DCFS Countywide Drug and Alcohol Testing Program
1200-500.30 | Revision Date: 6/10/2024

Overview

This policy guide outlines the DCFS Countywide Drug and Alcohol Testing Program (Testing Program) and provides instruction on drug and alcohol testing for participants.

Table of Contents

Version Summary

This policy guide was updated from the 06/13/2022 version, to update information regarding the use of the Testing Program, including additional information on use of temporary identification (ID), updates on enrolling youth (minors) in testing, as well as updates to specialized schedule testing. 

POLICY

DCFS Drug and Alcohol Testing Program (Testing Program)

The DCFS Testing Program is a vendor-contracted service. The vendor is contracted to provide drug and alcohol testing for DCFS clients. It should be noted that the vendor also provides services to other entities and the community, thus DCFS clients will be entering facilities with other community members.

Note: The term "client" is used throughout this policy and is used to define any individual who accesses Testing Program services regardless if they are a parent, legal guardian, other caregiver or prospective caregiver, etc.

Testing is provided on a random (twice monthly), weekly (via a court order) or on an on-demand basis. For clients who miss a scheduled test, a make-up test may be scheduled within 14 days of the missed test.

The Testing Program provides CSWs with one (1) of several tools available to assess the safety and risk of children when substance use/abuse is a factor.  The Testing Program, in and of itself, should not be the sole determining factor in assessing child safety and risk Consideration as to the use of the Testing Program may include, but is not limited to the following situations:

  1. For emergency response (ER) investigations, use of an on-demand test in determining current substance use/abuse and its impact on a child's safety and risk in the home.
    • If a client continues to require testing upon conclusion of an ER investigation, a new referral will need to be submitted for either random or weekly testing.
  2. For family maintenance (FM), use of random testing in determining if a child may remain safely in the home of their parent(s)/legal guardian(s) when past or current substance use/abuse is identified.
  3. Use of random testing to help facilitate family reunification (FR).
    • Test results provide current information about a parent/legal guardian's use/abuse of drugs and/or alcohol and its impact on the safety of the child(ren). Test results also assist CSWs in determining any needed updates to case planning.

Any recommendations to the Court for a client to participate in drug and/or alcohol testing must be tailored to the family’s underlying needs as identified through engagement in the Child and Family Team (CFT) process utilizing concepts, such as the Integrated Core Practice Model (ICPM) and the approval of the CSW and SCSW.

Parents and legal guardians of children/youth receiving Permanent Placement services may not use the Testing Program without a current court order. CSWs may refer parents or legal guardians of children receiving Permanent Placement services to drug testing, if appropriate, after consulting with their SCSW and County Counsel.

In addition to this policy, the LA Kids Drug-Alcohol Testing Services website may be used to assist CSWs in understanding the Testing Program's services and procedures, particularly the Frequently Asked Questions (FAQ) located on the website, as well as information on how to access referral forms.

Staff are strongly encouraged to review the policy on Assessment of Drug and Alcohol Use/Abuse for guidance on assessing a client.

Warm Line/Troubleshooting

A DCFS Warm Line was established by the DCFS-contracted vendor to answer CSW inquiries regarding client referrals, results, and other issues. The contact information and hours of operation for the Warm Line may be found on the Testing Program's website under "contact information".
  • Staff are to be mindful that the contracted-vendor's Warm Line is toaddress test results and related inquiries only.
If staff or a client is having difficulty with the use of the Testing Program, such as the contracted-vendor’s customer service; inaccurate or delayed test results; issues related to instructions, site closures, administrative errors and the like, staff are to immediately notify the DCFS Testing Program managers monitoring the Testing Program of the test related errors as well as the assigned SCSW and ARA. The program managers can be contacted by email at DrugAndAlcoholTesting@dcfs.lacounty.gov or at the phone number listed on the Testing Program's website under "contact information."

Upon becoming aware of contracted-vendor issues resulting in inaccurate reporting of test results or delayed testing services, the matter should be discussed with the assigned case SCSW and the Testing Program managers. The CSW shall also consult with County Counsel. 
  • Any contracted-vendor issues that results in inaccurate reporting of test results or delayed testing services to a client shall be reported in writing to the parties and attorneys within five (5) court days. If inaccurate information has previously been reported to the Court, DCFS should provide the correct information for the Court in the next court report. Once the matter has been discussed with the DCFS Testing Program managers as well as the assigned case supervisors and managers, the CSW is to consult with County Counsel. 
  • However, there is no need to provide the information to the Court in a separate report unless it has been previously reported to the court incorrectly. Just include the information in the next regularly scheduled court report.
  • Testing Program managers may be contacted at the number listed on the Testing Program's website under "contact information."
*Phone numbers are subject to change. Staff are strongly encouraged to take note of announcements on LA Kids Weekly News and/or review the Testing Program's website for program changes and contact information updates for both DCFS staff as well as the contracted-vendor.

For additional information regarding use of the Testing Program, staff may refer to the FAQ on the LA Kids Drug-Alcohol Testing Services website.

Collection Site Hours of Operation

CSWs are responsible for checking LA Kids Weekly News and the Testing Program's website on a regular basis for announcements regarding collection sites, including but not limited to temporary/permanent closures or modifications in the hours of operations and then informing their clients accordingly.
  • Temporary changes are common during holidays.
A complete list of collection sites may be found on the LA Kids Drug-Alcohol Testing Services website under "collection sites" and on the DCFS Electronic Drug and Alcohol Testing Referral System.

Clients are no longer required to test at a specific collection site. They may show up at any collection site of their choosing.

Photo Identification

All clients are required to provide government issued photo identification (ID) when testing. Accepted forms of IDs include, but are not limited to, a driver's license, passport, and state ID (e.g., California ID card). If uncertain as to the appropriateness of an ID, CSWs are to contact the vendor using the CSW Warmline: (866)-416-6855.

When submitting a referral to the Testing Program via the DCFS Electronic Drug and Alcohol Testing Referral System, CSWs are to ensure that the client’s name and date of birth (DOB) match exactly what is stated on the client’s ID that will be presented for testing purposes. Any discrepancy will result in the client not being permitted to test.
  • The client’s name and DOB in the DCFS Electronic Drug and Alcohol Testing Referral System will be obtained from CWS/CMS. If a client's name or DOB needs to be corrected, there is an “Edit” button located under "Modify Client Information" that can be selected in the electronic referral system to make the appropriate changes.
  • If changes are made in the DCFS Electronic Drug and Alcohol Testing Referral System, the CSW must ensure that the same changes are also madein CWS/CMS.

Once an On-Demand or Make-Up test has been approved and sent to the vendor, only corrections to the name, date of birth, and sex can be made; it cannot be canceled. For any other changes such as the date of the On-Demand, a new referral will need to be created for an alternate day. 

"Temporary photo IDs" may be provided by the CSW for Testing Program use only (see attached sample). The temporary ID must be completed on DCFS letterhead and include the following:
  1. Name and DOB of the client
    • The temporary ID should not contain any dates other than the client's DOB. If any other dates are listed, it will make the ID valid for that date only.
  2. Clear color photo of the client to be tested
  3. Statement reflecting that the ID is for Testing Program use only
  4. Referring CSW's name, office location with address and telephone number, email address, and the CSW's (wet) signature or, if submitting to the Testing Program Manager, the CSW may type their name.
    • If the client is in possession of a temporary ID with the CSW's wet signature, they may present the "ID" at a testing site. If it is a photocopied ID, it will not be accepted at the testing site; rather, the CSW must submit the ID via the Testing Program referral process.

While original temporary IDs with a wet signature continue to be accepted at testing sites, CSWs may also submit temporary IDs to the DCFS Drug and Alcohol Testing Program Managers for uploading.  Staff are encouraged to review the Temporary ID Protocol for additional information.

Testing Youth

If there are concerns regarding possible or current substance use/abuse by a youth, refer to the “Foster Youth Substance Abuse Treatment Protocol and Program” policy for guidance.

Requirements for testing minors include:
  • A court order (drug testing of youth in foster care is voluntary and the youth must consent to testing whether it is requested by Dependency Court or the drug treatment agency).
  • The drug program recommends drug testing.
  • The youth must be at least 12 years of age and residing in Los Angeles County.
  • CSW must explain to the youth who is testing that it will be an observed test and what that means.
CSW shall consult with County Counsel regarding the release and sharing of a youth's drug and alcohol test results.
  • Youth should not be asked to sign a release or other affidavit for the purpose of obtaining and sharing test results without conferring with their attorney.
  • Youth drug and alcohol test results are not to be released or used for criminal prosecution and may only be released to Children’s Court, unless Court ordered. This may not apply if they are ordered to test by Delinquency Court or if they are ordered to test as part of family reunification or family maintenance services for their own child (minor parents). Consult with County Counsel.
More information may be obtained from the LA Kids Drug-Alcohol Testing Services website under "Testing Minors."

Also, see "Enrolling Youth in Testing" below for specific procedures.

Out-of-County Testing

If a client needs to be referred for testing outside of Los Angeles County, CSWs may refer to the LA Kids Drug-Alcohol Testing Services website, under "Specialized Testing Referral" on the “Forms” page for instructions, as well as the section below on “Requesting Specialized Tests and Schedules.” 

Release of Information

CSWs must obtain a signed DCFS 5007, Consent for the Release of Confidential Alcohol or Drug Testing Results, from each client to receive test results and to disclose test result information to the Court or service provider, as needed, or there must be a court order to do so.
  • For youth participating in testing, a signed DCFS 5007 or other signed release does not automatically give authorization of the release of testing information/results to that youth’s parents, resource family, or anyone else unless specifically reflected on that release or stated in a court order.
  • Testing information/results for youth must be sent to the Court confidentially, such as, in a sealed envelope, and are not to be included in any Court report unless authorized/court-ordered to do so. Confidential testing information/results for youth are only provided to the Court (hearing officer) and the youth’s attorney. County Counsel, parents, or parents' attorney's do not receive the results, unless the youth consents or it is court ordered.
  • CSWs are to consult with County Counsel to address obtaining a court order to test youth (minors). The court must also order for DCFS to be able to receive and disclose drug and alcohol test results when the Court orders testing for them, unless the youth has signed a release of information allowing DCFS to do so. CSWs must consult with County Counsel before asking youth to sign a release of information for this purpose.
The DCFS 5007 for the Testing Program is valid for one (1) year from the date the client signs the form or until termination of the case (for court and voluntary cases), whichever comes first.

Note: In the event that the DCFS 5007 has not been completed by the client, test results may be obtained if the Court orders the results released to the DCFS.

Nonminor Dependents (NMDs)

Nonminor dependents (NMDs) are adults and may consent to testing if they wish; however, they should be encouraged to consult with their attorney before proceeding. Discussions surrounding consent are to be documented in CWS/CMS Contact Notes.
  • CSWs are strongly encouraged to have the youth sign an affidavit stating that they were advised to consult their attorney prior and to include if they agreed or declined consultation, whichever is applicable.
  • For NMDs, the affidavit should also state that the NMD understands that “the purpose of the test is to (state the purpose)” and that test results will not be disclosed to any other party or used for any other purpose that what is agreed upon, without the NMD’s consent.
  • CSWs are encouraged to discuss obtaining an NMDs consent and the language to be included in an affidavit with the assigned county counsel or out-stationed county counsel, as the language is NMD and case-specific.

Alcohol and Drug Panel

Clients may be referred for one of two types of tests:
  1. Alcohol only
  2. Alcohol and drugs
Clients who are referred for drug and alcohol testing will be tested for alcohol and the following panel of substances:
  • Opiate panel: morphine, codeine & hydrocodone (Vicodin)
  • Amphetamines: amphetamine, methamphetamine & MDMA (Ecstasy)
  • Cocaine metabolites
  • Cannabinoids (marijuana)
  • Phencyclidine (PCP)
  • Hydromorphone
  • Oxycodone
  • Heroin
  • Methadone
  • Zolpidem
  • Benzodiazepine (alprazolam, clonazepam, lorazepam, diazepam, oxazepam, and temazepam)
  • Fentanyl
If a client requires testing for a drug panel, or an alternative method of testing is needed, such as hair or saliva testing, a court order is required. Upon receipt of a court order, CSWs shall follow the “Requesting Specialized Tests and Schedules” process instructions.
CSWs should be mindful that a client may be on a methadone-maintenance plan or using a prescription version of a substance listed above. CSWs are to ensure that client prescriptions are verified and included on the referral form.
  • Placing the client’s prescription/medication information on the referral form will not have an effect on the outcome of the testing. It is for documentation only. If there is a question about possible cross-reactivity of a client’s medication in relation to a test result, CSWs should call the vendor’s Warm Line.  

Time-Limited Services

CSWs are to assess a client's need to participate in the Testing Program on an ongoing basis to ensure that a client's continued participation is warranted.

All random and weekly testing referrals remain in effect for a maximum of six (6) months, at which time a new referral is required if the client is to continue testing. If a new referral is not submitted, the client is automatically terminated from the Testing Program.
  • BIS sends an email to the CSW one (1) week prior to the referral expiration date.
A client’s participation in random or weekly testing will be automatically terminated after a maximum of six (6) months, or based on the end date provided by the CSW on the referral, whichever date comes first.
  • If the case will close/jurisdiction will be terminated (JT) prior to the six (6)-month date, the referral should reflect the end date to be no later than the date of the case closure/JT.
  • If terminating testing services prior to the end date that was provided at the time of the referral, the CSW is to change the end date of the testing referral in the Electronic Drug and Alcohol Testing Program (EDAP) to the correct date that services are to terminate and save the change. This will dis-enroll the client based on the new end date.
  • If changing from weekly to random testing, the CSW is to end date the weekly testing referral and submit a random testing referral.
If testing continues to be required, to avoid a lapse in testing, a new Testing Program referral is needed. The current referral may not be extended. It is recommended that clients be re-referred with a start date that coincides with the termination date of the previous referral. Additional information may be obtained on the LA Kids Drug-Alcohol Testing Services website.

Alcohol and Drug Panel

Clients may be referred for one of two types of tests:
  1. Alcohol only
  2. Alcohol and drugs
Clients who are referred for drug and alcohol testing will be tested for alcohol and the following panel of substances:
  • Opiate panel: morphine, codeine & hydrocodone (Vicodin)
  • Amphetamines: amphetamine, methamphetamine & MDMA (Ecstasy)
  • Cocaine metabolites
  • Cannabinoids (marijuana)
  • Phencyclidine (PCP)
  • Hydromorphone
  • Oxycodone
  • Heroin
  • Methadone
  • Zolpidem
  • Benzodiazepine (alprazolam, clonazepam, lorazepam, diazepam, oxazepam, and temazepam)
  • Fentanyl
If a client requires testing for a drug panel, or an alternative method of testing is needed, such as hair or saliva testing, a court order is required. Upon receipt of a court order, CSWs shall follow the “Requesting Specialized Tests and Schedules” process instructions.
CSWs should be mindful that a client may be on a methadone-maintenance plan or using a prescription version of a substance listed above. CSWs are to ensure that client prescriptions are verified and included on the referral form.
  • Placing the client’s prescription/medication information on the referral form will not have an effect on the outcome of the testing. It is for documentation only. If there is a question about possible cross-reactivity of a client’s medication in relation to a test result, CSWs should call the vendor’s Warm Line.  

Types of Testing

  1. Random Testing
  2. On-Demand Testing
  3. Make-up Tests
  4. Specialized Tests and Schedules and Weekly Testing

Random Testing

Clients enrolled in random testing are expected to test on random days, twice per month. Clients must call the Testing Program client number on a daily basis, Sunday through Thursday after 7:30 PM to learn whether they are to report for testing on the following day. The contracted vendor updates the voicemail announcement daily to provide the letters for testing each day.  The recorded information is provided in both English and Spanish. Clients are to report for testing the following day if the called letter of the alphabet corresponds to the first letter of the client’s last name. If the client has multiple/hyphenated last names, the letter called corresponds to the first letter of the first last name. Please note that there are two sets of letters for testing provided daily: one for random clients and one for weekly clients. A client who is on random testing should only report if their letter is called in the random group, and a client who is on weekly testing should only report if their letter is called in the weekly group. CSWs should make this distinction clear to clients when referring them to testing.  Testing schedules are not shared with DCFS staff in advance.

On-Demand Testing

On-Demand testing is used when a client’s behavior or physical appearance indicates recent/current alcohol and/or drug use/abuse. The following are examples of when a CSW may refer a client for on-demand testing in the following situations (This is not an exhaustive list.):
  1. For ER investigations, use of an on-demand test in determining current substance use/abuse and its impact on a child's safety and risk in the home.
    • This includes ER investigations where substance use/abuse was not an original allegation, but during the course of the investigation such concerns arise.
  2. For FM or FR cases, information is received that a client is using/abusing drugs and/or alcohol, thus placing a child at risk in such instances as: when the child resides with that client (i.e., parent or legal guardian or other caregiver); or, when there is an unmonitored visit; or, when there is a possible recommendation for either.
On-demand testing is most useful when requested on the same day or on the day following a client’s suspected substance use. All on-demand tests require approval of an SCSW. On-demand testing is available on a one (1)-time per month basis only. Additional on-demand test requests in the same month require the pre-approval by a Testing Program Manager, which may be obtained by calling (323) 900-2349. Please note that clients who have already been referred for random testing will require Program Manager’s approval for any additional on-demand tests requested.

Make-up Tests

This option may be exercised when a client is enrolled in random or weekly testing and misses a test. It may also be used if the client misses an on-demand test.

If a client misses a random, weekly, or on-demand test, they may be scheduled for a make-up test. A make-up test may be scheduled any time beginning the day after the missed test, but no more than 14 days from the original (missed) test date.

Specialized Tests and Schedules and Weekly Testing

Court orders are required for specialized tests and schedules as well as weekly testing. Specialized schedules may include, but are not limited to:
  • The Court mandating clients to complete a specified number of tests in a given time frame that differs from the random schedule
  • Any other method of testing besides a urine specimen collection that is implemented via DCFS' contract 
  • Any drug that is not on the current alcohol and drug panel.
  • Out-of-County Testing
Clients enrolled in weekly testing must call the Testing Program client number on a daily basis, Sunday through Thursday after 7:30 PM. The recorded information is provided in both English and Spanish. Clients are to report for testing the following day when a called letter of the alphabet corresponds to the first letter of the client’s last name. Please note that the voicemail provides a different set of letters for both random and weekly testing. Clients who are referred for weekly testing should only report if their letter is called for weekly testing; CSWs should ensure clients are aware of this distinction. Testing schedules are not shared with DCFS staff in advance.

Refer to the sections below on "Requesting Specialized Tests and Schedules" and "Requesting Weekly Testing" for instructions on the referral process.

Court Recommendation

When recommending that a parent/legal guardian or caregiver participate in the Testing Program, CSWs should use one of the following examples of sample language in the court report under the “Recommendation to Court” section:
  1. It is respectfully recommended that the Court order the parent/primary caregiver to test twice a month through the DCFS Drug and Alcohol Testing Program. Further, that the Department have the discretion to increase, decrease or cease the testing based on the progress of the parent/primary caregiver in their court ordered testing and/or substance abuse counseling program.
    • The recommendation would pertain to parents/primary caregivers who have recent suspected or alleged substance abuse allegations.
  2. It is respectfully recommended that the Court order the parent/primary caregiver to test weekly through the DCFS Drug and Alcohol Testing Program. Further, that the Department be granted the discretion to decrease testing to random, on-demand or cease testing based on the progress of the parent/primary caregiver or to increase the testing after it has exercised its discretion in accordance with the ICPM.
    • The recommendation would pertain to parents/primary caregivers who have documented history of substance abuse.

Discussing Test Results with Clients

When used, testing is one tool that is an integral part of the investigation of a referral (e.g.,to assist in determining whether or not to detain. etc.) and, during the course of a case it may be used to aid in case management activities, including but not limited to, case planning, determining child safety, and making decisions related to placement and visitation/family time. Testing, in and of itself, shall not be the sole determining factor in decision-making for referrals and cases.

In order to ensure testing is practical and purposeful, test results must be reviewed and discussed with clients, regardless of the outcome of the test (e.g., no show/missed, positive, negative, drug level increase/decrease, etc.).
  • CSWs are to be mindful that test results may not be discussed with anyone other than the individual who tested without their consent to disclose this information. That includes the sharing of this information during Child and Family Team Meetings (CFTM's).
  • CSWs are to be mindful that Public Health Nurses (PHNs) cannot, by law, review or comment on any parent/legal guardian/RP drug and alcohol test results (or medical records).
Discussions shall also include decisions about whether or not testing continues to be warranted, if the frequency of testing may be decreased (i.e., determine if weekly testing shall continue or if testing can be decreased) and/or if substance abuse/use treatment is recommended for clients not already participating.
  • Clients should be assessed/re-assessed on an ongoing basis for this purpose.
  • Enrollment and frequency of testing shall align with, and be reflected in, the current Case Plan.
DCFS no longer supports the philosophy that a missed test is a "dirty" test. Instead, the CSW shall use the referral or case factors in determining the circumstances surrounding the missed test to determine if the missed test is of concern. The explanation(s) for a missed test is to be assessed and, where possible, is to be verified and consideration for a make-up test is to be given.

It is important to look at a totality of the circumstances (and behavioral indicators) when assessing a parent/legal guardian's progress in drug and/or alcohol treatment.

As needed, CSWs shall consult with their SCSW about how to communicate with their clients regarding test results and next steps; and as applicable, CSW's shall consider holding a CFTM.
PROCEDURE

Enrolling a Client in a Random Testing Schedule

Note: The User's Guide in the DCFS Electronic Drug and Alcohol and Drug Testing Referral System may be used to provide guidance on how to refer client for testing and other Testing Program-related activities.

CSW Responsibilities

  1. Complete the DCFS 5007, Consent for the Release of Confidential Alcohol and/or Drug Testing Results, for the client and obtain the client’s signature, or in the absence of a signed form, ensure to obtain court orders specifying the release and sharing of drug and alcohol test results (See "Release of Information" above).
    1. Ensure the client fully understands the instructions for testing that are indicated on the referral.
      • Clients are no longer required to test at a specific collection site.  They may show up at any collection site of their choosing.
        • For internal program management practices, when making a testing referral, CSWs will be prompted to designate a primary testing site for their clients; however, clients will not be limited to testing only at that site.
      • Ensure the client understands to contact the DCFS Drug and Alcohol Testing Program client number after 7:30pm, Sunday through Thursday.
      • Ensure the client understands that the voicemail announcement will provide letters both for clients referred for random testing and clients referred for weekly testing and that the client knows which set of letters applies to them.
  2. Complete all sections of the DCFS Drug and Alcohol Random Testing Electronic Referral in the DCFS Electronic Drug and Alcohol Referral System.
    1. The referral shall include a termination date not to exceed six (6) months. The User's Guide in the DCFS Electronic Drug and Alcohol Testing Referral System may be used to provide guidance on how to refer clients for testing.
  3. Electronically submit the completed DCFS Drug and Alcohol Random Test Referral to the contracted-vendor by clicking the "Save" button.
    • Once the referral has been added to the electronic system, a message will appear which will indicate, "Referral added."
  4. For clients who are referred before the disposition hearing, the client should be reassessed once the disposition is reached and throughout the life of the case to determine the most appropriate method and frequency of testing in compliance with all relevant court orders.
  5. If a client does not possess a photo ID, provide them with a temporary ID as stated in the section above on "Photo Identification"
    • It is recommended that the CSW retain a copy of the temporary ID in their case file.
  6. File a copy of the Testing Program referral and the DCFS 5007 (if applicable) in the Additional Services Documentation Folder (red folder) of the case file.
    • For ER CSWs, file these documents with the ER referral.

Requesting On-Demand Testing

CSW Responsibilities

Clients for whom only an on-demand test is sought without being enrolled in the random option of the Testing Program, may participate in an on-demand test once per month. Additional on-demand tests require the approval of the SCSW and Testing Program Manager or enrollment in the random option of the Testing Program.

  1. If one is not currently on file, complete the DCFS 5007, Consent for the Release of Confidential Alcohol and/or Drug Testing Results, for the client and obtain the client’s signature.
    • This is not required if requesting an on-demand test for a client already enrolled in the Testing Program’s random schedule.
    • Also, see "Release of Information" above for obtaining a court order in lieu of the DCFS 5007.
  2. When requesting an on-demand test without enrollment in the Testing Program, complete all sections of the DCFS Drug and Alcohol On-Demand Testing electronic referral.
    • The User's Guide in the DCFS Electronic Drug and Alcohol Testing Referral System may be used to provide guidance on how to refer clients for testing.
      1. Under "Special Instructions/Specialized Schedule," indicate any special instructions pertaining to the "On-Demand Test."
      2. Under "Testing Date," indicate the date the On-Demand Test is requested.
  3. If enrolling the client in the Testing Program, and they initially require to test on-demand:
    1. Complete all sections of both the electronic DCFS Drug and Alcohol Random Test Referral and the DCFS Drug and Alcohol On-Demand Test Referral.
  4. Under "Additional On-Demand Test," click on "Add On-Demand" and follow the instructions for submitting an On-Demand Test from 2(a)(b) above.
  5. If requesting an on-demand test for a client who is already enrolled in the Testing Program:
    1. Complete all sections of the electronic DCFS Drug and Alcohol On-Demand Test Referral.
    2. Under "Additional On-Demand Test," click on "Add On-Demand" and follow the instructions for submitting an on-demand from 2(a)(b) above.
    3. Obtain SCSW approval in the electronic DCFS Drug and Alcohol Testing Referral portal.
      • The referral will not be transmitted to the vendor without SCSW approval.
  6. Obtain the Testing Program Manager's approval, if applicable or prompted to do so. Please note, the Testing Program Manager cannot approve the on-demand testing referral until after SCSW approval has been given.
  7. Inform the client of their on-demand test date as indicated on the referral.
    1. If the client is already enrolled, or a new enrollment was completed, at the time of the on-demand test referral, ensure the client understands that the on-demand test is not part of the random schedule.
    2. Provide the client with information on calling the Testing Program's client number. Refer to the section above on "Enrolling a Client in a Random Testing Schedule."
  8. File a copy of the Testing Program referral and the DCFS 5007 (if applicable) in the Additional Services Documentation Folder (red folder) of the case file.
    • For ER CSWs, file these documents with the ER referral.

SCSW Responsibilities

  1. Discuss the request for an on-demand test, including any concerns related to child safety.
  2. Approve the on-demand test in the electronic DCFS Drug and Alcohol Testing Referral portal.
  3. If Program Manager’s approval is required for the on-demand test, remind the CSW of the need to call the Drug Testing phone line, (323) 900-2349 to speak to a Program Manager and obtain approval.

Testing Program Manager Responsibilities

  1. As applicable, discuss the request for an on-demand test with the CSW and/or SCSW.
  2. As applicable and, if appropriate, approve the on-demand test in the electronic DCFS Drug and  Alcohol Testing Referral System.

Requesting Weekly Testing

CSW Responsibilities

  1. Complete the DCFS Drug and Alcohol Testing Electronic Testing Referral and click for “weekly” testing.
    1. Complete section "Specific Language Indicating Drug/Alcohol orders." a
    2. Ensure to complete all sections of the weekly testing referral.
    3. Enter a termination date not to exceed six (6) months.
    4. Electronically submit the weekly test referral to the contracted- vendor by clicking the "Save" button. Once the referral has been added to the electronic system a message will appear stating "referral added."
      • SCSW approval is not required.
  2. File a copy of the Testing Program referral and the DCFS 5007 (if applicable) in the Additional Services Documentation Folder (red folder) of the case file.

Requesting a Make-up Test

This option may be exercised when a client is enrolled in random or weekly testing and misses a test, or if they miss an on-demand test.

CSW Responsibilities

  1. Complete all sections of the electronic DCFS Drug and Alcohol a Make-up Test Referral.
    1. Under "Testing Date," indicate the date of the original test that the make-up test is being created for.
    2. Obtain SCSW approval in the electronic DCFS Drug and Alcohol Testing Referral portal.
      • The referral will not be transmitted to the vendor without SCSW approval.

SCSW Responsibilities

  1. Refer to the "SCSW Responsibilities" in the section above on "Requesting On-Demand Testing."

Requesting Specialized Tests and Schedules

CSW Responsibilities

  1. Obtain a court order for any specialized testing referral request. If the request is for out-of-county testing, offer for the client to go to the nearest L.A. County testing site location, if the distance to the nearest site is reasonable.
  2. Download the Specialized Testing Referral form from the Drug and Alcohol Testing website.
    1. Complete the form manually, including the total number of tests requested.
      • Do not complete the total cost of the testing or obtain signatures.
    2. Send the form to the Testing Program Manager at Specializeddrugtesting@dcfs.lacounty.gov.
      • The Testing Program Manager will respond with the total cost for the CSW to enter on the referral form.
  3. Add the total cost to the referral form and obtain the required signatures from both the supervisor and either the ARA or RA.
    1. If the request is under $500, an ARA signature is required.
    2. If the request is $500 or more, an RA signature is required.
  4. Submit the referral form and court orders to SCSW for review and approval.
    1. Complete any corrective actuon, if requested.
  5. Once the appropriate signatures are obtained, send the completed form back to the Testing Program Manager at Specializeddrugtesting@dcfs.lacounty.gov.
    • The Testing Program Manager will review the request for approval and respond within one (1) week via email.
    • Once approved, the Testing Program Manager will forward the referral to the Drug and Alcohol testing vendor for processing.
    • The vendor will contact the CSW and the Testing Program Manager with the location to test (if out of county) and the testing start date.
    • The vendor will email the specialized test results to the CSW as they are processed.
  6. Once the testing referral is approved, inform the client of the procedures for specialized/out-of-county testing, including where to test, the hours of the testing site, and the procedure for calling the vendor’s hotline to find out when they need to test.

SCSW Responsibilities

  1. Review the Specialized Testing Referral form and court orders for accuracy.
    1. Sign the referral form if accurate and complete and forward to the ARA for approval.
    2. If corrective action is needed, return to the CSW.

ARA Responsibilities

  1. Review the Specialized Testing Referral form and court orders for accuracy.
    1. Sign the referral form if accurate and complete and forward to the RA for approval if over $500, otherwise return to the CSW or SCSW.
    2. If corrective action is needed, return to the CSW or SCSW.

RA Responsibilities

  1. Review the Specialized Testing Referral form and court orders for accuracy.
    1. Sign the referral form if accurate and complete, and return to the CSW or SCSW.
    2. If corrective action is needed, return to the CSW or SCSW.

Obtaining Test Results

CSW Responsibilities

  1. CSWs may refer to the attached "Flyer for Drug Test Result" on how to obtain Testing Program results.
    1. If the staff assisting the CSW in obtaining test results is not a CSW, they may refer to the flyer titled "Clerical_Admin Staff."
      • Negative test results will be available twenty-four (24) hours from the day the client is tested.
      • Positive confirmations and no-show/missed tests reports will be available seventy-two (72) hours from the day the client tested or failed to test.
      • A no-show/missed test is no longer presumed to be a positive test. 
  2. If test results are not received or results cannot be located, contact BIS or the contracted-vendor for assistance.

Enrolling Youth in Testing

CSW Responsibilities

  1. If there are concerns regarding possible or current substance abuse/use by a minor, refer to the “Foster Youth Substance Abuse Treatment Protocol and Program” policy for guidance. Requirements for testing youth include: 
    • A court order is required to test a minor.
      • If there is no court order for the youth to test they cannot be referred for testing, even if they are being investigated regarding their own child(ren).
  2. Consult with County Counsel to address Release of Information to test a youth as well as receive and disclose drug test results.
  3. Complete all sections of the DCFS Drug and Alcohol Random Testing Electronic Referral in the Electronic Referral System.
    1. The referral shall include a termination date not to exceed six (6) months. The User's Guide in the DCFS Electronic Drug and Alcohol Testing Referral System may be used to provide guidance on how to refer clients for testing.
  4. Electronically submit the court order permitting the youth to test and the completed DCFS Drug and Alcohol Random Test Referral to the contracted-vendor by clicking the "Save" button.
    •  The electronic system will prompt you to submit the court order for testing youth.
    • Once the referral has been added to the electronic system, a message will appear which will indicate, "Referral added."
  5. File a copy of the Testing Program referral and a copy of the court order to test the youth in the Additional Services Documentation Folder (red folder) of the case file.
APPROVALS

SCSW Approval

  • On-Demand referrals
  • Make-up Test referrals
  • Specialized Testing Referrals

ARA Approval

  • Specialized Testing Referrals under $500

RA Approval

  • Specialized Testing Referrals $500 or more

DCFS Drug and Alcohol Testing Program Manager Approval

  • On-Demand referrals for clients actively enrolled in random testing
  • More than one on-deman referral in a calendar month
HELPFUL LINKS
REFERENCED POLICY GUIDES

0050-502.10, Child Protection Hotline (CPH)

0070-521.10, Assessment of Drug and Alcohol Use/Abuse

0070-548.01, Child and Family Teams

0080-502.10, Case Plans

0600-508.00, Foster Youth Substance Abuse Treatment Protocol and Program

0600-509.00, Dependency, Drug Court (DDC)/Family Substance Abuse Treatment Program (FSATP)

1200-500.90, Model Case Format

STATUTES AND OTHER MANDATES

Welfare and Institutions Code (WIC) Section 361.5(a)(3)(B) – States, in pertinent part, that when counseling or other treatment services are court-ordered, the parent/guardian shall be ordered to participate in those services, unless the parent’s or guardian’s participation is deemed by the court to be inappropriate or potentially detrimental to the child or unless a parent or guardian is incarcerated or detained by the United States Department of Homeland Security and the corrections facility in which the parent or guardian is incarcerated does not provide access to the treatment services ordered by the Court, or has been deported to their country of origin and services ordered by the Court are not accessible in that country.

WIC Section 5328(a) – States, in pertinent part, that all information and records obtained in the course of providing services, under the specified Divisions, to either voluntary or involuntary service recipients is confidential.

United States Code of Federal Regulations (CFR) Section 42 2.12 – Describes what information applies to the confidentiality of alcohol and drug abuse patient records.

CFR Section 42 2.13 – Outlines restrictions as to when information that is being requested is to remain confidential.