S.L. 495.1 ст. 7Revocation of accreditation. Bugeja Tel: (356) Name of Full Address  Please tick, this is the official  of Parent I.D Card No: Tel Office: Address: Detailed police Name of person Id: Tel Office: Address: E-mail: Photocopy of Card  Authenticated Certificates of Names and NAME A DDRESS T /M EL OBIL

The central authority shall have the right to revoke accreditation of an agency at any time in accordance with article 14 of the Act: Provided that the agency shall have the right to appeal against such revocation as provided for in article 14 of the Act. [Regulation 3]

CENTRAL AUTHORITY - MALTA

Adoption Administration Act (Cap. 495)

Social Care Standards Authority, Ministry for the Family, Children’s Rights and Social Solidarity, Institute, 469, St. Joseph High Road, St. Venera, SVR 1012, Malta, 25494300, Website: www.scsa.gov.mt and E-mail: info.scsa@gov.mt.

Application for Accreditation of an Adoption Agency Adoption Agency:

of the Adoption Agency:

if the Adoption Agency is to operate from the above address and if address for correspondence. Name of Adoption Agency:

Address of Adoption Agency:

Status of Adoption Agency Private Organisation  Public Organisation Tel: Fax: E-mail:

Details of Parent Organisation (if applicable):

Name of Organisation:

Main Activity:

Business Address:

Tel: Fax: E-mail:

When set up: Registration of Parent Organisation with Competent Authority:

Name all Partners, Directors and/or Board Members/Trustees Organisation:

Name: post: Title: Ms/Mr/Other E-mail:

Mobile: Fax:

conduct of legally responsible person attached 

managing the Adoption Agency:

Title: Ms/Mr/Other Post:

Mobile: Emergency no: Fax:

Identity Curriculum Vitae  Detailed Police Conduct Certificate  Copy of Qualifications Contact Details of two Referees of Manager Referee 1 Referee 2

State office hours of the Agency:

Agency Premises:

Description of the Agency’s premises Number Description

Offices:

Meeting Rooms:

Administration Areas:

Forum/Training Facilities

Management Structure:

Please provide an organizational/management chart of the agency organisation (if applicable).

Staff Overview:

Detail below staff or proposed staff, to include management, week /skills & warrant no. (if applicable)

expand as necessary.

staff training within agency

TRAINING

TRAINING

ATTENDANCE TO LOCAL AND SEMINARS/CONFERENCES

Details: a three year business plan of the Agency, including details of remuneration costs, staff training costs, fixed costs and client related

Phase 1 1(a) Initial Contact and Suitability of Prospective Adoptive Parent/s 1(b) Initial Training of Prospective Adoptive Phase 1(a) Initial Contact and Suitability of Prospective Adoptive Give details and attach copy of the Agency’s policy and procedure contact and suitability of Prospective Adoptive Parent/s Attach a copy of the information pack given to Prospective Adoptive

Phase 1(b) Initial Training of Prospective Adoptive Parent/s Give details and attach copy of the Agency’s policy and procedure training for Prospective Adoptive Parent/s

Attach a copy of your training programme for Prospective Adoptive

Phase 2 Assessment of Prospective Adoptive Parent/s Give details and attach copy of the Agency’s policy and procedure assessment process for Prospective Adoptive Parent/s

Attach copy of the Home Study Report

Phase 3 Matching of the Child with Prospective Adoptive Give details and attach copy of the Agency’s policy and procedure matching process of child with Prospective Adoptive Parent/s

Attach copy of the Adoption Agreement

In accordance with the Adoption Administration Act (Cap. 495) procedure of the matching process of child with Adoptive Parent/s

Matching criteria of Prospective Adoptive Parent/s with children placed in adoption Matching criteria when placing siblings with Prospective Adoptive Matching criteria when placing a minor parent and his/her child Parent/s Matching criteria to ensure that any adoption placement will interest of the child Support for Adoptive Parent/s attach copy of the Agency’s policy and procedure of the support Adoptive Parent/s during the adoption placement.

Monitoring of Adoption Placements attach copy of the Agency’s policy and procedure on monitoring placements.

of the Post Adoption report Termination of Adoption Placements attach copy of the Agency’s policy and procedure for termination placements.

Continuous Training to Adoptive Parent/s attach copy of the Agency’s policy and procedure of continuous Adoptive Parent/s. of the Agency’s programme of continuous training to Adoptive

Agency’s Policies and Procedures/Manual of Procedures:

Please tick If enclosed with In process of application form development Organisation Statement Objectives Organisational structure Identity descriptions Protection policy

Adoption (short explanation of each) Interviewing Board Members for Staff of staff staff and on going training of staff for accepting prospective adoptive

Registration of prospective adoptive parent/s prospective adoptive parent/s preparation training for prospective parent/s 13 Matching criteria of child/ren with adoptive parent/s where applicable 14 Adoption placement of siblings 15 Preparation for and transition period of child going to an adoption placement (if applicable) 16 Adoption Agreements 17 Storing of information about adoptive parent/s and adopted child/ren 18 Assessment of any changes in circumstances of adoptive parent/s 19 Update of Home Study report 20 Preparation of post adoption report Agency Operations 1 Case Allocations 2 Caseload per social worker 3 Post placement monitoring of adopted children according to countries requirements 4 Support for adoptive parent/s 5 Support for adopted child/ren 6 Support groups for adopted child/ren 7 Support groups for adoptive parent/s 8 Individual files of adopted child/ren 9 Record keeping 10 Contact of adopted child/ren with their family members (if applicable) 11 Breakdown of adoption placement 12 Change in adoption placements 13 Child Protection Policy Complaints 1 Complaints by child/ren against adoptive parent/s 2 Complaints by child/ren against staff of the adoption agency 3 Complaints by child/ren against the Adoption Agency 4 Complaints by adoptive parent/s against family members of adopted child/ren 5 Complaints by adoptive parent/s against staff of the adoption agency 6 Complaints by adoptive parent/s against the Adoption Agency 7 Investigation of complaints against any adoptive parent/s 8 Investigation of cases of abuse of child/ren in adoptive families Other 1 Anti-discriminatory practice/equal opportunities 2 Whistle Blowing 3 Quality assurance/evaluation Adoption Administration Act (Cap. 495 of the Laws of Malta).

application form I am submitting details about the Agency and documents as requested in this application form. I undertake to submit other documents and clearances as may be required by the Central Authority, to co-operate in the assessment to be effected by the Central regarding this application. authorize the Central Authority to release such information as may pertain purpose of this application, including verification of the information to the Authority in terms of the Data Protection Act (Cap. 440 of of Malta). that the information I have given on this application form and on attached documentation is, to my knowledge, true, correct and complete. to abide by the eventual conditions that would be issued by the Authority for accreditation. to report to the Central Authority any change which may affect the accreditation. that I have read and understood the Adoption Administration Act 495 of the Laws of Malta).

Responsible Person _____________________ Date: ____________

application, duly filled, is to be submitted to the Central Authority (Malta) Department for Social Welfare Standards, Bugeia Institute, St. Joseph High Road, Santa Venera SVR 1012 or by fax. All applications will be acknowledged. Private Organisation: For-profit or not-for-profit state) organisation Public Organisation: An entity in which Government controlling stake and/or ownership Parent Organisation: The organisation which owns responsible for the Adoption Responsible person of a Adoption The person who is legally Agency the Adoption Agency Manager of a Adoption Agency The person who is authorised Responsible Person to manage, day basis, the Adoption Agency Referees: The person managing the Adoption (Manager) is to provide names details of two referees.

Referees from the Parent Organisation Adoption Agency, the Central Adoption Board, Board relatives/family members are

Referees should be able professional integrity, competence of the Manager, relevant Adoption agency.

Referees should know the least two years.

Note: Applicants should be guided by the Criteria for Accreditation of Adoption Agencies issued the Central Authority, Malta, when submitting this application