Standards for public agencies

2020 Edition

Child and Family Development and Support Services (PA-CFD) 4: Service Planning and Monitoring

All family members participate in the development and ongoing review of a service plan that is the basis for delivery of appropriate services and support.
NA The agency provides only parent education groups.
2020 Edition




Families participating in Child and Family Development and Support Services gain new competencies, improve child health and well-being, improve family functioning, and make family-community connections.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Service planning and monitoring procedures
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

PA-CFD 4.01

An assessment-based, family-centered service plan is developed in a timely manner with the full participation of family members, and includes:
  1. agreed-upon goals, desired outcomes, and timeframes for achieving them;
  2. services and supports to be provided, and by whom;
  3. procedures for expedited service planning when crisis or urgent need is identified; and
  4. a parent’s or legal guardian’s signature.


Generally children age six and over should be included in service planning, unless there are clinical justifications for not doing so. 

PA-CFD 4.02

The service plan is tailored to meet the family’s unique needs, and:
  1. builds on family strengths;
  2. addresses family risks; and
  3. reflects the family’s description of its resources, concerns, and priorities.

PA-CFD 4.03

The agency works in active partnership with family members to:
  1. coordinate service delivery with other community providers;
  2. ensure that they receive appropriate advocacy support;
  3. assist with access to the full array of services to which they are eligible; and
  4. mediate barriers to services within the service delivery system.

PA-CFD 4.04

The provider and a supervisor, or a clinical, service, or peer team, review the case quarterly, or more frequently depending on the needs of the family, to assess:
  1. service plan implementation;
  2. progress toward achieving goals and desired outcomes; and
  3. the continuing appropriateness of the agreed upon service goals.


When experienced providers are conducting reviews of their own cases, the provider’s supervisor must review a sample of the provider’s evaluations as per the requirements of the standard. 

PA-CFD 4.05

The provider and family:
  1. review progress toward achievement of agreed upon service goals; and
  2. sign revisions to service goals and plans.