South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-75 - Standards for Licensing Day Care Facilities for Adults
Sec2 61-75.700 - PARTICIPANT RECORDS
Section 61-75.700.701 - Content. (II)

Universal Citation: SC Code Regs 61-75.700.701

Current through Register Vol. 48, No. 9, September 27, 2024

A. The Facility shall maintain an organized record for each Participant. The Facility shall ensure all entries in the Participant record are permanently written, typed, or electronic media, authenticated by the author, and dated. The Facility shall have policies and procedures to prohibit access to Participant records that are generated by electronic or optical means.

B. The Facility shall maintain current Participant records for each Participant that contain:

1. A personal data sheet to include: full name, address, phone number, photo, race, religious preference, marital status, name of spouse, Responsible Party, Sponsor, emergency contact, and Participant's personal physician(s);

2. An enrollment Physical Examination and subsequent Physical Examinations;

3. Progress Notes. The Facility shall document, at least quarterly, progress notes by Direct Care Staff for each Participant. The Facility shall ensure that all progress notes include the progress of each Participant relative to the achievement of goals as indicated in the Individual Plan of Care;

4. A signed written agreement between the Participant and/or the Participant's Sponsor or Responsible Party and the Facility. The Facility shall revise the agreement upon any changes and document the signatures of the Participant, Sponsor, or Responsible Party. The Facility shall ensure the written agreement includes at least the following:
a. An explanation of the specific care, services, and activities provided by the Facility; and

b. Disclosure of fees for all care, services, and activities provided;

5. A record of Incidents, emergencies, and illnesses that occur while the Participant is receiving Adult Day Care Services; and

6. A written acknowledgement of the Statement of Rights of Adult Day Care Participants signed by the Participant, or Responsible Party or Sponsor.

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