Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9555 - SOCIAL SERVICES FOR ADULTS
ADULT DAY CARE CENTER OR ADULT DAY SERVICES CENTER LICENSURE
Part 9555.9660 - PARTICIPANT RECORDS
Universal Citation: MN Rules 9555.9660
Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1. Participant's written record.
A center shall develop and maintain a written record for each participant. Access to participants' records shall be governed by subpart 2. Each participant's written record shall include:
A. an
application form signed by the participant or the participant's caregiver that
includes:
(1) the participant's name,
address, date of birth, sex, date of admission or readmission, living
arrangement, telephone number, and source of referral;
(2) the name and telephone number of the
person to call in case of an emergency involving the participant and the name
and number of another person to call if that person cannot be reached;
and
(3) the name and telephone
number of the participant's physician or medical provider;
B. a medical report dated within the three
months prior to or 30 calendar days after the participant's admission to the
center, signed by a physician or signed by a physician assistant or registered
nurse and cosigned by a physician, that includes:
(1) a report on a physical examination,
updated annually;
(2) a medical
history of the participant;
(3)
indication of dietary restrictions and medication regimen, including the need
for medication assistance, that apply to the participant;
(4) a release signed by the physician
indicating whether the participant may engage in a structured exercise program;
and
(5) documentation that the
participant is free of communicable disease or infestations, as specified in
parts
4605.7000 to
4605.7090, that would endanger the
health of other participants;
C. reports received from other agencies
involved in providing services or care to the participant;
D. participant's service agreement with the
center, that must specify the responsibilities of the participant and the
center with respect to payment for and provision of services and shall be
signed by the participant or the participant's caregiver and the center
director;
E. attendance and
participation reports and progress notes that are recorded at least
monthly;
F. notes on special
problems or on changes needed in medication and on the need for medication
assistance;
G. participant's needs
assessment and current plan of care in compliance with part
9555.9700;
H. a copy of the center's statement on
participants' rights, signed by the participant or the participant's caregiver
to indicate the participant has been informed of rights;
I. any incident reports involving the
participant, in compliance with part
9555.9720, subpart 4;
J. copy of the individual abuse prevention
plan developed for the participant as required by Minnesota Statutes, section
626.557,
subdivision 14;
K. in a center
licensed as meeting group E-3 occupancy code requirements, (1) a statement
signed by the center director and the participant at the time of the
participant's admission specifying the basis on which the participant was
determined to be capable or not capable of taking appropriate action for
self-preservation under emergency conditions as that capability is defined in
part
9555.9600, subpart 8; and (2)
documentation that the participant has demonstrated the capability defined in
part
9555.9600, subpart 8, by
participating in a fire drill within at least six months of admission to the
center; and
L. discharge summary,
if the participant is discharged from the center.
Subp. 2. [Repealed, 18 SR 2748]
Subp. 3. Right to contest.
The center shall provide each participant with written notice ensuring that each participant or participant's guardian or caregiver has been informed of the participant's right to contest the accuracy and completeness of the data maintained in the record.
Statutory Authority: MS s 245A.09
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