the child and family services reviews (cfsr) are conducted by the children's bureau, within the united states department of health and human services, to help states improve safety, permanency, and well-being outcomes for children and families who receive services through the child welfare system. the bureau conducts the reviews to ensure conformity with federal child welfare requirements, to determine what is actually happening to children and families in child welfare services, and to assist states in helping children and families achieve positive outcomes. the cfsrs monitor states' conformity with the requirements of title iv-b of the social security act. the first round of reviews took place between 2000 and 2004 and the second round took place between 2007 and 2010. in both rounds, all states were required to implement program improvement plans (pips) as part of the review process. the third round of cfsrs took place between 2015 and 2018; a complete aggregate report of those findings has yet to be released.