New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter C - Social Services
Article 4 - Residential Programs for Victimes of Domestic Violence
Part 454 - Standards For Safe Home Networks And Safe Homes
Section 454.10 - Records and reports

(1) the date(s) the required interview(s) with each adult member of the safe home household, as required by section 454.9(b) of this Part, was held and a summary of the interview(s). Such summary must include an evaluation of the individual's understanding of the items included in section 454.9(b), as well as any additional items from the safe home network;

(2) the date the safe home provider attended orientation and training;

(3) a description of the safe home environment which includes a listing of all rooms in the home, the sleeping arrangements for residents, the safety procedures followed in the home, and the location of all smoke detectors, carbon monoxide detector(s), fire extinguishers and telephone(s);

(4) a list of the specific safe home rules to be discussed with residents prior to placement;

(5) a copy of the approved statement which contains the agreement signed by the safe home network and safe home provider specifying the network responsibilities/ safe home responsibilities;

(6) a copy of the annual reevaluation of the safe home which is issued under section 454.11(b) of this Part; and

(7) a record of complaints and of follow-up meetings and other contacts with the safe home provider, and of any fires, accidents or serious incidents occurring in the safe home, including a description of each incident, steps taken to control or manage the cause of the incident, and the steps taken to prevent the recurrence of such an incident.

(1) the name and address of the safe home provider; and

(2) a listing of all safe home family and household members residing in the safe home. If the information required by this subdivision is maintained separately from the safe home records, it must be made immediately available to the Office if such information is requested by the Office.