Current through Register Vol. 39, No. 6, September 16, 2024
(a) The
county director shall maintain a separate case record or a separate section in
a case record on a child for whom protective services are initiated or who is
placed in the custody of the county department of social services by the court.
The case record documentation shall be kept confidential. Information from the
case record shall be released only in accordance with Chapter 7B, Subchapter I,
of the North Carolina General Statutes and the Rules of this
Subchapter.
(b) The protective
services case record shall document the investigation. In addition, when
applicable, the protective services case record shall include:
(1) summary documentation of the results of
the check of the central registry of abused, neglected, and dependent children
whenever a report is accepted for investigation unless the agency has conducted
such a check in the 60 days prior to the new report, or the agency is providing
ongoing children's services to the family;
(2) copies of all comprehensive family
assessments, including safety assessments, risk assessments, assessments of
family strengths and needs, re-assessments of family strengths and needs and
assessments of the child's and family's progress or lack of progress in
completing the items documented in the Family Services Case Plan;
(3) documentation of any safety response plan
that was developed to ensure the child's safety during the course of the
investigation;
(4) documentation of
the case decision, the basis for the case decision, and the names of those
participating in the decision;
(5)
documentation of notifications to parents, caretakers, the alleged perpetrator,
or others specified in Rules .0107, .0108, .0109 and .0114 of this Section
regarding the case decision;
(6)
documentation of contacts with and services provided to the family, current
within seven days of service delivery. Documentation may be taped for
transcription, typed or legibly handwritten, and shall include information
about the family's response to and use of services, as well as any change in
the assessment of safety or risk to the children;
(7) the Family Services Case Plan developed
at the beginning of the treatment phase, with any subsequent revisions to the
plan;
(8) documentation of reviews
of the Family Services Case Plan, current within three months, which reflect an
assessment of the plan's effectiveness, the family's use of services, and the
need for continued agency involvement;
(9) copies of the following:
(A) Intake/Screening Form provided by the
Division for all reports concerning the family whether these reports have been
received while a case was active or while a case was closed;
(B) notices to the reporter;
(C) requests made of other county departments
of social services for information relating to prior contacts by that agency
with the family, when applicable; and
(D) DSS 5104, Application/Report to the
Central Registry.
(10)
copies of the following reports or documents, when applicable:
(A) petitions relating to the legal or
physical custody of children while receiving child protective
services;
(B) reports to the
court;
(C) reports or notifications
to prosecutors;
(D) reports to law
enforcement agencies;
(E) Child
Medical Evaluations and Child Mental Health Evaluation requests, consents, and
reports;
(F) any other medical,
psychological, or psychiatric reports;
(G) notifications to licensing agencies;
and
(H) any other reports,
notifications, or documents related to the provision of child protective
services.
(11) summaries
of the following information, when not otherwise documented in the case record:
(A) at the time treatment services begin, a
summary of the reasons services are being provided;
(B) when filing a petition for custody, the
reasons custody is being sought; and
(C) at the time treatment services are
terminated, a summary of the basis for the decision.
Authority
G.S.
7B-302;
7B-306;
7B-311;
7B-312;
7B-313;
7B-314;
7B-315;
7B-2901;
143B-153;
Eff.
January 1, 1980;
Amended Eff. May 1, 2006; April 1, 2003; September
1, 1994; January 1, 1983;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. October 3,
2017.
