New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 47 - STANDARDS FOR PRIVATE LICENSED FACILITIES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES
Subchapter 3 - ADMINISTRATION
Section 10:47-3.17 - Maintenance of records
Universal Citation: NJ Admin Code 10:47-3.17
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The facility shall maintain a central record for each individual, which shall include social information, health care, programming, and educational data from the time of admission until the time the individual leaves the facility.
1. Records shall be retained for a minimum of
10 years after the death or most recent discharge of the person. In the case of
a discharged minor, such records shall be kept for 10 years following the last
date of discharge or until the minor reaches the age of 23 years, whichever is
the longer period of time. In the case of a deceased minor, the record shall be
kept for 10 years following the date of death.
2. All active records shall be maintained on
the premises and shall be complete, current and readily available for review by
authorized persons.
3. Individual
records shall be conspicuously and appropriately identified and maintained in a
central records file.
4. All
entries in the record shall be current, legible, dated, and authenticated by
the signature and title of the person making the entry.
5. The facility shall provide a legend to
explain any symbol or abbreviation used in an individual's record.
(b) The facility shall protect and maintain the confidentiality of all records in accordance with N.J.A.C. 10:41-2.
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