(1) A center shall only admit medically
fragile children whose known health care or medical support needs can be met by
the center in accordance with its program purpose and program description.
(a) Admission agreements with any public or
private agencies that place children in the center shall be in writing and
shall include the following provisions and requirements.
(b) All relevant information required for
admission to the center shall be reviewed, if available, in preplacement
assessment and planning for the needs of the child.
1. All children shall have current
immunizations as outlined in the Rules and Regulations of the Department of
Human Resources for Immunization of Children as a Prerequisite to Admission to
School or Other Facilities, Chapter 290-5-4.
2. Prior to admission each child must have a
current medical history and physical assessment sufficient for the provision of
appropriate care and treatment to meet the child's needs while at the
center.
3. A physician must provide
orders for the skilled nursing services and other treatments provided to meet
the child's health care or medical support needs while at the center.
4. Each child admitted to the center shall be
under the continuing care of a physician, prior to and during the entire
admission. The child shall be seen by the physician in accordance with the
comprehensive service plan required in Rule .12(2).
(c) When possible, there shall be a
preplacement visit by the child, and the parent(s) or guardian(s), or placing
agency representative if there is a reasonable likelihood that the child will
be admitted.
(2) Prior
to admission, the center shall:
(a) Provide
information to the child's parent, guardian, or custodian about the services,
environment, age ranges and characteristics of the other children in
placement.
(b) Maintain signed
documentation from the custodian that they have received and considered the
information provided in Rule .11(2)(a)1. above and have determined that the
placement environment is appropriate and does not represent an undue risk to
the health and safety of the child or children being placed.
(3) The center shall comply with
the Interstate Compact on the Placement of Children when admitting children
from another state.
(4) Written
admission policies and procedures shall be established and implemented and
shall include the following requirements:
(a)
Completion of an intake referral form that includes a social, health,
educational, family, behavioral and personal developmental history to determine
the placement needs (services, supports, setting, etc.) of each child and
whether that placement is appropriate.
(b) Completion of a written placement
agreement developed with the involvement of the child, and the parent(s) or
guardian(s), or placing agency representative and signed by all parties, with
such agreement including the following:
1.
Written authorization to care for the child;
2. Written authorization to obtain medical
care for the child;
3. Written
summary of discussions among the child and the parent(s) or guardian(s), or
placing agency, and the center's Human Service Professional regarding basic
care, any specialized services and/or treatments to be provided; the
expectations of the involvement of the parent(s) or guardian(s), or the placing
agency in service planning.
(5) Upon admission, a written description of
the center shall be provided to the child, the parent(s) or guardian(s),or
placing agency and shall include:
(a) The
center's program purpose and program description;
(b) The description of service planning and
normal daily routines of children;
(c) The description of health support
services to be provided, including how the center handles illnesses, injuries,
and medical emergencies (life-threatening, limb-threatening, and
function-threatening conditions);
(d) The center's policies and procedures for
behavior management and grievances;
(e) Policies and procedures for visiting
hours and communications with persons outside the center;
(f) The names and telephone numbers of the
child's designated HSP, nurse and primary Child Care Worker; and
(g) Schedule of fees if placement is not done
under a Purchase of Service Agreement.
O.C.G.A. Secs.
49-5-3,
49-5-8,
49-5-12.