Current through August 26, 2024
(1) ONGOING CARE.
(a) A center shall arrange a physical
examination comparable to a comprehensive HealthCheck screening for each
resident at intervals recommended by the medical assistance program for
HealthCheck screening, except if a resident is privately insured. A privately
insured resident shall be reexamined no less frequently than as required by
HealthCheck or in accordance with policy coverage. The physical examination
shall be conducted by a HealthCheck provider or by a physician and shall
document areas found on department HealthCheck age-appropriate forms.
Note: A HealthCheck form may be obtained from any local
public health agency, from the Department of Health Services website at
http://dhs.wisconsin.gov/forms/FtoM.asp
or by writing or telephoning any field office listed in Appendix D.
(b) A center shall arrange a
thorough dental examination for each resident at intervals recommended by the
medical assistance program for HealthCheck screening, except if a resident is
privately insured. A privately insured resident shall be reexamined no less
frequently than as required by Healthcheck or in accordance with policy
coverage. The dental examination shall be conducted by a licensed
dentist.
(c) A center shall arrange
and provide for necessary remedial and corrective measures for every resident
as soon as possible after a physical or dental examination which indicates need
for remedial or corrective measures.
(d) A center shall have in each building
housing residents when residents are present, at least one staff member
certified by the American Red Cross to administer first aid and certified by
the American Red Cross or American heart association to administer
cardiopulmonary resuscitation (CPR). The center shall keep all staff
certifications current and shall maintain documentation of all
certifications.
(e) There shall be
a first aid kit on every floor level of every center building housing
residents, in buildings where resident activities take place and in every
vehicle used to transport residents. The first aid kit shall be placed where it
is inaccessible to residents but accessible to staff. Contents of first aid
kits shall meet recommendations of the American Red Cross. A first aid kit
shall be inventoried and resupplied after each use.
(f) A center shall separate an ill resident
from other residents only if necessary because of the severity of the illness
and if it is contagious or infectious, or when requested by the ill
resident.
(2) BASIC
SANITATION AND HYGIENE PRACTICES. Center staff shall follow the guidelines in
appendix A to prevent transmission of infection from all blood or other body
fluid exposures.
(3) PREGNANT
RESIDENTS OR RESIDENT MOTHERS.
(a) If a
center serves pregnant residents or residents who are mothers who keep their
babies at the center, the center shall do all of the following:
1. Refer those residents for enrollment to
the women, infants and children (WIC) supplemental food and nutrition
counseling program.
2. Ensure that
pregnant residents receive prenatal health care.
3. Ensure that resident mothers and their
infant or toddler children receive health care through a HealthCheck provider
or, if through private insurance, a physician, according to the frequency
recommended under medical assistance program HealthCheck guidelines or as
described by the private insurance policy.
(b) A center which serves residents who are
mothers with infants or toddlers shall comply with s.
DCF 250.07, family day care standards for infant and
toddler care. The center shall provide an additional 35 square feet of resident
living space for each infant and toddler in addition to the resident living
space required under s.
DCF 52.52(1).
(4) HEALTH CARE RECORD. A center shall
maintain a separate health care record as part of each resident's case record.
The health care record shall include all of the following:
(a) The signed written consent required under
s.
DCF 52.21(5).
(b) The dates and results of all physical
health, mental health and dental examinations.
(c) The resident's health history and, if
applicable, medications history prior to admission and during the resident's
stay at the center.
(d) Information
about any of the following medical procedures received while the young person
was a resident of the center, including dates, person administering and
results:
1. Immunizations.
2. Laboratory tests.
3. Routine health care examinations and
treatment.
4. Emergency health care
examinations and treatment.
5.
Dental examinations and treatment.
(e) The medications administration record
required under s.
DCF 52.46(4).
(f) If applicable, the nutritional care plan
required under s.
DCF 52.44(2) (c).