       IDesILaytags 3$ h 116169022003DSHS ASDState of Washington
16-169.itp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    0  {                                                                                                                                                                                                                                                                                                         	   %{                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                2>         4   j                 Z  3$  .     .  /  0W  X  2                                                                                                            &    ,    2    8    >    D    J    P    V    \    b    h    n    t    z                            6     `         Submit                        6        tZ                            6         K                                  6    $                                          6  4  *        50469041744506000                j  H   "                 /        @@                 X           
          
 F          @@                        @@                      @@              @@                       @    @@           $  Z       Z   HT hT      HT F$     0    / 4 T      0    F       / $ 5	d T Z     	     1T /  x 		           	  T    	   RT / WT \    /  MT &S Z    /  T Z    .  A 	    1         8  8 A T          1            Z T L (S Z           @@ @                                        
                                 @@                 X           
          
 Th T            @@ @                                                N    6  8                                                             @/@	                                  @$                                    1&@   XX    jj2V      XX        d            '               ʴ ʨ$        
  o  d        $P         
    <          d                    %     ,     3     :     A     H     O     V     ]     d     k     r     y                                         e                         f                 Cell1Cell6Cell7Cell8Cell9Cell38Cell39Cell40Cell41Cell42Cell43Cell44Cell45Cell46Cell47Cell48Cell49Cell50Cell51Cell52Cell53Cell54Cell55Cell56Cell57Cell58Cell59Cell60Cell29Cell61Cell62Cell63                                 
	Signature        Version  ܐ  	Data Versܐ  q  $	Blue Keys        *Graphics   0Header   6	FieldList   <           B                              
  
      
         4       
                     H   H                               
                     H   H                            \                    
                     H   H                            \                    
                     H   H                            \                    
                     H   H                                                                                 
                     H   H                           .                                                                             
                     H   H                           1                                                                              
                     H   H                           4                                                                             
                     H   H                           R                                                                                            
                     H   H                                                                                                                                    
                     H   H                                                                                                                                      
                     H   H                                                                                                                                            
                     H   H                           X                                                                                               
                     H   H                           L                                                                                      
                     H   H                           L                                                                                         
                     H   H                           I                                                                                          
                     H   H                           L                                                                                      
                     H   H                           I                                                                                    
                     H   H                           F                                                                                   
                     H   H                           F                                                                                      
                     H   H                           =                                                                                    
                     H   H                           @                                                                                   
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                     H   H                           "                                                                          
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                     H   H                           U                                                                                             
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                     H   H                           v                                                                                               
                     H   H                                                                                                                                             
                     H   H                                                                                                                                                         
                     H   H                                                                                                                                                         
                     H   H                                                                                                                                    
                     H   H                           p                                                                                                  
                     H   H                           j                                                                                            
                     H   H                           d                                                                                         
                     H   H                           m                                                                                                
                     H   H                                                                                                    
                     H   H                                                                     
                     H   H                                                                     
                     H   H                                                                     
                     H   H                                                               
                     H   H                                                                               
                     H   H                                                                                  
 ~                    H   H                      ~                                                
 }   ~                 H   H                      }   ~   z                             
 |   }                 H   H                      |   }   z                             
 {   |                 H   H                      {   |   z                             
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 y   z                 H   H                      y   z   k                           
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 i   j                 H   H                      i   j   b                       
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 g   h                 H   H                      g   h   q                              
 f   g                 H   H                      f   g   q                              
 e   f                 H   H                      e   f   q                              
 d   e                 H   H                      d   e   e                           
 c   d                 H   H                      c   d                                                
 b   c                 H   H                      b   c  X                                                                                                  
 a   b                 H   H                      a   b                                                                                                                 
 `   a                 H   H                      `   a                                                                                                                                              
 _   `                 H   H                      _   `                                                                                                                                                    
 ^   _                 H   H                      ^   _                                                                                                                                                    
 ]   ^                 H   H                      ]   ^                                                                                                                                                 
 \   ]                 H   H                      \   ]                                                                                                                                               
 [   \                 H   H                      [   \                                                                                                                                         
 Z   [                 H   H                      Z   [                                                                                                                             
 Y   Z                 H   H                      Y   Z  d                                                                                                                  
 X   Y                 H   H                      X   Y  _                                                                                                               
 W   X                 H   H                      W   X  e                                                                                                                     
 V   W                 H   H                      V   W  \                                                                                                        
 U   V                 H   H                      U   V  \                                                                                                        
 T   U                 H   H                      T   U                                                                                                                               
 S   T                 H   H                      S   T  w                                                                                                               
 R   S                 H   H                      R   S                                                                          
 Q   R                 H   H                      Q   R  7                                                                                        
 P   Q                 H   H                      P   Q                                                                          
 O   P                 H   H                      O   P                                                         
 N   O                 H   H                      N   O                                                            
 M   N                 H   H                      M   N                                                            
 L   M                 H   H                      L   M                                                           
 K   L                 H   H                      K   L                                                      
 J   K                 H   H                      J   K   t                             
 I   J                 H   H                      I   J   n                          
 H   I                 H   H                      H   I   8           
 G   H                 H   H                      G   H   8           
 F   G                 H   H                      F   G   8           
 E   F                 H   H                      E   F   8           
 D   E                 H   H                      D   E   8           
 C   D                 H   H                      C   D   2        
 B   C                 H   H                      B   C   2        
 A   B                 H   H                      A   B   2        
 @   A                 H   H                      @   A   2        
 ?   @                 H   H                      ?   @   8           
 >   ?                 H   H                      >   ?   8           
 =   >                 H   H                      =   >   8           
 <   =                 H   H                      <   =   8           
 ;   <                 H   H                      ;   <   8           
 :   ;                 H   H                      :   ;   8           
 9   :                 H   H                      9   :   8           
 8   9                 H   H                      8   9   8           
 7   8                 H   H                      7   8   8           
 6   7                 H   H                      6   7   8           
 5   6                 H   H                      5   6   8           
 4   5                 H   H                      4   5   8           
 3   4                 H   H                      3   4   8           
 2   3                 H   H                      2   3   8           
 1   2                 H   H                      1   2   H              
 0   1                 H   H                      0   1   H              
 /   0                 H   H                      /   0   H              
 .   /                 H   H                      .   /   H              
 -   .                 H   H                      -   .   H              
 ,   -                 H   H                      ,   -   H              
 +   ,                 H   H                      +   ,   H              
 *   +                 H   H                      *   +   H              
 )   *                 H   H                      )   *   H              
 (   )                 H   H                      (   )   H              
 '   (                 H   H                      '   (   H              
 &   '                 H   H                      &   '   H              
 %   &                 H   H                      %   &   H              
 $   %                 H   H                      $   %   H              
 #   $                 H   H                      #   $   H              
 "   #                 H   H                      "   #   H              
 !   "                 H   H                      !   "   H              
     !                 H   H                          !   H              
                      H   H                             H              
                     H   H                            H              
                     H   H                            H              
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            <           
                     H   H                            2        
                     H   H                            2        
                     H   H                            2        
                     H   H                            2        
                     H   H                            2        
                     H   H                            2        
                     H   H                            &     
 
                    H   H                      
      &     
 	   
                 H   H                      	   
   &     
    	                 H   H                         	   &     
                     H   H                            &     
                     H   H                            &     
                     H   H                            &     
                     H   H                            &     
                     H   H                            &     
                     H   H                            &     
                     H   H                            &     
                      H   H                                          0    /q              
  /  /        @@                 X           
         
           @@                        @@                      @@              @@                       @    @@                                HT hT       HT  ! ^     0    `/  T      0    }!       `/ E 5, T "        ` 1T `/ p @            T      | RT `/ WT $    `/  MT &S "    `/  T "    @/  A     5              A <           5            " <  (S "           @@ @                                      
                               @@                 X           
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             @@ @                                        
                                  @@                 X           
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                 @@ @                                      
                                @@                X           
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             2              H    N   T                   N   "                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Z  x            ,          "                           ,g99                                    porpsila  Z   porpsila  `     < E            porpsila  l   porpsila  r                          Data                                                                                                                        f    e    d               Arial                                                           Times New Romanl 
        Rm     
                       d            %{ X                 CONTRACTORS NAME:      	                 "  Z       $                    @ @                                      
                   e                         Title           
                @                Through           
         
  p  %      @# @                                      
                   f                         Title           
               @	 $      C              p	 #             w   TYPES OF SERVICES PROVIDEDPreventive, interventive and restorative case work services to Indian children and families.          
        $$ r  H    $    r  H           
                        
 r  H ,  Arial        
 (  TYPES OF SERVICES PROVIDED               (  \\Preventive, interventive and restorative case work services to Indian children and families.              	 @
 @                                     
                    n       	0P
                 NUMBER OF CHILDREN SERVED:           
         
            	 
$  @                                     
                    o       	0
                 NUMBER OF ADULTS SERVED:           
         
            
@  @                                     
                    p       
P                  NUMBER OF FAMILIES SERVED:           
         
            
 $  @                                      
                    q       
                +   NUMBER OF PERSONS BENEFITING FROM SERVICES:           
         
            @$  @                                     
                    r       Pq              f   *NUMBER OF CHILDREN DEFERRED FROM DCFS SYSTEM: (INCLUDE FRS, CPS, CWS, AND JUVENILES CRIMINAL JUSTICE)            
         . 	                    @   @     	                         
       
                    s       P 
                 NUMBER OF ADOPTIONS:           
         
     |         $  @     
                                
                    t       0                  NUMBER OF GUARDIANSHIPS:           
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             @$                    `P             (   NUMBER OF FOSTER CARE PLACEMENTS; STATE:           
         
  p        @ @                                      
                   u                         Title           
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               P#                (all carried over)           
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  p  H      @ $  @                                      
                    x       P                  NUMBER OF RELATIVE PLACEMENTS:           
          
   H         @p$                    p`0                  NUMBER OF FOSTER HOMES LICENSED:           
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               p0P                HOME STUDIES:           
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                   z                         Title           
               p@$                    @P$                    P@$                    @0$                    0@$                    `             (   NUMBER OF TRIBAL COURT WARDSHIPS- CASES:           
         
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               p$@                (all carried over)           
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  p  H      P`             *   NUMBER OF STATE COURT DEPENDENCIES- CASES:           
         
  p       PP             	   CHILDREN:           
         
  p  6       @ @                                      
                   }                         Title           
                0@@ @                                      
                   ~                         Title           
               P$                  (all carried over)           
         
  p  H      `             %   NUMBER OFCOURTESY SUPERVISION- CASES:           
         
  p        P             	   CHILDREN:           
         
  p  6       @                                      
                                            Title           
               0@ @                                      
                                            Title           
               $                  (all carried over)           
         
  p  H       `             #   NUMBER OFOPEN AND ACTIVE ICW CASES:           
         
  p                      	   FAMILIES:           
         
  p  0       @                                      
                                            Title           
               0@ @                                      
                                            Title           
               p`              %   NUMBER OFCHILD ABUSE/NEGLECT REPORTS:           
         
  p        0                SUBSTANTIATED:           
         
  p  U      P @                                      
                                            Title           
                @                                      
                                            Title           
               p!                 UNSUBSTANTIATED:           
         
  p  d       # @                                      
                                            Title           
               @  @                                     
                           P                 PREPAREDAND SUBMITTED BY:      	                  d }        $  @                                     
                           0#                 DATE:      	                 d         .@@/`             Z   ICW QUARTERLY REPORTING FORMDSHS 00-000 (00/0000) PROPOSED NEW FORM - DO NOT PRINT - TONI      	                 C          C           
                 
  C ,  Arial          ( $ICW QUARTERLY REPORTING FORM           ( $=DSHS 00-000 (00/0000) PROPOSED NEW FORM - DO NOT PRINT - TONI                                                                                                                                      N 	   Z   3     Submit                             .  f    16169022003  HT hT P1   HT   Rj$     `  DSHS ASD T      `    RState of Washington  I     
16-169.itp 1T /  h                              .  l       XX    jj2V      XX        d            '               ʴ ʨ$        
  o  d                               6 /  r                                      { 0W      O                     "                  ๊๊๊๊๊๊                                 porpsila  Z   porpsila  `     < E            porpsila  l   porpsila  r                                      porpsila  Z   porpsila  `     < E            porpsila  l   porpsila  r                              6 0  ~   this                                     2         
	Signature        Version  ܐ  	Data Versܐ  q  $	Blue Keys        *Graphics   0Header   6	FieldList   <	Form Info        fLayoutProps<  xDesPathInfo<  ~       5 2>  T  ){      PPP                 PPT  B        `               CHILDREN'S ADMINISTRATION           	         	  p    
                    ICW QUARTERLY REPORT       
             p   
     @$  @                                     
                    d        P#                 CONTRACTOR'S NAME:      	                 "  [       p	 @                                      
                   e                         Title           
               	
p                Through           
         
  p  %      
p	 @                                      
                   f                         Title           
               
@@`$      C              
p #             x   TYPES OF SERVICES PROVIDEDPreventive, interventive, and restorative case work services to Indian children and families.          
        $$   H    $      H           
n                        
   H ,  Arial        
 (  TYPES OF SERVICES PROVIDED               (  Z]Preventive, interventive, and restorative case work services to Indian children and families.              #                (all carried over)           
         
  p  H      `$0                (all carried over)           
         
  p  H      )0@+p  @                              )       
                           )@P)                 PREPARED AND SUBMITTED BY:      	                 ^ H |       )0 +p$  @                               )       
                           )@0)#                 DATE:      	                 ^H         .@@/`	              *   ICW QUARTERLY REPORTDSHS 16-169 (02/2003)      	                                        
n                 
    ,  Arial          ( $ICW QUARTERLY REPORT           ( $DSHS 16-169 (02/2003)             0  H                                     
                          @                 NUMBER OF CHILDREN SERVED:           
          
              H     	                                
                                           NUMBER OF ADULTS SERVED:           
          
              H     
                                
                                          NUMBER OF FAMILIES SERVED:           
          
             pP` H                              p      
                          Pa             +   NUMBER OF PERSONS BENEFITING FROM SERVICES:           
           ?@          @  ?        
n                 
 ?@ ,  Arial         
 (1 *+NUMBER OF PERSONS BENEFITING FROM SERVICES:              0` H                                    
                          @q             /   NUMBER OF CHILDREN DEFERRED FROM DCFS SYSTEM:            
          : [Q        :  Q  [        
 ?@                 
: [Q ,  Arial         
 (M */NUMBER OF CHILDREN DEFERRED FROM DCFS SYSTEM:               @0 H                              
      
                          P0
                NUMBER OF ADOPTIONS:           
          
               H                                     
                                          NUMBER OF GUARDIANSHIPS:           
          
             @ H                                     
                                       (   NUMBER OF FOSTER CARE PLACEMENTS; STATE:           
           +          +          
n                 
 + ,  Arial         
 ( *(NUMBER OF FOSTER CARE PLACEMENTS; STATE:                H                              P      
                          A                TRIBAL:           
          
      &       p@ H                              P      
                          pA                NUMBER OF RELATIVE PLACEMENTS:           
                                 
n                 
   ,  Arial         
 ( *NUMBER OF RELATIVE PLACEMENTS:               0 @ H                              0      
                          @ !                 NUMBER OF FOSTER HOMES LICENSED:           
          
             0 " H                                    
                          @                 HOME STUDIES:           
          
      O        H                                    
                                        (   NUMBER OF TRIBAL COURT WARDSHIPS- CASES:           
          
             P H                              P      
                           A             	   CHILDREN:           
          
      6        p!$@                (all carried over)           
         
  p  L       !@ H                                     
                           !             *   NUMBER OF STATE COURT DEPENDENCIES- CASES:           
           $9          9  $        
n                 
 $9 ,  Arial         
 ( **NUMBER OF STATE COURT DEPENDENCIES- CASES:                !p0 H                              @      
                           !p1             	   CHILDREN:           
          
  ^ L 6       "p#P$@                (all carried over)           
         
  p  L      "p#`0 H                              0      
                          "#`!             &   NUMBER OF COURTESY SUPERVISION- CASES:           
           @            @        
n                 
 @ ,  Arial         
 (1 *&NUMBER OF COURTESY SUPERVISION- CASES:               "p#` H                              0      
                          "#`!             	   CHILDREN:           
          
     L 6       $0%  H                                    
                          $@% q             $   NUMBER OF OPEN AND ACTIVE ICW CASES:           
          
    L         $0% ! H                              p      
                          $@% a             	   FAMILIES:           
          
     L 3       %& H                              P      
                          & &A             &   NUMBER OF CHILD ABUSE/NEGLECT REPORTS:           
          V x        V    x        
n                 
V x ,  Arial         
 (i *&NUMBER OF CHILD ABUSE/NEGLECT REPORTS:               % &! H                                    
                          & &                SUBSTANTIATED:           
          
    L  U       ' (! H                                    
                          '(                UNSUBSTANTIATED:           
          
     L d       `@)0$                     p             7   (INCLUDE FRS, CPS, CWS, AND JUVENILES CRIMINAL JUSTICE)      	                p        @
@$                    0	  @                                   
                         @	                  July - September           
          
      P       	0
  @                                   
                         	@
                  October - December           
          
    ^       0	 " @                                   
                         @	 "                 January - March           
          
      K       	0
 !0 @                                   
                         	@
 !                  April - June           
          
      6                          July - September           
          
      P       	0
  @                                   
                         	@
                  October - December           
          
      ^       0	 " @                                   
                         @	 "                 January - March           
          
      K       	0
 !0 @                                   
                         	@
 !                  April - June           
          
      6                                "00"#                 DATE:      	                            .@@/`             Z   ICW QUARTERLY REPORTING FORMDSHS 00-000 (00/0000) PROPOSED NEW FORM - DO NOT PRINT - TONI      	                 C          C           
                 
  C ,  Arial          ( $ICW QUARTERLY REPORTING FORM           ( $=DSHS 00-000 (00/0000) PROPOSED NEW FORM - DO NOT PRINT - TONI             PP$           
   Pp   D              @  D              Ok as is           
          
 "h  $     @p   D              0$  D              Ok with correction           
          
 "h  P     Pp   D              @!  D              Another proof required           
          
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