Current through Register Vol. 63, No. 3, March 1, 2024
(1) In cases where
OYA is the Agency, the BRS Contractor or BRS Provider must provide the
following Placement Related Activities, and all facilities, personnel,
materials, equipment, supplies and services, and transportation necessary to
provide those activities, including but not limited to:
(a) Clothing: The BRS Contractor or BRS
Provider must ensure that each BRS Client has an adequate wardrobe as
prescribed by a "Youth Sub-Care Clothing List and Authorization" form,
incorporated by reference in this rule, and available at
http://www.oregon.gov/oya/forms/ya3070.pdf, or a printed copy may be obtained
from OYA. The BRS Contractor or BRS Provider must make an initial assessment of
the BRS Client's clothing and document the results. If there is a determined
need for clothing based on the Youth Sub-Care Clothing List and Authorization
form, the BRS Contractor or BRS Provider must notify the BRS Client's JPPO that
a clothing authorization is needed.
(b) Storage of BRS Client's personal
property:
(A) The BRS Contractor or BRS
Provider must store property belonging to the BRS Client in its program for up
to 30 days in a secure location following discharge, when the BRS Client exits
the program without his or her property; and
(B) The BRS Contractor or BRS Provider must
contact the BRS Client's JPPO as soon as possible to make arrangements for the
property to be retrieved.
(c) Transportation: The BRS Contractor or BRS
Provider is responsible for the transportation of the BRS Client to attend
school, to the extent not provided by the school district; medical, dental, and
therapeutic appointments to the extent not provided by the Oregon Health Plan;
recreational and community activities; places of employment; and shopping for
incidental items.
(d) Educational
and vocational activities: The BRS Contractor or BRS Provider must have a
system in place to meet the educational and vocational needs of the BRS Client
in its program either on-site or at an off-site location or a combination of
the two.
(e) Recreational, social,
and cultural activities:
(A) The BRS
Contractor or BRS Provider must provide recreation time for the BRS Client on a
daily basis, and offer activities that are varied in type to allow BRS Clients
to obtain new experiences. The BRS Contractor or BRS Provider must document
recreation as having been provided, by recording the type of activity the BRS
Client participated in, and the date it occurred.
(B) The BRS Contractor or BRS Provider must
provide each BRS Client at least one opportunity per week to participate in
recreational activities in the community, unless the BRS Client is clearly
unable to participate in offsite activities due to safety issues. If a BRS
Client is restricted from participation in community recreation, the BRS
Provider must document the reason in the BRS Client's case file, and the reason
must be reviewed regularly to ensure that the BRS Client is not unnecessarily
restricted from offsite activities. The BRS Contractor or BRS Provider must
offer any BRS Client who is restricted from community activities alternative
opportunities for recreation on site.
(C) The BRS Contractor or BRS Provider must
provide access to or make available social and cultural activities for the BRS
Clients as part of the therapeutic milieu of the program. These activities are
to promote the BRS Client's normal development and help broaden the BRS
Client's understanding and appreciation of the community, arts, environment and
other cultural groups.
(D) The BRS
Contractor or BRS Provider must not permit BRS Clients to participate in
recreational activities that present a higher level of risk to BRS Clients
without pre-approval by the Community Resources Unit and JPPO. This applies to
activities that require a moderate to high level of technical expertise to
perform safely, present environmental hazards, or where special certification
or training is recommended or required such as: whitewater rafting, rock
climbing, ropes courses, activities on or in any body of water where a
certified lifeguard is not present and on duty, camping, backpacking, mountain
climbing, using motorized yard equipment, and horseback riding.
(f) Academic Assistance: If
needed, the BRS Contractor or BRS Provider must provide adequate opportunities
for the BRS Clients to complete homework assignments with assistance from
staff, or an Approved Proctor Foster Parent, if applicable.
(2) Non BRS-Related Medical Care:
The BRS Contractor or BRS Provider must facilitate the BRS Client's access to
other providers whenever identified needs cannot be met within the scope of
services offered by the program. If health care services are needed but the
program is unable to access the needed services for the BRS Client, the BRS
Contractor or BRS Provider must immediately notify the JPPO about this in
writing and document its unsuccessful efforts to access healthcare for the BRS
Client in the BRS Client's case file.
(a) If
there is no record that the BRS Client has received a physical examination
within the six months immediately prior to the BRS Client's placement with its
program, the BRS Contractor or BRS Provider must ensure or make every effort to
ensure that the BRS Client receives a general medical check, consistent with
the Oregon Health Plan (OHP) and health insurance allowances, within 30 days of
placement. The BRS Contractor or BRS Provider must keep documentation of this
procedure in the BRS Client's file, and send a copy to the BRS Client's
JPPO.
(b) The BRS Contractor or BRS
Provider must ensure that each BRS Client's mental health, physical health,
(including alcohol and drug treatment services), dental and vision needs are
arranged for. This does not include paying the cost of services or medications
which are covered by the Oregon Health Plan or by the BRS Client's third-party
private insurance coverage. The BRS Contractor or BRS Provider must notify and
work with the JPPO to secure payment for services or medications not covered by
OHP or third-party private insurance.
(c) The BRS Contractor or BRS Provider must
administer and monitor medications consistent with all applicable licensing
rules, OAR 416-340-0070, and the BRS Provider's own medication management
policy.