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Qualifications · Childcare Worker (Hoikushi) Exam Lab

Social Care for Children (Alternative Care)

Read the questions and explanations in English. The lectures (explanatory articles) are available in Japanese only.

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Q1 | Basic philosophy of social care

Which pair correctly states the two basic philosophies of social care shown in the national guidelines, such as the Operating Guidelines for Social Care Facilities (社会的養護施設運営指針)? Choose one.

  1. Put the guardian's wishes first / Base care on group life in a facility
  2. Family self-responsibility as the rule / Fill gaps through mutual aid in the community
  3. For the best interests of the child / Raising all children as a whole society
  4. For the best interests of the child / Family self-help as the rule
  5. Make placement measures efficient / Make facilities larger
AnswerC. For the best interests of the child / Raising all children as a whole society

The two basic philosophies are "for the best interests of the child" and "raising all children as a whole society". Social care is a public responsibility, so putting the guardian's wishes first, family self-responsibility, or family self-help as the rule do not fit. Basing care on group life in a facility and making facilities larger go against the national direction toward family-like care and smaller units.

Q2 | Principles of social care

Which of the following is NOT one of the six "principles of social care" set out in the national guidelines? Choose one.

  1. Complete separation and cutting off from the guardians
  2. Family-like care and individualisation
  3. Support aimed at recovery
  4. Continuous support and a collaborative approach
  5. Support that looks ahead over the life cycle
AnswerA. Complete separation and cutting off from the guardians

The six principles are family-like care and individualisation, guaranteeing development and supporting independence, support aimed at recovery, cooperation and collaboration with the family, continuous support and a collaborative approach, and support that looks ahead over the life cycle. Because one principle is cooperation with the family (working with parents and supporting them where they exist), "complete separation and cutting off from the guardians" is not a principle and runs against them. The other four are all principles.

Q3 | Content of the principles

Which principle of social care best matches the idea: "Several actors such as child guidance centres, facilities, foster parents and schools work together, and hand over carefully when the carer changes, to keep support consistent"? Choose one.

  1. Family-like care and individualisation
  2. Guaranteeing development and supporting independence
  3. Support aimed at recovery
  4. Cooperation and collaboration with the family
  5. Continuous support and a collaborative approach
AnswerE. Continuous support and a collaborative approach

Keeping support consistent and continuous through cooperation and careful hand-over is "continuous support and a collaborative approach". Family-like care and individualisation means raising each child in a home-like setting; guaranteeing development and supporting independence means building the ability to live independently through attachment and daily experience; support aimed at recovery means specialist care for trauma from abuse or separation; cooperation with the family means working with and supporting parents. None of these is the focus of the statement.

Q4 | Principle of prioritising family-based care

Which order correctly shows how the national and local governments should consider a child's upbringing under Article 3-2 of the Child Welfare Act (児童福祉法)? Choose one.

  1. The best possible family-like environment → an environment equivalent to a home → support the guardians so the child grows up at home
  2. Support the guardians so the child grows up at home → an environment equivalent to a home → the best possible family-like environment
  3. An environment equivalent to a home → support the guardians so the child grows up at home → the best possible family-like environment
  4. Support the guardians so the child grows up at home → the best possible family-like environment → an environment equivalent to a home
  5. The best possible family-like environment → support the guardians so the child grows up at home → an environment equivalent to a home
AnswerB. Support the guardians so the child grows up at home → an environment equivalent to a home → the best possible family-like environment

Article 3-2 first requires supporting the guardians so the child grows up healthily at home. If care at home is difficult or unsuitable, the child should be raised continuously in "an environment equivalent to care at home" (adoption, foster care, etc.); if that is also unsuitable, in "the best possible family-like environment" (such as small facilities). Orders that put the facility-type environment first, or the family-like environment before the home-equivalent one, are the reverse of the law.

Q5 | Placement measures and parental consent

Choose TWO appropriate statements about placement measures (foster care placement, admission to a facility, etc.) under the Child Welfare Act (児童福祉法).

  1. Even if the person with parental authority opposes admission, the prefecture can admit the child without family court approval.
  2. If abuse seriously harms the child's welfare and the parent with authority objects, the measure can be taken with family court approval.
  3. Placement with foster parents is not included in the measures of Article 27(1)(iii) of the Child Welfare Act.
  4. A measure such as admission taken with family court approval cannot last more than two years from the day it started.
  5. When a measure is ended, there is no need to check the child's opinions or wishes.
AnswerB, D. If abuse seriously harms the child's welfare and the parent with authority objects, the measure can be taken with family court approval. / A measure such as admission taken with family court approval cannot last more than two years from the day it started.

Under Article 27(4), admission and similar measures cannot, in principle, be taken against the wishes of the person with parental authority. However, under Article 28(1), when abuse or similar seriously harms the child's welfare, the measure can be taken with family court approval. The period cannot exceed two years, and renewal also needs family court approval (Article 28(2)). So the statement that admission is possible without approval is wrong. Placement with foster parents is itself a measure under Article 27(1)(iii). Ending a measure also requires hearing the child's opinions and wishes (Article 33-3-3).

Q6 | Measures to hear the child's views

Which statement about the "measures to hear the child's views" (意見聴取等措置, Article 33-3-3 of the Child Welfare Act (児童福祉法)), in force since April 2024, is most appropriate? Choose one.

  1. The law says these measures need not be taken if the child is younger than primary school age.
  2. As a rule, these measures are taken one year after the placement measure.
  3. Even in an emergency, the placement measure cannot be taken until the hearing is finished.
  4. Starting or ending temporary protection is also covered by the measures to hear the child's views.
  5. Only foster parents are obliged to take these measures.
AnswerD. Starting or ending temporary protection is also covered by the measures to hear the child's views.

The measures cover taking, ending or changing placement measures and also starting or ending temporary protection. Children are not excluded by age; the method is adapted to the child's age and development. They are taken "in advance", not a year later. When urgent action is needed for the child's life or safety, the measure is taken first and the hearing follows promptly. The obligation lies with the prefectural governor, the head of the child guidance centre and others, not only foster parents.

Q7 | Abuse of children in care

Choose TWO appropriate statements about abuse of children in care (被措置児童等虐待, Articles 33-10 and 33-12 of the Child Welfare Act (児童福祉法)).

  1. Acts by foster parents or people living with them against a placed child are also included.
  2. Such abuse is limited to two types: physical violence and indecent acts.
  3. Anyone who finds a child who seems to have been abused must report it promptly.
  4. If a facility worker reports abuse, they will always be punished for breaching confidentiality.
  5. The abused child cannot report it themselves.
AnswerA, C. Acts by foster parents or people living with them against a placed child are also included. / Anyone who finds a child who seems to have been abused must report it promptly.

The "facility staff, etc." who can commit this abuse include not only facility staff but also foster parents and people living with them, family home carers and others. A person who finds such a child must report promptly. There are four types of acts: physical violence, indecent acts, serious neglect, and words or behaviour causing serious psychological trauma, so it is not limited to two. Confidentiality rules must not be read as blocking a report, and staff must not be dismissed or otherwise disadvantaged for reporting. The child can also report it themselves.

Q8 | Who exercises parental authority

A child with no person holding parental authority and no guardian of a minor is placed with foster parents. Who exercises parental authority over this child until such a person exists? Choose one.

  1. The foster parents caring for the child
  2. The mayor of the municipality where the child lives
  3. The head of the child guidance centre
  4. A family court judge
  5. The head of the foster parent support centre
AnswerC. The head of the child guidance centre

For a child placed with foster parents or a family home who has no person with parental authority and no guardian, the head of the child guidance centre exercises parental authority (Article 47(2)). For a child in a facility, the head of the facility does (Article 47(1)). Foster parents can take measures needed for custody and education (Article 47(3)) but do not exercise parental authority. There is no rule giving it to the mayor, a family court judge or the head of a foster parent support centre. Consent to an adoption also needs the prefectural governor's permission.

Q9 | Children's homes

Which statement about children's homes (児童養護施設, Article 41 of the Child Welfare Act (児童福祉法)) is most appropriate? Choose one.

  1. They care for children without guardians, abused children and others, and also help leavers toward independence.
  2. As a rule they admit and raise infants, admitting older children only when especially needed.
  3. They mainly serve children who have committed or may commit delinquent acts, and attending from home is not allowed.
  4. They admit women without a spouse (or in similar circumstances) together with the children in their care.
  5. Children can stay only until age 15 and cannot stay longer.
AnswerA. They care for children without guardians, abused children and others, and also help leavers toward independence.

Children's homes admit and care for children who need care because of their environment, such as children without guardians or abused children, and also give leavers advice and other help toward independence. Infants are excluded in principle but may be admitted when especially needed; raising infants is the main role of infant homes. Children who have committed or may commit delinquent acts are served by children's self-reliance support facilities, which also allow attendance from home. Women without a spouse and their children are served by mother-and-child living support facilities. Stays can be extended until age 20 (Article 31(2)), so "until 15" is wrong.

Q10 | Infant homes

Which statement about infant homes (乳児院, Article 37 of the Child Welfare Act (児童福祉法)) is most appropriate? Choose one.

  1. Giving advice and other help to children who have left is not one of their purposes.
  2. They serve only infants under one year old, and young children can never be admitted for any reason.
  3. They mainly care for children who attend during the day from their guardians' home.
  4. They serve only infants with disabilities and provide treatment and training.
  5. They admit and raise infants, and may also admit young children when especially needed.
AnswerE. They admit and raise infants, and may also admit young children when especially needed.

Infant homes admit and raise infants, and include young children when especially necessary for health reasons, a stable living environment or other reasons. Advice and other help for those who have left is also one of their purposes. Young children can be admitted when especially needed, so "never" is wrong. They are residential, not mainly day attendance, and they do not serve only infants with disabilities.

Q11 | Purposes of facilities (combination)

Choose the most appropriate combination of true (○) and false (×) for statements A–D.<br>A. Children's psychological treatment facilities (児童心理治療施設) admit for a short period, or have attend from home, children who find it hard to adapt to social life for environmental reasons, and provide psychological treatment and life guidance.<br>B. Children's self-reliance support facilities (児童自立支援施設) are residential only; children cannot attend from their guardians' home.<br>C. Mother-and-child living support facilities (母子生活支援施設) admit women without a spouse (or in similar circumstances) with the children in their care, protecting them and supporting their daily life toward independence.<br>D. Foster parent support centres (里親支援センター) became child welfare facilities under the Child Welfare Act (児童福祉法) in April 2024.

  1. A○ B○ C○ D×
  2. A○ B× C○ D○
  3. A× B× C○ D○
  4. A○ B× C× D○
  5. A× B○ C× D×
AnswerB. A○ B× C○ D○

A is true (Article 43-2). B is false: children's self-reliance support facilities can also have children attend from their guardians' home (Article 44). C is true (Article 38). D is true: the 2022 amendment added foster parent support centres as child welfare facilities, in force from April 2024 (Articles 7 and 44-3). So the answer is A○ B× C○ D○.

Q12 | Types of foster parents

Choose TWO appropriate statements about the foster care system.

  1. Relative foster parents include the child's own parents, who can also be registered as foster parents.
  2. Foster parents seeking adoption can be registered without completing prefectural training.
  3. Article 6-4 of the Child Welfare Act (児童福祉法) divides foster parents into three types: foster parents for raising children, foster parents seeking adoption, and relative foster parents.
  4. Foster parents for raising children can receive a placement on the governor's decision alone, without being registered.
  5. Specialist foster parents are a sub-type of foster parents for raising children, caring for children who need special support (児童福祉法施行規則).
AnswerC, E. Article 6-4 of the Child Welfare Act (児童福祉法) divides foster parents into three types: foster parents for raising children, foster parents seeking adoption, and relative foster parents. / Specialist foster parents are a sub-type of foster parents for raising children, caring for children who need special support (児童福祉法施行規則).

Article 6-4 sets out three types: foster parents for raising children, foster parents seeking adoption, and relative foster parents. Specialist foster parents are not a fourth legal type but a sub-type of foster parents for raising children defined in Article 1-36 of the Ordinance. Relative foster parents are relatives "other than the parents", so parents are not included. Foster parents for raising children and those seeking adoption must complete prefectural training and be registered on the relevant list.

Q13 | Specialist foster parents

Which statement about specialist foster parents (専門里親) is most appropriate? Choose one.

  1. Specialist foster parents are a fourth type of foster parent under the Child Welfare Act (児童福祉法), separate from foster parents for raising children.
  2. Specialist foster parents may care for up to four placed children at the same time.
  3. There is no upper limit on how long specialist foster parents may care for a placed child.
  4. They raise children the governor finds need special support due to abuse, delinquency, disability, etc.
  5. Children covered by specialist foster care are limited to children with delinquency.
AnswerD. They raise children the governor finds need special support due to abuse, delinquency, disability, etc.

Specialist foster parents raise children recognised by the governor as needing special support among (1) children whose mind or body was harmed by abuse, (2) children with delinquent behaviour or behaviour likely to lead to it, and (3) children with physical, intellectual or mental disabilities (Ordinance Article 1-36). So it is not limited to delinquency. They are a sub-type of foster parents for raising children, not a separate type. They may care for up to two placed children at once (Minimum Standards Article 17(2)), for up to two years, renewable if the governor finds it necessary (Article 18).

Q14 | Number of children foster parents can raise

Under the Minimum Standards for Care by Foster Parents (里親が行う養育に関する最低基準), how many children may foster parents (other than specialist foster parents) raise at the same time? Choose one.

  1. Up to 2 placed children, and up to 4 in total including their own children
  2. Up to 6 placed children, and up to 8 in total including their own children
  3. Up to 4 placed children, and up to 6 in total including their own children
  4. Up to 5 placed children, and up to 6 in total including their own children
  5. No limit on placed children, as long as the total is 6 or fewer
AnswerC. Up to 4 placed children, and up to 6 in total including their own children

Article 17(1) of the Minimum Standards limits the total of placed and other children raised at the same time to 6, of whom up to 4 may be placed children (Ordinance Article 1-33 also sets 4 for foster parents for raising children). Two is the limit for specialist foster parents. Five or six is the capacity of a family home, not a foster family. There is also a limit on the number of placed children.

Q15 | Family homes

Which statement about family homes (ファミリーホーム, small-scale residential child-rearing projects 小規模住居型児童養育事業) is most appropriate? Choose one.

  1. Children are raised in the carer's home, and the capacity for placed children is 5 or 6.
  2. It is run in the carer's home, and the capacity for placed children is up to 2.
  3. The Child Welfare Act (児童福祉法) defines family homes as a type of foster parent.
  4. Family homes are listed as a child welfare facility in Article 7 of the Child Welfare Act.
  5. Staff working in shifts raise children as a group in buildings with 10 or more places.
AnswerA. Children are raised in the carer's home, and the capacity for placed children is 5 or 6.

A family home is a project in which children needing protection are raised in the home of a person with considerable child-rearing experience (Article 6-3(8)). The capacity is 5 or 6 (Ordinance Article 1-19). The law says "excluding foster parents", so it is separate from foster care. It is not in the Article 7 list of child welfare facilities; it is defined as a "project". It is family-based care in the carer's own home, not large-group care with staff on shifts.

Q16 | Special adoption

Choose TWO appropriate statements about special adoption (特別養子縁組) under the Civil Code (民法).

  1. It is established by the family court at the request of the person who will become the adoptive parent.
  2. Any child can be adopted as long as they are under 18 at the time of the request.
  3. It is established simply by notifying the mayor of the municipality.
  4. Once established, the legal relationship between the adoptee and their birth relatives ends.
  5. Even if the child is 15 or older, the child's own consent is not needed.
AnswerA, D. It is established by the family court at the request of the person who will become the adoptive parent. / Once established, the legal relationship between the adoptee and their birth relatives ends.

Special adoption is established by the family court at the request of the prospective adoptive parent, and it ends the relationship with the child's birth relatives (Civil Code Article 817-2). Notification alone does not establish it. A child who is already 15 at the time of the request generally cannot be adopted (with exceptions), nor a child who turns 18 before it is established (Article 817-5(1)(2)). A child aged 15 or older must consent (Article 817-5(3)).

Q17 | New Vision for Social Care

What foster placement rate target did the New Vision for Social Care (新しい社会的養育ビジョン, August 2017) set for children under 3? Choose one.

  1. 50% or more within about 7 years
  2. 75% or more within about 10 years
  3. 100% within about 3 years
  4. 50% or more within about 5 years
  5. 75% or more within about 5 years
AnswerE. 75% or more within about 5 years

The Vision set a foster placement rate of 75% or more within about 5 years for children under 3 and within about 7 years for other pre-school children, and 50% or more within about 10 years for school-age children and older (reform to start in fiscal 2017). Seven years applies to pre-school children aged 3 and over, and 10 years / 50% to school-age children, not to under-3s. No 100% or 5-year/50% target was set.

Q18 | Environment equivalent to a home

In the New Vision for Social Care (新しい社会的養育ビジョン), which is treated as "the best possible family-like environment" in Article 3-2 of the Child Welfare Act (児童福祉法)? Choose one.

  1. A family formed through special adoption
  2. A facility made smaller and spread out in the community
  3. The home of foster parents for raising children
  4. A family home
  5. The home of relative foster parents
AnswerB. A facility made smaller and spread out in the community

The Vision treats facilities that admit children who cannot be raised at home as "the best possible family-like environment" and calls for them to become smaller (up to 6 children) and spread out in the community. Special adoption, foster parents for raising children, relative foster parents and family homes are on the "environment equivalent to a home" side, which Article 3-2 puts ahead of facilities.

Q19 | Self-reliance support plans

Choose TWO appropriate statements about self-reliance support plans (自立支援計画).

  1. Foster parents only need to follow a plan they make themselves; the child guidance centre's plan has nothing to do with them.
  2. In a children's home, the head of the facility must draw up a self-reliance support plan for each child in the home.
  3. Once the plan is made at admission, it never needs to be reviewed.
  4. Children's opinions are not to be included in planning until they are close to 18.
  5. A children's home's plan is drawn up taking into account the child's opinions and wishes and the situation of the child and family.
AnswerB, E. In a children's home, the head of the facility must draw up a self-reliance support plan for each child in the home. / A children's home's plan is drawn up taking into account the child's opinions and wishes and the situation of the child and family.

Article 45-2 of the Standards for Equipment and Operation of Child Welfare Facilities (児童福祉施設の設備及び運営に関する基準) requires the head of a children's home to draw up a plan for each child, taking into account the child's opinions and wishes and the situation of the child and family. Measures to hear views according to age and development are also required, so excluding children's opinions until near 18 is wrong. Foster parents raise children according to the plan prepared in advance by the head of the child guidance centre (Minimum Standards Article 10). Plans are reviewed based on assessment and evaluation; they are not made once and left.

Q20 | Independent living assistance

Which statement about the independent living assistance project for children (児童自立生活援助事業, Article 6-3(1) of the Child Welfare Act (児童福祉法), e.g. self-reliance support homes) is most appropriate? Choose one.

  1. It is limited to primary school children who have not finished compulsory education.
  2. People aged 20 or over are never eligible, whatever their circumstances.
  3. Its purpose is to raise infants in foster families.
  4. It gives care leavers advice, life guidance, employment support, etc. in a shared residence or similar place.
  5. Its purpose is to provide psychotherapy to children living in facilities.
AnswerD. It gives care leavers advice, life guidance, employment support, etc. in a shared residence or similar place.

The project gives people such as those whose placement has ended (after compulsory education) advice, help with daily life, life guidance and employment support in a shared residence or similar place. Primary school children are not covered. The amendment in force from April 2024 relaxed the uniform age limit, so people aged 20 or over can be eligible when the governor finds it necessary due to unavoidable circumstances, such as being a high school or university student. Raising infants and providing psychotherapy to children in facilities are not its purposes.

Q21 | Extension of placement

Under Article 31(2) of the Child Welfare Act (児童福祉法), until when can a prefecture continue the placement of a child placed with foster parents or the stay of a child admitted to a children's home? Choose one.

  1. Until age 18, with no extension possible
  2. Until the child reaches age 19
  3. Until the child reaches age 20
  4. Until the child reaches age 25
  5. With no age limit, as long as the person wishes
AnswerC. Until the child reaches age 20

Under Article 31(2), a prefecture can continue the placement of children with foster parents or family homes, and the stay of children in children's homes, welfare-type residential facilities for children with disabilities, children's psychological treatment facilities and children's self-reliance support facilities, until they reach age 20 (extension of placement). It does not always end at 18, and the law does not set 19, 25 or no limit. After 20, other schemes such as independent living assistance provide support.

Q22 | Support hubs for care leavers

Which best describes the "support hub project for independence of people from social care" (社会的養護自立支援拠点事業, Article 6-3(16) of the Child Welfare Act (児童福祉法)), placed in law in April 2024? Choose one.

  1. It opens a place where people whose placement has ended can meet each other, and provides information, advice and liaison with related agencies.
  2. It hears the views of children in care about placement measures and supports liaison with child guidance centres.
  3. It examines whether people can be registered as foster parents and keeps the foster parent register.
  4. It provides counselling inside facilities only for guardians who committed abuse.
  5. It pays the full rent of facility leavers regardless of age.
AnswerA. It opens a place where people whose placement has ended can meet each other, and provides information, advice and liaison with related agencies.

This project opens a place where care leavers and similar people can meet each other, provides information, advice and consultation, and liaises with related agencies. Hearing children's views and supporting liaison is the advocacy support project (意見表明等支援事業, paragraph 17). Registering foster parents is a prefectural role, not this project. Support for family reunification is the parent-child reunification support project (paragraph 15), which is not defined as counselling only for guardians inside facilities. There is no rule on paying full rent.

Q23 | Third-party evaluation

Under the national notice of 30 March 2018, how are social care facilities such as children's homes evaluated? Choose the most appropriate.

  1. Third-party evaluation once every 10 years is enough, and self-evaluation is not required.
  2. Third-party evaluation is optional for each facility, and results are not published.
  3. They receive third-party evaluation every month and do no self-evaluation.
  4. They only do a self-evaluation once every three years and receive no third-party evaluation.
  5. They receive third-party evaluation at least once every three fiscal years and publish the results, and do a self-evaluation every fiscal year.
AnswerE. They receive third-party evaluation at least once every three fiscal years and publish the results, and do a self-evaluation every fiscal year.

The notice requires children's homes, infant homes, children's psychological treatment facilities, children's self-reliance support facilities and mother-and-child living support facilities to receive third-party evaluation at least once every three fiscal years and publish the results, and to do a self-evaluation every fiscal year following the evaluation criteria. Article 45-3 of the Standards for Equipment and Operation of Child Welfare Facilities (児童福祉施設の設備及び運営に関する基準) also requires self-evaluation and regular external evaluation with published results. Once every 10 years, optional, monthly and self-evaluation only are all wrong.

Q24 | Staff of children's homes

Which statement about staff of children's homes under the Standards for Equipment and Operation of Child Welfare Facilities (児童福祉施設の設備及び運営に関する基準) is most appropriate? Choose one.

  1. Every facility must have a psychotherapy staff member, regardless of the children's situation.
  2. Along with child instructors and nursery teachers, they must have an individual care worker and a family support specialist counsellor.
  3. Every facility must have a nurse, even if no infants are admitted.
  4. Nursery teachers are not required; child instructors alone are enough.
  5. A dietitian must always be employed, regardless of the number of children.
AnswerB. Along with child instructors and nursery teachers, they must have an individual care worker and a family support specialist counsellor.

Article 42 requires children's homes to have child instructors, a commissioned doctor, nursery teachers, an individual care worker, a family support specialist counsellor, a dietitian, cooks and others, and a nurse where infants are admitted. A psychotherapy staff member is required when psychotherapy is given to 10 or more children who need it. Nursery teachers are required. A facility with 40 or fewer children may go without a dietitian.

Q25 | Schooling and duties of facility heads

Which statement about children in facilities or placed with foster parents is most consistent with the Child Welfare Act (児童福祉法)? Choose one.

  1. Only the person with parental authority must have a child in a facility attend school; the head of the facility has no duty.
  2. Children placed with foster parents do not have to attend school.
  3. Only child guidance centres give advice and help to leavers; facilities are not involved.
  4. Facility heads and foster parents must, like guardians, have the children in their care attend school.
  5. Heads of facilities may use corporal punishment if it is needed for custody and education.
AnswerD. Facility heads and foster parents must, like guardians, have the children in their care attend school.

Article 48 requires heads of children's homes, residential facilities for children with disabilities, children's psychological treatment facilities and children's self-reliance support facilities, family home carers and foster parents to have the children in their care attend school, like guardians under the School Education Act. So saying it is only the parent's duty, or that fostered children need not attend, is wrong. Children's homes also aim to give leavers advice and other help toward independence (Article 41). Heads can take measures needed for custody and education, but corporal punishment is prohibited (Article 47(3)).

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