(a) Admission.  The facility involves the resident and parents or custodian in the admission process.

• (1) Upon admission, an admission assessment is completed for each resident indicating that the placement is appropriate for each resident's needs.  The admission assessment is documented and available for licensing staff to review.  An admission assessment includes:

• (A) a description of the circumstances that led to the resident's referral;
• (B) a description of the resident's family, relationship with family members, and relationships with other significant adults and children;
• (C) a description of the resident's current and past behavior, including both appropriate and maladaptive behavior;
• (D) the resident's immunization record, medical and dental history, including any current medical problems;
• (E) the resident's school history, including current educational level, special achievements, and any school problems;
• (F) the resident's history of any other placements outside the home, including the reasons for placement;
• (G) the resident’s mental health history; and
• (H) documentation indicating efforts to obtain any of the identifying information in (A) through (G) of this paragraph, if any information is not obtainable.

• (2) Admission of children under five years of age.

• (A) A facility may only accept children under age five when maintaining a sibling group, or maintaining a child with a parent, or when there is a need for special services, such as:

• (i) medical care or monitoring;
• (ii) awake supervision; or
• (iii) crisis intervention, assessment, or treatment.

• (B) If a resident under five years of age is in care at the facility, the admission assessment and the service plan document why this placement is in the resident’s best interest.

• (3) Persons 19 years of age and older are not admitted to the facility.  A facility may continue to serve a person who entered the program prior to his or her 19^th birthday through the completion of his or her service plan.
• (4) Upon admission, the facility obtains authorization, by the parents' or custodian's signature, for:

• (A) authority to provide care;
• (B) authority to provide medical care;
• (C) financial agreement, if a charge is made for the resident’s care; and
• (D) authority to use the resident or the resident’s picture in publicity, if applicable.

• (5) Residents receive a medical examination by a health professional within 60 days prior to admission or within 30 days following admission.  However, a documented medical exam performed within the 12 months prior to admission is acceptable when a resident is transferred from another licensed facility.
• (6) Upon admission, the facility advises the resident of all rules and regulations of the facility.
• (7) The facility documents, by the resident’s and parents' or custodian's signatures, that the resident and parents or custodian have been provided written copies of the facility’s policies, which includes, but is not limited to, resident’s rights, grievance procedures, behavior management policies, trips away from the facility, use of volunteers, and frequency of reports to the parents or custodian.
• (8) Acceptance of out-of-state residents is made according to the Interstate Compact on the Placement of Children.

(b) Service planning.  The service plan is available for licensing staff to review.

• (1) Comprehensive service plan.  A written service plan is developed and documented for each resident within 30 days of admission.

• (A) The facility involves the resident and parents or custodian in the development of the service plan.  If the parents or custodian do not participate in the development of the service plan, the reason for non-participation is documented in the service plan.
• (B) The service plan identifies and includes:

• (i) the resident’s needs, such as counseling, education, physical health, medical care, or recreation, in addition to basic needs for food, shelter, clothing, routine care, and supervision;
• (ii) strategies for meeting the resident’s needs, including instructions to staff. Individual health needs must be addressed in the facility’s medical plan.  Refer to OAC 340:110-3-154.3;
• (iii) the estimated length of stay;
• (iv) goals and anticipated plans for discharge;
• (v) the facility's plan to involve the residents parents or custodian, including visitation guidelines; and
• (vi) the names and signatures, with the date, of those participating in developing the service plan.
• (2) Service plan review.  Service plan reviews are available for licensing staff to review.

• (A) The service plan is reviewed within 90 days after it has been developed and at least every six months thereafter.
• (B) The facility involves the resident and parents or custodian in the service plan review.  If the parents or custodian do not participate in the service plan review, the reason for non-participation is documented in the service plan.
• (C) The service plan review includes:

• (i) an evaluation of progress toward meeting identified needs;
• (ii) any new needs identified since the plan was developed or last reviewed and strategies to meet those needs, including instructions to staff;
• (iii) an update of the estimated length of stay and discharge plans, if changed;
• (iv) an assessment of the continued appropriateness of placement with the goal of determining whether the resident should be returned home, placed in a foster home, transferred to some other care better suited for the resident’s development, or maintained for a longer period in the child care facility; and
• (v) the names, and signatures, with the date, of those participating in the review.

(c) Services.  The facility provides or facilitates the provision of services to meet the stated goals of the service plan.

(d) Discharge procedures.  The facility involves the resident, parents or custodian, and staff in discharge planning.

• (1) Except in an emergency, a resident is not discharged to anyone other than the resident’s parents or custodian without written authorization.
• (2) An emergency discharge occurs when a resident presents a danger to self or others.  Upon emergency discharge of a resident, the facility informs the parents or custodian immediately.
• (3) The person to whom the resident is discharged produces photographic identification and signs the discharge form before leaving with the resident.
• (4) The date, time, destination, and circumstances of the resident’s discharge are documented in the resident’s record.  The name, address, and relationship of the person to whom the resident is discharged are included in the documentation.

(e) Resident’s records.  The facility maintains a written record for each resident, which is retained for three years following the resident’s discharge.

• (1) The record includes:

• (A) the resident’s name, address, telephone number, Social Security number, sex, race, religion, birth date, and birth place;
• (B) the admission assessment;
• (C) required authorizations, as specified in OAC 340:110-3-154(a)(4);
• (D) medical records;
• (E) the comprehensive service plan and reviews;
• (F) educational information;
• (G) reports of serious incidents, which include, but are not limited to, suicide attempts, injuries requiring medical treatment, runaway attempts, commission of a crime and allegations of abuse, neglect, or abusive treatment.  The report includes the date and time of the incidents, the names of all persons involved, the nature of the incidents, and the circumstances surrounding them;
• (H) reports of separation, use of physical restraint, and other restrictions;
• (I) discharge summary;
• (J) signed documentation that the resident and parents or custodian have been provided written copies of the facility's policies on resident’s rights, grievance procedures, behavior management policies, trips away from the facility, use of volunteers, and frequency of reports to the parent or custodian; and
• (K) grievance forms signed by the person filing the grievance, if grievances were filed.

• (2) Resident’s records are confidential as defined by federal and state laws.