who have Medi-Cal………………………………………………………………………………………………………………………….
		261
		

		262
		

		263
		

		264
		

		265
		

		

		Youth Who Exit at 
Age 18 (A)
		NMD 
Age 18 (B)
		NMD 
Age 19 (C)
		NMD 
Ages 20-21 (D)
		Re-Entry 
NMD Ages 18-21 (E)
		

		

		

		

		

	
	
		

		

		42
		Youth who have applied for Extended Medi-Cal (must also be counted in Item 41)……………………………………………………………………………………………………………………………………………………………………………………………………………………………..
		266
		

		267
		

		268
		

		269
		

		270
		

		

		

		

		

		

		

	
	
		

		

		43
		Youth who have health insurance other than Medi-Cal………………………………………………………………………………………………………………………………………………………………………………………..
		271
		

		272
		

		273
		

		274
		

		275
		

		

		0 
		0 
		0 
		0 
		0 
		

		

		

		

		

	
	
		

		

		44
		Youth who do not have health insurance (Medi-Cal or other)………………………………………………………………………………………………………………………………………………………………
		276
		

		277
		

		278
		

		279
		

		280
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		45
		Youth for whom no information is known about their health care insurance coverage……………………………………………………….
		281
		

		282
		

		283
		

		284
		

		285
		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Part F.  Permanency Connection
For Items 46 - 48 select only ONE item for each youth.  The sum of Items 46 - 48 must be equal to Item 3.
		

		Item 3 - Part F Validation Matrix
		

		

		

		

		

	
	
		

		

		46
		Youth who reported that they have at least one connection to a caring, committed adult who can provide 
		286
		

		287
		

		288
		

		289
		

		290
		

		

		The sum of Items 46 - 48 must be equal to Item 3.
Also, if Item 3 is zero, then Items 46 through 48 must be zero.
		

		

		

		

		

	
	
		

		

		

		a safe, stable relationship, guidance and emotional support to the youth……………………………………………………………………………………………………………………………………..
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		47
		Youth who reported that they have no permanency connection………………………………………………………………………………………………..
		291
		

		292
		

		293
		

		294 
		

		295
		

		

		Youth Who Exit at 
Age 18 (A)
		NMD 
Age 18 (B)
		NMD 
Age 19 (C)
		NMD 
Ages 20-21 (D)
		Re-Entry 
NMD Ages 18-21 (E)
		

		

		

		

		

	
	
		

		

		48
		Youth for whom no information is known about their permanency connection…………………………………………………….
		296
		

		297
		

		298
		

		299 
		

		300
		

		

		

		

		

		

		

	
	
		

		

		Comments
		

		0 
		0 
		0 
		0 
		0 
		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		Revised Report Explanation (Complete if Revised is selected. If Initial is selected this box remains blank)
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		
 
		
		
 
		
		
 
		
		
 
		
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		
 
		
		
 
		
		
 
		
		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 




Sheet 2: ACLs

	
	
	
	
	
	
	
	
	
		
 
		
		
	
		
	
		All County Letters (ACLs) & 
All County Information Notices (ACINs) Published - 
Outcomes for Nonminor Dependents Probation Foster Youth Exiting Foster Care Quarterly Statistical Report
		

		

	
	
		

		

	
	
		

		

	
	
		

		

	
	
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		ACL 14-72 (April 1, 2015)
		

		

		

		

		

		

		

	
	
		

		

		Exit Outcomes for Youth Aging Out of Foster Care Quarterly Statistical Report SOC 405E (7/08)
		

		

	
	
		

		ACL 14-71 (April 1, 2015)
		

		

		

		

		

		

		

	
	
		

		

		Outcomes For Nonminor Dependents (NMDs) (Child Welfare Youth) Exiting Foster Care Quarterly Statistical Report SOC 405X (04/15) and Outcomes For Nonminor Dependents (NMDs) (Probation Foster Youth) Exiting Foster Care Quarterly Statistical Report SOC 405XP (04/15)
		

		

	
	
		

		

		NOTE:  SOC405X began with the Jan-Mar 2015 report quarter.
		

		

		

		

		

		

		

		

		

		

	
	
		

		ACL 11-69 (October 13, 2011)
		

		

		

		

		

		

		

	
	
		

		

		Extension Of Foster Care Beyond Age 18:  Part One
		

		

	
	
		

		ACIN I-40-11 (July 1, 2011)
		

		

		

		

		

		

		

	
	
		

		

		Program Information Regarding Assembly Bill (AB) 12 And The Extension Of Foster Care To Age 20
		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	

 
 
 
 
 
 
 
 
 
 


Sheet 3: Quick Links

	
	
	
	
	
	
		
 
		
		
	
		
	
		

		Quick Links to CDSS Websites
		

		

		

	
	
		

		

		

		

	
	
		

		Access to the internet is needed to access these links
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		California Department of Social Services (CDSS) - Home Page
		

		

		

	
	
		

		

		

		

		CDSS website's Home Page.  This is an internet site.
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		Research and Data Reports (RADR) - Home Page
		

		

		

		

	
	
		

		

		

		

		CDSS internet website that contains a variety of report forms and instructions, published statistical reports (monthly, quarterly, semi-annual, and annual), and data trend charts.
		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		Data Systems and Survey Design Bureau (DSSDB) - Home Page
		

		

	
	
		

		

		

		

		CDSS internet website dedicated for county and designated agency use only.  This site contains automated downloadable forms in Excel.  There are no links to this site from any other CDSS web page.  
		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		RADR Report Forms and Instructions - Web Page
		

		

		

		

		

	
	
		

		

		

		

		RADR web page that contains the official report forms and instructions (in PDF) used for statistical reporting. The PDF files cannot be completed online. For reference purposes, counties and designated agencies may download a read-only PDF copy of blank forms and instructions for a Data Table Report prepared by the CDSS Data Systems and Survey Design Bureau (DSSDB).
		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		Quick Links to the Outcomes for Nonminor Dependents Probation Foster Youth Exiting Foster Care  
Quarterly Statistical Report
		

		

		

	
	
		

		

		

		

	
	
		

		

		

		

	
	
		

		

		

		

	
	
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		SOC 405XP Report Form and Instructions (PDF Version)
		

		

		

		

	
	
		

		

		

		

		Web page where the official report form and instructions (in PDF) can be downloaded for this report for reference purposes. 
		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		SOC 405XP Statewide Released Reports (Excel and PDF Versions)
		

		

		

	
	
		

		

		

		

		Web page that lists past monthly statewide released statistical reports.  Reports from April - June 2015 to the most recent published report are available. 
		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		Children's Programs Data Trends (PDF Version)
		

		

		

	
	
		

		

		

		

		RADR web page that shows trend charts involving past and current statistical data collected from Children's programs in the County Welfare Departments and state agencies. 
		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		Children's Programs Published Research Reports (PDF Version)
		

		

		

	
	
		

		

		

		

		RADR web page that presents research and analysis based on collected statistical data from Children's programs in the County Welfare Departments and state agencies.

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...Sheet report form outcomes for nonminor dependents probation foster youth exiting care quarterly statistical reportsoc xp select county name initial year part a who exit at age nmd ages reentry nmdages b c d e during the quarter item includes nonparental not included in items and below equals sum of plus hellip females are custodial parent one child two or more children males entered must be parts whose whereabouts unknown could contacted known minus each provide information about educational attainmentenrollmentfor all that apply greater than equal to completed high school equivalency validation matrix received diploma also if is zero then through general degree ged enrolled an program order continue pursue their education eg dropped out h...

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	Outcomes for Nonminor Dependents Probation Foster Youth Exiting Foster Care Quarterly Statistical Report SOC 405XP

	Select County Name			Initial	Select Year
	Part A. Outcomes for Nonminor Dependents Probation Foster Youth Exiting Foster Care				Youth Who Exit at Age 18		NMD Age 18		NMD Age 19		NMD Ages 20-21		Re-Entry NMD Ages 18-21
					(A)		(B)		(C)		(D)		(E)
	1	Youth exiting Foster Care during the quarter (Item 1 includes non-parental youth not included			1		2		3		4		5
		in Items 1a, 1b, 1c and 1d below; AND Item 1 equals the sum of Item 2 plus Item 3)………………………………………………………………………………………………………………………………………….			1		2		3		4		5
		a.	Of the youth in Item 1, females who are a custodial parent of one child…………………………………….……………………………………...……………………………………………………………………………………………………………………………………………………….		6		7		8		9		10
		b.	Of the youth in Item 1, females who are a custodial parent of two or more children…………………………………………………………………………………………………………..…………………..		11		12		13		14		15
		c	Of the youth in Item 1, males who are a custodial parent of one child……………………………………….…………………………………………………………………………………………………………………………………………………………		16		17		18		19		20
		d.	Of the youth in Item 1, males who are a custodial parent of two or more children………………………………………………………………………………...…………………………..		21		22		23		24		25		Youth entered in Item 2 must NOT be entered in Parts A - E below.
	2	Youth whose whereabouts are unknown and could not be contacted during the quarter…………………….…………………………………………………………………………………………………………………………………………………………			26		27		28		29		30
	3	Youth whose whereabouts are known during the quarter (Item 1 minus Item 2)…………………………………………………………………………………………………………………………			31		32		33		34		35		Youth entered in Item 3 MUST BE entered in each Part (Parts A - E) below.
		(Items 4 - 48 below provide information about the youth entered in Item 3)			31	0	32	0	33	0	34	0	35	0
	Part B. Educational Attainment/Enrollment For Items 4 - 18 select all that apply for each youth. The sum of Items 4 - 18 must be greater than or equal to Item 3.
	4	Youth who completed high school or equivalency (Item 4a plus Item 4b)………………….…………………………………………………......................................................................................................................................			36	0	37	0	38	0	39	0	40	0	Item 3 - Part B Validation Matrix
		a.	Youth who received a high school diploma………………………………………………………………………………………………………………………………………………………………………………………………………………………...………………………………………………………………………………………………		41		42		43		44		45		The sum of Items 4 - 18 must be greater than or equal to Item 3. Also, if Item 3 is zero, then Items 4 through 18 must be zero.
		b.	Youth who received a General Equivalency Degree (GED)……………………………………………………………………………………………………………………………………………………………..		46		47		48		49		50
	5	Youth enrolled in an educational program in order to continue to pursue their high school education			51		52		53		54		55		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
		(e.g., high school diploma, GED)………………………………………………………………………………………………………………………………………………………			51		52		53		54		55		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	6	Youth who dropped out of high school…………………………………...…………………………………………………………………………………………………….			56		57		58		59		60		0	0	0	0	0
	7	Youth who plan to enroll in college during the next available quarter/semester…………………………………………………………..			61		62		63		64		65
	8	Youth enrolled in college (Item 8a plus Item 8b)……………………………………………………………………………………………………………………………………………………………………………………………………			66	0	67	0	68	0	69	0	70	0
		a.	Youth in a two-year community college……………………………………………………………………………………………………………………………………………………………………………………………………..		71		72		73		74		75
		b.	Youth in a four-year college………………………………………………………………………………………………………………………………………………………………………………………………………….		76		77		78		79		80
0	9	Youth who attended one year of college……………………………………………………………………………………………………………….			81		82		83		84		85
	10	Youth who attended two years of college………………………………………………………………………………………………………………………………………………….……………………………………………….			86		87		88		89		90
	11	Youth who received a college degree……………………………………………………………………………………………………………………………………………………..……………………………………………………….			91		92		93		94		95
	12	Youth who completed three or more years of college…………………………………………………………………………………………………….			96		97		98		99		100
	13	Youth who dropped out of college……………………………………………………………………………………………………………………………………………………………………………………..…………………………			101		102		103		104		105
	14	Youth who plan to enroll in on-the-job training, certificate program or vocational education during the			106		107		108		109		110
		next available quarter/semester……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
	15	Youth enrolled in on-the-job training, certificate program or vocational education…………………………………………………………………………………………………………………………………………………………………			111		112		113		114		115
	16	Youth who completed on-the-job-training, certificate program or vocational education (Item 16a plus Item 16b)…………………………………………………………………..………………………………			116	0	117	0	118	0	119	0	120	0
		a.	Youth who completed on-the-job training…………………………………………………………………………………………………….		121		122		123		124		125
		b.	Youth who completed certificate program or vocational education……………………………………………………………………………………………………………………………………………………………………………………………		126		127		128		129		130
	17	Youth who dropped out of on-the-job-training, certificate program or vocational education………………………………………………………………………………………			131		132		133		134		135
	18	Youth for whom no information is known about their education……………………………………………………………………………………….			136		137		138		139		140
	Part C. Means of Financial Support and/or Other Financial Resources For Items 19 - 31 select all that apply for each youth. The sum of Items 19 - 31 must be greater than or equal to Item 3.														Item 3 - Part C Validation Matrix
	19	Youth who obtained employment (Item 19a plus Item 19b)………………………………………………………………………………………………………………………………………………………………………………			141	0	142	0	143	0	144	0	145	0	The sum of Items 19 - 31 must be greater than or equal to Item 3. Also, if Item 3 is zero, then Items 19 through 31 must be zero.
		a.	Youth who obtained full-time employment………………………………………………………………………………………………………………………………………………………………………………………..		146		147		148		149		150
		b.	Youth who obtained part-time employment…………………………………………………………………………………………………………………………………………………………………………………………………………………………………..		151		152		153		154		155		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	20	Youth enlisted in the military, Job Corps, California Conservation Corps or AmeriCorps…………………………………………………………………………………………………………………………………………………………			156		157		158		159		160		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	21	Youth with a savings account .……………………………………………………………………………………………………………………………………………………………………………………………………………………			161		162		163		164		165		0	0	0	0	0
	22	Youth with a checking account…...……….………………………………………………………………………………………………………………………………………………………………………………………..			166		167		168		169		170
	23	Youth who are receiving or have applied for Supplemental Security Income (SSI)………………………………..…………………………………………………………………………………………………………………………………………………			171		172		173		174		175
	24	Youth who have applied for CalWORKs…………………………………………………………………………………………………………………………………………………………………………….			176		177		178		179		180
	25	Youth who have applied for General Assistance/General Relief (GA/GR)………………………………………………………………………………………………………………………………………………………………………………………………….			181		182		183		184		185
	26	Youth who have applied for CalFresh…………………………………………………………………………………………………………………………………………………………………………………………….			186		187		188		189		190
	27	Youth who are receiving or have applied for Subsidized Child Care………………………………………………………………………….…………………..…..……………………………………………………………………....			191		192		193		194		195
	28	Youth who are receiving or have applied for Temporary Financial Assistance (Independent Living Program,			196		197		198		199		200
		Emancipated Youth Stipend, other)……………………………………………………………………………………………………………………………………………………………….			196		197		198		199		200
	29	Youth who are receiving financial support or assistance from another source other than those listed above…………………………………………….			201		202		203		204		205
	30	Youth with no means of financial support……………………………………………………………………………………………………………………………………………………………………………………………			206		207		208		209		210
	31	Youth for whom no information is known about their financial situation………………………………………………………………			211		212		213		214		215
	Part D. Housing Arrangements For Items 32 - 40 select only ONE item for each youth. The sum of Items 32 - 40 must be equal to Item 3.				Youth Who Exit at Age 18		NMD Age 18		NMD Age 19		NMD Ages 20-21		Re-Entry NMD Ages 18-21		Item 3 - Part D Validation Matrix
					(A)		(B)		(C)		(D)		(E)		The sum of Items 32 - 40 must be equal to Item 3. Also, if Item 3 is zero, then Items 32 through 40 must be zero.
	32	Youth who have made arrangements to rent their own housing or to pay rent to or share rent with another			216		217		218		219		220
		person…………………………………………………………………………………………………………………………………………………….			216		217		218		219		220		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	33	Youth who have made arrangements to live free of rent with another individual…………………………………………………...…………………………………………			221		222		223		224		225		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	34	Youth who have made arrangements to live in supportive transitional housing…………………………………………………………..			226		227		228		229		230		0	0	0	0	0
	35	Youth who have made arrangements to receive subsidized housing………………………………………………………………..…………………………………………………………………………………………………………………………………………….			231		232		233		234		235
	36	Youth who have made arrangements to reside in an emergency shelter………………………………………………………………………………………			236		237		238		239		240
	37	Youth who have made arrangements to live in a college dorm the next available quarter/semester………………………………………………………………………………………………………………………………………………………………………………………			241		242		243		244		245
	38	Youth who have made housing arrangements other than those listed above (e.g., military, Job Corps,			246		247		248		249		250
		California Conservation Corps or AmeriCorps)…………………………………………………………………………………………………………………………………..			246		247		248		249		250
	39	Youth who have no housing arrangements.…………………………………………………………………………………………………………………………………………………………………….			251		252		253		254		255
	40	Youth for whom no information is known about their housing arrangements………………………………………………………….			256		257		258		259		260		Item 3 - Part E Validation Matrix
	Part E. Health Care Insurance For Items 41 - 45 select all that apply for each youth. The sum of Items 41 - 45 must be greater than or equal to Item 3.														The sum of Items 41 - 45 must be greater than or equal to Item 3. Also, if Item 3 is zero, then Items 41 through 45 must be zero.
	41	Youth who have Medi-Cal………………………………………………………………………………………………………………………….			261		262		263		264		265		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	42	Youth who have applied for Extended Medi-Cal (must also be counted in Item 41)……………………………………………………………………………………………………………………………………………………………………………………………………………………………..			266		267		268		269		270		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	43	Youth who have health insurance other than Medi-Cal………………………………………………………………………………………………………………………………………………………………………………………..			271		272		273		274		275		0	0	0	0	0
	44	Youth who do not have health insurance (Medi-Cal or other)………………………………………………………………………………………………………………………………………………………………			276		277		278		279		280
	45	Youth for whom no information is known about their health care insurance coverage……………………………………………………….			281		282		283		284		285
	Part F. Permanency Connection For Items 46 - 48 select only ONE item for each youth. The sum of Items 46 - 48 must be equal to Item 3.														Item 3 - Part F Validation Matrix
	46	Youth who reported that they have at least one connection to a caring, committed adult who can provide			286		287		288		289		290		The sum of Items 46 - 48 must be equal to Item 3. Also, if Item 3 is zero, then Items 46 through 48 must be zero.
		a safe, stable relationship, guidance and emotional support to the youth……………………………………………………………………………………………………………………………………..			286		287		288		289		290
	47	Youth who reported that they have no permanency connection………………………………………………………………………………………………..			291		292		293		294		295		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
	48	Youth for whom no information is known about their permanency connection…………………………………………………….			296		297		298		299		300		Youth Who Exit at Age 18 (A)	NMD Age 18 (B)	NMD Age 19 (C)	NMD Ages 20-21 (D)	Re-Entry NMD Ages 18-21 (E)
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