West Virginia Code of State Rules
Agency 78 - Human Services
Title 78 - LEGISLATIVE RULE DEPARTMENT OF HUMAN SERVICES BUREAU FOR SOCIAL SERVICES
Series 78-03 - Minimum Licensing Requirements for Residential Child Care and Treatment Facilities for Children and Transitioning Adults and Vulnerable and Transitioning Youth Group Homes and Programs in West Virginia
Section 78-3-14 - Service Delivery
Universal Citation: 78 WV Code of State Rules 78-3-14
Current through Register Vol. XLI, No. 38, September 20, 2024
14.1. Program Description.
The organization shall develop a written description of each service and program that is available to the public and potential consumers. The description shall include:
14.1.1.
The goals of the program;
14.1.2.
The expected outcomes of the program;
14.1.3. The services provided by the
program;
14.1.4. The usual staffing
of the program including ratios and overall credentialing;
14.1.5. Characteristics of children
appropriately served by the program; and
14.1.6. Restrictions in access to the
program, if any.
14.2. Involvement of Families and Guardians.
14.2.1.
The organization shall document efforts to involve families of biological
origin and foster and adoptive families in developing, modifying and reviewing
plans of care unless contraindicated by the court or unless clinically
contraindicated in writing in the child record, regardless of
custody.
14.2.2. When residential
or other out-of-home services cannot be provided close to a child's home, the
organization shall document efforts to maintain family ties and involve the
family in plan of care and delivery.
14.2.3. The organization is responsible for
notifying parents and guardians of:
14.2.3.a.
Interdisciplinary team meetings;
14.2.3.b. Changes in the plan of care;
and
14.2.3.c. Critical incidents
and significant changes in the child's condition.
14.2.4. The notification shall be completed
within one working day after the event and documented.
14.2.5. If the organization cannot obtain
guardian or parental participation and permission for treatment after
documented efforts to do so, it shall not be held in violation of regulatory
standards regarding permission and participation. However, the organization
shall continue to document on-going efforts to include parents and guardians in
the treatment process.
14.3. Behavioral and Therapeutic Interventions. An organization that uses therapeutic interventions shall:
14.3.1. Use positive approaches whenever
possible to teach pro-social adaptive behavior and to modify behaviors that may
be socially or personally maladaptive;
14.3.2. Identify antecedent conditions that
may trigger inappropriate behavior and determine the most appropriate
intervention;
14.3.3. Apply
interventions in a caring and humane manner; and
14.3.4. Carefully describe and document
interventions in the client record and in the plan of care.
14.4. Discipline.
14.4.1. The organization shall outline and
follow its practices regarding discipline of persons served and this policy
shall prohibit the following:
14.4.1.a.
Corporal punishment (physical hitting or physical punishment inflicted in any
manner upon the body);
14.4.1.b.
Physical exercises such as running laps or pushups when used solely as a means
of punishment;
14.4.1.c. Requiring
or forcing the child to take an uncomfortable position for an extended period
of time or forcing the child to repeat physical movements when used solely as a
means of punishment;
14.4.1.d. The
use of aversive conditioning such as electric shock devices, sound, heat, cold,
light, water, noise, hot pepper, pepper sauce, pepper spray or
ammonia;
14.4.1.e. Interventions
that involve withholding nutrition, sleep, or hydration;
14.4.1.f. Punitive work
assignments;
14.4.1.g. Sanctioning
by peers, except as part of an organized therapeutic self-government program
that is conducted in accordance with written policy and is supervised directly
by employees;
14.4.1.h. Punishment
of the group for an individual child's behavior except as it involves a brief
delay to initiation of the next activity or to ensure safety of the employees
and children or as part of a therapeutic program using logical and natural
consequences as a means of discipline;
14.4.1.i. Punishment that subjects the child
to verbal abuse, ridicule, or humiliation;
14.4.1.j. Excessive denial of on-grounds
program services or denial of any essential program service solely for
disciplinary purposes;
14.4.1.k.
Denial of visiting or communication privileges with family solely as a means of
punishment;
14.4.1.l. Enforced
silence for long periods of time;
14.4.1.m. Exclusion of the child from entry
to the residence;
14.4.1.n.
Assignment of unduly physically strenuous or harsh work;
14.4.1.o. Use of physical restraint involving
peers;
14.4.1.p. Use of physical
restraint outside commonly accepted systematic methods of passive physical
control applied in an appropriately de-escalating fashion; or
14.4.1.q. Use of any technique of manual or
physical restraint as an ongoing intervention for inappropriate or undesired
behavior except in situations involving significant risk of harm to self or
others if the restraint is not used.
14.4.2. The organization shall discontinue
use of any intervention if it:
14.4.2.a.
Produces adverse side effects such as illness, physical damage, or injury;
or
14.4.2.b. Is ineffectual or
detrimental to meeting service goals and objectives.
14.5. Medication Control and Administration.
14.5.1. Medication shall be
prescribed and monitored by a licensed physician, dentist, physician's
assistant, or advanced practice registered nurse. The organization is
responsible for physicians and other medical employees contracted for service
just as it is responsible for physicians considered to be employees.
14.5.2. Organizations that administer
medication using approved medication assistive personnel shall comply with the
Department's rule, "Delegation of Medication Administration and Health
Maintenance Tasks to Approved Medication Assistive Personnel," 64CSR60.
14.5.3. A child entering a
facility with properly bottled and labeled medications may continue on those
medications with appropriate consents, until such time as the organization can
obtain current physician's orders, either from the organization's physician or
the child's physician, to continue the medications will be in accordance with
the medical licensing requirements and standards.
14.5.4. When medication is prescribed or
administered, the organization shall:
14.5.4.a. Obtain the written consent of the
parent or legal guardian and the child over age 12 unless the child is
incapable of supplying informed consent or there are compelling and documented
clinical or legal reasons to overlook the child's lack of consent.
14.5.4.a.1. When the medication is a
psychotropic, except for medications the child is prescribed and taking prior
to entering the program, the following information shall be provided to the
parent or guardian, or both:
14.5.4.a.1.A.
Specification of conditions the medication is to address, such as mood swings,
irritability, etc.;
14.5.4.a.1.B.
Efforts to address condition without medication;
14.5.4.a.1.C. The expected length of time on
medication;
14.5.4.a.1.D. Necessary
medical testing needed to determine proper usage of the medication;
and,
14.5.4.a.1.E. How often
symptoms will be evaluated to determine effectiveness of the
medication.
14.5.4.b. Fully explain the benefits and
possible side effects of the proposed medication (except in cases of routine
refill, changes within a class of medications or dosage changes); and
14.5.4.c. Obtain approval from the parent or
legal guardian in advance to dispense medication unless there is documented
inability to reach the guardian within a reasonable period of time relative to
the urgency of the need for the medication, which shall be documented. In the
case of all other prescribed medication, the guardian will be notified, within
one next business day, of the medication prescribed, the reason, and the date
the medication began.
14.5.5. The organization shall have a written
procedure directing the administration and storage of prescribed and
over-the-counter medications to include:
14.5.5.a. An individual record for those
children who receive medications to include:
14.5.5.a.1. Medications
administered;
14.5.5.a.2. The date
medications were administered;
14.5.5.a.3. The time of administration
(medications are to be administered within one hour of the prescribed time
unless otherwise allowed by physician's order); and
14.5.5.a.4. The individual administering the
medication;
14.5.5.b. A
record of all appointments for medication management including unscheduled or
canceled visits;
14.5.5.c. A record
of missed medications and the reason;
14.5.5.d. Protocols for the administration of
over-the-counter medications that includes individualized approval by a
physician or qualified medical practitioner; and
14.5.5.e. Prescription medications shall be
properly labeled and packaged and include:
14.5.5.e.1. The name of the person
served;
14.5.5.e.2. The dosage and
the name of the medication;
14.5.5.e.3. The name of the prescribing
physician; and
14.5.5.e.4. An
expiration date.
14.5.6. The organization shall have written
procedures that govern:
14.5.6.a. The safe
disposal of discontinued, out-of-date, or unused medications, syringes, medical
waste, or medication; and
14.5.6.b.
Provision for locked, supervised storage of medications with access limited to
authorized employees.
14.5.6.c.
Medication errors as described under subsection 3.46 of this rule.
14.5.7. Only licensed nursing
employees may accept verbal orders for changes in medication regimens. These
shall be signed by the prescribing physician within one week.
14.5.8. Organizations shall have, at a
minimum, a consulting registered nurse whose responsibilities shall include as
necessary:
14.5.8.a. Generating and reviewing
monthly Medication Administration Records;
14.5.8.b. Matching physician's orders to the
medication administration records;
14.5.8.c. Observing employees supervising
self-administration of medications at least quarterly;
14.5.8.d. Assisting interdisciplinary teams
to develop educational goals for children taking regularly prescribed
medications and participating in a supervised self-administration
protocol;
14.5.8.e. Instructing
employees in dietary or medication administration issues as
necessary;
14.5.8.f. Responding to
emergency calls from employees on medical issues, and;
14.5.8.g. Conducting ongoing assessments of
each child's health needs to include existing medical conditions, dietary
issues, and medications.
14.5.9. The nursing employees of the
organization shall assess each child or youth for the ability to self-medicate
with supervision if the organization allows such administration before the
youth is admitted into the program. Children not capable of participating in a
plan shall have medications administered by licensed nursing employees or
approved medication assistive employees as set forth in the Department's rule,
"Delegation of Medication Administration and Health Maintenance Tasks to
Approved Medication Assistive Personnel," 64CSR60. This requirement does not
apply to organizations that operate shelters with a no refusal
policy.
14.5.10. Medications may be
self-administered under supervision of employees under the following
conditions:
14.5.10.a. As part of the child's
plan of care, he or she is taught to identify his or her medications, recognize
possible side effects, describe the purpose for the medication and indicate the
time of day and frequency of which he or she is to take the
medications;
14.5.10.b. The child
is assessed by nursing staff as being cognitively capable of learning these
skills.
14.5.10.c. Medication is
kept in a secure location with limited access to employees only except at
dosage times;
14.5.10.d. Employees
are fully trained as to the purpose, most common side effects and dangers of
each medication prescribed for children in the facility, and can identify each
medication on sight;
14.5.10.e.
Employees are trained in emergency procedures for overdose or
abreactions;
14.5.11.
The organization shall assess the effect of medication on the child at regular
intervals and base its assessment on:
14.5.11.a. Documentation by clinical
employees of the person's behavior in the case record;
14.5.11.b. The observations of the child,
employees, and significant others; and
14.5.11.c. Any commonly recommended medical
tests necessary to determine the impact and safety of the medication on the
persons served (e.g., blood levels, etc.).
14.5.12. Organizations with a length of stay
longer than one year shall document attempts to titrate psychotropic
medications to the lowest possible level while still achieving symptom control
prior to discharge.
14.6. Medication as Chemical Restraint.
An organization shall not use chemical restraints unless permitted otherwise by its specific rules.
14.7. Case Records.
14.7.1. The organization shall maintain a
case record for each child served that shall be retained for a minimum of 5
years following the child's 18th birthday.
14.7.2. Case records are confidential and
access to case records is limited to:
14.7.2.a. The child and as appropriate, his
or her parent, guardian, or attorney, unless legally contraindicated;
14.7.2.b. Employees authorized to see
specific information on a "need-to-know" basis; and
14.7.2.c. Others outside the organization
whose access to the information contained in case records is permitted by
law.
14.7.3. When not
being used by authorized employees, case files should be returned to a secure
area.
14.7.4. The case record shall
comply with all legal requirements and contain, at a minimum:
14.7.4.a. Biographical or other identifying
information;
14.7.4.b. Copies of
custody and guardianship papers and court orders if appropriate and possible
within the time frame of the program;
14.7.4.c. Reasons for referral and admission
date;
14.7.4.d. Assessment
information;
14.7.4.e. A master
plan of care including goals and objectives of service;
14.7.4.f. Behavior support plans or therapy
plans, or both, if any;
14.7.4.g.
Reviews of the master plan of care as appropriate;
14.7.4.h. Reports from outside or contracted
providers of service to the child;
14.7.4.i. Copies of all signed, written
consent forms;
14.7.4.j. Routine
documentation of ongoing services;
14.7.4.k. Documentation of incidents or
investigations or reference to a separate incident file for each incident or
investigation;
14.7.4.l.
Documentation of any therapeutic physical restraints used by the organization
with the child in question;
14.7.4.m. Documentation of medication
administration for prior months;
14.7.4.n. Educational records, such as report
cards, individual education plans, and class schedules, as available
considering average program length;
14.7.4.o. Recommendations for ongoing or
future service needs and assignment of aftercare or follow-up responsibility if
needed and appropriate will be outlined in the discharge summary; and
14.7.4.p. A discharge summary will be entered
within 30 days of termination or discharge.
14.7.5. The organization shall document a
reasonable effort to obtain required materials.
14.7.6. When necessary and appropriate, the
case record shall also include:
14.7.6.a.
Legal evidence of custody;
14.7.6.b. Court ordered restrictions on the
rights of persons served;
14.7.6.c.
Psychological, medical, toxicological, diagnostic, or psychosocial
evaluations;
14.7.6.d. Copies of
all written orders for medications or special treatment procedures such as diet
and physical therapy;
14.7.6.e.
Regular reports from contracted service providers serving the child or family;
and
14.7.6.f. Other information
essential for delivering service to the child.
14.7.7. Only authorized employees may make
entries into case records and all entries shall be:
14.7.7.a. Specific, factual, and pertinent to
the nature of the service and the needs of the persons served; and
14.7.7.b. Completed, signed, or
electronically identified and dated by the person who provided the
service.
14.7.8. Case
records shall be clearly legible, kept up-to-date from intake through
termination and contact entries shall be made within one working day, unless
the group is away from the main facility, in which case entries shall be made
within one working day, of return to the main facility or program
site.
14.8. Termination or Discharge.
14.8.1. Discharge plan shall be
developed with the creation of the plan of care.
14.8.2. Termination or discharge shall occur
when:
14.8.2.a. The child achieves the goals
of his or her plan of care or is no longer in need of out-of-home
care;
14.8.2.b. The child has
reached maximum benefit or cannot benefit further from services provided by the
organization;
14.8.2.c. The
guardian terminates treatment;
14.8.2.d. The child no longer meets
eligibility criteria;
14.8.2.e. The
child refuses to meet program standards or requirements; or
14.8.2.f. The child completes court-ordered
treatment.
14.8.3. The
organization and interdisciplinary team, guardian, placement organization (such
as the court), multidisciplinary team, and the person or family shall jointly
plan for termination or discharge. Prior to discharge, the team shall meet to
review and document the child's progress in treatment, describe continuing
problems and issues and develop specific recommendations for aftercare and
follow-up. The aftercare and follow-up plans or recommendations shall be
provided to the child and his or her parent and guardian upon
discharge.
14.8.4. The organization
shall enter a discharge summary into the case record upon termination of
service within 10 days of termination or discharge that:
14.8.4.a. Includes recommendations for any
needed future services; and
14.8.4.b. Provides a summary of services
received while in care and an assessment of service effectiveness.
14.9. Educational Services.
14.9.1. The organization shall
access an educational program for each school-age child in care.
14.9.2. All children in residential child
care shall be enrolled in an educational or vocational program (depending on
age and the child's expressed desire) and provided with an educational or
vocational plan, as appropriate, that is integrated into his or her plan of
care and complies with the requirements set forth by the State Department of
Education.
14.9.3. When appropriate
and unless clinically, programmatically, or educationally contraindicated,
children and transitioning adults shall be enrolled in the public school
system. Organization employees shall maintain regular contact with school
employees at a frequency appropriate for the severity and type of each child's
problems and service needs. The organization shall have a practice describing
the method and frequency of contact.
14.9.4. The organization shall collaborate
with the public or private school so that information can be exchanged freely,
and problem behaviors addressed consistently across all environments.
14.10. On-Ground Schools.
14.10.1. On-ground schools shall be operated
by the State Department of Education or a county board of education. Outdoor
therapeutic educational programs are exempt from this requirement and shall
comply with the requirements set forth in section 22 of this rule.
14.10.2. Therapeutic support plans developed
in the residential setting shall be continued in the on-ground educational
setting and vice versa. The educational program and the residential program
shall communicate on a regular basis to ensure that this occurs and shall
exchange data and information regularly. The organization shall have a practice
and an interorganizational or interoffice agreement specifying how the
organizations or offices will interact and the frequency of that
interaction.
14.11.
Groups and Groupings.
14.11.1. The
organization shall ensure that therapeutic activities and groups shall be of an
appropriate size to promote the success of the activity. Living areas are
limited to no more than 12 children.
14.11.2. Children shall have the right to be
housed with children of the same approximate ages, developmental levels, and
social needs. This separation shall be a matter of organizational practice.
14.11.2.a. The organization shall not admit a
child under six years of age without prior written approval from the
Secretary.
14.11.2.b. No child over
the age of five years shall occupy a bedroom with a member of the opposite
sex.
14.12.
Employment Opportunities.
The organization may involve the child in voluntary maintenance of the facility so long as those work programs do not replace the organization's need for housekeeping and maintenance employees. Household "chores" may be required as a condition of participation in the program or as a method of moving to a more privileged level of programming. Descriptions of the employment opportunities should be included in the organization's descriptions. All employment opportunities shall be evaluated for their therapeutic or habilitative value. The organization shall pay the child for an activity at a level required by state or federal law if there is no therapeutic or rehabilitative value in the activity. Money earned in an employment opportunities belongs to the child, although the organization may maintain control of the money until the child's discharge, using an accurate and on-going method of tracking disbursements and deposits, made available to the child or guardian upon request. Employment opportunities other than household "chores" shall be evaluated and approved by the interdisciplinary team.
14.13. Daily Schedules.
14.13.1. The interdisciplinary team shall
provide each child with a written daily schedule of activities designed to help
him or her develop positive personal and interpersonal skills and behaviors by
providing activities that are individualized, as needed to meet treatment
needs:
14.13.1.a. Appropriate to the age,
behavioral level, emotional needs, strengths, and interests of the
child;
14.13.1.b. Specialized to
meet the child's identified strengths and needs as described in the assessment
and plan of care;
14.13.1.c.
Normalizing and integrated into the community to the maximum extent possible
given the child's clinical needs and behavioral functioning;
14.13.1.d. Available at all times to the
employees and child; and
14.13.1.e.
Comprehensive of all waking hours while allowing a reasonable amount of
recreational, study and quiet time.
14.13.2. The daily schedules are not required
to be archived in the child's file.
14.14. Employee Supervision.
14.14.1. At all times, the organization shall
have sufficient employees to allow the number of children being served to be
adequately supervised, taking into consideration the complexity of the needs of
the children. The organization shall consider appointments requiring employee
supervision, employee leave, possible illness of children and any other
relevant factor when scheduling employee and child activities.
14.14.2. Except as otherwise provided by this
rule, children shall be supervised at all times. Short breaks in direct
supervision shall be therapeutically indicated or necessary for the child to
gain independence. The supervision of each child shall be determined in
relation to normalcy and the reasonable and prudent parent standard. The
supervision level must be documented in the child's treatment plan that shall
detail specific activities geared to support the youth's treatment needs.
Generic treatment plans will not meet the intent of this regulation.
14.14.3. Youth actively working toward
independence shall be permitted short breaks in supervision to pursue
recreation, employment or educational opportunities that complement his or her
plan of care.
14.14.4. The
organization shall have a procedure regarding employee supervision that ensures
the safety, supervision and security of children who are acutely disturbed or
suicidal, or both.
14.14.5. The
organization shall have a procedure regarding supervision of children in off
grounds activities that shall maximize the supervision and safety of children
participating in the activities.
14.14.6. The organization shall ensure that
when children leave a facility for overnight visits, there is a procedure for
signing or being checked in and out of the program. The checklist or sign-in
sheet shall be dated and shall include time in and out, the person responsible
for the child, as appropriate, and the location at which the child may be
contacted if necessary.
14.15. Special Services and Populations.
14.15.1. If an organization provides
specialized services to a unique population (e.g., children with issues of
substance abuse, children with developmental disabilities, sexually reactive
children) the organization shall ensure that:
14.15.1.a. The service and clinical model
reflects knowledge and use of the best practices available in the
field;
14.15.1.b. Clinical and
professional employee are appropriately trained and when possible certified or
licensed in the area of service provided;
14.15.1.c. Direct care employees are
specially trained to understand issues in clinical treatment of the population
and able to use suitable intervention techniques when necessary and
appropriate;
14.15.1.d. The
environment and milieu of the treatment location is clinically, structurally,
and developmentally appropriate for the population served; and
14.15.1.e. The facility is suitably secure
and employee ratios suitably high to ensure the supervision and safety of
children served during a crisis.
14.15.2. If an organization accepts into
service a child with unusual clinical or programmatic needs, or both, the
organization is responsible for adapting its routine practices to meet the
needs of the child in care to the greatest extent possible. If it becomes
evident that the child cannot benefit from the program, even with the
adaptations the organization is able to make, the organization is responsible
for assisting the department in identifying a more suitable placement at the
earliest opportunity in conjunction with the guardian or multidisciplinary
team, or both.
14.15.3. A
residential program that specializes in serving children and transitioning
adults with developmental disabilities or intellectual disabilities shall
ensure that employees are trained to properly provide habilitation services and
supervision in the following areas as appropriate for the population served:
14.15.3.a. Feeding;
14.15.3.b. Communication with nonverbal
individuals;
14.15.3.c. Use of
community recreation options;
14.15.3.d. Management of self-abusive and
aggressive behavior;
14.15.3.e.
Adaptive living skills;
14.15.3.f.
Person first language and attitudes;
14.15.3.g. Therapeutic behavioral supports;
and
14.15.3.h. Implementation of
normalcy.
14.15.4. When
serving individuals with developmental disabilities for more than 30 days, the
program shall provide supportive services to help them fully interact with the
community and achieve maximum independence. If the organization provides or
contracts for the provision of therapeutic services such as individual therapy,
it shall ensure that therapeutic interventions are adapted for the
developmental functioning of the child.
14.15.5. An organization that provides
services to children with developmental disabilities shall adhere to and
implement normalcy and adapt the organization's therapeutic facilities to meet
the developmental needs of the child.
14.15.6. The organization shall provide
children with co-occurring presenting issues with specialized services to meet
their needs as identified in the comprehensive assessment. The organization
shall arrange for detoxification and inpatient services to meet any emergency
needs of children.
14.15.7. The
organization shall ensure that children are provided with therapeutic and
didactic interventions that directly address his or her substance abuse and any
deficits in adaptive functioning relating to or concurrent with the abuse of
substances.
14.15.8. If the
organization specializes in co-occurring presenting issues, employee training
shall comprehensively address the latest information, theories, and techniques
in:
14.15.8.a. Identification, diagnosis and
treatment of alcohol and drug abuse;
14.15.8.b. The concept of chemical dependency
as a disease; and
14.15.8.c.
Prevention activities that address both primary and relapse
prevention.
14.15.9.
When the initial assessment indicates the presence of a sexually sensitive
history (either as offender or victim) the organization shall:
14.15.9.a. Obtain either directly or by
contract or referral information a thorough assessment of the sexual history
and functioning of the child, attending in particular to episodes of
victimization or offense;
14.15.9.b. Obtain either directly or by
contract or referral specialized treatment interventions or services as
appropriate; and
14.15.9.c.
Consider the child's history when making determination regarding housing and
supervision in order to ensure the safety of all the children.
14.15.10. If the organization
specializes in the treatment of children with sexualized behaviors:
14.15.10.a. The milieu shall be organized and
maintained in such a way as to maximize the safety and supervision of the
children at all times; and
14.15.10.b. Employees shall be specially
trained in the supervision and treatment of sexualized behaviors in children;
and
14.15.10.c. Professional
employees shall be trained and certified as appropriate in the treatment of
sexualized behaviors in children or shall be in the process of obtaining
certification and properly supervised by certified employees.
14.15.11. If the organization
discovers that a child is pregnant and it is not a Maternity and Parenting
Program, it shall provide or make referral for the following health services,
at a minimum, until other arrangements are made;
14.15.11.a. Fetal alcohol syndrome
screening;
14.15.11.b. Prenatal
care;
14.15.11.c. Well-baby care;
and
14.15.11.d. Parenting skills
instruction.
14.16. Health Services.
14.16.1. The organization shall have a
procedure in place to ensure emergency medical care for all its children on a
24-hour basis.
14.16.2. Each child
shall have upon admission or receive within 72 hours of admission a current
medical screening by a qualified medical practitioner (EPSDT). The screening
shall document:
14.16.2.a. A general history
of the child's and family's health;
14.16.2.b. The patient's current
medications;
14.16.2.c.
Allergies;
14.16.2.d. Pertinent
medical problems requiring nursing attention;
14.16.2.e. Current risk and safety
factors;
14.16.2.f. Nutritional
status;
14.16.2.g. Immunization
status, and
14.16.2.h. Sleep
patterns.
14.16.3. In
facilities with stays of longer than 30 days duration, appropriate dental
assessments shall be conducted at least annually to include provision of any
routine dental care as recommended by the evaluating dentist.
14.16.4. Health services shall also include,
in facilities with stays of longer than 30 days duration, age appropriate
instruction regarding:
14.16.4.a. Pregnancy
prevention,
14.16.4.b. AIDS/HIV and
STD prevention,
14.16.4.c.
Nutrition;
14.16.4.d. Laboratory or
other diagnostic work as prescribed by a physician; and,
14.16.4.e. Other general information about
the prevention and treatment of disease.
14.16.5. Educational services shall also be
provided regarding psychotropic medications and mental health as age
appropriate and necessary. When possible, the family of origin or expected
family of projected placement shall be educated as well.
14.17. Clothing.
14.17.1. The organization shall ensure that
each child in care has adequate, clean, well fitting, attractive, and
seasonable clothing as required for health, comfort, and physical well-being
and as appropriate to age, sex and individual needs. The child shall be
encouraged to participate in the selection of clothing.
14.17.2. A child's clothing shall not be
shared in common.
14.17.3. Clothing
shall be kept clean and in good repair. The child shall be involved in the care
and maintenance of his or her clothing. As appropriate, laundering, ironing,
and sewing equipment shall be accessible to the child.
14.17.4. When uniforms are required, the
child and parents or guardians shall be advised of this requirement prior to
admission.
14.17.5. The
organization shall ensure that discharge plans make provisions for clothing
needs at the time of discharge. All personal clothing shall go with a child
when he or she is discharged, or arrangements shall be made if the child was
not able to leave with his or her personal belongings.
14.18. Personal Belongings.
The organization shall allow a child to bring personal belongings to the program and to acquire belongings. However, the organization shall, as necessary, limit or supervise the use of these items. Provisions shall be made for the protection of a child's property. The organization shall provide a list of items that are not appropriate for the child to have at the program upon intake.
14.19.
Personal Hygiene.
14.19.1. Procedures to
ensure that children receive assistance and education in personal care, hygiene
and grooming appropriate to their age, gender identity, race and culture shall
be established.
14.19.2. The
organization shall ensure that children are provided with all necessary
toiletry items.
14.19.3. A child
shall be permitted a reasonable degree of freedom in selecting a style of
wearing his or her hair and clothing.
14.20. Religion and Culture.
14.20.1. Children shall have the opportunity
to participate in religious activities and services in accordance with their
own faith. The organization, when necessary, shall arrange
transportation.
14.20.2. Children
may not be coerced or required to attend religious activities.
14.20.3. The organization shall involve
children in cultural or ethnic activities, appropriate to their own cultural or
ethnic background.
Disclaimer: These regulations may not be the most recent version. West Virginia 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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