419-490-0100 Therapeutic Boarding Schools: Health Services (1) A therapeutic boarding school must obtain all private health record information referred to in this rule in a manner that complies with federal and state law. (2) Medical history. Within 30 days of a child in care starting with a therapeutic boarding school, the therapeutic boarding school must obtain available medical history and other health-related information on the child in care, including: (a) Significant findings of the most current physical examination; (b) The child in care's current immunizations, history of surgical procedures and significant health issues or injuries, and past or present communicable diseases, within ORS 192.553 to 192.573; (c) Any known allergies; (d) Dental, vision, hearing, and behavioral health; (e) Documentation that the child in care has received age-appropriate instruction regarding pregnancy prevention, nutrition, prevention of HIV and AIDS, and general information about the prevention and treatment of sexually transmitted disease; and (f) Physician or qualified medical professional's orders, including those related to medication, if any. (3) Health services. The therapeutic boarding school must provide or arrange for the following health services, as applicable: (a) Information on maintaining reproductive health and birth control. (b) Prenatal care. (c) Well-baby care. (d) Fetal alcohol syndrome. (e) Accessing child and infant health insurance programs. (f) Screening for breast and other common cancers. (g) Provide all necessary feminine hygiene products. (h) Access to birth control, vaccinations and information about preventing sexually transmitted diseases. (4) Medical examinations. A therapeutic boarding school must safeguard the health of each child in care it serves by providing for a medical examination by a physician or qualified medical professional at the following intervals: (a) Three examinations during the first year of the child's life. (b) One examination at the age of two. (c) One examination at the age of four. (d) One examination at the age of six. (e) One examination at the age of nine. (f) One examination at the age of 14. (5) A therapeutic boarding school must have written procedures for accessing routine and urgent medical care for children in care, including obtaining necessary consents. (6) A therapeutic boarding school must ensure each child in care receives services from a Qualified Mental Health Professional (QMHP) at least once every 30 days and ensure follow through with medical treatment requirements, adhere to treatment regimens related to a medical condition, and follow-up appointments and must provide transportation and access to health care providers for each child in care. Statutory/Other Authority: ORS 409.050, ORS 418.005, ORS 418.327 & ORS 418.240 Statutes/Other Implemented: ORS 418.327, ORS 409.010, ORS 418.005 & ORS 418.240 History: CWP 26-2022, renumbered from 413-215-0646, filed 11/28/2022, effective 12/01/2022 CWP 40-2020, minor correction filed 01/14/2020, effective 01/14/2020 CWP 22-2016, f. & cert. ef. 12-1-16 CWP 12-2016(Temp), f. & cert. ef. 7-1-16 thru 12-27-16 CWP 34-2008, f. & cert. ef. 10-17-08