California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 5 - Group Homes › Article 6 - Continuing Requirements › Section 84070 - Children's Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In
				  addition to Section
				  80070, the following shall
				  apply.
(b) The following
				  information regarding the child shall be obtained and maintained in the child's
				  record:
(1) Legal name, preferred name if
				  different from legal name, and preferred gender pronouns.
(2) Political affiliation with an Indian
				  tribe or Alaskan village, including membership or citizenship, if
				  applicable.
(3) The name, address,
				  and telephone number of all adults with whom the child was living immediately
				  prior to the current placement.
(4)
				  The name, address, and telephone number of the child's parent(s), if
				  known.
(5) The name, address, and
				  telephone number of the placement worker and placement agency.
(6) Educational records, if available,
				  describing the child's present academic level, including their grade or
				  performance level, and any previous school-related problems.
(7) Dental and medical history, if available,
				  including immunization records; and physician's orders for any medically
				  necessary diet as specified in Section
				  80076(a)(6).
(8) The child's court status, if applicable,
				  including a copy of any custody orders and agreements with parent(s) or
				  person(s) having legal custody.
(9)
				  The placement agency's list of persons who should or should not be allowed to
				  visit.
(A) Notwithstanding (b)(9), the
				  facility's visitation policy must be in accordance with the child's personal
				  rights as specified in 84072(d)(8).
(10) Any special dietary needs or
				  practices.
(11) Medical,
				  psychiatric and psychological reports that identify special needs of children
				  diagnosed as mentally disordered or developmentally disabled.
(12) Medical and dental insurance coverage
				  information, or information regarding the agency or person responsible for
				  medical and dental costs.
(13)
				  Consent forms, completed by the child's authorized representative(s), to permit
				  the facility to authorize medical care.
(14) A copy of the standard appraisal form
				  specified in Section
				  84068.1(b)(1)(C),
				  if used.
(15) A copy of the current
				  court order, or written authorization of the child's parent or guardian, for
				  each psychotropic medication, as defined in Section
				  84001(p)(4).
(A) Written authorization of the child's
				  parent or guardian may only be documented in lieu of a court order if the child
				  is not a dependent or ward of the court, or it is documented in the child's
				  record that the county placing agency has verified a court order is not
				  required.
(B) This section shall
				  not apply when the child's record contains documentation from the child's
				  prescribing physician that the psychotropic medication has been provided in an
				  emergency situation, as described in California Rules of Court, rule
				  5.640.
(16) A separate
				  log for each psychotropic medication prescribed to the child documenting all
				  the following:
(A) The name of the
				  medication.
(B) The date of the
				  prescription.
(C) The quantity of
				  medication and number of refills initially prescribed.
(D) When applicable, any additional refills
				  prescribed.
(E) The prescribed
				  dosage and directions for use as specified in writing by the physician
				  prescribing the medication, including any changes directed by the
				  physician.
(F) The date and time of
				  each dose taken by the child.
(G)
				  Documentation of each refusal.
1.
				  Documentation shall include the name of the medication refused, date and time
				  of the refusal, the reason for the refusal, who was notified of the refusal,
				  and any observed results of the refusal.
(H) Staff initials for each time a
				  psychotropic medication is taken by a child, as an indication that they
				  supervised the child self-administering their psychotropic medication.
1. Initials shall not be pre-filled on the
				  log.
(17) The
				  original documentation signed by a child and their authorized representative
				  acknowledging receipt of information regarding a child's personal rights as
				  specified in Section
				  84072(c).
(18) The names and contact information for
				  the child'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 child is
				  entitled to receive from the placing agency pursuant to section
				  16001.9(a)(11)
				  of the Welfare and Institutions Code.