California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 7 - Transitional Housing Placement Program › Subchapter 1 - Transitional Housing Placement Program for Minor Foster Children › Section 86170 - Participant Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  licensee shall ensure that a separate, complete, and current record is
				  maintained in the facility for each participant.
(b) Each record must contain information
				  including, but not limited to, the following:
(1) Copy of important documents, including
				  but not limited to a certified birth certificate; a social security card; an
				  identification card and/or driver's license; a proof of citizenship or
				  residency status (for undocumented aliens, receipt of a completed application
				  for Special Immigrant Juvenile Status (SIJ) pursuant to
				  8 C.F.R. Section
				  204.11 or other naturalization process);
				  death certificate(s) of parent or parents; a proof of county dependency status
				  for education aid applications; school records; immunization records; medical
				  records; a Health and Education Passport; a work permit; written information
				  concerning the child's dependency case including: information about the child's
				  family history; the child's placement history; the names, phone numbers and
				  addresses of siblings and other relatives; the procedures for inspecting the
				  documents described under Welfare and Institutions Code Section
				  827;
				  information regarding jurisdiction termination hearings and the potential
				  consequences of a failure to attend the participant's birth certificate, if
				  available.
(2) Name of
				  participant.
(3)
				  Birthdate.
(4) Sex.
(5) Date of placement in the THPP participant
				  living unit.
(6) Names, addresses,
				  and telephone numbers of the authorized representative.
(7) Name, address and telephone number of
				  person(s) to be contacted in an emergency when the participant's authorized
				  representative cannot be contacted.
(8) A signed copy of the admission agreement
				  specified in Section
				  86168.
(9) Name, address and telephone number of
				  physician and dentist, and other medical and mental health providers, if
				  any.
(10) Written consent that
				  authorizes the licensee to obtain other than ordinary medical and dental care
				  in an emergency when the authorized representative is unavailable.
(11) Name of the participant's current
				  employer and current phone number and address of employment.
(12) Names of all persons specifically
				  prohibited pursuant to Welfare and Institutions Code Sections
				  16001.9(a)(6)
				  and (7) to take the participant out of the
				  THPP participant living unit.
(13)
				  Religious preference and the name and address of clergyman or religious or
				  spiritual advisor if any.
(14)
				  Medical assessment, including ambulatory status, as specified in Section
				  86069.
(15) Record of any illness or injury
				  requiring treatment by a physician or dentist and for which the facility
				  provided assistance to the participant in meeting their necessary medical and
				  dental needs.
(16) A copy of the
				  participant's needs and services plan and TILP and any modifications.
(17) Record of current medications, including
				  the name of the prescribing physician, and instructions, if any, regarding
				  control and custody of medications.
(18) A record of the continuing health needs
				  and services received while the participant is in the THPP, including but not
				  limited to, physical therapy and counseling.
(19) Date of termination of
				  services.
(20) An account of the
				  participant's cash resources, personal property, and valuables entrusted as
				  specified in Section
				  86126.
(21) The names and contact information for
				  the participant's social worker(s), probation officer(s), attorney(s), service
				  providers, foster youth advocates, Court Appointed Special Advocates (CASAs),
				  and education rights holder if other than the parent or parents, and when
				  applicable, representatives designated by the child's Indian tribe to
				  participate in the juvenile court proceeding, information that the participant
				  is entitled to receive from the placing agency pursuant to section
				  16001.9(a)(11)
				  of the Welfare and Institutions Code.