Current through August 26, 2024
(1) POLICIES AND
PROCEDURES. A center shall have written resident admission policies and
procedures that describe the primary presenting problems and range of behaviors
of residents which the center will treat and center procedures for admitting a
resident. Before a prospective resident is admitted to a center, center
professional staff shall evaluate the needs of the prospective resident using
information and procedures described in the agency program statement and
operating plan and determine whether the center is able to meet the identified
needs of the prospective resident.
(2) ADMISSION SCREENING REPORT. Center
professional staff shall complete a written, dated and signed admission
screening report on a resident which includes a preadmission review and
identification of the prospective resident's primary presenting problems and a
statement recommending reasons for or against admission based on the ability of
the center to meet the prospective resident's needs.
(3) CONDITIONS. A center may admit a
prospective resident if the center can meet the prospective resident's needs,
as determined by the admission screening report under sub. (2) and if the
following conditions are met:
(a)
Interstate placements. In accepting a prospective resident
from outside the state of Wisconsin, the center has received prior written
approval under the interstate compact on the placement of children under s.
48.988,
Stats., and has received information on the prospective resident's social,
medical and educational history.
(b)
Child under age 7. In
admitting a child age 6 or under, the center has received prior written
approval from the department. A center shall meet any additional requirements
determined appropriate by the department for the care and treatment of a child
age 6 or under.
(c)
Consent
for medical care. The center has obtained written consent for medical
services as required under sub. (4).
(d)
Serving children 18 years of age
or over, but under 21 years of age. In admitting residents age 18 or
over:
1. The center has a license to provide
care and maintenance to a resident of that age, sex, and population type.
Note: A current licensee may request an
amendment to serve a resident population that is 18 years of age or over, but
under 21 years of age, and is transitioning to independence under s. DCF 52.62 (4) (d).
2. The center
program statement under s. DCF 52.41 (1) describes how all of the following are
achieved:
a. Center program compatibility
among residents.
b. Age appropriate
grouping in center activities and living arrangements.
c. Transition-to-independence
planning.
(4) SERVICE CONTRACTS. As permitted under s.
48.61(2),
Stats., a center may enter into a contract with a prospective resident's parent
or guardian or a contract or other agreement with the prospective resident's
legal custodian or placing person or agency, if not the same, for the center to
provide services for a person admitted to the center. The center shall maintain
all service contracts and agreements for a resident either in the resident's
treatment record or in an administrative record. A contract or other agreement
shall include all of the following:
(a)
Expectations and responsibilities of both parties, including a clear division
of responsibility and authority between the center and the parent or guardian,
legal custodian and placing person or agency, if not the same, for decisions on
resident treatment plan services and activities, including any changes in them,
both inside and outside the center, as described in the resident's treatment
plan under s. DCF 52.22 (2) (b).
(b) The financial arrangements for the
resident, and provision for periodic review of case plan progress under s. DCF 52.22 (3).
(c) Visiting plans by
parents and other persons important to the resident.
(5) INFORMED CONSENT FOR MEDICAL AND DENTAL
SERVICES.
(a) Before a center may admit a
prospective resident, the center shall obtain written, signed informed consent
that gives the center health care consultant or resident's physician the
following authority:
1. Authority to order or
provide to the resident routine medical services and procedures, including
scheduled immunizations and dental services and non-prescription and
prescription medications.
2.
Authority to delegate and supervise administration of medications by
center-authorized staff and for staff to handle and provide the medication to
the resident and observe self-administration of the medication by the
resident.
3. Authority to obtain
other medical information on the resident.
4. Authority to provide or order when there
is a life-threatening situation, emergency medical procedures, including
surgery, when it is not possible to immediately reach the person or authority
authorized to give signed written specific informed consent.
(b) The consent under par. (a)
does not cover administration of psychotropic medications, major surgery not of
an emergency nature or major dental work. Consent for these shall be obtained
in accordance with the provisions of this chapter.
(6) PRE-PLACEMENT VISIT. A center shall
arrange, whenever possible, with the placing person or agency for a
pre-placement visit for the prospective resident and, whenever possible, shall
invite the parent or guardian to participate. During a pre-placement visit,
center staff shall provide the prospective resident and the prospective
resident's parent or guardian with an orientation to the center's
program.
(7) ADJUSTMENT
FACILITATION. At the time of admission, center staff shall do all of the
following:
(a) Orient the new resident and the
resident's parent or guardian and legal custodian to the center's facilities
and program, if this was not done under sub. (6).
(b) Help the new resident to adjust to the
effects of separation from family and to center placement.
(c) Give the new resident and the resident's
parent or guardian and legal custodian copies of the house rules, including
rules on visiting, expected behavior and sanctions for misbehaving and resident
rights and grievance and complaint procedures, with explanations of
them.
(8) HEALTH
SCREENING.
(a)
Examination.
Upon admission of a new resident, a center shall do one of the following:
1. Obtain either from a certified HealthCheck
provider or licensed physician the results of a physical examination of the
young person comparable to a comprehensive HealthCheck screening, that has
taken place within one year before admission, and from a licensed dentist the
results of a dental examination of the young person that was done within one
year before admission.
2. Arrange
for a health examination of the new resident to take place within 2 working
days after admission, and a dental examination to take place within 90 days
after admission. The health examination shall cover the areas prescribed in a
form provided by the department.
Note: Copies of the Department's
age-appropriate HealthCheck examination forms can be obtained from any local
public health agency, from the Department's website at
http://dhs.wisconsin.gov/forms/FtoM.asp or by writing or telephoning any field
office listed in Appendix D.
(b)
Observation. An
observation shall be made on each person at the time of admission to the center
by a person capable of recognizing common signs of communicable disease or
other evidence of ill health. If the person admitted shows overt signs of
communicable disease or other evidence of ill health, the center shall make
arrangements for immediate examination by a physician. If the person admitted
has a risk of having a sexually transmitted disease because of recent sexual
abuse history or sexual activity, the center shall immediately consult with a
physician and follow whatever precautionary measures are recommended by the
physician and shall make arrangements for examination by a physician to take
place as soon as possible.
(9) REGISTER. The center shall maintain a
register of all residents. The register shall contain the date of admission and
resident identifying information including name, birthdate, sex, the name and
address of the placing person or agency and the name and address of a parent or
guardian and legal custodian or, if the resident is 18 years of age or over,
the name and address of the lawful placing authority and the name of the
resident's guardian, if applicable. If the resident is from another state, the
register shall also identify the state.
