Current through Register Vol. 63, No. 9, September 1, 2024
(1) Case files of children in care. For each
child in care a residential care agency accepts for placement, the residential
care agency must maintain an individual record that includes a summary sheet
containing all of the following information:
(a) The name, gender, date of birth,
religious preference, and previous address of the child in care.
(b) The name and location of the child in
care's previous and current school.
(c) The date of admission to the
program.
(d) The status of the
child in care's legal custody, including the name of each person responsible
for consents and authorizations.
(e) The name, address, and telephone number
of:
(A) The child in care's parents.
(B) The child in care's legal guardian, if
different than parents, and documentation of his or her legal relationship to
the child in care.
(C) Other family
members or other persons identified by the family as significant to the child
in care.
(D) Other professionals to
be involved in service planning, if applicable.
(f) Any required signed consents and
authorizations.
(2)
Service planning.
(a) All documentation,
including, but not limited to service plans, daily notes, assessments, progress
reports, medication records, and incident reports, must be written in terms
that are easily understood by all persons involved in service
planning.
(b) Intake documentation.
A residential care agency must complete a written intake document containing
screening information on the date the residential care agency accepts a child
in care for placement except in the case of an emergency placement, when the
intake document must be completed within 48 hours of admission.
(c) Each child in care must be served
according to an individual written service plan developed by staff of the
residential care agency and by, whenever possible, the child in care, the
child's family, and other professionals involved with the child in care or
family. This document must outline goals for services and care
coordination.
(d) Assessment. A
comprehensive assessment must be completed within the first 45 days of
placement. This assessment must include relevant historical information,
current behavioral observations, any identified needs for services, and a
description of how the residential care agency will provide or coordinate
services.
(e) Service plan and
review.
(A) Within 60 days of placement, a
formal service plan must be developed by staff of the residential care agency
in conjunction with the child in care and his or her parents or legal
guardians, and any other persons who are actively involved with the family, as
appropriate.
(B) The service plan
must reflect how the residential care agency will address the child in care's
issues, describe the anticipated outcomes of the placement, and be reviewed and
approved by the child in care and the legal guardian or parent, unless
contraindicated.
(C) The service
plan must be reviewed by the residential care agency at least
quarterly.
(D) Service plans must
be revised at any time additional information becomes available indicating that
other services should be provided.
(3) Case management.
(a) The residential care agency must document
services provided, and track and monitor progress toward the achievement of
service plan goals.
(b) Discharge.
The residential care agency must identify how a child in care's progress will
be evaluated, and how the determination is made of readiness for discharge or
unsuitability for continued stay.
(c) Discharge planning. Discharge planning
for children in care must be a participatory decision-making process between
the child in care, staff of the residential care agency, the parents or legal
guardian, and significant others. As used in this rule, "significant others"
mean relatives, friends, or interested members of the community.
(d) Discharge Summary. The child-caring
agency must prepare a written discharge summary of each child in care served by
the program and retain this document in the child in care's file. The document
must include:
(A) Current
medications;
(B) Name of physician
or qualified medical professional who prescribed each medication;
(C) Any outstanding medical or other
appointments;
(D) A summary of the
child in care's participation in the program and the progress
achieved;
(E) Results of
evaluations of the child in care;
(F) Recommendations regarding services;
and
(G) Discharge
destination.
(e)
Follow-up services. The residential care agency must identify any transitional
or aftercare services or service coordination that will be offered by the
program.
(f) Incident reporting. A
written description of any injury, accident, or unusual incident involving a
child in care must be placed in the individual child's record.
(4) Financial records. A
residential care agency must keep a separate written record for each child
itemizing all money received or disbursed on behalf of the child in care. The
record must include all of the following:
(a)
The date of each receipt and disbursement and the amount of each.
(b) The source of income.
(c) The purpose of each
disbursement.
(d) The signature of
the person making each entry.
(e)
The signature of the child in care for each entry.
(5) Personal possessions records. An
individual written inventory must be maintained for each child in care of all
personal possessions belonging to the child in care. The record must be updated
as needed.
(6) The residential care
agency will ensure, in policy and practice, that:
(a) Disallowable items are either stored, or
returned to the parent or legal guardian; and
(b) All money and personal belongings are
returned to the child in care at the time of discharge.
Statutory/Other Authority: ORS
409.050, ORS
418.240 & ORS
418.005
Statutes/Other Implemented: ORS
418.205 -
418.327