SleepSafe Response Service

Required to receive a pack n play/bassinette from LFS

🟦 1. For Enrolled Families

Families enrolled in one of the following LFS programs may become eligible after 3 months of consistent engagement:
- The PILLAR Program (caregivers of children ages 4 months to 5 years)
- MOMcares Prenatal Outreach Program (pregnant and postpartum parents)
Eligibility Requirements:
- Completion of 3 months of program engagement (visits, check-ins, milestone tasks)
- Attendance at an in-person Infant Safe Sleep Training
Home delivery provided (setup not included)
This is an internal program benefit and is not available by public request or referral.

At Linked Family Services, we believe every baby deserves a safe place to sleep. Through our SleepSafe Response Service, we provide Pack ’n Plays or bassinets to families who meet specific eligibility criteria. This is a milestone-based incentive, not a public giveaway.

We offer this service in two ways:

🟦 1. For Enrolled Families

🟨 2. For Referring Agencies (Emergency Requests)

🟨 2. For Referring Agencies (Emergency Requests)

We also provide emergency Pack ’n Play or bassinet delivery to families referred by agency partners. This service is available to organizations with a signed MOU and includes:
Required Documentation:
- Completed Agency Referral Form
- Signed Parent/Guardian Consent
- Infant Safe Sleep Training Certificate (90% or higher)
- Active MOU on file with LFS
Delivery Timeline:
- Approved requests are fulfilled within 7 business days.
Reimbursement
- A flat fee per delivery applies to agencies. See below for details.
📧 To confirm your MOU status, email contact@linkedfamily.org.

Referring Agencies

Emergency Referrals from Partner Agencies + Reimbursement Policy

Social service agencies and community partners can refer eligible families to receive a Pack 'n Play or bassinet through the SleepSafe Response Program on an emergency basis to support family reunification or to prevent the removal of a child from the home due to unsafe sleeping arrangements.

The caregiver must complete the virtual Cribs for Kids® Infant Safe Sleep Training
- A certificate of completion must be submitted to LFS before delivery is scheduled
All items are delivered directly to the family within 7 days of an approved crib request packet, including submission of the completed Infant Safe Sleep Certificate.
To help sustain this service, a reimbursement agreement is required.
- Referring agencies must have a signed MOU on file with Linked Family Services.
- Agencies agree to remit the cost per item to Linked Family Services within 30 days of invoice.
LFS will provide:
- Delivery confirmation
- Invoice with payment instructions
- Optional follow-up documentation upon request
- ONE Pack 'n Play or bassinet (home delivery only; no setup included)
- Safe Sleep education for the family
To request an MOU, submit an agency referral

Agency Crib Request Packet

To qualify for delivery, the following items must be submitted in full:

Completed Agency Referral Form or Self-Referral Form.
- All sections filled out, including family and child information, current sleep environment, and reason for referral.
Signed Consent Confirmation
- Agency affirms that permission was obtained from the parent/guardian to submit the referral on their behalf.
- Parent affirms that they are willingly submitting the referral and agree to the terms of participating in the MOMCares Prenatal Outreach program.
Infant Safe Sleep Certificate
- Certificate of completion from the caregiver showing they passed the online Infant Safe Sleep Training (90% or higher).
- May be submitted as a PDF, screenshot, or printed copy.
Signed MOU on File (for referring agency only)
- Agencies must have a current Memorandum of Understanding with Linked Family Services before submitting referrals. If you not sure of the status of an MOU for your organization, please contact us via email at contact@linkedfamily.org.
Once all documents are received and reviewed, eligible families will receive a Pack ‘n Play or bassinet within 7 business days.

Agency referral

Emergency Agency Referral: SleepSafe Response Service

Referring Agency Information

Date of Referral*

Agency Worker First name*

Agency Worker Last name*

Company name*

Agency Worker Position*

Agency Worker Email*

Agency Worker Phone*

Does your agency already have an MOU on file with LFS?

Family Information

Parent/Guardian Full Name:*

Parent/Guardian Date of Birth

Parent Phone Number*

Parent email address

Parent Home/Delivery Address*

Must be in Philadelphia County

Zip Code*

Primary Language Spoken*

We ask these questions to help ensure we are equitably serving families from all backgrounds. Your responses are voluntary and confidential.

Employment Status

Employed

Unemployed

Monthly Household Income (approximate)

Family Size

Race

Black or African American

Hispanic or Latino/a/x

White

Asian

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

Middle Eastern or North African

Multiracial

Prefer not to say

Other

Ethnicity

Hispanic or Latino/a/x

Not Hispanic or Latino/a/x

Prefer not to say

Other

Mother Health Insurance Coverage

Yes

Baby Health Insurance Coverage

Yes

Child Information

Child's Name*

Child’s Date of Birth or Expected Due Date*

Child’s Age (if born)*

Current Sleep Location*

Adult Bed

Car Seat

Sofa

Unknown

Other

Current Sleep Position*

Back

Side

Belly

Unknown

Childcare Arrangement*

Home-based

Center-based

Relative/Friend

None

Environmental Risk Factors

Did the mother smoke during pregnancy?*

Yes

Unsure

Will the mother smoke after pregnancy?*

Yes

Unsure

Do any household members smoke?*

Yes

Unsure

If yes, smoking location:

Indoor

Outdoor

Reason for Referral*

Unsafe sleep environment

Reunification case plan

To prevent child welfare involvement

To prevent child removal from the home of origin

Recent displacement or housing instability

Requested Item*

Pack 'n Play

Bassinet

Required Documentation

Please confirm all required steps are completed:

Parent/guardian has completed the Infant Safe Sleep Training in-person or virtually with an LFS representative

Parent's Certificate of completion will be submitted before delivery

Family understands delivery is drop-off only (no setup) and the listed adult must be present at the time of drop-off

We, the referring agency, confirm that we have obtained permission from the parent to submit this referral to Linked Family Services for the purpose of obtaining a Pack 'n Play or bassinet through the SleepSafe Response Program. The parent/guardian has been informed that the safest place for their baby to sleep is on their back, alone, in a safety-approved crib, and understands that they must complete the Infant Safe Sleep Training and provide a certificate of completion prior to delivery.

I certify that the information in this referral is complete and accurate. I confirm that my agency has a signed MOU with Linked Family Services and agrees to remit the full cost of the crib/bassinet within 30 days of receiving an invoice.

Referring Staff Signature:*

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Additional Notes or Special Circumstances (optional):

🟦 1. For Enrolled Families

Eligibility Requirements:

🟦 1. For Enrolled Families

🟨 2. For Referring Agencies (Emergency Requests)

🟨 2. For Referring Agencies (Emergency Requests)

Required Documentation:

Delivery Timeline:

Reimbursement

Emergency Referrals from Partner Agencies + Reimbursement Policy

Agency Crib Request Packet

Emergency Agency Referral: SleepSafe Response Service

Referring Agency Information

Family Information

Child Information

Environmental Risk Factors

Required Documentation