Oklahoma Administrative Code
Title 340 - Department of Human Services
Chapter 110 - Licensing Services
Subchapter 3 - Licensing Standards For Child Care Facilities
Part 9 - REQUIREMENTS FOR RESIDENTIAL CHILD CARE FACILITIES
Section 340:110-3-154 - Social services
Universal Citation: OK Admin Code 340:110-3-154
Current through Vol. 42, No. 1, September 16, 2024
(a) Admission. The program involves the resident and parents in the admission process.
(1) On admission, a
resident assessment is completed indicating the placement is appropriate. The
admission assessment is documented and available for Licensing review. An
assessment includes the resident's:
(A) name,
address, phone number, Social Security number, sex, race, religion, and birth
date and place;
(B) circumstances
leading to the referral;
(C) family
member description and relationships including other significant adults and
children;
(D) current and past
behavior description, including both appropriate and maladaptive
behavior;
(E) immunization record,
medical and dental histories, including current medical problems;
(F) school history, including the current
educational level, special achievements, and school problems;
(G) placement history outside of the home,
including placement reasons;
(H)
mental health history; and
(I)
record documentation indicating efforts obtaining identifying information in
(A) through (H) of this paragraph, when not obtainable.
(2) A program only accepts residents 4 years
of age and younger when maintaining a sibling group, maintaining a child with a
parent, or requiring special services, such as:
(A) medical care or monitoring;
(B) awake supervision; or
(C) crisis intervention, assessment, or
treatment.
(3) When a
resident 4 years of age and younger is in the program's care, the admission
assessment and service plan document why this placement is in his or her best
interest.
(4) Individuals 19 years
of age and older are not admitted to the program. A program may continue
serving a resident placed prior to his or her 19th birthday through the service
plan completion.
(5) On admission,
the program obtains the parents' signature, for:
(A) authority to provide care;
(B) authority to provide medical
care;
(C) financial agreement, when
a fee is required for the resident's care;
(D) authority to use the resident or the
resident's picture in publicity, when applicable; and
(E) a release indicating understanding that
volunteer drivers or specialized service professionals are not required to
complete the criminal history review, per Oklahoma Administrative Code (OAC)
340:1103-153.1. Specific activities or events are identified in the
release.
(6) Residents
receive a medical examination by a licensed health care professional within
60-calendar days prior to admission or within 30-calendar days following
admission. However, a documented medical exam performed within the 12 months
prior to admission is acceptable when a resident is transferred from another
licensed program.
(7) On admission,
the program advises the resident of program rules and regulations.
(8) Program policies provided to residents
and parents include:
(A) resident's
rights;
(B) grievance
procedures;
(C) behavior management
policies;
(D) trips away from the
program;
(E) use of volunteers;
and
(F) frequency of parent
reports.
(9) Acceptance
of out-of-state residents is made, per the Interstate Compact on the Placement
of Children.
(b) Service planning. The service plan is available for Licensing review.
(1)
Comprehensive service
plan. A written service plan is developed and documented for residents
within 30-calendar days of admission.
(A) The
program involves the resident and parents in service plan development. Reasons
for parental non-participation are documented.
(B) The service plan identifies and includes,
the:
(i) resident's needs, such as counseling,
education, physical health needs, medical care, or recreation, in addition to
basic needs for food, shelter, clothing, routine care, and
supervision;
(ii) strategies for
meeting the resident's needs, including instructions to personnel. Individual
health needs are addressed in the program's medical plan, per OAC
340:110-3-154.3;
(iii) estimated length of stay;
(iv) goals and anticipated plans for
discharge;
(v) program's parent
involvement plan, including visitation guidelines; and
(vi) names and dated signatures of those
participating in service plan development.
(2)
Service plan review. Service
plan reviews are available for Licensing review.
(A) The service plan is reviewed within
90-calendar days after development and at least every six months
thereafter.
(B) The program
involves the resident and parents in the service plan review. Reasons for
parental non-participation are documented.
(C) The service plan review includes:
(i) an evaluation of progress toward meeting
identified needs;
(ii) new needs,
identified since the plan development or last review, along with strategies of
meeting needs, including instructions to personnel;
(iii) an estimated length-of-stay update and
discharge plans;
(iv) a placement
assessment evaluation determining when the resident may:
(I) return home;
(II) be placed in foster care;
(III) transfer to care better suited for his
or her development; or
(IV) remain
in the residential program; and
(v) names and dated signatures of review
participants.
(c) Services. The program provides or facilitates services meeting service plan goals.
(d) Resident's records. A written resident record is maintained and available for Licensing review.
(1) The record includes:
(A) admission assessment;
(B) required authorizations, per (a)(4) of
this Section;
(C) medical
records;
(D) comprehensive service
plan and reviews;
(E) educational
information;
(F) serious incident
reports documenting incident nature, date and time, individuals involved, and
surrounding circumstances. Serious incidents include but are not limited to;
(i) suicide attempts;
(ii) injuries requiring medical
treatment;
(iii) resident absent
without permission;
(iv) crimes
committed and abuse allegations, neglect; or
(v) allegations of behavior management
violations, per OAC
340:110-3-154.2.;
and
(G) reports of
separation, physical restraint use, and other restrictions; and
(H) signed documentation the resident and
parents were provided program policies.
(2) Resident's records are confidential as
defined by federal and state laws.
(e) Discharge procedures and records. The program involves the resident, parents or legal custodian, and personnel in discharge planning.
(1)
Except in an emergency, a resident is not discharged to an individual other
than the resident's parents or legal custodian without written
authorization.
(2) An emergency
discharge occurs when a resident presents a danger to self or others. On
emergency discharge, the program informs the parents or legal custodian
immediately.
(3) The individual to
whom the resident is discharged provides photographic identification and signs
the discharge form before leaving with the resident.
(4) In addition to items in (d) of this
subsection, the resident record includes:
(A)
discharge summary;
(B) discharge
date, time, destination, and circumstances; and
(C) the individual's name, address, and
relationship to whom the resident is discharged.
(5) The resident's record is retained for
three years following the resident's discharge and available for Licensing
review.
Amended at 10 Ok Reg 3663, eff 7-12-93; Amended at 18 Ok Reg 3331, eff 10-1-01 (emergency); Amended at 19 Ok Reg 1171, eff 5-13-02; Amended at 22 Ok Reg 1304, eff 6-1-05; Amended at 26 Ok Reg 2239, eff 7-1-09; Amended at 31 Ok Reg 154, eff 11-1-13 (emergency); Amended at 31 Ok Reg 1854, eff 9-15-14
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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