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(1) maintain a written case record on each child that documents all services provided or obtained for the child while in placement; •
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(2) implement and review an individualized treatment plan for each child in placement, with documented input of the child's Child Welfare (CW) county of jurisdiction and county of placement worker, when different, according to the requirements set forth in the Oklahoma Department of Human Services (OKDHS) contract. The TFC contractor notifies the CW county of jurisdiction worker of the initial treatment plan meeting within five days of the child's placement;
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(3) assume responsibility for maintenance of basic needs of each child placed;
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(4) accept responsibility for a reasonable knowledge of the child's whereabouts at all times.
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(5) ensure the child receives all needed routine, specialized, and emergency medical care in a timely manner provided by a medical provider who accepts Medicaid payment.
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(A) Prior consultation and consent from OKDHS and the child's parent(s) are required for emergency medical care. If the appropriate OKDHS authority cannot be contacted and the situation is life-threatening, the contractor has the authority to obtain emergency care and treatment, and notifies OKDHS at the earliest possible time.
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(B) Prior consultation and consent from OKDHS and the child's parent(s) are required for any extraordinary medical procedure, such as surgery and invasive procedures.
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(C) Prior consultation and consent from OKDHS and the child's parent(s) are not required for ordinary medical care. Provision of all medical or dental care is documented in the contractor's case record, including notification and attempts of notification in emergency situations, per OAC 340:75‑13-65;
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(6) notify the CW county of jurisdiction and county of placement workers and the contract liaison of any accidental or non-accidental injuries sustained by the child, per OAC 340:75-3-6.1 and 340:75-6-88;
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(7) ensure that the religious and cultural observations of the child comply with OAC 340:75-6-49;
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(8) develop and implement written policy and procedures regarding each child's access to legal counsel, court-appointed special advocate (CASA), OKDHS staff, phone, mail, and visitation, per OAC 340:75-6-30 and 340:75-11-237;
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(9) develop and implement written policy and procedures regarding the maintenance and safeguarding of each child's clothing, personal items, property, and funds while placed;
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(10) ensure the completion of a clothing and personal item inventory for each child entering and leaving placement and ensure each child leaves the placement with all of his or her clothing and personal items;
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(11) obtain prior approval from the CW county of jurisdiction worker any time the child travels overnight outside of the county of placement or Oklahoma, per OAC 340:75-6-89;
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(12) develop and implement written policy and procedures defining situations in which any person, other than family members previously approved by the CW county of jurisdiction worker, may take the child away from the placement on a day pass, not to exceed six hours, without supervision of the placement provider.
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(A) The contractor does not allow a child any overnight visitation without the prior planning and documented written approval of the child's CW county of jurisdiction and county of placement workers. Overnight visitation with peers is considered time outside of the direct supervision of the TFC parent.
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(i) The contractor is responsible for:
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(I) completing an evaluation of the appropriateness of the overnight plan;
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(II) submitting the overnight plan to the CW county of placement and county of jurisdiction workers and supervisors;
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(III) securing written confirmation of the plan from the CW county of placement and county of jurisdiction workers and supervisors; and
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(IV) documenting the results in the child's case.
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(ii) CW county of placement and county of jurisdiction workers and supervisors are responsible for reviewing the overnight plan developed and submitted by the TFC contractor.
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(B) The contractor does not secure any placement without the prior planning and documented written approval of the CW county of jurisdiction worker.
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(C) If the contractor utilizes volunteers, the contractor's policy for approval and utilization of volunteers must, at a minimum, require criminal history and sex offender registry checks;
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(13) develop and implement written policy and procedures that prohibit the utilization of any child in OKDHS custody for commercial purposes;
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(14) submit written reports to the child's CW county of jurisdiction and county of placement workers describing the child's stay in placement, progress toward meeting the identified treatment plan, education, and medical care as requested for court hearings, and file a copy of the reports in the child's case record;
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(15) develop and implement written policy and procedures for discipline that comply with OAC 340:75-7-38 and Sections 7004-3.2 and 7004-3.3 of Title 10 of the Oklahoma Statutes (10 O.S. § 7004-3.2 and 7004-3.3);
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(16) ensure each employee and TFC parent is trained in an approved passive physical restraint curriculum defined in OAC 340:75‑11-237;
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(17) develop and implement written policy and procedures requiring the contractor, and all employees of the contractor, having reason to believe any child in placement has been subject to abuse or neglect to report the matter to the local OKDHS office or the child abuse hotline the same day of the incident. Failure to report is a misdemeanor pursuant to 10 O.S. § 7103;
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(18) develop and implement written policy that prohibits possession or use of tobacco and tobacco products by any child in placement, and prohibits the use of tobacco or tobacco products by employees of the contractor in the presence of any child in placement;
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(19) develop and implement written policy and a system for resolution of grievances by any child placed and by the TFC parent regarding the substance or application of any written or unwritten policy or rule, decision, act, or omission of the contractor, or employees or agents of the contractor, per OAC 340:2-3-49 and 340:2-3-50;
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(20) afford the TFC parent the same rights as all foster parents in Oklahoma, per 10 O.S. § 7206.1;
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(21) develop and implement written policy and procedures regarding communicable disease, per OAC 340:75-1, Part 9;
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(22) develop and implement written policy and procedures that certify compliance in providing or continuing to provide a drug-free workplace in accordance with the Drug-Free Workplace Act of 1988;
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(23) develop and implement written policy and procedures to maintain confidentiality with regard to children in placement in order to comply with OKDHS rules regarding the protection, use, and release of client information, per 10 O.S. § 7005-1.2 and Part 3 of OAC 340:75-1;
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(24) plan and coordinate each child's discharge with the child's CW county of jurisdiction worker and provide a minimum of 48 hours notice to discharge, except in medical or psychiatric emergency situations. On-site crises intervention must be provided prior to any emergency discharge. Contractor's recommendation for discharge is approved by the child's CW county of jurisdiction worker prior to the contractor's implementation of the discharge plan;
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(25) submit a written discharge summary to the child's CW county of jurisdiction worker within 30 days of the child's discharge and file a copy in the child's case record. The discharge summary includes:
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(A) a summary of treatment services;
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(B) child's progress on the treatment plan;
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(C) reason for discharge; and
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(D) recommendations for future placements and services for the child's treatment needs;
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(26) ensure that all staff comply with the:
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(27) develop and implement written policy and operating procedures regarding corrective discipline procedures for employees;
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(28) ensure that the foster parent maintains a current Life Book for each child, regardless of the child's age, that documents the child's stay in care and provides continuity throughout the child's life, per OAC 340:75-7-37;
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(29) develop and implement written policy and operating procedures to govern the foster parent's maintenance and administration of prescription and non‑prescription medication to each child in placement, including transporting prescription and non‑prescription medication when the child receives medication any place other than the TFC home, such as respite placements, family visits, and medication administered during school hours; •
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(30) develop written policy and operating procedures regarding the use of physical force for behavior management of any child placed.
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(A) The use of mechanical restraints and the use of medication for behavior management are prohibited in the care and treatment of the child in OKDHS custody.
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(B) The use of physical force is permitted when it is necessary for the protection of the child or others consistent with an approved passive physical restraint curriculum, such as when the child's behavior poses an immediate danger or threat of danger to self or others and other methods have been exhausted; and
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(31) develop and implement written policy and operating procedures and supervision guidelines regarding use of solitary confinement and separation programs, such as restricting the child to his or her own room for a cooling off period. The duration of room restriction is specified at the time of assignment and is consistent with the child's chronological age, developmental level, behavioral, emotional, and medical needs, and availability of supervision.