The DC Child and Family Services Agency (CFSA) uses the nationally recognized Quality Service Review (QSR) process to assess CFSA’s practice standards and service delivery to clients of the District of Columbia’s child welfare system. As a self-evaluation tool, the QSR process assesses the effectiveness of the practices and the interventions provided to the families. Specifically, CFSA considers the QSR process to be a critical continuous quality improvement (CQI) strategy that paves the way for systemic learning and improvement, ultimately supporting and reinforcing the safety, permanency, and well-being for children and families receiving child welfare services.