Current through Register Vol. 49, No. 9, September, 2024
The Child Welfare Licensing Act (Arkansas Code Annotated §
9-28-401 et. seq.) is the legal authority under which the Child Welfare Agency
Review Board establishes minimum licensing standards for child welfare
agencies, as defined under the statute.
The Child Welfare Agency Review Board shall promulgate and
publish rules setting minimum standards governing the granting, revocation,
refusal, conversion, and suspension of licenses for a child welfare agency and
the operation of a child welfare agency.
The board may consult with such other agencies, organizations,
or individuals as it shall deem proper.
The board may amend the rules promulgated pursuant to this
section from time to time, in accordance with the rule promulgation procedures
in the Arkansas Administrative Procedure Act, §
25-15-201 et seq.
A licensed child welfare agency may adopt and apply internal
operating procedures that meet or exceed the minimum standards required by the
board.
The Arkansas Administrative Procedure Act, Arkansas Code
Annotated §
25-15-201 et seq., shall apply to all proceedings brought to
the board under this subchapter, except that the following provisions shall
control during adverse action hearings to the extent that they conflict with
the Arkansas Administrative Procedure Act:
Any person, organization, corporation, partnership, voluntary
association, or other entity which provides care, training, education, custody,
supervision for a total of six (6) or more unrelated minors on a
twenty-four-hour basis or receives a child victim of human trafficking in any
type of shelter or facility, and is not otherwise exempt by the Act, requires a
license.
"Emergency Residential Child Care Facility" refers to any child
welfare agency that provides twenty-four-hour custodial care for six (6) or
more unrelated children or a child victim of human trafficking on an emergency
basis, not to exceed ninety (90) days. Any child admitted as an emergency
placement shall be designated as such and shall be discharged within ninety
(90) days.
"Emergency Family Style Care" refers to any child welfare
agency that provides twenty-four-hour custodial care, in a home-like setting,
for six (6) or more unrelated children or a child victim of human trafficking
on an emergency basis, not to exceed ninety (90) days.
"Residential Child Care Facility" refers to any child welfare
agency that provides care, training, education, custody, or supervision on a
twenty-four-hour basis for six (6) or more unrelated minors.
"Residential Family Style Care" refers to any child welfare
agency that provides care, training, education, custody, or supervision, in a
home-like setting on a twenty-four-hour basis for six (6) or more unrelated
minors or a child victim of human trafficking.
"Psychiatric Residential Treatment Facility" refers to a
residential child care facility in a non-hospital setting that provides a
structured, systematic, and therapeutic program of treatment under the
supervision of a physician licensed by the Arkansas State Medical Board and
experienced in the practice of psychiatry. It is for children who are
emotionally disturbed and in need of daily nursing services, physician's
supervision, and residential care, but who are not in an acute phase of illness
requiring the services of an inpatient psychiatric hospital.
"Sexual Rehabilitative Program" refers to a treatment program
that offers a specific and specialized therapeutic program for children with
sexually maladaptive behaviors. A licensed sexual rehabilitative program may be
in a residential childcare facility, a therapeutic foster care home, or a
psychiatric residential treatment facility. If a program is licensed as this
type of setting and is operated in a psychiatric residential treatment
facility, it must comply with the standards found in sections 900 and
1000.
"Independent Living" refers to a child welfare agency that
provides specialized services in adult living preparation in an experiential
setting for persons sixteen (16) years of age or older.
"Independent Living Family Style Care" refers to a child
welfare agency that provides specialized services in adult living preparation
in an experiential home-like setting for persons sixteen (16) years of age or
older.
"Transitional Living" refers to a child welfare agency that
provides specialized adult living preparation services in a structured setting
for persons eighteen (18) years of age or older who have been admitted into the
agency's residential program prior to eighteen (18) years of age.
An agency may be licensed for any or all types of licenses,
depending on the types of services it provides.
The board shall issue all licenses to child welfare agencies
upon a majority vote of members present during each properly called board
meeting at which a quorum is present. The board shall have the power to deny an
application to operate a child welfare agency or to revoke or suspend a
previously issued license to operate a child welfare agency. The board may also
issue letters of reprimand or caution to a child welfare agency. The Department
of Human Services may petition the Child Welfare Agency Review Board to deny,
suspend, or revoke the regulated facility's license on the basis of any adverse
action imposed by the department. Any revocation of a license, suspension of a
license, or denial of application for a license shall be effective when
made.
For Psychiatric Residential Treatment Facilities (PRTF), the
Department, through the Placement and Residential Licensing Unit, is authorized
to impose the following adverse actions:
"Provisional" status is issued to a newly licensed agency for a
one-year period, to give the agency time to demonstrate substantial compliance
with minimum licensing standards. At the discretion of the board, a provisional
license may be issued for up to one (1) additional year.
"Probationary" status is issued to an agency that has not
maintained compliance with minimum licensing standards, but the board believes
that compliance can be restored and subsequently maintained. This license may
be issued for up to one (1) year, at the discretion of the board.
"Regular" status is issued either to a previously licensed
agency that continues to meet all minimum licensing standards or to an agency
that meets all essential standards and has a favorable compliance history
(which predicts full compliance with all standards within a reasonable time). A
regular license shall remain open and effective until closed at the request of
the agency or board action.
The board may act to suspend a license when an agency has
failed to maintain compliance with minimum licensing standards, but the
violations do not warrant revocation. A license may not be suspended for longer
than one (1) year at a time. The board may issue a probationary or regular
license when compliance is restored.
The board may act to close a license when the agency requests
that the license be closed.
The board may act to revoke a license when an agency has failed
to maintain compliance with minimum licensing standards. The agency may not
apply for a new license for at least one (1) year from the date of
revocation.
After a board action, an amended license shall be issued any
time there is a change in the agency's program that affects the license type,
status, capacity, ages of children served, a name change, or an address
change.
A license to operate a child welfare agency shall apply only to
the address and location stated on the application and license issued, and it
shall be transferable from one (1) holder of the license to another or from one
(1) place to another.
Whenever ownership of a controlling interest in the operation
of a child welfare agency is sold, the following procedures shall be
followed:
The child placement agency shall inform current and potential
clients if their license has been suspended, revoked, or if they have
voluntarily surrendered their license.
Section 100 of the Minimum Licensing Standards for Child
Welfare Agencies applies to all agencies. Subsequent sections apply to specific
types of residential agencies. The agency shall meet the license requirements
of its agency category.
The Child Welfare Agency Review Board may approve an agency's
request for special consideration to allow a licensee to deviate from the
letter of a rule if the licensee has demonstrated that the deviation is in the
best interest of the children and does not pose a risk to persons served by the
licensee.
If the board grants a request for special consideration, the
child welfare agency's practice as described in the request shall be the
compliance terms under which the child welfare agency will be held responsible,
and violations of those terms shall constitute a rule violation.
The board has authorized the managers and supervisors of the
Licensing Unit to make temporary rulings regarding special consideration
requests when the best interest of a child requires an immediate decision,
subject to final approval at the next regularly scheduled meeting of the
board.
The board may grant an agency's request for alternative
compliance upon a finding that the agency does not meet the letter of a rule
promulgated under the Child Welfare Agency Licensing Act, but that the agency
meets or exceeds the intent of that rule through alternative means.
If the board grants a request for alternative compliance, the
agency's practice as described in the request for alternative compliance shall
be the compliance terms under which the agency will be held responsible, and
violations of those terms shall constitute a rule violation.
The board has authorized the managers and supervisors of the
Licensing Unit to make temporary rulings regarding Alternative Compliance
requests when the best interest of a child requires an immediate decision,
subject to final approval at the next regularly scheduled meeting of the
board.
Alternative Compliance requests granted in the areas listed
below shall be time limited and shall not exceed two (2) years in length. These
alternative compliances shall be monitored on an ongoing basis for compliance
and shall be reviewed by the board every two (2) years:
100
GENERAL REQUIREMENTS
The standards in Section 100 apply to all
agencies unless otherwise indicated.
101
Applications & Licensing
Procedure1. The owner or board shall
prepare and furnish an application packet for a license that contains the
following:
a. A completed application
form;
b. A letter from the agency's
board or owner (as applicable) authorizing a person to sign the
application;
c. A copy of the
Articles of Incorporation, bylaws, and current board roster, if applicable,
including names, addresses, and contact information of officers. Out of state
agencies shall have legal authorization from the Arkansas Secretary of State to
do business in Arkansas;
d. A
personnel list with verifications of qualifications and experience;
e. Substantiation of the agency's financial
soundness. This shall include without limitation: a budget showing sufficient
resources to operate for a period of six (6) months, either with resources on
hand or with projected revenue from verifiable sources. Verifiable letters of
financial support and monthly bank account statements may be included to
project income;
f. Proof of general
and professional liability insurance (does not apply to state
agencies);
g. A written description
of the agency's program of care, including intake policies, types of services
offered, and a written plan for providing health care services to children in
care;
h. Fire inspection;
i. Arkansas Department of Health inspection,
including food service inspection, septic or sewage inspection, non-municipal
water sources and general sanitation inspection, as applicable;
j. Floor plan with room dimensions;
k. Zoning approval, where applicable;
and
l. Any additional information
requested by the Licensing Specialist to verify compliance with these standards
and to make a recommendation regarding the granting of a license.
2. Once a completed application
packet has been received, the division shall complete a licensing study and
recommendation within ninety (90) days. If a recommendation is not made within
ninety (90) days, the applicant may appear before the board to request a
license.
102
Organization & Administration
1. The agency shall obtain a license before
receiving six (6) or more children who are unrelated to the caregiver for care
on a twenty-four-hour basis or receiving a child victim of human trafficking in
any type of shelter or facility.
2.
The purpose and mission of the agency, including treatment philosophy, services
provided, and characteristics of children it is designed to serve, shall be
stated in writing.
3. The following
policies of the agency shall be current and available to all employees of the
agency and the Licensing Specialist:
a.
Personnel policies;
b. Volunteer
policy;
c. Student intern
policy;
d. Admission
policy;
e. Intake policy;
f. Behavior Management policy: Corporal
punishment is prohibited for all residential licenses;
g. Crisis Management policy;
h. Child Maltreatment Mandated Reporter rule:
according to Arkansas law, including procedures to ensure that alleged,
suspected, or witnessed incidents of maltreatment are reported to the Child
Maltreatment Hotline and documented as required by these or other applicable
rule or laws;
i. Child Exploitation
policy;
j. Visitation
policy;
k. Family Therapy or
Therapeutic Pass policy (psychiatric only);
l. Admission Health Assessments policy
(psychiatric only);
m. Public
Safety policy (sexual rehabilitative programs only); and
n. Target Population and Admission,
Exclusion, and Discharge Criteria policy (sexual rehabilitative programs
only).
4. If cameras are
used for security or surveillance, the agency shall have written policy
governing their use, including the following:
a. Access to the live viewing or recordings
is limited to:
i. Persons approved by the
Administrator;
ii. Law
enforcement;
iii. Division of
Children and Family Services Investigators;
iv. Division of Children and Family Services
personnel as approved or designated by the Director; or
v. Regulatory authorities.
b. The placing authority and the
child shall be informed regarding the use of cameras; and
c. Cameras shall not be used to observe or
record children while toileting, bathing, dressing, or
undressing.
5. The agency
shall be legally authorized to conduct business in Arkansas by state law and
local ordinance.
6. The agency
shall provide copies of all programmatic licenses, certifications, and
accreditations held by the agency.
7. The agency shall meet all federal, state,
and local laws and ordinances that apply to child welfare agencies and to the
proper care of children in such facilities.
8. The owner or Board of Directors shall be
responsible for operating the facility and shall have final responsibility to
ensure that the facility meets licensing requirements. Names and addresses of
board members shall be provided to the Licensing Specialist annually.
9. The agency shall maintain a current
organizational chart showing the administrative structure of the
organization.
10. The agency shall
maintain proof of current general and professional liability
insurance.
11. The agency shall
notify the Licensing Unit within five (5) days of any change of Administrator,
Social Service Director, or Clinical Director.
12. The agency shall establish and follow
written policies and procedures that meet or exceed the Minimum Licensing
Standards for Child Welfare Agencies.
13. Agencies applying for an Arkansas license
shall provide proof that they are licensed in good standing in their home
state, if applicable, and are in good standing in all other states where they
are licensed. If an agency is being disciplined or sanctioned in another
jurisdiction, the board shall be notified.
14. Agencies licensed in Arkansas after
January 18, 2002, shall have an office in Arkansas.
15. Agencies licensed in Arkansas shall
maintain all required files for licensing review as needed. They may choose to:
a. Maintain these files in their office in
Arkansas; or
b. Arrange to provide
the required files to the licensing staff.
16. Agencies licensed in Arkansas shall have
a qualified person on call to supervise emergency services.
17. A residential childcare facility license
shall not be granted to an applicant to operate the facility, their own
residence, or in a home owned and occupied by an employee of the
agency.
18. If electronic records
are kept, these records shall be made available to the Licensing Specialist for
purposes of monitoring and investigation.
19. Any disciplinary action taken against the
agency by another jurisdiction shall be reported to the Licensing
Unit.
20. The license shall be
closed in good standing if an agency is inactive for one (1) year, unless the
agency requests annually in writing that the license remains active. This
request shall be approved by the CWARB.
21. If a facility has been inactive for more
than six (6) months, the Licensing Unit shall be notified before children are
taken into care.
22. If a facility
becomes inactive, the Licensing Unit shall be notified within thirty (30)
days.
23. The agency shall not
permit, aid, or abet an unlicensed person to perform activities requiring a
license.
24. The agency shall not
misrepresent the type or status of education, training, expertise, licensure,
or professional affiliations.
103
Central Registry & Criminal
Record Checks
1. The agency shall
conduct background checks, as required by the Child Welfare Agency Licensing
Act (§
9-28-409), using forms approved by the Licensing Unit. Background
checks conducted by or for other licensing authorities (examples include, but
are not limited to, the Office of Long-Term Care or the Division of
Developmental Disabilities Services) do not meet the requirement of this
standard.
2. The following persons
in a child welfare agency shall be checked with the Child Maltreatment Central
Registry in their state of residence (if available), any state of residence in
which the person has lived for the past five (5) years, and in the person's
state of employment, if different, for reports of child maltreatment:
a. Employees, having direct and unsupervised
contact with children;
b. House
parents and each member of the household that is fourteen (14) years of age or
older;
c. Volunteers, mentors,
sponsors, and student interns having direct and unsupervised contact with
children;
d. Owners having direct
and unsupervised contact with children; and
e. Members of the agency's board of directors
having direct and unsupervised contact with children.
3. Persons required to have the Child
Maltreatment Central Registry Check shall repeat the check every two (2)
years.
4. Any person found to have
a record of child maltreatment shall be reviewed by the owner or administrator
of the agency, in consultation with the Child Welfare Agency Review Board or
its designee, to determine corrective action. Corrective action may include
without limitation, counseling, training, probationary employment,
non-selection for employment, or termination.
5. The following persons in a child welfare
agency shall be checked with the Identification Bureau of the Arkansas State
Police for convictions of offenses listed in Arkansas Code Annotated
§
9-28-409:
a. Employees having direct and
unsupervised contact with children;
b. Volunteers, mentors, sponsors, and student
interns having direct and unsupervised contact with children;
c. House parents, and each member of the
household that is eighteen (18) years of age or older. The house parents shall
certify in writing annually whether or not household members fourteen (14) thru
seventeen (17) years of age have criminal records;
d. Owners having direct and unsupervised
contact with children; and
e.
Members of the agency's board of directors having direct and unsupervised
contact with children.
6.
Individuals required to submit to a criminal background check with the
Identification Bureau of the Arkansas State Police shall also complete a
background check with the Federal Bureau of Investigations.
7. All persons required to be checked with
the Department of Arkansas State Police under this subsection shall repeat the
check at a minimum of every five (5) years.
8. Child Maltreatment Central Registry Checks
and Arkansas State Police and Federal Bureau of Investigation (FBI) Criminal
Record Checks shall be initiated within ten (10) days of employment.
9. The agency shall provide a copy of the
Federal Bureau of Investigation Criminal Record Check form and the Arkansas
State Police Criminal Record Check form to the Licensing Office upon
initiation.
10. The agency shall
maintain on file evidence that background checks have been initiated as
required and results of the completed checks.
11. No person guilty of an excluded criminal
offense pursuant to A.C.A. §
9-28-409 shall be permitted to have direct and
unsupervised contact with children, except as provided in the
statute.
12. A child welfare agency
shall immediately notify the Licensing Unit when an individual is found to have
a record of an excluded criminal offense.
104
General Personnel
Requirements
All personnel employed on or after April 12,
1999, shall meet the following requirements:
1. The agency, unless it is a Psychiatric
Residential Treatment Facility, shall have an administrator who shall be
responsible for the general management of the agency, possessing at least one
(1) of the following qualifications (Psychiatric facilities refer to item 2 of
this section):
a. A doctorate
degree;
b. A master's degree in a
human services field (child development, psychology, sociology, social work,
guidance and counseling, divinity, or education), administration, business, or
a related field;
c. A bachelor's
degree in a human services field, administration, business, or a related field,
and at least two (2) years of work experience in a human services agency;
or
2. Psychiatric
facilities require an administrator who shall be responsible for the general
management of the agency, possessing either a doctorate degree or a master's
degree in a human services field (child development, psychology, sociology,
social work, guidance and counseling, divinity, or education), administration,
business, or a related field.
3.
The agency shall have a Social Services Director who shall supervise child
placement activities and casework services by the agency, possessing at least
one (1) of the following qualifications (Psychiatric facilities see section 906
and Sexual Rehabilitative Program see 1006):
a. A master's degree or higher in a human
services field (child development, psychology, sociology, social work,
counseling and guidance, divinity, or education);
b. A bachelor's degree in a human services
field and two (2) years of work experience in a child welfare agency;
or
4. Anyone permitted to
supervise child placement or casework services shall meet the qualifications
for Social Services Director.
5.
Each agency shall have a caseworker who is responsible for doing assessments,
case planning, and casework services, possessing at least one (1) of the
following (Psychiatric facilities see section 906):
a. A bachelor's degree in a human services
field; or
b. A bachelor's degree and
two (2) years' work experience in a human services field.
6. If casework services are contracted, the
agency shall maintain all required personnel information on the contracted
caseworkers.
7. A caseworker shall
not have more than twenty-five (25) children's cases at a
time.
105
Staff
Qualifications & Training1.
Childcare staff shall be at least twenty-one (21) years of age and have a high
school diploma or the equivalent.
2. Assistant childcare staff shall be at
least nineteen (19) years of age, have a high school diploma or the equivalent,
and be under the direct supervision of regular staff (excludes psychiatric and
sexual rehabilitative programs).
3.
Childcare staff shall complete pre-service training prior to being counted in
the staff-to-child ratio. This training may be counted toward training hours
for the first year. This applies to personnel employed on or after January 1,
2011.
4. Pre-service training shall
include without limitation:
a.
Confidentiality;
b. Resident
grievance process (psychiatric only);
c. Fire and disaster plans;
d. Suicide awareness and protocol;
e. Behavior management;
f. Crisis intervention strategies;
g. Agency policies and procedures;
h. Child Maltreatment Mandated Reporter
rule;
i. One (1) hour of training
on the program's safety plan (sexual rehabilitative only); and
j. Minimum Licensing Standards for Child
Welfare Agencies (that pertains to license type).
5. All childcare staff shall have a current
certificate of successful completion of First Aid and CPR. The training shall
require hands-on and skill-based instruction as well as practical testing.
Training and certification that is provided solely online will not be accepted.
Staff shall complete this requirement within ninety (90) days of
hire.
6. At least one (1) childcare
staff currently certified in hands-on and skill-based CPR and First Aid must be
able to immediately respond to an emergency.
7. No staff shall be allowed to participate
in a physical restraint until properly trained to do so.
8. All full-time childcare staff shall have
thirty (30) hours of job-related in-service or workshop training each year.
First aid, CPR, and in-service training at the facility may be
included.
9. Childcare staff
working twenty-four (24) hours a week, or less, shall have at least fifteen
(15) hours of job-related in-service or workshop training each year. First Aid,
CPR, and in-service training at the facility may be included.
10. All childcare staff in psychiatric
facilities shall complete ten (10) hours of psychiatric-specific training
before being counted in the staff-to-child ratio. This applies to employees
hired on or after September 1, 2016.
11. Sexual rehabilitative program childcare
staff shall receive their initial ten (10) hours of sexual rehabilitative
training within sixty (60) days of employment.
12. All childcare staff in sexual
rehabilitative programs shall have at least ten (10) hours of sexual
rehabilitative training annually, which may be included in the required thirty
(30) hours of annual training.
13.
Documentation verifying annual training shall include the date, number of
hours, the name of the source, and the topic or title.
14. The Administrator, Social Services
Director, each caseworker, and each therapist of a child welfare agency shall
have twenty-four (24) hours of job-related continuing education each
year.
15. The agency shall maintain
a personnel file for each employee, which shall include:
a. A resume or application;
b. Date of hire;
c. Verifications of qualifications;
d. Documentation of required annual
training;
e. Criminal Record Check
and Child Maltreatment Central Registry Check information as required by
law;
f. Documentation that
applicable employees are informed that they are mandated reporters of suspected
child maltreatment, according to A.C.A §
12-18-402, and are provided the
information needed to make a report;
g. A functional job description;
and
h. At least three (3) positive
personal references from non-relatives.
16. All owners, operators, employees, or
volunteers in a child welfare agency shall be responsible for ensuring the
proper care, treatment, safety, and supervision of the children they
supervise.
106
Sponsors, Mentors, Volunteers & Student Interns
1. The agency shall have a policy clearly
defining the qualifications, duties, and supervision of sponsors, mentors, and
volunteers.
2. A sponsor is a
non-relative person approved to take a child to the sponsor's home. This does
not include normal age-appropriate activities such as overnight visits with
friends, extra-curricular activities, church activities, or short-term summer
camps. A sponsor's record shall contain the following documentation and
narrative:
a. Documentation and narrative of
at least one (1) home visit for evaluation purposes prior to visitation
occurring. (A visual inspection of the home to ensure the home is appropriate
and free of health and safety hazards.);
b. At least three (3) non-relative character
references;
c. Documentation of
Child Maltreatment Central Registry, State Police Criminal Record Checks, and
Federal Bureau of Investigation (FBI) Criminal Record Checks, if applicable, as
required for all household members; and
d. Documentation of continuing contact and an
annual inspection of the sponsor's home to ensure continued
compliance.
3. A mentor
is a person who offers supportive services to the child on or off campus.
Examples include but are not limited to, shopping, movies, or sporting events.
A mentor's record shall contain:
a. At least
three (3) non-relative character references; and
b. Documentation of Child Maltreatment
Central Registry Checks, State Police Criminal Record Checks, and FBI Criminal
Record Checks, if applicable.
4. A volunteer is a non-paid person who
donates their time or service, or both, to an agency or the child. A volunteer:
a. Who provides direct care, substitutes as
staff, and is counted in the staff-to-child ratio, shall meet all
qualifications required for a paid employee in that position; and
b. Shall have appropriate supervision by a
designated staff person.
5. A student intern is a student or a recent
graduate who is undergoing supervised practical training at an agency. Student
interns:
a. Who provide direct care,
substitute as staff, and are counted in the staff-to-child ratio, shall meet
all qualifications required for a paid employee in that position; and
b. Shall have appropriate supervision by a
designated staff person.
107
Exploitation of Children
1. The agency shall not require a child to
acknowledge dependency, destitution, or neglect, nor to make public statements
about their background.
2. The
agency shall not use or allow to be used, any reports, pictures, or other
information from which a child can be identified, except under the following
conditions:
a. The child and the parent or
guardian sign a consent form that describes the purposes for which the
identification is being made;
b.
The signed consent shall say in which publication or broadcast the
identification will appear; and
c.
The parent or guardian and child shall be informed that the consent may be
withdrawn.
3. All
information regarding children and their families shall be kept strictly
confidential and may only be released with the consent of the child or a parent
or guardian, except to authorized persons or agencies.
4. The agency shall document that all staff
have been made aware of the need to protect the confidentiality of children in
the use of social media.
108
Ethical Standards
1. The Arkansas Child Welfare Agency Review
Board sets forth this section as a Code of Ethics and Standards for Practice
for all child welfare agencies within the State of Arkansas Violations of the
following shall be grounds for disciplinary action:
a. Confidentiality: In providing services, a
child welfare agency shall safeguard information given by clients. A child
welfare agency shall obtain the client's informed written consent before
releasing confidential information, except when consent to disclose is
permitted by law or required by judicial order. If the client is a minor, then
the written consent shall be made with the minor and their legal representative
or guardian;
b. Misrepresentation:
A child welfare agency shall not misrepresent its program services or
experience; and
c. Client
Relationships: Relationships with clients shall not be exploited by the child
welfare agency staff for personal gain.
109
Unprofessional Conduct
1. Unprofessional conduct in the practice of
child welfare activities shall include without limitation:
a. Permitting, aiding, or abetting an
unlicensed person in performing activities that require a professional
license;
b. Misrepresenting type or
status of education, training, expertise, licensure, or professional
affiliations;
c. Failing to
maintain confidentiality, except as otherwise required or permitted by law, of
all information that has been received from a client in confidence during the
course of services;
d. Violating
the ethical standards adopted by the board;
e. Failing to report to the Licensing Unit
any disciplinary action taken against the child welfare agency by another
jurisdiction, domestic or international, the surrender of a license, or loss of
authorization to practice child welfare activities in another
jurisdiction;
f. Failing to comply
with any stipulation or agreement with the board involving probation or a
settlement of any disciplinary matters; and
g. Engaging in behavior that could be viewed
as sexual, dangerous, exploitative, or physically harmful to
children.
110
Inspections, Investigations, & Corrective Action
1. The Licensing Specialist shall conduct
inspections to ensure continued compliance with licensing standards.
2. The Licensing Specialist shall investigate
complaints of alleged violation of licensing standards against all residential
facilities and may participate in investigations of alleged child
maltreatment.
3. The agency shall
cooperate with the Licensing Unit in conducting inspections and investigations
and shall provide information required to verify compliance with
rules.
4. Inspections and
investigations may be scheduled or unscheduled, at the discretion of the
Licensing Specialist, and may be conducted outside regular working
hours.
5. The frequency of
inspections shall be at the discretion of the Licensing Unit and may be based
on the agency's compliance history.
6. At the discretion of the Licensing Unit, a
multi-disciplinary team may be asked to advise the Licensing Specialist during
initial approval or during inspections. This team may include a professional in
the appropriate field.
7. Upon
finding any violations of licensing standards, the Licensing Specialist shall
issue to the agency a corrective action notice, which shall state:
a. A factual description of the conditions
that constitute a violation of the standard;
b. The specific law or standard violated;
and
c. A reasonable time frame
within which the violation shall be corrected.
8. The agency shall provide a written
corrective action plan, when requested to do so, by the Licensing Specialist in
a corrective action notice.
9. Any
owner, operator, employee, foster parent, or volunteer in a child welfare
agency shall immediately notify the Child Abuse Hotline if they have reasonable
cause to suspect that a child has:
a. Been
subjected to child maltreatment;
b.
Died as a result of child maltreatment; or
c. If they observe a child being subjected to
conditions or circumstances that would reasonably result in child
maltreatment.
10. If a
complaint of child maltreatment is filed against any owner, operator, employee,
foster parent, volunteer, or other person in a child welfare agency, the agency
administration shall evaluate the risk to children and determine the
suitability of the person(s) to supervise, be left alone with children, have
disciplinary control over children, or remain in the child welfare agency until
the allegations are determined to be true or unsubstantiated. Any interim
corrective action measures shall be approved by the Licensing Unit.
11. The agency shall maintain a log or file
of all calls to the child abuse hotline.
12. The agency shall notify the Licensing
Unit by the next business day when a report of child maltreatment is accepted
by the child abuse hotline against the owner, operator, employee, foster
parent, volunteer, child, or other person in a child welfare agency.
13. The agency and all staff shall cooperate
fully with investigators during a child maltreatment investigation.
14. The agency shall take steps to prevent
harm or retaliation against the child while an allegation of child maltreatment
is being investigated.
15. Any
person with a true finding of child maltreatment shall have a review by the
owner or administrator of the agency, in consultation with the Child Welfare
Agency Review Board or its designee, to determine corrective action. Corrective
action may include without limitation, counseling, training, probationary
employment, non-selection for employment, or termination.
16. Any employee who has been sanctioned by
any licensing or certifying entity for any reason pertaining to child safety
shall be reviewed by the owner or administrator of the agency, in consultation
with the Child Welfare Agency Review Board or its designee, to determine
corrective action. Corrective action may include without limitation,
counseling, training, probationary employment, non-selection for employment, or
termination of employment.
17. The
agency shall notify the Licensing Unit by the next business day of serious
injuries requiring emergency medical treatment, agency vehicle accidents,
arrests, elopements, suicide attempts, or deaths and maintain documentation of
the incident and notification.
18.
The agency shall maintain reports on all incidents that cause injury, property
damage, or disruption to routine operation or
services.
200
EMERGENCY RESIDENTIAL FACILITIES
In addition to all standards in Section 100, the
following standards shall be met: Facilities holding an Emergency Residential
Facility license provide residential care on an emergency basis for up to
ninety (90) days.
201
Admission
1. The agency shall
establish written criteria for admitting as well as excluding
children.
2. The facility shall not
admit any child for whom the facility cannot provide adequate care.
3. Each child shall have a medical
examination no more than one (1) year before admission or a documented
appointment date for an exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agent's authority to place the child
within five (5) working days.
6.
The facility shall obtain written authority for medical care for the child from
the placing agent within seventy-two (72) hours.
7. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
8.
The facility shall establish that all persons referred for admission are under
eighteen (18) years of age at the time of admission.
9. Residents may remain in the program after
reaching eighteen (18) years of age with the reason for continued placement
documented.
10. The facility may
admit children from birth to eighteen (18) years of age.
11. The facility shall admit children for a
maximum of ninety (90) days.
12. At
the time of admission, the following information shall be documented in the
child's record.
a. Name, signature, and role
or relationship of the person who relinquished the child into care;
b. A brief description of the circumstances
requiring admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
13.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
14.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody; and
e. Any history of previous placements outside
the family.
15. The
facility shall obtain copies of legal documents within thirty (30) days of
admission or shall document their attempts to obtain the documents. The legal
documents shall include without limitation, birth certificates, social security
cards, and court orders.
16. A
dependent juvenile child of a parent who is in the custody of the Division of
Child and Family Services (DCFS) shall be subject to all rules regarding space,
ratio, health, and safety.
17.
Facilities that have an adult program shall provide sleeping and living
arrangements to ensure separation of adults from children.
202
Assessment & Case
Planning1. The agency shall assign a
caseworker to each child who is responsible for doing assessments, case
planning, and casework services.
2.
A plan of safe care shall be developed for all children with physical
limitations, medical conditions, or behaviors that are indicative of harm to
self or others; to include without limitation: arson, physical aggression,
sexual aggression, suicidal behaviors, or other self-harming tendencies. This
plan shall identify the behavior or problem and shall specify the safeguards
that are to be implemented. The agency shall document that the childcare staff
are informed of the provisions of the plan and place a copy of the plan in the
child's record.
3. An assessment of
services needed to ensure the health and welfare of the child, including
medical history and psychological history, shall be completed for each child,
and included in the case plan.
4. A
case plan shall be developed for each resident received for care.
5. The case plan shall be developed within
thirty (30) days after placement.
6. The child's case plan shall contain, at
the minimum:
a. Specific needs of the
child;
b. Plan for meeting the
child's needs;
c. Special treatment
issues (for example, psychotropic medications, sexual misconduct, and
neurological disorders) shall be identified with a statement of how the special
needs shall be met; and
d. A plan
to ensure that the child's educational needs are met according to applicable
state law.
7. A copy of
the case plan shall be made available to the parent(s), guardian(s), court, or
other agencies involved in case plan services delivery.
8. The agency caseworker shall visit the
child monthly to monitor the progress of the case plan.
203
Children's Records
1. The agency shall keep a confidential case
record for each child that includes the following:
a. Demographic information;
b. Plan of safe care, if
applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Case
plans;
g. Copies of legal documents
(for example, birth certificate, social security card, or court orders) or
documentation of their attempts to obtain the documents;
h. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records for each child shall be kept for
five (5) years from the date of discharge, unless otherwise specified by
Arkansas law.
204
Behavior Management1. The agency shall
have a written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or case plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. (Non-disciplinary case planning issues are
accepted);
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Locked
isolation;
h. Physical injury or
threat of bodily harm;
i.
Humiliating or degrading action;
j.
Extremely strenuous work or exercise; nor
k. Mechanical or chemical
restraints.
5. Physical
restraint shall be initiated only by a trained staff; only to prevent injury to
the child, other people, or property; and shall not be initiated solely as a
form of discipline.
6. Physical
restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any device
for the purposes of restraining the free movement of a resident's body. Briefly
holding a child without undue force in order to calm or comfort or holding a
hand to safely escort a child from one area to another, is not considered a
physical restraint.
7.
Documentation of all physical restraints shall be maintained and include
child's name, date, time, reason, staff involved, and measures taken prior to
restraint.
8. A child shall not be
allowed to administer discipline, except teen parents may discipline their own
children under the supervision and guidance of staff.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy and shall be witnessed by two (2) staff of
the same gender as the child.
205
Ratio & Supervision
1. The facility shall not exceed its total
licensed capacity.
2. There shall
be a staff-to-child ratio of at least one to nine (1:9) during waking hours and
at least one to twelve (1:12) during sleeping hours. Staff members' children
shall be counted in the ratio.
3.
If any child is under six (6) years of age, the ratio shall be at least one to
seven (1:7) at all times.
4. Only
staff who directly supervise children shall be counted in this ratio.
5. Childcare staff shall be responsible for
providing the level of supervision, care, and treatment necessary to ensure the
safety and well-being of each child at the facility, taking into account the
child's age, individual differences and abilities, surrounding circumstances,
hazards, and risks.
6. All
childcare shift staff counted in the staff-to-child ratio shall remain awake at
all times. House parents are excluded from this requirement.
7. The facility shall maintain a daily census
report to include the child's name and room or building assignment.
206
Health & Medical
Care1. Each child shall have a medical
exam at least annually. Health exams need not be repeated during the year if a
child moves from one (1) facility or agency to another, provided the results of
the exam are available to the receiving facility or agency.
2. All medications shall be administered to
children by staff according to medical instructions.
3. The administering of all medications,
including over the counter, shall be logged by the person administering the
medication at the time that the medication is given.
4. The medication log shall include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications excluding Epi-pens, inhalers, and Glucagon kits shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided or have
access to non-narcotic prescriptions with an approved safety plan. Examples
include without limitation, birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be on the premises and readily accessible by staff at all
times.
7. Currently prescribed
medications, belonging to children, shall be returned to the parent or
custodian upon discharge.
207
Program
1. The facility shall ensure each child
receives education in accordance with the Arkansas Department of
Education.
2. The facility shall
teach each child the daily living tasks required as a part of living in a group
setting and shall assign only light chores that are age appropriate.
3. The agency shall have a policy regarding
each child's money received and shall ensure that each child's funds are
available to that child under staff supervision for personal use.
4. The facility shall not allow a child's
outside employment, chores, or extracurricular activities to interfere with the
child's time for school, sleep, family visits, or case plan
activities.
5. The facility shall
provide each child with adequate and nutritious food.
6. The facility shall ensure that each child
has sufficient sleep for their age and physical condition.
7. The facility shall instruct each child in
good grooming and personal hygiene habits.
8. The facility shall ensure each child is
provided with their own clothing that is clean, well fitting, seasonal, and
appropriate to age and gender, unless otherwise directed by a
physician.
9. The facility shall
ensure each child is provided with opportunities for regular recreational
activities and exercise.
10. The
facility shall provide activities and equipment that are age-appropriate to the
children in their care.
11. The
facility shall monitor, and time limit the use of television, videos, computer
games, and other screen time activities.
208
Grounds
1. The grounds of the facility shall be kept
clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
209
Buildings
1. No facility shall be located in a shopping
center, strip mall, or other buildings used for commercial activity.
2. Unused or vacant portions of a facility
shall not be rented, leased, loaned, or otherwise occupied by any commercial or
other business entity (or private individuals) not associated with the facility
or its management.
3. All buildings
used by children or staff shall be inspected and approved annually for fire
safety by fire department officials.
4. All buildings used by children or staff
shall be inspected and approved annually for health and sanitation as required
by the Arkansas Department of Health.
5. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
6. All buildings and furnishings shall be
safe, clean, and in good repair.
7.
There shall be no more than twelve (12) children in a sleeping unit. A sleeping
unit is considered to be a group of bedrooms.
8. Sleeping units sharing the same building
shall be separated (for example, into different corridors, wings, or floors).
Sleeping units modified or newly constructed after September 1, 2016, shall
comply with this standard.
9.
Licensing shall be notified of any changes to buildings that affect usage,
size, capacity, or structural changes.
10. Building usage shall be approved by
licensing prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
11. Any modifications to buildings used by
children, or an increase in capacity, shall require inspection and approval by
the Fire and Health Department, if applicable.
12. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating, and air conditioning
source that keeps the temperature a minimum of sixty-five degrees (65°) and
a maximum of eighty-five degrees (85°).
13. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
14. The facility shall
provide a dining room.
15. The
facility shall have a kitchen.
16.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
210
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be
separate bath and toilet facilities for males and females.
6. There shall be an adequate supply of soap,
towels, and tissue.
211
Sleeping Arrangements1. The
facility shall provide bedrooms for the children.
2. There shall be no more than four (4)
children per bedroom.
3. There
shall be at least fifty square feet (50'²) of floor space per child in
each bedroom.
4. No child four (4)
years of age or over shall share a bedroom with a child of the opposite gender,
except teenaged parents who participate in the care of their own
children.
5. Each child shall have
a separate bed with a mattress, sheets, pillow, pillowcase, and adequate cover,
all in good condition.
6. All cribs
used for children shall have current certification of compliance with Consumer
Product Safety Commission (CPSC) standards.
7. Children twelve (12) months of age and
below shall be placed flat on their backs to sleep, in accordance with American
Academy of Pediatrics guidelines, to lessen the risk of suffocation and Sudden
Infant Death Syndrome. (If a child rolls over on their own, the facility is not
required to reposition the child.) If there is a medical reason a child cannot
sleep on their back, a signed statement from the child's physician shall be in
the file stating the reason, the sleep position indicated, and the time frame
required.
8. Beds shall be
positioned to ensure all children can easily exit the room in case of
emergency.
9. No child under six
(6) years of age shall occupy a top bunk.
10. Bedding shall be changed at least weekly,
or more often if needed.
11. Each
child shall have an area to store personal belongings.
12. Staff sleeping quarters shall be separate
from children's sleeping rooms.
13.
Room arrangements shall be based on characteristics of each resident, to ensure
the safety of each child.
212
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved by the Arkansas Department of Health
annually.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is being used by
children.
7. Fire drills shall be
practiced with children each month.
8. Severe weather drills shall be practiced
with children quarterly.
9. A
record of drills shall be maintained, showing date and time of day of the
drill, number of participants, and length of time required to reach
safety.
10. Each child shall be
instructed in emergency procedures at admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms, without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage, and use of
all firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
213
Transportation
1. The facility shall have agency-procured
transportation available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is not
available.
3. Any vehicle used to
transport children shall be in safe working condition and maintained in
compliance with motor vehicle laws.
4. Any vehicle used to transport children
shall be insured.
5. Children shall
be transported only by an authorized person possessing a valid driver's
license.
6. Children shall be
transported according to Arkansas law, including without limitation, use of
safety belts, child safety seats, and smoking restrictions.
214
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, harm to others, or significant property damage.
3. The agency shall discharge the child to
the custody of the child's parent, a person with authorization from the parent
or guardian, or a person authorized by a court order to assume custody of the
child.
4. The agency shall complete
a discharge statement on each child (that includes the discharge date and
reason for discharge) and provide a copy of it to the child's
custodian.
5. Documentation of the
discharge shall be maintained in the child's
record.
300
EMERGENCY FAMILY STYLE CARE
In addition to all standards in Section 100, the
following standards shall be met: Facilities holding an Emergency Family Style
Care license shall provide residential care on an emergency basis for up to
ninety (90) days in a home-like setting.
301
Admission
1. The agency shall establish written
criteria for admitting and excluding children.
2. The facility shall not admit any child for
whom the facility cannot provide adequate care.
3. Each child shall have a medical exam no
more than one (1) year before admission or a documented appointment date for an
exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption (in accordance with the Arkansas
Department of Health), or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agents' authority to place the
child, within five (5) working days.
6. The facility shall obtain written
authority, for medical care for the child, from the placing agent within
seventy-two (72) hours.
7. The
agency shall comply with the Interstate Compact on the Placement of Children
when admitting children from outside Arkansas, if applicable.
8. The facility shall establish that all
persons referred for admission are under eighteen (18) years of age at the time
of admission.
9. Residents may
remain in the program after reaching eighteen (18) years of age, with the
reason for continued placement documented.
10. The facility may admit children from
birth to eighteen (18) years of age.
11. The facility shall admit children for a
maximum of ninety (90) days.
12. At
the time of admission, the following information shall be documented in the
child's record:
a. Name, signature, and role
or relationship of the person who relinquished the child into care;
b. A brief description of the circumstances
requiring admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
13.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
14.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody; and
e. Any history of previous placements outside
the family.
15. The
facility shall obtain copies of legal documents within thirty (30) days of
admission or shall document their attempts to obtain the documents. The legal
documents shall include without limitation: birth certificates, social security
cards, and court orders.
16. A
dependent juvenile child of a parent who is in the custody of the Division of
Child and Family Services (DCFS) shall be subject to all rules regarding space,
ratio, health, and safety.
17.
Facilities that have an adult program shall provide sleeping and living
arrangements to ensure separation of adults from children.
302
Assessment & Case
Planning1. The agency shall assign a
caseworker to each child who is responsible for doing assessments, case
planning, and casework services.
2.
A plan of safe care shall be developed for all children with physical
limitations, medical conditions, or behaviors that are indicative of harm to
self or others; to include without limitation: arson, physical aggression,
sexual aggression, suicidal behaviors, or other self-harming tendencies. This
plan shall identify the behavior or problem and shall specify the safeguards
that are to be implemented. The agency shall document that the childcare staff
are informed of the provisions of the plan and place a copy of the plan in the
child's record.
3. An assessment of
services needed in order to ensure the health and welfare of the child,
including their medical history and psychological history, shall be completed
for each child and included in the case plan.
4. A case plan shall be developed for each
resident that is received for care.
5. The case plan shall be developed within
thirty (30) days after placement.
6. The child's case plan shall contain, at a
minimum:
a. Specific needs of the
child;
b. Plan for meeting the
child's needs;
c. Special treatment
issues (for example, psychotropic medications, sexual misconduct, and
neurological disorders) shall be identified with a statement of how the special
needs shall be met; and
d. A plan
to ensure that the child's educational needs are met according to applicable
state law.
7. A copy of
the case plan shall be made available to the parent(s), guardian(s), court, or
other agencies involved in the delivery of case plan services.
8. The agency caseworker shall visit the
child monthly to monitor the progress of the case plan.
303
Children's Records
1. The agency shall keep a confidential case
record for each child, that includes the following:
a. Demographic information;
b. Plan of safe care, if
applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Case
plans;
g. Copies of legal documents
(for example: birth certificate, social security card, court orders) or
documentation of their attempts to obtain the documents;
h. Physical exams and immunization records,
or documentation of their attempts to obtain such documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records for each child shall be kept for
five (5) years from the date of discharge, unless otherwise specified by
Arkansas law.
304
Behavior Management1. The agency
shall have a written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or case plan activities;
b. Denial of parental visits or regular phone
and mail contact with family.
c.
Non-disciplinary case planning issues are accepted;
d. Lewd or obscene language;
e. Derogatory comments about the child, the
child's family, race, or gender;
f.
Restriction to a room for more than a short period of time without periodic
observation;
g. Restriction to a
dark room or area;
h. Locked
isolation;
i. Physical injury or
threat of bodily harm;
j.
Humiliating or degrading action;
k.
Extremely strenuous work or exercise; nor
l. Mechanical or chemical
restraints.
5. Physical
restraint shall be initiated only by a trained staff; only to prevent injury to
the child, other people, or property; and shall not be initiated solely as a
form of discipline.
6. Physical
restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any device
for the purposes of restraining the free movement of a resident's body. Briefly
holding a child without undue force in order to calm or comfort the child or
holding a hand to safely escort a child from one area to another, is not
considered a physical restraint.
7.
Documentation of all restraints shall be maintained and include the child's
name, date, time, reason, the staff involved, and any measures taken prior to
restraint.
8. A child shall not be
allowed to administer discipline, except teen parents who may discipline their
own children under the supervision and guidance of staff.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy.
305
Ratio & Supervision
1. The facility shall use a houseparent
staffing model.
2. The facility
shall not exceed its total licensed capacity.
3. The facility shall have no more than eight
(8) children in each unit, including the houseparent's children.
4. There shall be a staff to child ratio of
at least one to eight (1:8) at all times. Staff members' children shall be
counted in the ratio.
5. Childcare
staff shall be responsible for providing the level of supervision, care, and
treatment that is necessary to ensure the safety and well-being of each child
at the facility, taking into account the child's age, individual differences
and abilities, surrounding circumstances, hazards, and risks.
6. The facility shall maintain a daily census
report to include the child's name and building or room assignment.
306
Health & Medical
Care1. Each child shall have a medical
exam at least annually. Health exams need not be repeated during the year if a
child moves from one (1) facility or agency to another, provided the results of
the exam are available to the receiving facility or agency.
2. All medications shall be administered to
children by staff according to medical instructions.
3. The administering of all medications,
including over the counter, shall be logged by the person administering the
medication at the time that the medication is given.
4. The medication log shall include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications (excluding Epi-pens, inhalers, and Glucagon kits) shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided or have
access to non-narcotic prescriptions with an approved safety plan. Examples
include without limitation, birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be kept on the premises and readily accessible by staff at
all times.
7. Currently prescribed
medications belonging to children shall be returned to the parent or custodian
upon discharge.
307
Program1. The facility shall
ensure that each child receives education in accordance with the Arkansas
Department of Education.
2. The
facility shall teach each child the daily living tasks required as a part of
living in a group setting and shall assign only light chores that are
age-appropriate.
3. The agency
shall have a policy regarding each child's money received and shall ensure that
each child's funds are available to that child under staff supervision for
personal use.
4. The facility shall
not allow a child's outside employment, chores, or extracurricular activities
to interfere with the child's time for school, sleep, family visits, or case
plan activities.
5. The facility
shall provide each child with adequate and nutritious food, routinely eaten in
the home, cottage, or unit.
6. The
facility shall ensure that each child has sufficient sleep for their age and
physical condition.
7. The facility
shall instruct each child in good grooming and personal hygiene
habits.
8. The facility shall
ensure each child is provided with their own clothing that is clean, well
fitting, seasonal, and appropriate to age and gender, unless otherwise directed
by a physician.
9. The facility
shall ensure each child is provided with opportunities for regular recreational
activities and exercise.
10. The
facility shall provide activities and equipment that are age-appropriate to the
children in their care.
11. The
facility shall monitor, and time limit the use of television, videos, computer
games, and other screen time activities.
12. The agency shall have policy and
procedure to ensure that children in care are allowed to participate in
age-appropriate activities away from the facility.
308
Grounds
1. The grounds of the facility shall be kept
clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
309
Buildings
1. The building shall be a single-style
dwelling, such as a house, cottage, or duplex in which the facility occupies
both units. Multiple units may be located on campus.
2. The building(s) shall house only children
in Emergency Family Style Care or Residential Family Style Care.
3. No facility shall be located in a shopping
center, strip mall, or other buildings that are used for commercial
activity.
4. Unused or vacant
portions of a facility shall not be rented, leased, loaned, or otherwise
occupied by any commercial or other business entity (or private individuals)
not associated with the facility or its management.
5. All buildings used by children or staff
shall be inspected and approved annually for fire safety by fire department
officials.
6. All buildings used by
children or staff shall be inspected and approved annually for health and
sanitation as required by the Arkansas Department of Health.
7. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
8. All buildings and furnishings shall be
safe, clean, and in good repair.
9.
Licensing shall be notified of any changes to buildings, that affect usage,
size, capacity, or structural changes.
10. Building usage shall be approved by
licensing prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
11. Any modification to buildings used by
children, or an increase in capacity, shall require inspection and approval by
the Fire and Health Department, if applicable.
12. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating, and air conditioning
source that keeps the temperature a minimum of sixty-five degrees (65°) and
a maximum of eighty-five degrees (85°).
13. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
14. The facility shall
provide a dining area.
15. The
facility shall have a kitchen.
16.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
310
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be an
adequate supply of soap, towels, and tissue.
311
Sleeping Arrangements
1. The facility shall provide bedrooms for
the children.
2. There shall be no
more than four (4) children per bedroom.
3. There shall be at least fifty square feet
(50'²) of floor space per child in each bedroom.
4. No child four (4) years of age or over
shall share a bedroom with a child of the opposite gender, except teenaged
parents who participate in the care of their own children.
5. Each child shall have a separate bed with
a mattress, sheets, pillow, pillowcase, and adequate cover, all in good
condition.
6. All cribs used for
children shall have current certification of compliance with Consumer Product
Safety Commission (CPSC) standards.
7. Children twelve (12) months of age and
below shall be placed flat on their backs to sleep, in accordance with American
Academy of Pediatrics guidelines, to lessen the risk of suffocation and Sudden
Infant Death Syndrome. (If a child rolls over on their own, the facility is not
required to reposition the child.) If there is a medical reason that a child
cannot sleep on their back, then a signed statement from the child's physician
shall be in the file stating the reason, the sleep position indicated, and the
time frame required.
8. Beds shall
be positioned to ensure that all children can easily exit the room in case of
emergency.
9. No child under six
(6) years of age shall occupy a top bunk.
10. Bedding shall be changed at least weekly,
more often if needed.
11. Each
child shall have an area to store personal belongings.
12. Staff sleeping quarters shall be separate
from children's sleeping rooms.
13.
Room arrangements shall be based on characteristics of each resident to ensure
the safety of each child.
312
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved annually by the Arkansas Department of
Health.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is used by children.
7. Fire drills shall be practiced with
children each month.
8. Severe
weather drills shall be practiced with children quarterly.
9. A record of drills shall be maintained,
showing date and time of day of the drill, number of participants, and length
of time required to reach safety.
10. Each child shall be instructed in
emergency procedures at admissions.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms without proper
adult supervision, and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage, and use of
all firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
313
Transportation
1. The facility shall have agency-procured
transportation available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is not
available.
3. Any vehicle used to
transport children shall be in safe working condition and maintained in
compliance with motor vehicle laws.
4. Any vehicle used to transport children
shall be insured.
5. Children shall
be transported only by an authorized person possessing a valid driver's
license.
6. Children shall be
transported according to Arkansas law including, without limitation, use of
safety belts, child safety seats, and smoking restrictions.
314
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, harm to others, or significant property damage.
3. The agency shall discharge the child to
the custody of the child's parent or a person with authorization from the
parent or guardian, or a person authorized by court order to assume custody of
the child.
4. The agency shall
complete a discharge statement on each child, that includes the discharge date
and reason for discharge, and provide a copy of it to the child's
custodian.
5. Documentation of the
discharge shall be maintained in the child's
record.
400
RESIDENTIAL FACILITIES
In addition to all standards in Section 100, the
following standards shall be met: Facilities holding a Residential Facility
license shall provide residential care on a long-term
basis.
401
Admission1. The agency shall
establish written criteria for admitting and excluding children.
2. The facility shall not admit any child for
whom the facility cannot provide adequate care.
3. Each child shall have a medical exam no
more than one (1) year before admission or a documented appointment date for an
exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agent's authority to place the child
at the time of admission.
6. The
facility shall obtain written authority for medical care for the child from the
placing agent at the time of admission.
7. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
8.
The facility shall establish that all persons referred for admission are under
eighteen (18) years of age at the time of admission.
9. Residents may remain in the program after
reaching eighteen (18) years of age with the reason for continued placement
documented. The resident shall be discharged no later than their twenty-first
birthday.
10. The facility may
admit a child under five (5) years of age, only if that child is a part of a
sibling group of which one (1) child is five (5) years of age or older, or if
it is the summer before the child is eligible to enter kindergarten. Exception
is made for the infant child or children of a parent who is admitted to the
facility.
11. At the time of
admission, the following information shall be documented in the child's record:
a. Name, signature, and role or relationship
of the person who relinquished the child into care;
b. A brief description of the circumstances
requiring admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
12.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
13.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody; and
e. Any history of previous placements outside
the family.
14. The
facility shall obtain copies of legal documents within thirty (30) days of
admission or shall document their attempts to obtain the documents. The legal
documents shall include without limitation: birth certificates, social security
cards, and court orders.
15. A
dependent juvenile child of a parent who is in the custody of the Division of
Child and Family Services (DCFS) shall be subject to all rules regarding space,
ratio, health, and safety.
16.
Facilities that have an adult program shall provide sleeping and living
arrangements to ensure separation of adults from children.
402
Assessment & Case
Planning1. The agency shall assign a
caseworker to each child, who is responsible for doing assessments, case
planning, and casework services.
2.
A plan of safe care shall be developed for all children with physical
limitations, medical conditions, or behaviors that are indicative of harm to
self or others; to include without limitation, physical aggression, sexual
aggression, suicidal behaviors, or other self-harming tendencies. This plan
shall identify the behavior or problem and shall specify the safeguards that
are to be implemented. The agency shall document that the childcare staff are
informed of the provisions of the plan and place a copy of the plan in the
child's record.
3. An assessment of
services needed to ensure the health and welfare of the child, including
medical history and psychological history, shall be completed for each child
and included in the case plan.
4. A
case plan shall be developed for each resident who is received for
care.
5. The case plan shall be
developed within thirty (30) days after placement.
6. The child's case plan shall contain, at
the minimum:
a. Specific needs of the
child;
b. Plan for meeting the
child's needs;
c. Special treatment
issues (for example, psychotropic medications, sexual misconduct, and
neurological disorders) shall be identified with a statement of how the special
needs shall be met;
d. A plan to
ensure that the child's educational needs are met according to applicable state
law; and
e. Date of next review of
the case plan.
7. A copy
of the case plan shall be made available to the parent(s), guardian(s), court,
or other agencies involved in case plan services delivery.
8. The case plan shall be reviewed at least
semi-annually and shall be updated to reflect the child's progress.
403
Children's
Records1. The agency shall keep a
confidential case record for each child, that includes the following:
a. Demographic information;
b. Plan of safe care, if
applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Case plans and case
plan reviews;
g. Copies of legal
documents (for example, birth certificate, social security card, court orders,
or documentation of their attempts to obtain the documents);
h. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records for each child shall be kept for
five (5) years from the date of discharge, unless otherwise specified by
Arkansas law.
404
Behavior Management1. The agency
shall have a written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or case plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. Non-disciplinary case planning issues are
accepted;
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Locked
isolation;
h. Physical injury or
threat of bodily harm;
i.
Humiliating or degrading action;
j.
Extremely strenuous work or exercise; nor
k. Mechanical or chemical
restraints.
5. Physical
restraint shall be initiated only by trained staff; only to prevent injury to
the child, other people, or property; and shall not be initiated solely as a
form of discipline.
6. Physical
restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any
device, for the purpose of restraining the free movement of a resident's body.
Briefly holding a child without undue force, in order to calm or comfort or
holding a hand to safely escort a child from one area to another, is not
considered a physical restraint.
7.
Documentation of all restraints shall be maintained and include child's name,
date, time, reason, staff involved, and measures taken prior to
restraint.
8. A child shall not be
allowed to administer discipline, except teen parents may discipline their own
children under the supervision and guidance of staff.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy and shall be witnessed by two (2) staff of
the same gender as the child.
405
Ratio & Supervision
1. The facility shall not exceed its total
licensed capacity.
2. There shall
be a staff to child ratio of at least one to nine (1:9) during waking hours and
at least one to twelve (1:12) during sleeping hours. Staff members' children
shall be counted in the ratio.
3.
If any child is under six (6) years of age, the ratio shall be at least one to
seven (1:7) at all times.
4. Only
staff who directly supervise children shall be counted in this ratio.
5. Childcare staff shall be responsible for
providing the level of supervision, care, and treatment necessary to ensure the
safety and well-being of each child at the facility, taking into account the
child's age, individual differences and abilities, surrounding circumstances,
hazards, and risks.
6. All
childcare shift staff counted in the staff to child ratio shall remain awake at
all times. House parents are excluded from this requirement.
7. The facility shall maintain a daily census
report to include the child's name and room or building assignment.
406
Health & Medical
Care1. Each child shall have a medical
exam at least annually. Health exams need not be repeated during the year if a
child moves from one (1) facility or agency to another, provided the results of
the exam are available to the receiving facility or agency.
2. All medications shall be administered to
children by staff according to medical instructions.
3. The administering of all medications,
including over the counter, shall be logged by the person administering the
medicine at the time that the medication is given.
4. The medication log shall include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications (excluding Epi-pens, inhalers, and Glucagon kits) shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided or have
access to non-narcotic prescriptions with an approved safety plan. Examples
include without limitation, birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be kept on the premises and readily accessible by staff at
all times.
7. Currently prescribed
medications belonging to children shall be returned to the parent or custodian
upon discharge.
407
Program1. The facility shall
ensure that each child receives education in accordance with the Arkansas
Department of Education.
2. The
facility shall teach each child the daily living tasks required as a part of
living in a group setting and shall assign only light chores that are
age-appropriate.
3. The agency
shall have a policy regarding each child's money received and shall ensure that
each child's funds are available to that child under staff supervision for
personal use.
4. The facility shall
not allow a child's outside employment, chores, or extracurricular activities
to interfere with the child's time for school, sleep, family visits, or case
plan activities.
5. The facility
shall provide each child with adequate and nutritious food.
6. The facility shall ensure that each child
has sufficient sleep for their age and physical condition.
7. Each child shall be instructed in good
grooming and personal hygiene habits.
8. The facility shall ensure that each child
is provided with their own clothing that is clean, well fitting, seasonal, and
appropriate to age and gender, unless otherwise directed by a
physician.
9. The facility shall
ensure that each child in care is provided with opportunities for regular
recreational activities and exercise.
10. The facility shall provide activities and
equipment that are age-appropriate to the children in their care.
11. The use of television, videos, computer
games, and other screen time activities shall be monitored and time
limited.
408
Grounds1. The grounds of the
facility shall be kept clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
409
Buildings
1. No facility shall be located in a shopping
center, strip mall, or other buildings that are used for commercial
activity.
2. Unused or vacant
portions of a facility shall not be rented, leased, loaned, or otherwise
occupied by any commercial or other business entity (or private individuals)
not associated with the facility or its management.
3. All buildings used by children or staff
shall be inspected and approved annually for fire safety by fire department
officials.
4. All buildings used by
children or staff shall be inspected and approved annually for health and
sanitation as required by the Arkansas Department of Health.
5. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
6. All buildings and furnishings shall be
safe, clean, and in good repair.
7.
There shall be no more than twelve (12) children in a sleeping unit. A sleeping
unit is considered to be a group of bedrooms.
8. Sleeping units sharing the same building
shall be separated (for example, into different corridors, wings, or floors).
All sleeping units modified or newly constructed after September 1, 2016, shall
comply with this standard.
9.
Licensing shall be notified of any changes to buildings that affect usage,
size, capacity, or structural changes.
10. Building usage shall be approved by
licensing prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
11. Any modification to buildings used by
children, or an increase in capacity shall require inspection and approval by
the Fire and Health Department, if applicable.
12. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating and air conditioning
source that keeps the temperature a minimum of sixty-five degrees (65°) and
a maximum of eighty-five degrees (85°).
13. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
14. The facility shall
provide a dining room.
15. The
facility shall have a kitchen.
16.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
410
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be
separate bath and toilet facilities for males and females.
6. There shall be an adequate supply of soap,
towels, and tissue.
411
Sleeping Arrangements1. The
facility shall provide bedrooms for the children.
2. There shall be no more than four (4)
children per bedroom.
3. There
shall be at least fifty square feet (50'²) of floor space per child in
each bedroom.
4. No child four (4)
years of age or over shall share a bedroom with a child of the opposite gender,
except teenaged parents who participate in the care of their own
children.
5. Each child shall have
a separate bed with a mattress, sheets, pillow, pillowcase, and adequate cover,
all in good condition.
6. All cribs
used for children shall have current certification of compliance with Consumer
Product Safety Commission (CPSC) standards.
7. Children twelve (12) months of age and
below shall be placed flat on their backs to sleep, in accordance with American
Academy of Pediatrics guidelines, to lessen the risk of suffocation and Sudden
Infant Death Syndrome. (If a child rolls over on their own, the facility is not
required to reposition the child.) If there is a medical reason that a child
cannot sleep on their back, a signed statement from the child's physician shall
be in the file stating the reason, the sleep position indicated, and the time
frame required.
8. Beds shall be
positioned to ensure that all children can easily exit the room in case of
emergency.
9. No child under six
(6) years of age shall occupy a top bunk.
10. Bedding shall be changed at least weekly,
more often if needed.
11. Each
child shall have an area to store personal belongings.
12. Staff sleeping quarters shall be separate
from children's sleeping rooms.
13.
Room arrangements shall be based on characteristics of each resident to ensure
the safety of each child.
412
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved by the Arkansas Department of Health
annually.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is used by children.
7. Fire drills shall be practiced with
children each month.
8. Severe
weather drills shall be practiced with children quarterly.
9. A record of drills shall be maintained,
showing date and time of day of the drill, number of participants, and length
of time required to reach safety.
10. Each child shall be instructed in
emergency procedures at admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage and use of all
firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
413
Transportation
1. The facility shall have agency-procured
transportation available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is not
available.
3. Any vehicle used to
transport children shall be in safe working condition and maintained in
compliance with motor vehicle laws.
4. Any vehicle used to transport children
shall be insured.
5. Children shall
be transported only by an authorized person possessing a valid driver's
license.
6. Children shall be
transported according to Arkansas law, including without limitation: use of
safety belts, child safety seats, and smoking restrictions.
414
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, other persons, or significant property damage.
3. A child shall be discharged to the custody
of the child's parent or a person with authorization from the parent, guardian,
or a person authorized by court order to assume custody of the child.
4. The agency shall complete a discharge
statement on each child, that includes a discharge date and reason for
discharge, and provide a copy of it to the child's custodian.
5. Documentation of the discharge shall be
maintained in the child's record.
500
RESIDENTIAL FAMILY STYLE
CARE
In addition to all standards in Section 100, the
following standards shall be met: Facilities holding a Residential Family Style
Care license shall provide residential care on a long-term basis in a home-like
setting.
501
Admission
1. The agency shall
establish written criteria for admitting and excluding children.
2. The facility shall not admit any child for
whom the facility cannot provide adequate care.
3. Each child shall have a medical exam no
more than one (1) year before admission or a documented appointment date for an
exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agent's authority to place the child
at the time of admission.
6. The
facility shall obtain written authority for medical care for the child from the
placing agent at the time of admission.
7. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
8.
The facility shall establish that all persons referred for admission are under
eighteen (18) years of age at the time of admission.
9. Residents may remain in the program after
reaching eighteen (18) years of age with the reason for continued placement
documented. The resident shall be discharged no later than their twenty-first
(21st) birthday.
10. The facility may admit a child (or
children) under five (5) years of age only if that child is a part of a sibling
group of whom one child is five (5) years of age or older, or if it is the
summer before the child is eligible to enter kindergarten. Exception is made
for the infant child or children of a parent who is admitted to the
facility.
11. At the time of an
admission, the following information shall be documented in the child's record:
a. Name, signature, and role or relationship
of the person who relinquished the child into care;
b. A brief description of the circumstances
requiring admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
12.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
13.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody; an
e. Any history of previous placements outside
the family.
14. The
facility shall obtain copies of legal documents within thirty (30) days of
admission or shall document their attempts to obtain the documents. The legal
documents shall include without limitation: birth certificates, social security
cards, and court orders.
15. A
dependent juvenile child of a parent who is in the custody of the Division of
Child and Family Services (DCFS) shall be subject to all rules regarding space,
ratio, health, and safety.
16.
Facilities that have an adult program shall provide sleeping and living
arrangements to ensure separation of adults from children.
502
Assessment & Case
Planning1. The agency shall assign a
caseworker to each child who is responsible for doing assessments, case
planning, and casework services.
2.
A plan of safe care shall be developed for all children with physical
limitations, medical conditions, or behaviors that are indicative of harm to
self or others; to include without limitation: arson, physical aggression,
sexual aggression, suicidal behaviors, or other self-harming tendencies. This
plan shall identify the behavior or problem and shall specify the safeguards
that are to be implemented. The agency shall document that the childcare staff
are informed of the provisions of the plan and place a copy of the plan in the
child's record.
3. An assessment of
services needed to ensure the health and welfare of the child, including
medical history and psychological history, shall be completed for each child,
and included in the case plan.
4. A
case plan shall be developed for each resident who is received for
care.
5. The case plan shall be
developed within thirty (30) days after placement.
6. The child's case plan shall contain, at
the minimum:
a. Specific needs of the
child;
b. Plan for meeting the
child's needs;
c. Special treatment
issues (for example, psychotropic medications, sexual misconduct, and
neurological disorders) shall be identified with a statement of how the special
needs shall be met;
d. A plan to
ensure that the child's educational needs are met according to applicable state
law; and
e. Date of next review of
the case plan.
7. A copy
of the case plan shall be made available to the parent(s), guardian(s), court,
or other agencies involved in case plan services delivery.
8. The case plan shall be reviewed at least
semi-annually and shall be updated to reflect the child's progress.
503
Children's
Records1. The agency shall keep a
confidential case record for each child that includes the following:
a. Demographic information;
b. Plan of safe care, if
applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Case plans and case
plan reviews;
g. Copies of legal
documents (for example: birth certificate, social security card, court orders,
or documentation of their attempts to obtain the documents);
h. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records for each child shall be kept for
five (5) years from the date of discharge, unless otherwise specified by
Arkansas law.
504
Behavior Management1. The agency
shall have a written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or case plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. (Non-disciplinary case planning issues are
accepted);
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Locked
isolation;
h. Physical injury or
threat of bodily harm;
i.
Humiliating or degrading action;
j.
Extremely strenuous work or exercise; nor
k. Mechanical or chemical
restraints.
5. Physical
restraint shall be initiated only by trained staff; only to prevent injury to
the child, other people, or property; and shall not be initiated solely as a
form of discipline.
6. Physical
restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any
device, for the purpose of restraining the free movement of a resident's body.
Briefly holding a child without undue force in order to calm or comfort or
holding a hand to safely escort a child from one area to another, is not
considered a physical restraint.
7.
Documentation of all restraints shall be maintained and include child's name,
date, time, reason, staff involved, and measures taken prior to
restraint.
8. A child shall not be
allowed to administer discipline, except teen parents may discipline their own
children under the supervision and guidance of staff.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy.
505
Ratio & Supervision
1. The facility shall use a house parent
staffing model.
2. The facility
shall not exceed its total licensed capacity.
3. The facility shall have no more than eight
(8) children in each unit, including the houseparent's children.
4. There shall be a staff to child ratio of
at least one to eight (1:8) at all times. Staff members' children shall be
counted in the ratio.
5. Childcare
staff shall be responsible for providing the level of supervision, care, and
treatment necessary to ensure the safety and well-being of each child at the
facility, taking into account the child's age, individual differences and
abilities, surrounding circumstances, hazards, and risks.
6. The facility shall maintain a daily census
report to include the child's name and room or building assignment.
506
Health & Medical
Care1. Each child shall have a medical
exam at least annually. Health exams need not be repeated during the year if a
child moves from an initial facility or agency to another, provided the results
of the exam are available to the receiving facility or agency.
2. All medications shall be administered to
children by staff according to medical instructions.
3. The administering of all medications,
including over the counter, shall be logged by the person administering the
medication at the time that the medication is given.
4. The medication log shall include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications (excluding Epi-pens, inhalers, and Glucagon kits) shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided or have
access to non-narcotic prescriptions with an approved safety plan. Examples
include without limitation: birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be kept on the premises and readily accessible by staff at
all times.
7. Currently prescribed
medications belonging to children shall be returned to the parent or custodian
upon discharge.
507
Program1. The facility shall
ensure each child receives education in accordance with the Arkansas Department
of Education.
2. The facility shall
teach each child the daily living tasks required as a part of living in a group
setting and shall assign only light chores that are age- appropriate.
3. The agency shall have a policy regarding
each child's money received and shall ensure that each child's funds are
available to that child under staff supervision for personal use.
4. The facility shall not allow a child's
outside employment, chores, or extracurricular activities to interfere with the
child's time for school, sleep, family visits, or case plan
activities.
5. The facility shall
provide each child with adequate and nutritious food, routinely eaten in the
home, cottage, or unit.
6. The
facility shall ensure that each child has sufficient sleep for their age and
physical condition.
7. The facility
shall instruct each child in good grooming and personal hygiene
habits.
8. The facility shall
ensure that each child is provided with their own clothing that is clean, well
fitting, seasonal, and appropriate to age and gender, unless otherwise directed
by a physician.
9. The facility
shall ensure that each child in its care is provided with opportunities for
regular recreational activities and exercise.
10. The facility shall provide activities and
equipment that are age appropriate to the children in their care.
11. The facility shall monitor and time limit
the use of television, videos, computer games, and other screen time
activities.
12. The agency shall
have policy and procedure to ensure that children in its care are allowed to
participate in age-appropriate activities away from the facility.
508
Grounds
1. The grounds of the facility shall be kept
clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
509
Buildings
1. The building shall be a single-style
dwelling, such as a house, cottage, or duplex, in which the facility occupies
both units. Multiple units may be located on campus.
2. The building(s) shall house only children
in Residential Family Style Care or Emergency Family Style Care.
3. No facility shall be located in a shopping
center, strip mall, or other buildings that are used for commercial
activity.
4. Unused or vacant
portions of a facility shall not be rented, leased, loaned, or otherwise
occupied by any commercial or other business entity (or private individuals)
not associated with the facility or its management.
5. All buildings used by children or staff
shall be inspected and approved annually for fire safety by fire department
officials.
6. All buildings used by
children or staff shall be inspected and approved annually for health and
sanitation as required by the Arkansas Department of Health.
7. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
8. All buildings and furnishings shall be
safe, clean, and in good repair.
9.
Licensing shall be notified of any changes to buildings, that affect their
usage, size, capacity, or structural changes.
10. Building usage shall be approved by
licensing prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
11. Any modification to buildings used by
children, or an increase in capacity, shall require inspection and approval by
the Fire and Health Department, if applicable.
12. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating, and air conditioning
source that keeps the temperature to a minimum of sixty-five degrees (65°)
and a maximum of eighty-five degrees (85°).
13. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
14. The facility shall
provide a dining area.
15. The
facility shall have a kitchen.
16.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
510
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be an
adequate supply of soap, towels, and tissue.
511
Sleeping Arrangements
1. The facility shall provide bedrooms for
the children.
2. There shall be no
more than four (4) children per bedroom.
3. There shall be at least fifty square feet
(50'²) of floor space per child in each bedroom.
4. No child four (4) years of age or over
shall share a bedroom with a child of the opposite gender, except teenaged
parents who participate in the care of their own children.
5. Each child shall have a separate bed with
a mattress, sheets, pillow, pillowcase, and adequate cover, all in good
condition.
6. All cribs used for
children shall have current certification of compliance with Consumer Product
Safety Commission (CPSC) standards.
7. Children twelve (12) months of age and
below shall be placed flat on their backs to sleep, in accordance with American
Academy of Pediatrics guidelines, to lessen the risk of suffocation and Sudden
Infant Death Syndrome. (If a child rolls over on their own, the facility is not
required to reposition the child.) If there is a medical reason that a child
cannot sleep on their back, a signed statement from the child's physician shall
be in the file stating the reason, the sleep position indicated, and the time
frame required.
8. Beds shall be
positioned to ensure all children can easily exit the room in case of
emergency.
9. No child under six
(6) years of age shall occupy a top bunk.
10. Bedding shall be changed at least weekly,
more often if needed.
11. Each
child shall have an area to store personal belongings.
12. Staff sleeping quarters shall be separate
from children's sleeping rooms.
13.
Room arrangements shall be based on characteristics of each resident to ensure
the safety of each child.
512
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved by the Arkansas Department of Health
annually.
3. A private sewage and
septic system shall be approved initially, and upon any increase in capacity,
by the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is used by children.
7. Fire drills shall be practiced with
children each month.
8. Severe
weather drills shall be practiced with children quarterly.
9. A record of drills shall be maintained,
showing date and time of day of the drill, number of participants, and length
of time required to reach safety.
10. Each child shall be instructed in
emergency procedures at admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms, without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage, and use of
all firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
513
Transportation
1. The facility shall have agency-procured
transportation available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is available.
3. Any vehicle used to transport children
shall be in safe working condition and maintained in compliance with motor
vehicle laws.
4. Any vehicle used
to transport children shall be insured.
5. Children shall be transported only by an
authorized person possessing a valid driver's license.
6. Children shall be transported according to
Arkansas law, including without limitation, use of safety belts, child safety
seats, and smoking restrictions.
514
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, other persons, or significant property damage.
3. A child shall be discharged to the custody
of the child's parent or a person with authorization from the parent or
guardian, or a person authorized by court order to assume custody of the
child.
4. The agency shall complete
a discharge statement on each child, that includes a discharge date and reason
for discharge, and provide a copy of it to the child's custodian.
5. Documentation of the discharge shall be
maintained in the child's record.
600
INDEPENDENT LIVING
In addition to all standards in Section 100, the
following standards shall be met: Agencies holding an Independent Living
license shall provide residential care while preparing the residents, sixteen
(16) years of age and older, for living independently.
601
Agency Responsibilities
1. The agency shall have written policies and
procedures specific to the program, which shall include:
a. Written rules of conduct;
b. A plan for reduced supervision;
c. Transportation for residents;
d. Outside employment for
residents;
e. Medication
management; and
f. Social activities
off campus.
602
Admission
1. The agency shall
establish written criteria for admitting and excluding children.
2. The facility shall not admit any child for
whom the facility cannot provide adequate care.
3. Each child shall have a medical exam no
more than one (1) year before admission or a documented appointment date for an
exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agent's authority to place the child
at the time of admission.
6. The
facility shall obtain written authority for medical care for the child from the
placing agent at the time of admission.
7. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
8.
The facility shall establish that all persons referred for admission are
between sixteen (16) and eighteen (18) years of age at the time of
admission.
9. Residents may remain
in the program after reaching eighteen (18) years of age with the reason for
continued placement documented. The resident shall be discharged no later than
their twenty-first birthday.
10. At
the time of an admission, the following information shall be documented in the
child's record:
a. Name, signature, and role
or relationship of the person who relinquished the child into care;
b. A brief description of the circumstances
requiring admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
11.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
12.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody; and
e. Any history of previous placements outside
the family.
13. The
facility shall obtain copies of legal documents within thirty (30) days of
admission or shall document their attempts to obtain the documents. The legal
documents shall include without limitation: birth certificates, social security
cards, and court orders.
14. A
dependent juvenile child of a parent who is in the custody of the Division of
Child and Family Services (DCFS) shall be subject to all rules regarding space,
ratio, health, and safety.
15.
Facilities that have an adult program shall provide sleeping and living
arrangements to ensure separation of adults from children.
603
Eligibility Requirements
1. For a child to be eligible for placement
into the Independent Living program, the agency shall document:
a. An evaluation by the caseworker to
determine that placement in the Independent Living program does not present a
health or safety risk to the children;
b. The resident is at least sixteen (16)
years of age;
c. The resident is
actively engaged in an educational program such as high school, GED, vocational
training, or post-secondary education (including college). If the child has
completed all educational requirements according to state law, they shall be
employed or actively involved in a supervised job search program; and
d. The resident is working towards mastering
basic life skills, including without limitation:
i. Money management;
ii. Food management;
iii. Personal appearance;
iv. Birth control and personal health and
hygiene;
v. Housekeeping;
vi. Transportation;
vii. Emergency and safety skills;
viii. Knowledge of community
resources;
ix. Interpersonal
skills;
x. Legal skills;
xi. Housing;
xii. Educational planning; and
xiii. Job seeking and job maintenance
skills.
604
Assessment & Case
Planning1. The agency shall assign a
caseworker to each child, who is responsible for doing assessments, case
planning, and casework services.
2.
A plan of safe care shall be developed for all children with physical
limitations, medical conditions, or behaviors that are indicative of harm to
self or others; to include without limitation: arson, physical aggression,
sexual aggression, suicidal behaviors, or other self-harming tendencies. This
plan shall identify the behavior or problem and shall specify the safeguards
that are to be implemented. The agency shall document that the childcare staff
are informed of the provisions of the plan and place a copy of the plan in the
child's record.
3. An assessment of
services needed to ensure the health and welfare of the child, including
medical history and psychological history, shall be completed and included in
the case plan.
4. A case plan shall
be developed for each child within thirty (30) days after placement.
5. A case plan shall be completed and entered
into the child's record showing a goal of independence and indicating all
persons responsible for services to be provided.
6. The case plan shall contain, at the
minimum:
a. Specific needs;
b. Plan for meeting needs;
c. Special treatment issues (for example,
psychotropic medications, sexual misconduct, and neurological disorders) shall
be identified with a statement of how the special needs shall be met;
d. A plan to ensure the educational needs are
met according to applicable state law; and
e. Date of next review of the case
plan.
7. A copy of the
case plan shall be made available to the parent(s), guardian(s), court, or
other agencies involved in the delivery of case plan services.
8. The case plan shall be reviewed at least
semi-annually and shall be updated to reflect progress.
605
Children's Records
1. The agency shall keep a confidential case
record for each child that includes the following:
a. Demographic information;
b. A plan of safe care, if
applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Case plans and case
plan reviews;
g. Copies of legal
documents (for example, birth certificate, social security card, court orders
or documentation of their attempts to obtain the documents);
h. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records shall be kept for five (5) years
from the date of discharge, unless otherwise specified by Arkansas
law.
606
Behavior
Management1. The agency shall have a
written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or case plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. Non-disciplinary case planning issues are
accepted;
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Locked
isolation;
h. Physical injury or
threat of bodily harm;
i.
Humiliating or degrading action;
j.
Extremely strenuous work or exercise; nor
k. Mechanical or chemical
restraints.
5. Physical
restraint shall be initiated only by trained staff; only to prevent injury to
the child, other people, or property; and shall not be initiated solely as a
form of discipline.
6. Physical
restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any
device, for the purpose of restraining the free movement of a resident's body.
Briefly holding a child without undue force in order to calm or comfort or
holding a hand to safely escort a child from an initial area to another area,
is not considered to be a physical restraint.
7. Documentation of all restraints shall be
maintained and include child's name, date, time, reason, staff involved, and
measures taken prior to restraint.
8. A child shall not be allowed to administer
discipline, except teen parents may discipline their own children under the
supervision and guidance of staff.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy.
607
Ratio & Supervision
1. The facility shall not exceed its total
licensed capacity.
2. There shall
be a staff to child ratio of at least one to nine (1:9) during waking hours and
at least one to twelve (1:12) during sleeping hours. Staff members' children
shall be counted in the ratio.
3.
If any child is under six (6) years of age, the ratio shall be at least one to
seven (1:7) at all times.
4. Only
staff who directly supervise children shall be counted in this ratio.
5. Childcare staff shall be responsible for
providing the level of supervision, care, and treatment that is necessary in
order to ensure the safety and well-being of each child at the facility, taking
into account the child's age, individual differences and abilities, surrounding
circumstances, hazards, and risks.
6. All childcare shift staff counted in the
staff to child ratio shall remain awake at all times. House parents are
excluded from this requirement.
7.
The facility shall maintain a daily census report to include the child's name
and room or building assignment.
608
Health & Medical Care
1. Each child shall have a medical exam at
least annually. Health exams need not be repeated during the year if a child
moves from an initial facility or agency to another, provided the results of
the exam are available to the receiving facility or agency.
2. Staff shall supervise the administering of
all medications.
3. The
administering of all medications, including over the counter, shall be logged
by the person administering the medication at the time that the medication is
given.
4. The medication log shall
include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications (excluding Epi-pens, inhalers, and Glucagon kits) shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided, or have
access to, non-narcotic prescriptions, with an approved safety plan. Examples
include without limitation: birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be on the premises and readily accessible by staff at all
times.
7. Currently prescribed
medications belonging to children shall be returned to the parent or custodian
upon discharge.
609
Program1. The facility shall
ensure that each child receives education in accordance with the Arkansas
Department of Education.
2. The
facility shall teach each child the daily living tasks required as a part of
living in a group setting and shall assign only light chores that are
age-appropriate.
3. The agency
shall have a policy regarding each child's money received and shall ensure that
each child's funds are available to that child under staff supervision for
personal use.
4. The facility shall
not allow a child's outside employment, chores, or extracurricular activities
to interfere with the child's time for school, sleep, family visits, or case
plan activities.
5. The facility
shall provide each child with adequate and nutritious food.
6. The facility shall ensure that each child
has sufficient sleep for their age and physical condition.
7. The facility shall instruct each child in
good grooming and personal hygiene habits.
8. The facility shall ensure that each child
is provided with their own clothing that is clean, well fitting, seasonal, and
appropriate to age and gender, unless otherwise directed by a
physician.
9. The facility shall
ensure that each child in their care is provided with opportunities for regular
recreational activities and exercise.
10. The facility shall provide activities and
equipment that are age-appropriate to the children in their care.
11. The facility shall monitor and time limit
the use of television, videos, computer games, and other screen time
activities.
610
Grounds1. The grounds of the
facility shall be kept clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
611
Buildings
1. No facility shall be located in a shopping
center, strip mall, or other buildings used for commercial activity.
2. Unused or vacant portions of a facility
shall not be rented, leased, loaned, or otherwise occupied by any commercial or
other business entity (or private individuals) not associated with the facility
or its management.
3. All buildings
used by children or staff shall be inspected and approved annually for fire
safety by fire department officials.
4. All buildings used by children or staff
shall be inspected and approved annually for health and sanitation as required
by the Arkansas Department of Health.
5. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
6. All buildings and furnishings shall be
safe, clean, and in good repair.
7.
There shall be no more than twelve (12) children in a sleeping unit. A sleeping
unit is considered to be a group of bedrooms.
8. Sleeping units sharing the same building
shall be separated (for example, into different corridors, wings, or floors).
Sleeping units modified or newly constructed after September 1, 2016, shall
comply with this standard.
9.
Licensing shall be notified of any changes to buildings that affect usage,
size, capacity, or structural changes.
10. Building usage shall be approved by
licensing prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
11. Any modification to buildings used by
children, or an increase in capacity shall require inspection and approval by
the Fire and Health Department, if applicable.
12. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating, and air conditioning
source that keeps the temperature a minimum of sixty-five degrees (65°) and
a maximum of eighty-five degrees (85°).
13. The facility shall provide a living area
that has at least thirty-five square feet (35'²)of floor space per child.
The dining area and indoor recreation area may be included in this
space.
14. The facility shall
provide a dining room.
15. The
facility shall have a kitchen.
16.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
612
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be
separate bath and toilet facilities for males and females.
6. There shall be an adequate supply of soap,
towels, and tissue.
613
Sleeping Arrangements1. The
facility shall provide bedrooms for the children.
2. There shall be no more than four (4)
children per bedroom.
3. There
shall be at least fifty square feet (50'²) of floor space per child in
each bedroom.
4. No child shall
share a bedroom with a child of the opposite gender.
5. Each child shall have a separate bed with
a mattress, sheets, pillow, pillowcase, and adequate cover, all in good
condition.
6. Beds shall be
positioned to ensure that all children can easily exit the room in case of
emergency.
7. Bedding shall be
changed at least weekly, more often if needed.
8. Each child shall have an area to store
personal belongings.
9. Staff
sleeping quarters shall be separate from children's sleeping rooms.
10. Room arrangements shall be based on
characteristics of each resident to ensure the safety of each child.
614
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved by the Arkansas Department of Health
annually.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is used by children.
7. Fire drills shall be practiced with
children each month.
8. Severe
weather drills shall be practiced with children quarterly.
9. A record of drills shall be maintained,
showing date and time of day of the drill, number of participants, and length
of time required to reach safety.
10. Each child shall be instructed in
emergency procedures at the time of admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms, without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage, and use of
all firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
615
Transportation
1. The facility shall have agency-procured
transportation available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is not
available.
3. Any vehicle used to
transport children shall be in safe working condition and maintained in
compliance with motor vehicle laws.
4. Any vehicle used to transport children
shall be insured.
5. Children shall
be transported only by an authorized person possessing a valid driver's
license.
6. Children shall be
transported according to Arkansas law, including without limitation, use of
safety belts, child safety seats, and smoking restrictions.
616
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, harm to others, or significant property damage.
3. A child shall be discharged to the custody
of the child's parent or a person with authorization from the parent, guardian,
or a person authorized by court order to assume custody of the child.
4. The agency shall complete a discharge
statement on each child that includes a discharge date and reason for discharge
and provide a copy of it to the child's custodian.
5. Documentation of the discharge shall be
maintained in the child's record.
700
INDEPENDENT LIVING FAMILY STYLE
CARE
In addition to all standards in Section 100, the
following standards shall be met: Agencies holding an Independent Living Family
Style Care license shall provide residential care in a home-like setting while
preparing the residents, sixteen (16) years of age and older, for living
independently.
701
Agency Responsibilities
1. The
agency shall have written policies and procedures specific to the program,
which shall include:
a. Written rules of
conduct;
b. A plan for reduced
supervision;
c. Transportation for
residents;
d. Outside employment
for residents;
e. Medication
management; and
f. Social activities
off campus.
702
Admission
1. The agency shall
establish written criteria for admitting and excluding children.
2. The facility shall not admit any child for
whom the facility cannot provide adequate care.
3. Each child shall have a medical exam no
more than one (1) year before admission or a documented appointment date for an
exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agent's authority to place the child
at the time of admission.
6. The
facility shall obtain written authority for medical care for the child from the
placing agent at the time of admission.
7. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
8.
The facility shall establish that all persons referred for admission are
between sixteen (16) and eighteen (18) years of age at the time of
admission.
9. Residents may remain
in the program after reaching eighteen (18) years of age with the reason for
continued placement documented. The resident shall be discharged no later than
their twenty-first birthday.
10. At
the time of an admission, the following information shall be documented in the
child's record:
a. Name, signature, and role
or relationship of the person who relinquished the child into care;
b. A brief description of the circumstances
requiring admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
11.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
12.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody; and
e. Any history of previous placements outside
the family.
13. The
facility shall obtain copies of legal documents within thirty (30) days of
admission or shall document their attempts to obtain the documents. The legal
documents shall include without limitation: birth certificates, social security
cards, and court orders.
14. A
dependent juvenile child of a parent who is in the custody of the Division of
Child and Family Services (DCFS) shall be subject to all rules regarding space,
ratio, health and safety.
15.
Facilities that have an adult program shall provide sleeping and living
arrangements to ensure separation of adults from children.
703
Eligibility Requirements
1. For a child to be eligible for placement
into the Independent Living program, the agency shall document:
a. An evaluation by the caseworker to
determine that placement in the Independent Living program does not present a
health or safety risk to the children;
b. The resident is at least sixteen (16)
years of age;
c. The resident is
actively engaged in an educational program such as high school, GED, vocational
training, or post-secondary education (including college). If the child has
completed all educational requirements according to state law, they shall be
employed or actively involved in a supervised job search program; and d. The
resident is working towards mastering basic life skills, including without
limitation:
i. Money management;
ii. Food management;
iii. Personal appearance;
iv. Birth control and personal health and
hygiene;
v. Housekeeping;
vi. Transportation;
vii. Emergency and safety skills;
viii. Knowledge of community
resources;
ix. Interpersonal
skills;
x. Legal skills;
xi. Housing;
xii. Educational planning; and
xiii. Job seeking and job maintenance
skills.
704
Assessment & Case
Planning1. The agency shall assign a
caseworker to each child, who is responsible for doing assessments, case
planning, and casework services.
2.
A plan of safe care shall be developed for all children with physical
limitations, medical conditions, or behaviors that are indicative of harm to
self or others; to include without limitation: arson, physical aggression,
sexual aggression, suicidal behaviors, or other self-harming tendencies. This
plan shall identify the behavior or problem and shall specify the safeguards
that are to be implemented. The agency shall document that the childcare staff
are informed of the provisions of the plan and place a copy of the plan in the
child's record.
3. An assessment of
services needed to ensure the health and welfare of the child, including
medical history and psychological history, shall be completed, and included in
the case plan.
4. A case plan shall
be developed for each child within thirty (30) days after placement.
5. A case plan shall be completed and entered
into the child's record showing a goal of independence and indicating all
persons responsible for services to be provided.
6. The case plan shall contain, at the
minimum:
a. Specific needs;
b. Plan for meeting needs;
c. Special treatment issues (for example,
psychotropic medications, sexual misconduct, and neurological disorders) shall
be identified with a statement of how the special needs shall be met;
d. A plan to ensure the educational needs are
met according to applicable state law; and
e. Date of next review of the case
plan.
7. A copy of the
case plan shall be made available to the parent(s), guardian(s), court, or
other agencies involved in delivering case plan services.
8. The case plan shall be reviewed at least
semi-annually and shall be updated to reflect progress.
705
Children's Records
1. The agency shall keep a confidential case
record for each child that includes the following:
a. Demographic information;
b. Plan of safe care, if
applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Case plans and case
plan reviews;
g. Copies of legal
documents (for example, birth certificate, social security card, court orders
or documentation of their attempts to obtain the documents);
h. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records shall be kept for five (5) years
from the date of discharge, unless otherwise specified by Arkansas
law.
706
Behavior
Management1. The agency shall have a
written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or case plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. (Non-disciplinary case planning issues are
accepted);
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Locked
isolation;
h. Physical injury or
threat of bodily harm;
i.
Humiliating or degrading action;
j.
Extremely strenuous work or exercise; nor
k. Mechanical or chemical
restraints.
5. Physical
restraint shall be initiated only by trained staff; only to prevent injury to
the child, other people, or property, and shall not be initiated solely as a
form of discipline.
6. Physical
restraints shall be performed using minimal force and time necessary. Physical
restraint means the application of physical force without the use of any
device, for the purpose of restraining the free movement of a resident's body.
Briefly holding a child without undue force in order to calm or comfort them or
holding a hand to safely escort a child from one area to another, is not
considered a physical restraint.
7.
Documentation of all restraints shall be maintained and include child's name,
date, time, reason, staff involved, and measures taken prior to
restraint.
8. A child shall not be
allowed to administer discipline, except teen parents who may discipline their
own children under the supervision and guidance of staff.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy.
707
Ratio & Supervision
1. The facility shall use a house parent
staffing model.
2. The facility
shall not exceed its total licensed capacity.
3. The facility shall have no more than eight
(8) children in each unit, including the houseparent's children.
4. There shall be a staff to child ratio of
at least one to eight (1:8) at all times. Staff members' children shall be
counted in the ratio.
5. Childcare
staff shall be responsible for providing the level of supervision, care, and
treatment necessary to ensure the safety and well-being of each child at the
facility, taking into account the child's age, individual differences and
abilities, surrounding circumstances, hazards, and risks.
6. The facility shall maintain a daily census
report to include the child's name and room or building assignment.
708
Health & Medical
Care1. Each child shall have a medical
exam at least annually. Health exams need not be repeated during the year if a
child moves from one (1) facility or agency to another, provided the results of
the exam are available to the receiving facility or agency.
2. Staff shall supervise the administering of
all medications.
3. The
administering of all medications, including over the counter, shall be logged
by the person administering the medication at the time that the medication is
given.
4. The medication log shall
include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications (excluding Epi-pens, inhalers, and Glucagon kits) shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided or have
access to non-narcotic prescriptions with an approved safety plan. Examples
include without limitation, birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be kept on the premises and readily accessible by staff at
all times.
7. Currently prescribed
medications belonging to children shall be returned to the parent or custodian
upon discharge.
709
Program1. The facility shall
ensure that each child receives education in accordance with the Arkansas
Department of Education.
2. The
facility shall teach each child the daily living tasks required as a part of
living in a group setting and shall assign only light chores that are age
appropriate.
3. The agency shall
have a policy regarding each child's money received, and shall ensure that each
child's funds are available to that child, under staff supervision, for
personal use.
4. The facility shall
not allow a child's outside employment, chores, or extracurricular activities
to interfere with the child's time for school, sleep, family visits, or case
plan activities.
5. The facility
shall provide each child with adequate and nutritious food, routinely eaten in
the home, cottage, or unit.
6. The
facility shall ensure that each child has sufficient sleep for their age and
physical condition.
7. The facility
shall instruct each child in good grooming and personal hygiene
habits.
8. The facility shall
ensure that each child is provided with their own clothing that is clean, well
fitting, seasonal, and appropriate to age and gender, unless otherwise directed
by a physician.
9. The facility
shall ensure that each child in their care is provided with opportunities for
regular recreational activities and exercise.
10. The facility shall provide activities and
equipment that are age-appropriate to the children in their care.
11. The facility shall monitor and time limit
the use of television, videos, computer games, and other screen time.
710
Grounds
1. The grounds of the facility shall be kept
clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
711
Buildings
1. The building shall be a single-style
dwelling, such as a house, cottage, or duplex, in which the facility occupies
both units. Multiple units may be located on campus.
2. The building shall house only the
Independent Living Family Style Care license type.
3. No facility shall be located in a shopping
center, strip mall, or other buildings that are used for commercial
activity.
4. Unused or vacant
portions of a facility shall not be rented, leased, loaned, or otherwise
occupied by any commercial or other business entity (or private individuals)
not associated with the facility or its management.
5. All buildings used by children or staff
shall be inspected and approved annually for fire safety by fire department
officials.
6. All buildings used by
children or staff shall be inspected and approved annually for health and
sanitation as required by the Arkansas Department of Health.
7. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
8. All buildings and furnishings shall be
safe, clean, and in good repair.
9.
Licensing shall be notified of any changes to buildings that affect their
usage, size, capacity, or structural changes.
10. Building usage shall be approved by
licensing, prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
11. Any modification to buildings used by
children or an increase in capacity shall require inspection and approval by
the Fire and Health Department, if applicable.
12. All parts of buildings that are used as
living, sleeping, or bath areas shall have a heating, ventilating, and air
conditioning source that keeps the temperature to a minimum of sixty-five
degrees (65°) to a maximum of eighty-five degrees (85°).
13. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
14. The facility shall
provide a dining area.
15. The
facility shall have a kitchen.
16.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
712
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be an
adequate supply of soap, towels, and tissue.
713
Sleeping Arrangements
1. The facility shall provide bedrooms for
the children.
2. There shall be no
more than four (4) children per bedroom.
3. There shall be at least fifty square feet
(50'²) of floor space per child in each bedroom.
4. No child shall share a bedroom with a
child of the opposite gender.
5.
Each child shall have a separate bed with a mattress, sheets, pillow,
pillowcase, and adequate cover, all in good condition.
6. Bedding shall be changed at least weekly,
more often if needed.
7. Each child
shall have an area to store personal belongings.
8. Staff sleeping quarters shall be separate
from children's sleeping rooms.
9.
Room arrangements shall be based on characteristics of each resident, to ensure
the safety of each child.
714
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved by the Arkansas Department of Health
annually.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is used by children.
7. Fire drills shall be practiced with
children each month.
8. Severe
weather drills shall be practiced with children quarterly.
9. A record of drills shall be maintained,
showing date and time of day of the drill, number of participants, and length
of time required to reach safety.
10. Each child shall be instructed in
emergency procedures at admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms, without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage, and use of
all firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
715
Transportation
1. The facility shall have agency-procured
transportation available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is available.
3. Any vehicle used to transport children
shall be in safe working condition and maintained in compliance with motor
vehicle laws.
4. Any vehicle used
to transport children shall be insured.
5. Children shall be transported only by an
authorized person possessing a valid driver's license.
6. Children shall be transported according to
Arkansas law, including without limitation: use of safety belts, child safety
seats, and smoking restrictions.
716
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, other persons, or significant property damage.
3. A child shall be discharged to the custody
of the child's parent or a person with authorization from the parent or
guardian, or a person authorized by court order to assume custody of the
child.
4. The agency shall complete
a discharge statement on each child, that includes a discharge date and reason
for discharge, and provide a copy of it to the child's custodian.
5. Documentation of the discharge shall be
maintained in the child's record.
900
PSYCHIATRIC RESIDENTIAL TREATMENT
FACILITIES
In addition to all standards in Section 100, the
following standards shall be met: Agencies holding a Psychiatric Residential
Treatment Facilities license shall provide treatment in a non-hospital setting
to children who do not require acute care. A Psychiatric Residential Treatment
Facility that is also licensed as a Sexual Rehabilitative Program shall also
comply with the standards found in section 1000.
901
Licensing Approval &
Monitoring1. The agency shall have a
written program description that is available to residents and parents or
guardians. The following information shall be included:
a. Program philosophy and mission;
b. Services and treatment
modalities;
c. Treatment planning
procedures (including medical, dental, and other needs);
d. Behavior management program and
expectations of each child;
e.
Levels and privileges (if applicable);
f. Admission, exclusion, and discharge
criteria;
g. Aftercare services;
and
h. Clinical discharge planning
throughout the child's stay that includes the custodian and child
involvement.
2. The
agency shall have written policies and procedures for family therapy, family
visitation, and therapeutic passes subject to progress, treatment, and
physician's orders.
3. The agency
shall establish and post a written list of children's rights.
4. The agency shall establish a procedure for
hearing children's grievances.
5.
At the discretion of the Licensing Unit, a multi-disciplinary team may be asked
to assist the Licensing Specialist in the initial study or during an
investigation of a licensing complaint. This team may include a licensed mental
health professional (as recognized by Arkansas Medicaid) or a person with
professional expertise in the appropriate field.
6. At the discretion of the Licensing Unit, a
multi-disciplinary team may be asked to assist the Licensing Specialist during
inspections for advisory purposes.
7. All applicants for a Psychiatric
Residential Treatment Facility licensed after March 1, 2003, shall obtain a
Permit of Approval (POA) from the Arkansas Health Services Agency prior to
submitting an application or change of status request to the Child Welfare
Agency Review Board.
8. If a
licensee is operating at less than or at the capacity licensed by the board as
of March 1, 2021, the licensee shall obtain a permit from the Health Services
Permit Agency of the Health Services Permit Commission for any increase in
capacity.
9. Any new license or
expansion of capacity by an existing licensee of the board shall require a
license and permit from the office of Long-Term Care or the Health Services
Permit Agency.
10. In addition to
any other basis provided by law or rule, the board shall terminate the license
that has not been in operation for a consecutive twelve-month period.
11. The Department of Human Services may
recommend to the board the revocation, suspension, or termination of a license
for any basis provided by law or rule including, without limitation, the
failure to be in operation or in substantial compliance for a consecutive
six-month period.
12. The
Department of Human Services shall conduct quality assurance reviews for each
regulated facility, consisting of the following:
a. A review of treatment structure including
without limitation:
i. Observation of
paraprofessional and direct-care staff interaction with patients;
ii. Review of daily activity structure
outside of school and treatment;
iii. Review of paraprofessional and
direct-care staff training and personnel records;
iv. Review of staff-to-client ratios;
and
v. Completion of client
interviews;
b. An
analysis of referral data, statistics, and psychotropic medication
prescriptions;
c. An on-site visit
of a regulated facility's operation, to be conducted at least once per
year.
d. Technical assistance and
ongoing quality assurance and collaboration as needed; and
e. The Department of Human Services and its
designees may inspect and investigate the quality of care for behavioral health
provided to any child admitted to a regulated facility, whether or not the
child is an Arkansas resident.
13. The Department of Human Services may
initiate an adverse action against a regulated facility that:
a. Fails to comply with the provisions of
A.C.A. 9-28-1301 et seq. or any rule of the department relating to quality of
care;
b. Furnishes or makes any
statement or report to the department that is false or misleading;
c. Refuses or fails to submit required
reports or to make available to the department any records required by the
department in making an investigation of the agency for quality-of-care
purposes;
d. Refuses or fails to
submit to an investigation or to reasonable inspection by the
department;
e. Retaliates against
an employee who in good faith reports a suspected violation of the provisions
of this subchapter or the rules promulgated under this subchapter;
f. Fails to engage in a course of
professional conduct in dealing with clients being served by the regulated
facility, as defined by rules promulgated under this subchapter; or
g. Demonstrates gross negligence in carrying
out the duties at the regulated facility.
902
Admission
1. The facility shall not admit any child for
whom the facility cannot provide adequate care.
2. A psychiatric residential treatment
facility licensed under A.C.A. 9-28-401 et seq. and holding a permit from the
Health Services Permit Agency or the Health Services Permit Commission shall
not admit a child for psychiatric residential treatment unless the child is:
a. An Arkansas resident;
b. A child of a parent who is an Arkansas
resident;
c. A child placed by or
on behalf of another state's child welfare agency;
d. A child for whom the facility is being
paid by another state's Medicaid program;
e. A child of an active-duty member or
veteran of the uniformed services as defined in §
6-4-302; or
f. A nonresident child victim of human
trafficking when the regulated facility maintains responsibility for the return
of the child to the out-of-state custodian.
3. Each child shall have a medical exam no
more than one (1) year before admission or a documented appointment date for an
exam within one (1) week after admission.
4. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
5. The facility shall
obtain written verification of the placing agent's authority to place the child
at the time of admission.
6. The
facility shall obtain written authority for medical care for the child from the
placing agent at the time of admission.
7. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
8.
The facility shall establish that all persons referred for admission are under
eighteen (18) years of age at the time of admission.
9. Residents may remain in the program after
reaching eighteen (18) years of age with the reason for continued placement
documented. The resident shall be discharged no later than their twenty-first
birthday.
10. The facility shall
not admit a child under five (5) years of age.
11. At the time of admission, the following
information shall be documented in the child's record:
a. Name, signature, and role or relationship
of the person who relinquished the child into care;
b. A brief description of the circumstances
that require admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
12.
Intake information shall be completed on each child in their care within ten
(10) working days after admission.
13. The intake shall include:
a. Demographic information on the child and
parent(s), including name, address, birth date, gender, race, and religious
preference;
b. A factual
description of the circumstances that require placement;
c. A brief social history of the
family;
d. The child's current
legal status or custody; and
e. Any
history of previous placements outside the family.
14. The facility shall obtain copies of legal
documents within thirty (30) days of admission or shall document their attempts
to obtain the documents. The legal documents shall include, without limitation,
birth certificates, social security cards, and court orders.
15. Facilities that have an adult program
shall provide sleeping and living arrangements to ensure separation of adults
from children.
903
Assessment & Treatment Planning
1. An assessment of services needed to ensure
the health and welfare of each child, including medical history and
psychological history, shall be completed for each child and included in the
treatment plan.
2. A plan of safe
care shall be developed for all children with physical limitations, medical
conditions, or behaviors that are indicative of harm to self or others; to
include without limitation: arson, physical aggression, sexual aggression,
suicidal behaviors, or other self-harming tendencies. This plan shall identify
the behavior or problem and shall specify the safeguards that are to be
implemented. The agency shall document that the childcare staff are informed of
the provisions of the plan and place a copy of the plan in the child's
record.
3. A treatment plan shall
be developed for each resident who is received for care.
4. The treatment plan shall be developed
within thirty (30) days after placement.
5. The child's treatment plan shall contain,
at a minimum:
a. Specific needs of the
child;
b. Coordination for meeting
the child's needs (including medical, dental, and other needs);
c. Special treatment issues (for example,
psychotropic medications, sexual misconduct, and neurological disorders) shall
be identified with a statement of how the special needs shall be met;
d. Trauma-informed programming and clinical
services, and (when applicable) evidence-based treatments;
e. Services that will be short-term, target
treatment episodes, to reduce the likelihood of re-entry into residential
treatment settings;
f. Services
that are family-driven and youth-guided;
g. Mental health services and clinical
services provided by clinical staff as appropriate for the child's
needs;
h. A plan to ensure that the
child's educational needs are met according to applicable state and federal law
and rules of the Arkansas Department of Education;
i. Date of next review of the treatment plan;
and
j. Clinical discharge planning
throughout the child's stay that includes both the custodian's and the child's
involvement.
6. A copy of
the treatment plan shall be made available to the parent(s), guardian(s),
court, or other agencies involved in delivering treatment plan
services.
7. The child's treatment
plan shall be reviewed monthly and shall be updated to reflect the child's
progress.
8. The agency therapist
shall visit the child monthly to monitor the progress of the plan.
9. The Department of Human Services and its
designees may inspect and investigate the quality of care for behavioral health
provided to any child admitted to a regulated facility.
904
Children's Records
1. The agency shall keep a confidential case
record for each child that includes the following:
a. Demographic information;
b. Plan of safe care, if
applicable;
c. A complete
intake;
d. Assessments;
e. Consents, including consent for medical
care and authority to place the child;
f. Interstate Compact information, if
applicable;
g. Treatment plans and
treatment plan reviews;
h. Copies
of legal documents (for example, birth certificate, social security card, court
orders or documentation of their attempts to obtain the documents);
i. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
j. Psychological reports, if
applicable;
k. Educational reports,
if applicable;
l. Disciplinary and
incident reports, if applicable;
m.
Daily behavioral observations;
n.
Nightly visual observations;
o.
Medication and physician's orders;
p. Therapy progress notes;
q. Physician notes;
r. Documentation of casework services and
child contact; and
s. Discharge
statement.
2. Records for
each child shall be kept for five (5) years from the date of discharge, unless
otherwise specified by Arkansas law.
3. The agency shall establish safeguards to
limit access to records by authorized individuals only.
905
Behavior Management
1. The agency shall have a written discipline
policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or treatment plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. Non-disciplinary treatment planning issues are
accepted;
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Physical injury or threat
of bodily harm;
h. Humiliating or
degrading action; nor
i. Extremely
strenuous work or exercise.
5. A child shall not be allowed to administer
discipline.
6. Searches of a child
or a child's personal property shall be for reasons limited to safety and
security of children and staff, in cases of suspected theft, or suspicion of
possession of items which are not permitted by agency policy.
7. Any searches requiring removal of clothing
shall be done in privacy and shall be witnessed by two (2) staff of the same
gender as the child.
8. The agency
shall have a written policy governing the use of behavior control measures with
children, including physical, mechanical, or chemical restraints, and seclusion
rooms.
9. Physical restraints shall
be performed using minimal force and time necessary. Physical restraint means
the application of physical force without the use of any device, for the
purpose of restraining the free movement of a resident's body. Briefly holding
a child without undue force in order to calm or comfort them or holding a hand
to safely escort a child from one area to another, is not considered a physical
restraint.
10. Physical restraint
shall be initiated only by staff who are trained by a certified instructor in a
nationally recognized curriculum, and only to prevent injury to the child,
other people or property, and shall not be initiated solely as a form of
discipline. The agency shall maintain documentation that staff is deemed
competent in physical restraint.
11. Chemical restraints shall be used only if
ordered by a physician. A chemical restraint is an emergency behavioral
intervention that uses pharmaceuticals by topical application, oral
administration, injection, or other means to modify a child's behavior.
Prescribed treatment medications that have a secondary effect on the child's
behavior are not considered chemical restraint.
12. Seclusion, mechanical, or physical
restraints shall be used only if ordered by a physician.
13. Each written order for a physical
restraint or seclusion is limited to two (2) hours for children nine (9)
through seventeen (17) years of age, or one (1) hour for children under nine
(9) years of age. A physician, clinically qualified registered nurse, or other
authorized licensed independent practitioner shall conduct a face-to-face
assessment of the child within one (1) hour after the initiation of the ordered
intervention.
14. The original
order may only be renewed in accordance with these limits for up to a total of
twenty-four (24) hours. After the original order expires, a physician,
clinically qualified registered nurse, or other authorized licensed independent
practitioner shall see and assess the child before issuing a new
order.
15. Staff shall search each
child before placement in seclusion, and all potentially hazardous items shall
be removed.
16. Staff shall
continually monitor each child in seclusion or restraints and shall
document.
17. Documentation of all
restraints shall be maintained and shall include the child's name, date, time,
reason, staff involved, and measures taken prior to restraint.
906
Personnel
1. The agency shall have:
a. A physician currently licensed by the
Arkansas State Medical Board who has experience in the practice of
psychiatry;
b. A Director of
Nursing or Nurse Manager currently licensed in Arkansas as a Registered
Nurse;
c. A Clinical Director who
has at least a master's degree in a human services field and is currently
licensed in Arkansas as a mental health professional (as recognized by Arkansas
Medicaid);
d. One (1) or more
therapists having at least a master's degree in a human services field and who
is currently licensed as a mental health professional (as recognized by
Arkansas Medicaid); and
e. A
therapist assigned to each child who is responsible for assessments, treatment
planning, and casework services.
907
Ratio & Supervision
1. The facility shall not exceed its total
licensed capacity.
2. Childcare
staff shall be responsible for providing the level of supervision, care, and
treatment that is necessary to ensure the safety and well-being of each child
at the facility, taking into account the child's age, individual differences
and abilities, surrounding circumstances, hazards, and risks.
3. Staff to child ratio shall be at least one
to six (1:6) during waking hours and one to eight (1:8) during sleeping
hours.
4. Only staff who directly
supervise children shall be counted in this ratio.
5. All childcare shift staff counted in the
staff to child ratio shall remain awake at all times.
6. Supervision during sleeping hours shall
include a visual check on each child at least every thirty (30)
minutes.
7. The visual checks shall
be documented.
8. The facility
shall maintain a daily census report to include the child's name and room or
building assignment.
908
Health & Medical Care1. The
agency shall have a written policy for conducting health (including all medical
and dental needs) and related exams and assessments upon admission.
2. Each child shall have a medical exam at
least annually. Health exams need not be repeated during the year if a child
moves from one (1) facility or agency to another, provided the results of the
exam are available to the receiving facility or agency.
3. The agency shall have a written plan for
prescribing, receiving, storing, administering, and accounting for all
medications, including medications in the child's possession at the time of
admission.
4. All medications shall
be kept securely locked and stored according to pharmaceutical
recommendations.
5. Keys to
medication storage areas shall be on the premises and readily accessible by
staff at all times.
6. All
controlled substances shall be kept under double lock.
7. Medication shall be administered in
accordance with state and federal laws.
8. The administering of all medications,
including over the counter, shall be logged by the person administering the
medication at the time that the medication is given.
9. The medication log shall include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
10. Disposal
of unused medications and contaminated medical supplies shall follow
established medical procedures.
11.
Any stimulant or psychotropic medicine requiring intra-muscular injection shall
be administered only by a physician, registered nurse, or LPN.
12. When psychotropic medications are
prescribed by a physician, they shall be used in conjunction with other
treatment interventions.
909
Program
1. The facility shall ensure each child
receives education in accordance with all applicable state and federal
laws.
2. The facility shall teach
each child the daily living tasks required as a part of living in a group
setting and shall assign only light chores that are age-appropriate.
3. The agency shall have a policy regarding
each child's money received and shall ensure that each child's funds are
available to that child, under staff supervision, for personal use.
4. The facility shall provide each child with
adequate and nutritious food.
5.
The facility shall ensure that each child has sufficient sleep for their age
and physical condition.
6. The
facility shall instruct each child in good grooming and personal hygiene
habits.
7. The facility shall
ensure that each child is provided with their own clothing that is clean, well
fitting, seasonal, and appropriate to age and gender, unless otherwise directed
by a physician.
8. The facility
shall ensure that each child in their care is provided with opportunities for
regular recreational activities and exercise.
9. The facility shall provide activities and
equipment that are age-appropriate to the children in their care.
10. The facility shall monitor and time limit
the use of television, videos, computer games, and other screen time
activities.
910
Grounds1. The grounds of the
facility shall be kept clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
911
Buildings
1. No facility shall be located in a shopping
center, strip mall, or any other buildings that is used for commercial
activity.
2. Unused or vacant
portions of a facility shall not be rented, leased, loaned, or otherwise
occupied by any commercial or other business entity (or private individuals)
not associated with the facility or its management.
3. All buildings used by children or staff
shall be inspected and approved annually for fire safety by fire department
officials.
4. All buildings used by
children or staff shall be inspected and approved annually for health and
sanitation as required by the Arkansas Department of Health.
5. All buildings shall comply with local
zoning ordinances and land use requirements where those exist.
6. All buildings and furnishings shall be
safe, clean, and in good repair.
7.
Licensing shall be notified of any changes to buildings that affect usage,
size, capacity, or structural changes.
8. Building usage shall be approved by
licensing prior to resident occupancy, and all required inspections, permits,
and authorizations shall be provided.
9. Any modification to buildings used by
children, or an increase in capacity shall require inspection and approval by
the Fire and Health Department, if applicable.
10. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating, and air conditioning
source that keeps the temperature to a minimum of sixty-five degrees (65°)
and a maximum of eighty-five degrees (85°).
11. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
12. The facility shall
provide a dining room.
13. The
facility shall have a kitchen.
14.
Seclusion rooms shall meet the following criteria:
a. At least thirty-five square feet
(35'²) of floor space;
b.
Sufficient lighting with a shatterproof and recessed light fixture that is
beyond the reach of the child;
c. A
door that is able to be opened from the outside, at all times, without use of a
key or a removable locking device;
d. A door with a shatterproof observation
window; and
e. Located reasonably
near to the staff work area.
15. Areas used by children shall be designed,
constructed, and furnished to reduce risk of suicide and assault including
without limitation:
a. Light fixtures that
are recessed or abut to the ceiling;
b. No wooden or wire hangers;
c. Non-breakable windows and
mirrors;
d. No loose wires, cords,
chains, or ropes;
e. Sturdy,
well-constructed furniture that cannot be broken for use as a weapon or means
of self-inflicted injuries; and
f.
Children's personal items that contain cords, pull-ties, strings, or other
parts that could be used to inflict self-injury shall not be left in the
child's room unless the dangerous component has been
removed.
16. Manufactured
homes, used as residential facilities, shall be tied down and underpinned as
required by the Arkansas Manufactured Home Commission. The home shall obtain an
inspection and approval from the Arkansas Manufactured Home Commission prior to
being licensed.
912
Bathrooms1. The facility shall
provide bathrooms for the children.
2. There shall be a separate toilet, bathtub
or shower, and sink, for every six (6) children.
3. There shall be an adequate supply of hot
and cold running water.
4. The
bathroom shall be clean and sanitary.
5. There shall be separate bath and toilet
facilities for males and females.
6. There shall be an adequate supply of soap,
towels, and tissue.
913
Sleeping Arrangements1. The
facility shall provide bedrooms for the children.
2. There shall be no more than four (4)
children per bedroom.
3. There
shall be at least fifty square feet (50'²) of floor space per child in
each bedroom.
4. No child shall
share a bedroom with a child of the opposite gender.
5. Each child shall have a separate bed with
a mattress, sheets, pillow, pillowcase, and adequate cover, all in good
condition.
6. No child under six
(6) years of age shall occupy a top bunk.
7. Bedding shall be changed at least weekly,
more often if needed.
8. Each child
shall have an area to store personal belongings.
9. Room arrangements shall be based on
characteristics of each resident in order to ensure the safety of each
child.
10. Beds shall be positioned
to ensure that all children can easily exit the room in case of an
emergency.
11. Beds shall be
positioned to minimize the opportunity for physical contact between
children.
914
Safety1. The facility shall have
an operable telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved by the Arkansas Department of Health
annually.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system approved by local fire
inspection officials shall be in the cooking area of each building. Approval of
the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building used by children.
7. Fire drills shall be practiced with
children each month.
8. Severe
weather drills shall be practiced with children quarterly.
9. A record of drills shall be maintained,
showing date and time of day of the drill, number of participants, and length
of time required to reach safety.
10. Each child shall be instructed in
emergency procedures at admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms, without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage and use of all
firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
915
Transportation
1. The facility shall have agency-procured
transportation that is available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is not
available.
3. Any vehicle used to
transport children shall be in safe working condition and maintained in
compliance with motor vehicle laws.
4. Any vehicle used to transport children
shall be insured.
5. Children shall
be transported only by an authorized person possessing a valid driver's
license.
6. Children shall be
transported according to Arkansas law, including without limitation: use of
safety belts, child safety seats, and smoking restrictions.
916
Discharge
1. The discharge shall be planned by agency
staff that includes custodian and child involvement and
participation.
2. The agency may
discharge a child on an emergency basis if failure to do so could result in
harm to the child, other persons, or significant property damage.
3. A child shall be discharged to the custody
of the child's parent or a person with authorization from the parent or
guardian, or a person authorized by court order to assume custody of the
child.
4. The agency shall complete
a discharge statement on each child that includes a discharge date and reason
for discharge, then provide a copy of it to the child's custodian.
5. Documentation of the discharge shall be
maintained in the child's record.
1000
SEXUAL REHABILITATIVE
PROGRAMS
In addition to all standards in Section 100, the
following standards shall be met:
1001
Licensing Approval &
Monitoring1. At the discretion of the
Licensing Unit, a multi-disciplinary team may be asked to assist the Licensing
Specialist in the initial study or during an investigation of a licensing
complaint. This team may include a licensed mental health professional (as
recognized by Arkansas Medicaid) or a person with professional expertise in the
appropriate field.
2. At the
discretion of the Licensing Unit, a multi-disciplinary team may be asked to
assist the Licensing Specialist during inspections for advisory
purposes.
3. A treatment program
that offers a specific and specialized therapeutic program for children with
sexually maladaptive behaviors in a residential treatment facility shall also
comply with all standards in Section 900.
1002
Admission
1. The agency shall have written policies
regarding description of the target population and admission, exclusion, and
discharge criteria.
2. The facility
shall not admit any child for whom the facility cannot provide adequate
care.
3. In order to be admitted to
the program, one of the following shall be met:
a. The child has committed a sexual offense
that has been found true or exempt by an official investigation conducted by
the Department of Human Services or the Arkansas State Police;
b. The child has committed an offense
involving the use of power, control, threat, coercion, or
intimidation;
c. The child has
committed an offense in which there was at least a three-year age difference
between the offender and the victim; or
d. The child has a documented pattern of
deviant sexualized behavior, sexual misconduct, or sexually maladaptive
behaviors as indicated by the psychosexual assessment.
4. Children admitted to the program shall
have the cognitive ability to benefit from the treatment program.
5. Each child shall have a medical exam no
more than one (1) year before admission, or a documented appointment date for
an exam within one (1) week after admission.
6. Each child shall have proof of current
immunizations, a letter of exemption in accordance with the Arkansas Department
of Health, or a scheduled appointment within one (1) week after
admission.
7. The facility shall
obtain written verification of the placing agent's authority to place the child
at the time of admission.
8. The
facility shall obtain written authority for medical care for the child from the
placing agent at the time of admission.
9. The agency shall comply with the
Interstate Compact on the Placement of Children when admitting children from
outside Arkansas, if applicable.
10. The facility shall establish that all
persons referred for admission are under eighteen (18) years of age at the time
of admission.
11. Residents may
remain in the program after reaching eighteen (18) years of age, with the
reason for continued placement documented. The resident shall be discharged no
later than their twenty-first birthday.
12. The facility shall not admit a child
under five (5) years of age.
13. At
the time of admission, the following information shall be documented in the
child's record:
a. Name, signature, and role
or relationship of the person who relinquished the child into care;
b. A brief description of the circumstances
that require admission;
c. The date
and time of the admission;
d. A
brief description of the child's history (if known) including behavioral
history;
e. Any known medical
history and known current health conditions;
f. All medications currently prescribed for
the child (if known and available); and
g. The child's current behavior or known
emotional condition.
14.
The agency shall obtain copies of legal documents within thirty (30) days of
admission. The legal documents shall include without limitation: birth
certificates, social security cards, and court orders.
15. Facilities that have an adult program
shall provide sleeping and living arrangements to ensure separation of adults
from children.
1003
Assessment & Treatment Planning
1. A plan of safe care shall be developed for
all children with physical limitations, medical conditions, or behaviors that
are indicative of harm to self or others; to include without limitation: arson,
physical aggression, sexual aggression, suicidal behaviors, or other
self-harming tendencies. This plan shall identify the behavior or problem and
shall specify the safeguards that are to be implemented. The agency shall
document that the childcare staff are informed of the provisions of the plan
and place a copy of the plan in the child's record.
2. The agency shall have a written policy
describing the risk levels it will accept in children with sexually maladaptive
behaviors who are being considered for admission. The written policy shall also
describe the therapeutic interventions it will utilize for each risk
level.
3. The agency shall assign a
caseworker to each child, who is responsible for doing assessments, treatment
planning, and casework services.
4.
Intake information shall be completed on each child in care within ten (10)
working days after admission.
5.
The intake shall include:
a. Demographic
information on the child and parent(s), including name, address, birth date,
gender, race, and religious preference;
b. A factual description of the circumstances
requiring placement;
c. A brief
social history of the family;
d.
The child's current legal status or custody;
e. Any history of previous placements outside
the family;
f. Description of the
offense or sexually maladaptive behavior, including police reports and victim
statements (if available);
g.
Psychosexual assessment (if available); and
h. Discharge summary from previous sexual
rehabilitative-specific treatment (if applicable and
available).
6. A
psychosexual evaluation shall be conducted by a licensed mental health
professional (as recognized by Arkansas Medicaid) that is a member of the
Association for the Treatment of Sexual Abusers or has forty (40) hours of
sexual rehabilitative treatment training. The evaluation shall be completed
within the past twelve (12) months or within seven (7) days following admission
of the child.
7. Each child shall
be evaluated for learning disabilities and language disorders within the past
eighteen (18) months. If a child is admitted without an evaluation, the
evaluation shall be completed within thirty (30) days of admission.
8. An assessment of services needed to ensure
the health and welfare of the child, including medical history and
psychological history, shall be completed for each child and included in the
treatment plan.
9. The agency shall
develop a treatment plan for each child that includes tasks appropriate to the
needs of the child as identified in the intake, psychosexual assessment, and
(if applicable) the psychological evaluation.
10. The treatment plan shall be developed
within thirty (30) days after placement.
11. The child's treatment plan shall contain,
at the minimum:
a. A diagnosis related to
their sexually maladaptive behavior;
b. Specific needs of the child;
c. Plan for meeting child's needs;
d. Special treatment issues (for example,
psychotropic medications, sexual misconduct, and neurological disorders) shall
be identified with a statement of how the special needs shall be met;
e. A plan to ensure that the child's
educational needs are met according to applicable state law; and
f. Date of next review of the treatment
plan.
12. If treatment
services are contracted, there shall be evidence of participation by the
contracted therapist in treatment planning reviews and individualized program
implementation.
13. The child's
treatment plan shall be reviewed quarterly and shall be updated to reflect the
child's progress.
14. A copy of the
treatment plan shall be made available to the parent(s), guardian(s), court, or
other agencies that are involved in delivering treatment plan
services.
15. An agency caseworker
shall visit the child monthly to monitor the progress of the treatment
plan.
1004
Children's Records1. The agency
shall keep a confidential case record for each child that includes the
following:
a. Demographic
information;
b. Plan of safe care,
if applicable;
c. A complete
intake;
d. Consents, including
consent for medical care and authority to place the child;
e. Interstate Compact information, if
applicable;
f. Treatment plans and
treatment plan reviews;
g. Copies
of legal documents (for example, birth certificate, social security card, court
orders or documentation of their attempts to obtain the documents);
h. Physical exams and immunization records or
documentation of their attempts to obtain the documents;
i. Psychological reports, if
applicable;
j. Educational reports,
if applicable;
k. Disciplinary and
incident reports, if applicable;
l.
Documentation of casework services and child contact; and
m. Discharge statement.
2. Records for each child shall be kept for
five (5) years from the date of discharge, unless otherwise specified by
Arkansas law.
1005
Behavior Management1. The agency
shall have a written discipline policy that is consistently followed.
2. Discipline shall be directed toward
teaching the child acceptable behavior and self-control.
3. Discipline shall be appropriate to the
child's age, development, and history.
4. The following disciplinary actions shall
not be used:
a. Denial of meals, sleep,
shelter, essential clothing, or treatment plan activities;
b. Denial of parental visits or regular phone
and mail contact with family. Non-disciplinary treatment planning issues are
accepted;
c. Lewd or obscene
language;
d. Derogatory comments
about the child, the child's family, race, or gender;
e. Restriction to a room for more than a
short period of time without periodic observation;
f. Restriction to a dark room or
area;
g. Locked isolation
(psychiatric facilities excepted);
h. Physical injury or threat of bodily
harm;
i. Humiliating or degrading
action;
j. Extremely strenuous work
or exercise; nor
k. Mechanical or
chemical restraints (psychiatric facilities excepted).
5. Physical restraint shall be initiated only
by trained staff; only to prevent injury to the child, other people, or
property, and shall not be initiated solely as a form of discipline.
6. Physical restraints shall be performed
using minimal force and time necessary. Physical restraint means the
application of physical force without the use of any device for the purposes of
restraining the free movement of a resident's body. Briefly holding a child,
without undue force, in order to calm or comfort them or holding a hand to
safely escort a child from an initial area to another area, is not considered a
physical restraint.
7.
Documentation of all restraints shall be maintained and include the child's
name, date, time, reason, staff involved, and measures taken prior to
restraint.
8. A child shall not be
allowed to administer discipline.
9. Searches of a child or a child's personal
property shall be for reasons limited to safety and security of children and
staff, in cases of suspected theft, or suspicion of possession of items which
are not permitted by agency policy.
10. Any searches requiring removal of
clothing shall be done in privacy and shall be witnessed by two (2) staff of
the same gender as the child.
1006
Personnel
1. The agency shall have:
a. A Clinical Director who has:
i. At least a master's degree in a human
service field;
ii. A current
license in Arkansas as a mental health professional (as recognized by Arkansas
Medicaid);
iii. No less than forty
(40) hours of sexual rehabilitative treatment training; and
iv. A minimum of two (2) years of sexual
rehabilitative treatment experience. Certification as a sexual rehabilitative
treatment trainer may be substituted for the required experience.
b. A Therapist who is a licensed
mental health professional (as recognized by Arkansas Medicaid) and has at
least one (1) of the following:
i. At least
two (2) years of experience in a sexual rehabilitative treatment program and at
least forty (40) hours of sexual rehabilitative treatment training;
ii. At least three (3) years of experience in
sexual rehabilitative specific treatment; or
iii. A current membership in or is actively
working toward fulfilling the requirements for membership in the Association
for the Treatment of Sexual Abusers.
1007
Ratio & Supervision
1. The facility shall not exceed its total
licensed capacity.
2. Childcare
staff shall be responsible for providing the level of supervision, care, and
treatment that is necessary to ensure the safety and well-being of each child
at the facility, taking into account the child's age, individual differences
and abilities, surrounding circumstances, hazards, and risks.
3. The agency shall have a written plan
providing for appropriate supervision of children during activities away from
the facility.
4. The staff to child
ratio shall be at least one to six (1:6) during waking hours and at least one
to eight (1:8) during sleeping hours.
5. Twenty-four-hour awake supervision is
required.
6. Only staff who
directly supervise children shall be counted in this ratio.
7. The facility shall maintain a daily census
report to include the child's name and room or building assignment.
8. The agency shall have written policies
governing the supervision and monitoring of children in the buildings, on the
grounds, and in the community, including direct visual or auditory monitoring
of moderate or high-risk children (based on 1003.2). Policy shall include
appropriate grouping of children according to chronological age or cognitive
development.
9. If cameras, heat
sensors, or motion detectors are used as part of the safety plan, they shall be
operational and placed for effective monitoring according to the
plan.
10. The agency shall have a
written safety plan to protect children in the program and to ensure public
safety.
1008
Health
& Medical Care1. Each child shall
have a medical exam at least annually. Health exams need not be repeated during
the year if a child moves from one (1) facility or agency to another, provided
that the results of the exam are available to the receiving facility or
agency.
2. All medications shall be
administered to children by staff according to medical instructions.
3. The administering of all medications,
including over the counter, shall be logged by the person administering the
medication at the time that the medication is given.
4. The medication log shall include:
a. The child's name;
b. Time and date;
c. Medication dosage; and
d. Initials of the person administering the
medication.
5. All
medications (excluding Epi-pens, inhalers, and Glucagon kits) shall be kept
securely locked and stored according to pharmaceutical recommendations. An
age-appropriate and developmentally capable child may be provided or have
access to non-narcotic prescriptions with an approved safety plan. Examples
include without limitation: birth control, acne cream, and topical
creams.
6. Keys to medication
storage areas shall be kept on the premises and readily accessible by staff at
all times.
7. Currently prescribed
medications, belonging to children, shall be returned to the parent or
custodian upon discharge.
1009
Program
1. The facility shall ensure that each child
receives education in accordance with applicable state law.
2. The facility shall teach each child the
daily living tasks required as a part of living in a group setting and shall
assign only light chores that are age-appropriate.
3. The agency shall have a policy regarding
each child's money received and shall ensure that each child's funds are
available to that child, under staff supervision, for personal use.
4. The facility shall not allow a child's
outside employment, chores, or extracurricular activities to interfere with the
child's time for school, sleep, family visits, or treatment plan
activities.
5. The facility shall
provide each child with adequate and nutritious food.
6. The facility shall ensure that each child
has sufficient sleep for their age and physical condition.
7. The facility shall instruct each child in
good grooming and personal hygiene habits.
8. The facility shall ensure that each child
is provided with their own clothing that is clean, well fitting, seasonal, and
appropriate to age and gender, unless otherwise directed by a
physician.
9. The facility shall
ensure each child in care is provided with opportunities for regular
recreational activities and exercise.
10. The facility shall provide activities and
equipment that are age-appropriate to the children in their care.
11. The facility shall monitor, and time
limit the use of television, videos, computer games, and other screen time
activities.
1010
Grounds1. The grounds of the
facility shall be kept clean and free of safety hazards.
2. The facility shall provide sufficient
outdoor recreation space for age-appropriate physical activities.
3. Swimming pools shall be inspected and
approved annually by the Arkansas Department of Health.
1011
Buildings
1. A sexual rehabilitative program shall not
be located within one thousand feet (1,000') of an elementary school, childcare
center, or childcare family home.
2. No facility shall be located in a shopping
center, strip mall, or other types of buildings that are used for commercial
activity.
3. Unused or vacant
portions of a facility shall not be rented, leased, loaned, or otherwise
occupied by any commercial or other business entity (or private individuals)
who are not associated with the facility or its management.
4. All buildings used by children or staff
shall be inspected and approved annually for fire safety by fire department
officials.
5. All buildings used by
children or staff shall be inspected and approved annually for health and
sanitation as required by the Arkansas Department of Health.
6. All buildings shall comply with local
zoning ordinances and land use requirements (where those exist).
7. All buildings and furnishings shall be
safe, clean, and in good repair.
8.
There shall be no more than twelve (12) children in a sleeping unit. A sleeping
unit is considered to be a group of bedrooms (psychiatric facilities
excepted).
9. Sleeping units
sharing the same building shall be separated (for example, into different
corridors, wings, or floors). Sleeping units modified or newly constructed
after September 1, 2016, shall comply with this standard.
10. Licensing shall be notified of any
changes to buildings that affect their usage, size, capacity, or structural
changes.
11. Building usage shall
be approved by licensing prior to resident occupancy, and all required
inspections, permits, and authorizations shall be provided.
12. Any modification to buildings used by
children, or an increase in capacity shall require inspection and approval by
the Fire and Health Department, if applicable.
13. All parts of buildings used as living,
sleeping, or bath areas shall have a heating, ventilating, and air conditioning
source that keeps the temperature within a minimum of sixty-five degrees
(65°) and a maximum of eighty-five degrees (85°).
14. The facility shall provide a living area
that has at least thirty-five square feet (35'²) of floor space per child.
The dining area and indoor recreation area may be included in this
space.
15. The facility shall
provide a dining room.
16. The
facility shall have a kitchen.
17.
Manufactured homes, used as residential facilities, shall be tied down and
underpinned as required by the Arkansas Manufactured Home Commission. The home
shall obtain an inspection and approval from the Arkansas Manufactured Home
Commission prior to being licensed.
1012
Bathrooms
1. The facility shall provide bathrooms for
the children.
2. There shall be a
separate toilet, bathtub or shower, and sink, for every six (6)
children.
3. There shall be an
adequate supply of hot and cold running water.
4. The bathroom shall be clean and
sanitary.
5. There shall be
separate bath and toilet facilities for males and females.
6. There shall be an adequate supply of soap,
towels, and tissue.
1013
Sleeping Arrangements1. The
facility shall provide bedrooms for the children.
2. Children shall be placed in individual
bedrooms unless each child's treatment plan specifically approves the sharing
of a bedroom. If children are approved to share a bedroom, there shall be three
(3) or four (4) children in the room so as to limit the ability to keep secret
any improper physical contact. When three (3) or four (4) children share a
bedroom, the agency shall have a clearly defined supervision plan to ensure the
safety of each child.
3. There
shall be no more than four (4) children per bedroom.
4. There shall be at least fifty square feet
(50'²) of floor space per child in each bedroom.
5. Males and females shall not share a
bedroom.
6. Each child shall have a
separate bed with a mattress, sheets, pillow, pillowcase, and adequate cover,
all in good condition.
7. No child
under six (6) years of age shall occupy a top bunk.
8. Bedding shall be changed at least weekly,
more often if needed.
9. Each child
shall have an area to store personal belongings.
10. Room arrangements shall be based on
characteristics of each resident to ensure the safety of each child.
11. Beds shall be positioned to minimize the
opportunity for physical contact between children.
12. Beds shall be positioned to ensure that
all children can easily exit the room in case of emergency.
13. Males and females shall not share an
unsupervised sleeping unit.
1014
Safety
1. The facility shall have an operable
telephone or comparable communication system.
2. The facility shall have a continuous
supply of clean drinking water. If the water source is not a municipal system,
the source shall be approved annually by the Arkansas Department of
Health.
3. A private sewage and
septic system shall be approved initially and upon any increase in capacity by
the Arkansas Department of Health.
4. There shall be operational smoke detectors
near the cooking area, heating units, and within ten feet (10') of each
bedroom.
5. An operational chemical
fire extinguisher or other fire suppression system that is approved by local
fire inspection officials shall be in the cooking area of each building.
Approval of the fire suppression system shall be documented.
6. There shall be an emergency evacuation
plan diagramed and posted in each building that is being used by
children.
7. Fire drills shall be
practiced with children each month.
8. Severe weather drills shall be practiced
with children quarterly.
9. A
record of drills shall be maintained, showing date and time of day of the
drill, number of participants, and length of time required to reach
safety.
10. Each child shall be
instructed in emergency procedures at admission.
11. The facility shall have proof of current
rabies vaccinations for all household pets as required by Arkansas
law.
12. No child shall be allowed
to operate dangerous machinery or equipment, including firearms, without proper
adult supervision and following manufacturers' guidelines for age, safety
precautions, and safety gear.
13.
The agency shall have policy and procedure for carrying, storage and use of all
firearms located at the facility.
14. All firearms shall be maintained in a
secure, locked location or be secured by a trigger lock.
15. All ammunition shall be secured and
locked separately from firearms unless they are stored in a safe (for example,
a handgun safe or a long gun safe).
1015
Transportation
1. The facility shall have agency-procured
transportation that is available at all times.
2. The facility vehicle(s) shall not be used
for personal use unless other facility transportation is not
available.
3. Any vehicle used to
transport children shall be in safe working condition and maintained in
compliance with motor vehicle laws.
4. Any vehicle used to transport children
shall be insured.
5. Children shall
be transported only by an authorized person who possesses a valid driver's
license.
6. Children shall be
transported according to Arkansas law, including without limitation, use of
safety belts, child safety seats, and smoking restrictions.
1016
Discharge
1. The discharge shall be planned by agency
staff.
2. The agency may discharge
a child on an emergency basis if failure to do so could result in harm to the
child, other persons, or significant property damage.
3. A child shall be discharged to the custody
of the child's parent or a person with authorization from the parent, guardian,
or a person authorized by court order to assume custody of the child.
4. The agency shall complete a discharge
statement on each child that includes a discharge date and reason for discharge
and then provide a copy of it to the child's custodian.
5. Documentation of the discharge shall be
maintained in the child's record.
Appendix A: DEFINITIONS
1. "Adoption agency" means a
child placement agency which places, plans for, or assists in the placement of
an unrelated minor in a household of one (1) or more persons which has been
approved to accept a child for adoption.
2. "Adoptive home" means a
household of one (1) or more persons that has been approved by a licensed child
placement agency to accept a child for adoption.
3. "
Adverse action" means any
petition by the Department of Human Services before the Child Welfare Agency
Review Board to take any of the following actions against a licensee or
applicant for a license:
a. Revocation of
license;
b. Suspension of
license;
c. Conversion of license
from regular or provisional status to probationary status;
d. Imposition of a civil penalty;
e. Denial of application; or
f. Reduction of licensed
capacity.
4.
"Alternative compliance" means approval from the Child Welfare
Agency Review Board to allow a licensee to deviate from the letter of a rule,
provided that the licensee has demonstrated how an alternate plan of compliance
will meet or exceed the intent of the rule.
5. "Board" means the Child
Welfare Agency Review Board.
6.
"
Boarding school" means an institution that is operated solely for
educational purposes and that meets each of the following criteria:
a. The institution is in operation for a
period of time not to exceed the minimum number of weeks of classroom
instruction required of schools accredited by the Department of
Education;
b. The children in
residence must customarily return to their family homes or legal guardians
during school breaks and must not be in residence year-round, except that this
provision does not apply to students from foreign countries; and
c. The parents of children placed in the
institution retain custody, planning, and financial responsibility for the
children.
7.
"
Child" means a person who is:
a.
From birth to eighteen (18) years of age; or
b. Adjudicated dependent-neglected,
dependent, or a member of a family in need of services before eighteen (18)
years of age and for whom the juvenile division of a circuit court retains
jurisdiction under the Arkansas Juvenile Code of 1989, §
9-27-301 et
seq.
8. "
Child
placement agency" means a child welfare agency, not including any person
licensed to practice medicine or law in the State of Arkansas, that engages in
any of the following activities:
a. Places a
child in a foster home, adoptive home, or any type of facility licensed or
exempted by this subchapter;
b.
Plans for the placement of a child into a foster home, adoptive home, or any
type of facility licensed or exempted by this subchapter;
c. Assists the placement of a child in a
foster home, adoptive home, or any type of facility that is licensed or
exempted by this subchapter; or d. Places, plans, or assists in the placement
of a child victim of human trafficking in a home or any type of shelter or
facility.
9. "
Child
welfare agency" means any person, corporation, partnership, voluntary
association, or other entity or identifiable group of entities having a
coordinated ownership of controlling interest, whether established for profit
or otherwise, that engages in any of the following activities:
a. Receives a total number of six (6) or more
unrelated minors for care on a twenty-four-hour basis for the purpose of
ensuring that the minors receive care, training, education, custody, or
supervision, whether or not there are six (6) or more children cared for at any
single physical location;
b. Places
any unrelated minor for care on a twenty-four-hour basis with persons other
than themselves;
c. Plans for or
assists in the placements described in subdivision (8)(B) of this section;
or
d. Places, plans, or assists in
the placement of a child victim of human trafficking in a home or any type of
shelter or facility.
10.
"
Church-related exemption" means:
a. Any church or group of churches that are
exempt from the state income tax levied by §
26-51-101 et
seq. when operating a child welfare agency, shall be exempt from
obtaining a license to operate the facility by receipt from the Child Welfare
Agency Review Board of written request therefore, together with the written
verifications;
b. A written request
shall be made by those churches desiring exemption to the board which is
mandated under the authority of this subchapter to license all child welfare
agencies;
c. In order to maintain an
exempt status, the child welfare agency shall state every two (2) years in
written form signed by the persons in charge, that the agency has met the fire,
safety, and health inspections and is in substantial compliance with published
standards that similar nonexempt child welfare agencies are required to meet;
and
d. Visits to review and advise
exempt agencies shall be made as deemed necessary by the board to verify and
maintain substantial compliance with all published standards for nonexempt
agencies.
11.
"Emergency childcare" means any residential childcare facility
that provides care to children on a time-limited basis, not to exceed ninety
(90) days.
12. "Emergency
Family Style Care" means any child welfare agency that provides
twenty-four-hour custodial care, in a home-like setting, for six (6) or more
unrelated children or a child victim of human trafficking on an emergency
basis, not to exceed ninety (90) days.
13. "Emergency Residential Child Care
Facility" means any child welfare agency that provides twenty-four-hour
custodial care for six (6) or more unrelated children or a child victim of
human trafficking on an emergency basis, not to exceed ninety (90) days. Any
child admitted as an emergency placement shall be designated as such and shall
be discharged within ninety (90) days.
14. "
Exempt child welfare
agency" means any person, corporation, partnership, voluntary
association, or other entity, whether established for profit or otherwise, that
otherwise fits the definition of a child welfare agency but that is
specifically exempt from the requirement of obtaining a license under this
subchapter. Those agencies specifically exempt from the license requirement
are:
a. A facility or program owned or
operated by an agency of the United States Government;
b. Any agency of the State of Arkansas that
is statutorily authorized to administer or supervise child welfare activities.
In order to maintain exempt status, the state child welfare agency shall state
every two (2) years in written form signed by the persons in charge that their
agency is in substantial compliance with published state agency child welfare
standards. Visits to review and advise exempt state agencies shall be made as
deemed necessary by the Child Welfare Agency Review Board to verify and
maintain substantial compliance with the standards;
c. A facility or program owned or operated by
or under contract with the Department of Correction;
d. A hospital providing acute care licensed
pursuant to §
20-9-201 et seq.;
e. Any facility governed by the Department of
Human Services State Institutional System Board or its successor;
f. Human development centers regulated by the
Board of Developmental Disabilities Services pursuant to §
20-48-201 et
seq.;
g. Any facility licensed as a
family home, pursuant to §
20-48-601 et seq.;
h. Any boarding school as defined in this
section;
i. Any temporary camp as
defined in this section;
j. Any
state-operated facility to house juvenile delinquents or any serious offender
program facility operated by a state designee to house juvenile delinquents.
Those facilities shall be subject to program requirements modeled on nationally
recognized correctional facility standards that shall be developed,
administered, and monitored by the Division of Youth Services of the Department
of Human Services;
k. Any child
welfare agency operated solely by a religious organization that elects to be
exempt from licensing and that complies within the conditions of the exemption
for church-operated agencies as set forth in this subchapter;
l. The Division of Developmental Disabilities
Services of the Department of Human Services; and
m. Any developmental disabilities services
waiver provider who is licensed under § 2048-208 or §
20-48-601 et
seq.
15. "Foster
Care Placement Agency" means a child placement agency which places,
plans for, or assists in the placement of an unrelated minor in a private
residence of one (1) or more family members for care and supervision on a
twenty-four-hour basis, or places, plans, or assists in the placement of a
child victim of human trafficking in a home.
16. "Foster home" means a
private residence of one (1) or more family members, that receives from a child
placement agency any child who is unattended by a parent or guardian in order
to provide care, training, education, or supervision on a twenty-four-hour
basis, not to include adoptive homes. "Foster home" does not
include a home suspended or closed by a child placement agency.
17. "Transitional Living" means
any child welfare agency that provides specialized services in adult living
preparation in a structured setting for persons eighteen (18) years of age or
older who have been admitted into the agencies residential program prior to
eighteen (18) years of age.
18.
"Independent Living" means a child welfare agency that provides
specialized services in adult living preparation, in an experiential home-like
setting, for persons sixteen (16) years of age or older.
19. "Independent Living Family Style
Care" means a child welfare agency that provides specialized services in
adult living preparation in an experiential home-like setting for persons
sixteen (16) years of age or older.
20. "Minimum standards" means
those rules, as established by the Child Welfare Agency Review Board, that set
forth the minimum acceptable level of practice for the care of children by a
child welfare agency.
21.
"Placement Residential" means a child placement agency which
places, plans for, or assists in the placement of an unrelated minor into a
residential childcare facility or a child victim of human trafficking in any
type of shelter or facility. The agency may be licensed for any or all types of
licenses, depending on the types of services it provides.
22. "
Provisional foster home"
means a foster home opened for no more than six (6) months by the Division of
Children and Family Services of the Department of Human Services for a relative
or fictive kin of a child in the custody of the Division of Children and Family
Services of the Department of Human Services after it:
a. Conducts a health and safety check,
including a central registry check and a criminal background check (or a check
with local law enforcement) of the relative's home; and
b. Performs a visual inspection of the home
of the relative to verify that the relative and the home will meet the
standards for opening a regular foster home.
23. "Probationary" means a type
of license issued to an agency that has not maintained compliance with minimum
licensing standards, but the board believes that compliance can be restored and
subsequently maintained. This license may be issued for up to one (1) year, at
the discretion of the board.
24.
"Psychiatric residential treatment facility" means a residential
childcare facility in a nonhospital setting that provides a structured,
systematic, therapeutic program of treatment, under the supervision of a
psychiatrist, for children who are emotionally disturbed and in need of daily
nursing services, psychiatrist's supervision, and residential care, but who are
not in an acute phase of illness requiring the services of an inpatient
psychiatric hospital. A psychiatric residential treatment facility is a
"regulated facility" under Arkansas Code Annotated §
9-28-1301(2).
25.
"Relative" means a person within the fifth degree of kinship by
virtue of blood or adoption.
26.
"Religious organization" means a church, synagogue, mosque, or
association of same whose purpose is to support and serve the propagation of
truly held religious beliefs.
27.
"Residential child care facility" means any child welfare agency
that provides care, training, education, custody, or supervision on a
twenty-four-hour basis for six (6) or more unrelated children, excluding foster
homes that have six (6) or more children who are all related to each other but
who are not related to the foster parents; or that receives a child victim of
human trafficking in any type of shelter or facility.
28. "Residential Family Style
Care" means any child welfare agency that provides care, training,
education, custody, or supervision, in a home-like setting, on a
twenty-four-hour basis for six (6) or more unrelated minors, or that receives a
child victim of human trafficking in any type of shelter or facility.
29. "Sexual Rehabilitative
Program" means a treatment program that offers a specific and
specialized therapeutic program for children with sexually maladaptive
behaviors. A licensed sexual rehabilitative program may be in a residential
childcare facility, a therapeutic foster care home, or a psychiatric
residential treatment facility.
30.
"Special consideration" means approval from the Child Welfare
Agency Review Board to allow a licensee to deviate from the letter of a rule if
the licensee has demonstrated that the deviation is in the best interest of the
children and does not pose a risk to persons served by the licensee.
31. "Substantial compliance"
means compliance with all essential standards necessary to protect the health,
safety, and welfare of the children in the care of the child welfare agency.
Essential standards include, without limitation, those relating to issues
involving fire, health, safety, nutrition, discipline, staff-to-child ratio,
and space.
32. "
Temporary
camp" means any facility or program providing twenty-four-hour care or
supervision to children that meets the following criteria:
a. The facility or program is operated for
recreational, educational, or religious purposes only;
b. No child attends the program more than
forty (40) days in a calendar year; and
c. The parents of children placed in the
program retain custody, planning, and financial responsibility for the children
during placement.
33.
"Therapeutic Foster Care" means any child placement agency that
places, plans for, or assists in the placement of an unrelated minor or a child
victim of human trafficking in a therapeutic foster home. Therapeutic foster
care is intensive therapeutic care for children, provided in specially trained
family homes supported by licensed mental health professionals (as recognized
by Arkansas Medicaid). A therapeutic foster care program is a family-based
services delivery approach providing individualized treatment for children,
youth, and their families. Treatment is delivered through an integrated set of
services with key interventions and supports that are provided by therapeutic
foster parents who are trained, supervised, and supported by qualified program
staff. Therapeutic foster care services shall be provided in a separately
identified program of a larger agency or provided by an independent
agency.
34. "Therapeutic
Foster Care - Sexual Rehabilitative Program" means a treatment program
that offers a specific and specialized therapeutic program for children with
sexually maladaptive behaviors. A licensed sexual rehabilitative program may be
in a residential childcare facility, a therapeutic foster care home, or a
psychiatric residential treatment facility.
35. "Unrelated minor" means a
child who is not related by blood, marriage, or adoption to the owner or
operator of the child welfare agency and who is not a ward of the owner or
operator of the child welfare agency pursuant to a guardianship order issued by
a court of competent jurisdiction.
Appendix B: PROHIBITED OFFENSES
1. A person who is required to have a
criminal records check under the Child Welfare Agency Licensing Act shall be
absolutely and permanently prohibited from having direct and unsupervised
contact with a child in the care of a child welfare agency if that person has
pleaded guilty or nolo contendere to or been found guilty of any of the
following offenses by any court in the State of Arkansas, of a similar offense
in a court of another state, or of a similar offense by a federal court, unless
the conviction is vacated or reversed:
01. Abuse of an endangered or impaired person, if
felony
|
§
5-28-103
|
02. Arson
|
§
5-38-301
|
03. Capital Murder
|
§
5-10-101
|
04. Endangering the welfare of an incompetent person in
the first Degree
|
§
5-27-201
|
05. Kidnapping
|
§
5-11-102
|
06. Murder in the first degree
|
§
5-10-102
|
07. Murder in the second degree
|
§
5-10-103
|
08. Rape
|
§
5-14-103
|
09. Sexual assault in the first degree
|
§
5-14-124
|
10. Sexual assault in the second degree
|
§
5-14-125
|
2. A
person who is required to have a criminal records check under the Child Welfare
Agency Licensing Act shall not be eligible to have direct and unsupervised
contact with a child in the care of a child welfare agency if that person has
pleaded guilty or nolo contendere to or been found guilty of any of the
following offenses by a court in the State of Arkansas, of a similar offense in
a court of another state, or of a similar offense by a federal court, unless
the conviction is vacated or reversed:
01. Criminal attempt to commit any offenses
|
§
5-3-201
|
02. Criminal complicity to commit any offenses
|
§
5-3-202
|
03. Criminal conspiracy to commit any offenses
|
§
5-3-401
|
04. Criminal solicitation to commit any offenses
|
§
5-3-301
|
05. Assault in the first, second, or third
degree
|
§§
5-13-205 to -207
|
06. Aggravated assault
|
§
5-13-204
|
07. Aggravated assault on a family or household
member
|
§
5-26-306
|
08. Battery in the first, second, or third
degree
|
§§
5-13-201 to -203
|
09. Breaking or entering
|
§
5-39-202
|
10. Burglary
|
§
5-39-201
|
11. Coercion
|
§
5-13-208
|
12. Computer crimes against minors
|
§
5-27-601 et seq.;
|
13. Contributing to the delinquency of a
juvenile
|
§
5-27-220
|
14. Contributing to the delinquency of a minor
|
§
5-27-209
|
15. Criminal impersonation
|
§
5-37-208
|
16. Criminal use of a prohibited weapon
|
§
5-73-104
|
17. Communicating a death threat concerning a school
employee or students
|
§
5-17-101
|
18. Domestic battery in the first, second, or third
degree
|
§§
5-26-303 to -305
|
19. Employing or consenting to the use of a child in a
sexual performance
|
§
5-27-401
|
20. Endangering the welfare of a minor in the first or
second degree
|
§§
5-27-205 to -206
|
21. Endangering the welfare of an incompetent person in
the second degree
|
§
5-27-202
|
22. Engaging children in sexually explicit conduct for
use in visual or print media
|
§
5-27-303
|
23. False imprisonment in the first or second
degree
|
§§
5-11-103 to -104
|
24. Felony abuse of an endangered or impaired
person
|
§
5-28-103
|
25. Felony interference with a law enforcement
officer
|
§
5-54-104
|
26. Felony violation of the Uniform Controlled
Substance Act
|
§
5-64-101 et seq.
|
27. Financial identity fraud
|
§
5-37-227
|
28. Forgery
|
§
5-37-201
|
29. Incest
|
§
5-26-202
|
30. Interference with court-ordered custody
|
§
5-26-502
|
31. Interference with visitation
|
§
5-26-501
|
32. Introduction of controlled substance into the body
of another person
|
§
5-13-210
|
33. Manslaughter
|
§
5-10-104
|
34. Negligent homicide
|
§
5-10-105
|
35. Obscene performance at a live public show
|
§
5-68-305
|
36. Offense of cruelty to animals
|
§
5-62-103
|
37. Offense of aggravated cruelty to dog, cat, or
horse
|
§
5-62-104
|
38. Pandering or possessing visual or print medium
depicting sexually explicit conduct involving a child
|
§
5-27-304
|
39. Sexual solicitation
|
§
5-70-103
|
40. Permanent detention or restraint
|
§
5-11-106
|
41. Permitting abuse of a minor,
|
§
5-27-221
|
42. Producing, directing, or promoting a sexual
performance by a child
|
§
5-27-403
|
43. Promoting obscene materials
|
§
5-68-303
|
44. Promoting obscene performance
|
§
5-68-304
|
45. Promoting prostitution in the first, second, or
third degree
|
§§
5-70-104 to -106
|
46. Prostitution
|
§
5-70-102
|
47. Public display of obscenity
|
§
5-68-205
|
48. Resisting arrest
|
§
5-54-103
|
49. Robbery
|
§
5-12-102
|
50. Aggravated robbery
|
§
5-12-103
|
51. Sexual offenses
|
§
5-14-101 et seq.
|
52. Simultaneous possession of drugs and
firearms
|
§
5-74-106
|
53. Soliciting money or property from
incompetents
|
§
5-27-229
|
54. Stalking
|
§
5-71-229
|
55. Terroristic act
|
§
5-13-310
|
56. Terroristic threatening
|
§
5-13-301
|
57. Theft of public benefits
|
§
5-36-202
|
58. Theft by receiving
|
§
5-36-106
|
59. Theft of property
|
§
5-36-103
|
60. Theft of services
|
§
5-36-104
|
61. Transportation of minors for prohibited sexual
conduct
|
§
5-27-305
|
62. Unlawful discharge of a firearm from a
vehicle
|
§
5-74-107
|
63. Voyeurism
|
§
5-16-102
|
3. A
former or future law of this or any other state or of the federal government
that is substantially equivalent to one (1) of the offenses listed in the Child
Welfare Licensing Act shall be considered as prohibiting.
4. A person who is required to have a
criminal records check under the Child Welfare Agency Licensing Act, who has
pleaded guilty or nolo contendere to or been found guilty of any of the
offenses listed, shall be absolutely disqualified from being an owner,
operator, volunteer, foster parent, adoptive parent, member of a child welfare
agency's board of directors, or employee in a child welfare agency during the
period of the person's confinement, probation, or parole supervision (unless
the conviction is vacated or reversed).
5. Except as provided under the Child Welfare
Agency Licensing Act, a person who has pleaded guilty or nolo contendere to or
been found guilty of one (1) of the offenses listed shall not work in a child
welfare agency unless:
a. The date of a plea
of guilty or nolo contendere or the finding of guilt for a misdemeanor offense
is at least five (5) years from the date of the record check; and
b. There have been no criminal convictions or
pleas of guilty or nolo contendere of any type or nature during the five-year
period preceding the background check request.
6. Except as provided under the Child Welfare
Licensing Act:
a. A person who is required to
have a criminal records check and who has pleaded guilty or nolo contendere to
or been found guilty of any of the offenses listed shall be presumed to be
disqualified to be an owner, operator, volunteer, foster parent, adoptive
parent, member of a child welfare agency's board of directors, or employee in a
child welfare agency after the completion of their term of confinement,
probation, or parole supervision, unless the conviction is vacated or
reversed.
b. An owner, operator,
volunteer, foster parent, adoptive parent, household member of a foster parent
or adoptive parent, member of any child welfare agency's board of directors, or
an employee in a child welfare agency shall not petition the Child Welfare
Agency Review Board unless the agency supports the petition, which can be
rebutted in the following manner:
i. The
applicant shall petition the board to make a determination that the applicant
does not pose a risk of harm to any person;
ii. The applicant shall bear the burden of
making such a showing; and
iii. The
board may permit an applicant to be an owner, operator, volunteer, foster
parent, adoptive parent, member of an agency's board of directors, or an
employee in a child welfare agency notwithstanding having pleaded guilty or
nolo contendere to or been found guilty of an offense listed in this section
upon making a determination that the applicant does not pose a risk of harm to
any person served by the facility.
7. The Child Welfare Agency Review Board's
decision to disqualify a person from being an owner, operator, volunteer,
foster parent, adoptive parent, member of a child welfare agency's board of
directors, or an employee in a child welfare agency under this section shall
constitute the final administrative agency action of the board and is not
subject to review.