Current through Vol. 42, No. 1, September 16, 2024
(a)
Secure care facility. A
secure care facility is a facility that cares for and supervises adjudicated
children in a building in which voluntary entering and exiting is prohibited
through the use of internal or exterior locks or through secure fencing around
the perimeter.
(b)
Requirements. Secure care facilities are required to meet the
rules contained in OAC
340:110-3-145
through
340:110-3-165.1
except as otherwise provided in this Section.
(c)
Supervision of residents.
Secure care facilities meet the requirements contained in OAC
340:110-3-153.2
regarding supervision of residents. In addition, staff members remain awake at
all times.
(d)
Searches and
contraband. Secure care facilities meet the requirements contained in
OAC
340:110-3-152(d)
regarding required policies. In addition, secure care facilities have written
policy and procedure governing searches and control of contraband.
(1) Facility policy and procedure includes,
but is not limited to:
(A) control of
contraband;
(B) searches for
contraband;
(C) property
searches;
(D) searches of the
facility; and
(E) visitor
searches.
(2) Residents
and visitors are notified that they are subject to search.
(3) No resident is searched beyond what is
necessary to maintain proper security.
(4) Searches are conducted by a staff member
of the same gender as the resident or visitor being searched.
(e)
Door security.
Secure care facilities meet the requirements for door security contained in (1)
- (4) of this subsection.
(1) All doors are
kept locked that are security perimeter entrances, exterior doors, and doors
that the facility administrator determines should be locked. These doors are
unlocked only for admission or exit of residents, employees, visitors, or in
case of an emergency.
(2) Doors to
vacant units, unoccupied areas, and storage rooms are locked when not in
use.
(3) Staff members know what
doors must be locked and under what circumstances the doors are
opened.
(4) Once a door is locked,
it is checked to ensure it is secured.
(f)
Key control. A secure care
facility has a key-control system that includes:
(1) a log, which is available to licensing
staff for review, to record the number of keys given out, the location of the
lock, the number of keys to that lock, and the names of the employees
possessing keys;
(2) a central
administrative area from where the keys are issued;
(3) a manner of storage that permits easy
determination of either the absence or the presence of the keys;
(4) labeling of all keys and maintenance of
at least one duplicate key for each lock; and
(5) fire and emergency keys that are readily
accessible.
(g)
Weapons. Weapons are not permitted beyond a designated
area.
(h)
Behavior
management. Secure care facilities are exempt from the rules contained
in OAC
340:110-3-154.2(b)(7) and
(11) regarding seclusion and mechanical
restraint. Facilities that use seclusion and mechanical restraint meet the
requirements contained in (1) - (4) of this subsection.
(1)
Seclusion. Seclusion may
only be used when less restrictive interventions, according to facility policy,
have been attempted or when an immediate intervention is required to protect
the resident, staff member, or others, or prevent escape. Resident is released
from seclusion when resident is no longer deemed a risk to self or others. A
written incident report is completed within 24-hours following each use of
seclusion.
(A) Seclusion is used only with
specific authorization of the executive director, the administrative person in
charge, or a health professional.
(B) When a resident is placed in seclusion,
an adult staff member continuously monitors the resident, either in person or
through audiovisual equipment, and personally checks the resident's well-being
every 15 minutes. The resident receives appropriate medical and psychological
services.
(C) The resident has
reasonable access to toilet facilities and to all scheduled meals while in
seclusion.
(D) As soon as the
resident sufficiently gains control and is no longer a serious and immediate
danger, the resident is released from seclusion. Residents age ten and older do
not remain in seclusion longer than three hours or a total of six
non-consecutive hours within any 24-hour period. Residents age 9 and under do
not remain in seclusion longer than one hour within any 24-hour
period.
(2)
Seclusion room. A room used for seclusion includes:
(A) at least 60 square feet and a ceiling
height of seven feet, six inches;
(B) a safety glass window, mirror, or camera
that allows for full observation of the seclusion room;
(C) no hardware or furnishings that obstruct
observing the child at all times;
(D) no hardware, equipment, or furnishings
that present a physical hazard or suicide risk;
(E) means for natural or mechanical
ventilation;
(F) means for
maintaining a temperature between 65 and 85 degrees Fahrenheit;
(G) lighting for all areas of the
room;
(H) an automatic fire
suppression system; and
(I) time
resident is released from seclusion.
(3)
Mechanical restraint.
Mechanical restraint may only be used when less restrictive interventions,
according to facility policy, have been attempted or when an immediate
intervention is required to protect the resident, staff member, or others.
Mechanical restraint may be used when transporting a resident in order to
prevent escape, to prevent self-injury, to prevent injury to others, to prevent
destruction of property, or to prevent inciteful behavior that jeopardizes
security.
(A) Mechanical restraint is used on
the resident in a comfortable and humane manner.
(B) Resident's hands are not restrained to
his or her feet.
(C) Resident is
not restrained to an immovable object.
(D) Resident is released from mechanical
restraint when resident is no longer deemed a risk to self, others, or at
imminent risk of escape.
(E) A
written incident report is completed within 24 hours following each use of
mechanical restraint.
(4)
Seclusion and mechanical restraint
log. A seclusion and mechanical restraint log is kept, and a report
containing all information in the log is part of the resident's record. The log
includes:
(A) the date and time of placement
in seclusion or the use of mechanical restraint;
(B) the name of the person authorizing the
use of seclusion or mechanical restraint;
(C) the reason for the use of mechanical
restraint or seclusion and other behavior management techniques
attempted;
(D) observation times,
including a description of the resident's activity at each observation, and the
signature of the person observing the resident; and
(E) time resident is released from seclusion
or mechanical restraint.
(i)
Emergency numbers. A secure
care facility is exempt from the rules contained in OAC
340:110-3-165(3)(C)
regarding posting of emergency telephone numbers. Emergency telephone numbers
are readily accessible to staff members.
Added at 18 Ok Reg
3331, eff 10-1-01 (emergency); Added at 19 Ok Reg 1171, eff 5-13-02; Amended at
26 Ok Reg 2239, eff 7-1-09
