specifically, the cfsrs measure seven outcomes and seven systemic factors. the outcomes measured include whether children under the care of the state are protected from abuse and neglect; whether children have permanency and stability in their living conditions; whether the continuity of family relationships and connections is preserved for children; whether families have enhanced capacity to provide for their children's needs; and whether children receive adequate services to meet their physical and mental health needs. the systemic factors measured by the cfsrs include the effectiveness of the state's systems for child welfare information, case review, and quality assurance; training of child welfare staff, parents, and other stakeholders; the services that support children and families; the agency's responsiveness to the community; and foster and adoptive parent licensing, recruitment, and retention. significant financial penalties may be assessed for failure to make the improvements needed to achieve substantial conformity. each state's program improvement plan must include measurable goals for improvement, action steps, and an implementation timeline for addressing each outcome that did not meet the requirements for the seven federal child welfare outcomes and seven systemic factors under review in the cfsr process.