North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .0900 - GENERAL RULES FOR INFANTS AND TODDLERS › Section 27G .0903 - GENERAL REQUIREMENTS FOR INFANTS AND TODDLERS

Current through Register Vol. 39, No. 2, July 15, 2024
For all facilities serving infants and toddlers with or at
					 risk for developmental disabilities, delays or atypical development, except for
					 respite, there shall be:
(1) an
				  assessment which includes:
(a) physical
				  (including vision and hearing), communication, cognitive, social and emotional
				  and adaptive skills development, and the requirements set forth in 34 C.F.R.
				  Part 303.344 (a)(2), incorporated by reference;
(b) a determination of the child's unique
				  strengths and needs in terms of these areas of development and identification
				  of services appropriate to meet those needs;
(c) if requested by the family, a
				  determination of the resources, priorities and concerns of the family, and the
				  supports and services necessary to enhance the family's capacity to meet the
				  developmental needs of their infant or toddler with or at risk for a
				  disability. The family-focused and directed assessment shall be based on
				  information provided through a personal interview and incorporate the family's
				  description of these resources, priorities, and concerns in this
				  area;
(d) procedures developed and
				  implemented to ensure participation by the client's family or the legally
				  responsible person;
(e) no single
				  procedure used as the sole criterion for determining a child's
				  eligibility;
(f) an integrated
				  assessment process which involves at least two persons, each representing a
				  different discipline or profession, with the specific number and types of
				  disciplines based on the particular needs of the child. The assessment shall
				  include current medical information provided by a physician, physician's
				  assistant, nurse practitioner, or a registered nurse who has completed the
				  "Child Health Training Program for Registered Nurses" taught under the Division
				  of Maternal and Child Health Guidelines; however, a physician, physician's
				  assistant, or nurse practitioner is not required as one of the disciplines
				  involved in the assessment;
Note: Further information regarding the assessment may be
					 found in the document "North Carolina Infant-Toddler Program Manual," available
					 from the Developmental Disabilities Section of DMH/DD/SAS at no cost upon
					 request.
(g) an evaluation
				  process based on informed clinical opinion;
(h) an assessment process completed within 45
				  calendar days from the date of referral. The referral shall be initiated by a
				  request for these services made to any one of the public agencies participating
				  in the Part H of the Individuals with Disabilities Education Act Interagency
				  Agreement. The request shall become a referral when the area program determines
				  that all of the following is available:
(i)
				  sufficient background information to enable the agency receiving the referral
				  to establish communication through a telephone call or home visit;
(ii) reason for referral, date of referral
				  and agency or individual making referral;
(iii) child and family identifying
				  information such as names, child's birthdate and primary physician;
				  and
(iv) summary of any
				  pre-existing child and family screening or assessment information;
(i) a 45 calendar day completion
				  requirement which may be extended in exceptional circumstances, such as, the
				  child's health assessment is being completed out-of-state, or family desires
				  make it impossible to complete the assessment within the time period. The
				  specific nature and duration of these circumstances which prevent completion
				  within 45 days and the attempts made by the provider to complete the assessment
				  shall be documented and an interim Individualized Family Service Plan (IFSP)
				  shall be developed and implemented; and
(j) the child's family or legally responsible
				  person shall be fully informed of the results of the assessment
				  process.