North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter A - PROTECTIVE SERVICES › Section .0100 - GENERAL › Section 70A .0112 - CASE RECORDS FOR PROTECTIVE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  county director shall maintain a separate case record or a separate section in
				  a case record on a child for whom protective services are initiated or who is
				  placed in the custody of the county department of social services by the court.
				  The case record documentation shall be kept confidential. Information from the
				  case record shall be released only in accordance with Chapter 7B, Subchapter I,
				  of the North Carolina General Statutes and the Rules of this
				  Subchapter.
(b) The protective
				  services case record shall document the investigation. In addition, when
				  applicable, the protective services case record shall include:
(1) summary documentation of the results of
				  the check of the central registry of abused, neglected, and dependent children
				  whenever a report is accepted for investigation unless the agency has conducted
				  such a check in the 60 days prior to the new report, or the agency is providing
				  ongoing children's services to the family;
(2) copies of all comprehensive family
				  assessments, including safety assessments, risk assessments, assessments of
				  family strengths and needs, re-assessments of family strengths and needs and
				  assessments of the child's and family's progress or lack of progress in
				  completing the items documented in the Family Services Case Plan;
(3) documentation of any safety response plan
				  that was developed to ensure the child's safety during the course of the
				  investigation;
(4) documentation of
				  the case decision, the basis for the case decision, and the names of those
				  participating in the decision;
(5)
				  documentation of notifications to parents, caretakers, the alleged perpetrator,
				  or others specified in Rules .0107, .0108, .0109 and .0114 of this Section
				  regarding the case decision;
(6)
				  documentation of contacts with and services provided to the family, current
				  within seven days of service delivery. Documentation may be taped for
				  transcription, typed or legibly handwritten, and shall include information
				  about the family's response to and use of services, as well as any change in
				  the assessment of safety or risk to the children;
(7) the Family Services Case Plan developed
				  at the beginning of the treatment phase, with any subsequent revisions to the
				  plan;
(8) documentation of reviews
				  of the Family Services Case Plan, current within three months, which reflect an
				  assessment of the plan's effectiveness, the family's use of services, and the
				  need for continued agency involvement;
(9) copies of the following:
(A) Intake/Screening Form provided by the
				  Division for all reports concerning the family whether these reports have been
				  received while a case was active or while a case was closed;
(B) notices to the reporter;
(C) requests made of other county departments
				  of social services for information relating to prior contacts by that agency
				  with the family, when applicable; and
(D) DSS 5104, Application/Report to the
				  Central Registry.
(10)
				  copies of the following reports or documents, when applicable:
(A) petitions relating to the legal or
				  physical custody of children while receiving child protective
				  services;
(B) reports to the
				  court;
(C) reports or notifications
				  to prosecutors;
(D) reports to law
				  enforcement agencies;
(E) Child
				  Medical Evaluations and Child Mental Health Evaluation requests, consents, and
				  reports;
(F) any other medical,
				  psychological, or psychiatric reports;
(G) notifications to licensing agencies;
				  and
(H) any other reports,
				  notifications, or documents related to the provision of child protective
				  services.
(11) summaries
				  of the following information, when not otherwise documented in the case record:
(A) at the time treatment services begin, a
				  summary of the reasons services are being provided;
(B) when filing a petition for custody, the
				  reasons custody is being sought; and
(C) at the time treatment services are
				  terminated, a summary of the basis for the decision.