reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter I - MINIMUM LICENSING STANDARDS FOR RESIDENTIAL CHILD-CARE › Section .0900 - PHYSICAL PLANT › Section 70I .0917 - OUTSIDE PREMISES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Outdoor
				  recreational space shall be provided and maintained in a clean and safe
				  condition.
(b) The grounds and all
				  structures on the grounds of the residential child-care facility shall be
				  maintained to minimize hazards to the health or safety of the
				  children.
(c) Play and recreational
				  equipment shall be located, installed and maintained to ensure the safety of
				  children.
(d) Garbage and rubbish
				  that is stored outside shall be stored securely in covered containers and shall
				  be removed on a regular basis.
(e)
				  Trash collection receptacles and incinerators shall be kept separate from play
				  areas and must be located to avoid being a nuisance to neighbors.
(f) Fences shall be kept in good repair and
				  shall not prevent adult staff from exiting or entering freely or be
				  hazardous.
(g) Areas determined by
				  the Division of Health Service Regulation to be unsafe, including steep grades,
				  cliffs, open pits, swimming pools, high voltage boosters, and high-speed roads,
				  shall be fenced off or have natural barriers to protect children.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter I - MINIMUM LICENSING STANDARDS FOR RESIDENTIAL CHILD-CARE › Section .0900 - PHYSICAL PLANT › Section 70I .0918 - VEHICLES USED FOR TRANSPORTATION OF CHILDREN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Vehicle
				  Requirements for Transporting Children.
(1)
				  Vehicles shall comply with all motor vehicle laws and regulations for the State
				  of North Carolina.
(2) Motor
				  vehicles shall be maintained in a safe operating condition and shall be
				  registered and inspected.
(3) A
				  first-aid kit shall be in all motor vehicles.
(4) The bed of an open body or a stake bed
				  vehicle shall not be used for transporting children.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0100 - CHILDREN'S FOSTER CARE CAMPS › Section 70J .0101 - APPLICABILITY

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to the rules in
					 10A NCAC
					 70I .0100 through
					 70I .0615, the rules in this
					 Section apply to all persons licensed or seeking licensure for a children's
					 foster care camp as defined in
					 10A NCAC
					 70I .0201.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s.1130);
Amended Eff. November 1,
					 2009; October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0100 - CHILDREN'S FOSTER CARE CAMPS › Section 70J .0102 - ADMISSION CRITERIA

Current through Register Vol. 39, No. 2, July 15, 2024
In order to be considered for admission into a foster care
					 camp, a child shall meet the following criteria:
(1) be between the ages of eight and 17 years
				  old;
(2) be physically able to
				  participate in a camping experience; and
(3) voluntarily consent to admission,
				  recognizing/understanding the need for a therapeutic camping
				  experience.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s.11.30);
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0100 - CHILDREN'S FOSTER CARE CAMPS › Section 70J .0103 - PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Direct service
				  personnel and supervisory personnel, in addition to supervision and training
				  specified in
				  10A NCAC
				  70I .0405(f)(2)(B), (C) and
				  (4)(C), shall be provided supervision and
				  training in the following areas:
(1) rescue
				  evacuation, updated every three years; and
(2) basic emergency water safety course, with
				  certification documented in the camp files and updated every three
				  years.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0100 - CHILDREN'S FOSTER CARE CAMPS › Section 70J .0104 - SERVICE PLANNING

Current through Register Vol. 39, No. 2, July 15, 2024
Each child shall have a medical assessment, within 60 days
					 prior to admission, documenting the child's ability to participate in the
					 activities of a therapeutic camping experience in an outdoor
					 setting.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s.11.30);
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0100 - CHILDREN'S FOSTER CARE CAMPS › Section 70J .0105 - SERVICE DELIVERY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An itinerary
				  shall be on file at camp for any off-campus activity lasting longer than 24
				  hours. The itinerary shall include participants' names, daily schedule, list of
				  check-in points, selected routes and telephone numbers of emergency resources
				  along each route (sheriffs, hospitals, rescue squads).
(b) Education.
(1) Each camp shall provide an alternative
				  education experience and the educational program shall comply with the special
				  education requirements of the Department of Public Instruction; or, each camp
				  must be registered as and meet the requirements for a non-public
				  school.
(2) Education in a camp
				  setting must be monitored and evaluated pursuant to either public or non-public
				  school educational testing requirements to determine the child's achievement
				  level.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0100 - CHILDREN'S FOSTER CARE CAMPS › Section 70J .0106 - BUILDINGS AND GROUND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Facilities.
(1) All sleeping units must
				  provide at least the following space:
(A) 50
				  square feet per person;
(B) 30
				  inches between sides of beds.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0200 - EMERGENCY SHELTER CARE PROGRAM › Section 70J .0201 - APPLICABILITY

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to the rules in
					 10A NCAC
					 70I .0100,
					 70I .0200,
					 70I .0300,
					 70I .0400,
					 70I .0501,
					 70I .0600 and
					 70I .0900, the rules in this
					 Section apply to all persons licensed or seeking licensure for an emergency
					 shelter care program as defined in
					 10A NCAC
					 70I .0201.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S.L. 1999, c. 237, s. 11.30);
Amended Eff. October 1,
					 2008; July 18, 2002;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0200 - EMERGENCY SHELTER CARE PROGRAM › Section 70J .0202 - ADMISSION PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) At the time of
				  admission, a residential child care facility shall obtain the following
				  information:
(1) the name, sex, race, birth
				  date and birth place of the child;
(2) when available, the parents' names,
				  addresses, telephone numbers, birth dates, races, religion and marital
				  status;
(3) when available, the
				  names, addresses and telephone numbers of siblings and other relatives; a
				  record of the child's prior placements with names of care givers, addresses and
				  dates of care; and
(4) if the child
				  has had prior placements, the names of care-givers, addresses and dates of
				  prior placements.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0200 - EMERGENCY SHELTER CARE PROGRAM › Section 70J .0203 - ADMISSION CRITERIA

Current through Register Vol. 39, No. 2, July 15, 2024
A residential child care facility shall enter into and
					 obtain a written agreement from the child's parents or guardian, or legal
					 custodian within 72 hours of the child's admission which contains the
					 following:
(1) a statement documenting
				  the parent's, guardian's or legal custodian's authority to place the child and
				  designating the parent's, guardian's or legal custodian's consent for the
				  child's admission;
(2) completed
				  application for services that includes demographic information on the child and
				  the child's parents or guardian;
(3) information which sets forth the role and
				  responsibilities to be performed by the staff in the facility during the
				  child's stay in the program;
(4)
				  information that specifies the expectations of the parents, guardian or legal
				  custodian during the child's stay in the program;
(5) specification of the anticipated length
				  of the child's stay; and
(6)
				  specification of the projected goals for the child's parents or guardian during
				  the child's stay in the program.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s.11.30);
Amended Eff. October 1,
					 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0200 - EMERGENCY SHELTER CARE PROGRAM › Section 70J .0204 - RECORDKEEPING

Current through Register Vol. 39, No. 2, July 15, 2024
Client case record. An individual case record shall be
					 maintained on each child that contains the following:
(1) written consent for placement;
(2) documentation of placement
				  authority;
(3) completed
				  application for services that includes demographic information on the child and
				  the child's family;
(4) consents
				  for release of information, emergency medical treatment, family
				  time/visitation;
(5) a medical
				  examination report completed within two weeks after admission unless the
				  child's health status indicates the completion of a medical examination report
				  sooner and copies of subsequent medical examination reports;
(6) medical records and immunization
				  records;
(7) intake study and
				  related documents;
(8) out-of-home
				  family services agreement and biweekly reviews;
(9) family contact and visitation plan,
				  including type, duration, location both on-site and off-site and frequency, as
				  well as any rationale for restrictions on family involvement. The facility
				  shall maintain documentation of all family time;
(10) birth certificate or other documentation
				  that verifies the child's birth;
(11) court orders;
(12) documentation of medical
				  insurance;
(13) consents for
				  time-limited, audio-visual recording signed by both the child and parent or
				  guardian , or legal custodian;
(14)
				  progress notes; and
(15) discharge
				  summary including date of discharge, time of discharge and the name, address,
				  telephone number, and relationship of the person or agency to whom the child
				  was discharged, a summary of services provided during care, needs which remain
				  to be met and plans for the services needed to meet these goals.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s. 11.30);
Amended Eff. October 1,
					 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0200 - EMERGENCY SHELTER CARE PROGRAM › Section 70J .0205 - SERVICE PLANNING

Current through Register Vol. 39, No. 2, July 15, 2024
Within one week of admission, an out-of-home family
					 services agreement shall be developed and reviewed every other week,
					 thereafter, by the shelter home staff, parents, guardian, or legal custodian of
					 the child. The out-of-home family services agreement shall include:
(1) the expectation and goals to be reached
				  by the child while in care;
(2) the
				  tasks and activities of the shelter home staff to meet the needs of the child
				  while in care;
(3) the tasks and
				  activities of the parents, guardian or legal custodian to meet the needs of the
				  child while in care;
(4) the
				  projected discharge plan;
(5) the
				  projected length of stay; and
(6)
				  the signatures of the shelter home staff, the child's parents, guardian or
				  legal custodian and child, if 12 years of age and older.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s. 11.30);
Amended Eff. October 1,
					 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter J - MINIMUM LICENSING STANDARDS FOR SPECIALIZED RESIDENTIAL CHILD CARE PROGRAMS › Section .0200 - EMERGENCY SHELTER CARE PROGRAM › Section 70J .0206 - DISCHARGE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A residential
				  child-care facility shall establish a policy which specifies that no child
				  shall remain in care longer than 90 days. An exception may be made to this
				  policy if the facility has a policy which specifies the length of time and the
				  circumstances by which a child will remain in shelter care longer than 90
				  days.
(b) Prior to discharge, the
				  staff of the residential child-care facility shall develop a plan with the
				  child to determine if follow-up services will be provided, the type of services
				  to be provided and the timeframe for conducting these services.
Authority
					 G.S.
					 131D-10.5;
					 143B-153;
Eff. July
					 1, 1999 (See S. L. 1999, c.237, s.11.30);
Amended Eff. October 1,
					 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. October 3,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0100 - GENERAL › Section 70K .0101 - DEFINITION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For the
				  purposes of the rules in this Subchapter, "residential maternity home" means a
				  child-caring institution that provides continuing full-time care for adolescent
				  and adult women during pregnancy and after delivery when delivery takes place
				  in a licensed hospital. Residential maternity homes shall not hold dual
				  licensure under G.S. 131D and G.S. 122C. A residential maternity home shall not
				  be licensed under both
				  10A NCAC
				  70I and
				  10A NCAC
				  70K. The North Carolina Department of Health
				  and Human Services, Division of Social Services, is the licensing authority for
				  residential maternity homes.
(b)
				  The "Reasonable and Prudent Parent Standard" means the term as defined in
				  G.S.
				  131D-10.2A.
Authority
					 G.S.
					 131D-10.2A;
					 131D-10.10;
					 143B-153;
Eff.
					 February 1, 1986;
Amended Eff. October 1, 2008; June 1,
					 1990;
Readopted Eff. August 1,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0100 - GENERAL › Section 70K .0102 - ORGANIZATION AND ADMINISTRATION

Current through Register Vol. 39, No. 2, July 15, 2024
Persons licensed or seeking licensure to provide
					 residential maternity home care shall comply with requirements as specified in
					 10A NCAC
					 70F and
					 10A NCAC
					 70K.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 February 1, 1986;
Amended Eff. October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0100 - GENERAL › Section 70K .0103 - LICENSING ACTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) License.
(1) Licensure is required in accordance with
				  G.S.
				  131D-10.3 and with rules in Subchapters 70F
				  and 70K of this Chapter.
(2)
				  Licenses shall be in effect for two years unless suspended or revoked. Appeal
				  procedures specified in
				  10A NCAC
				  70L .0301 apply for persons seeking an appeal
				  of the licensing authority's decision to deny, suspend, or revoke a
				  license.
(3) Residential maternity
				  homes licensed after August 1, 2011 shall have a three year or longer
				  accreditation from either the Council on Accreditation (COA), The Joint
				  Commission, formerly known as the Joint Commission on Accreditation of
				  Healthcare Organizations (TJC), The Commission on Accreditation and
				  Rehabilitation Facilities (CARF) or The Council on Quality and Leadership
				  (CQL).
(4) Applicants shall inform
				  the licensing authority of any current licenses or licenses held in the past
				  five years for child-placing agencies, maternity homes, or residential
				  child-care facilities in other states. Applicants shall provide written
				  documentation from the licensing authority in other states regarding
				  violations, penalties, or probationary status imposed in other
				  states.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0201 - PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Staff
				  Qualifications and Functions.
(1) Executive
				  Director. There shall be an executive director employed for the general
				  management and supervision of the maternity home. The executive director shall
				  meet the requirements of a Social Services Program Administrator I as defined
				  by the North Carolina Office of State Human Resources, which is incorporated by
				  reference, including subsequent amendments and editions. A copy of these
				  requirements can be found at no cost at
http://www.oshr.nc.gov/state-employee-resources/classification-compensation/job-classification
.
				  The college or university degree shall be from a college or university listed
				  at the time of the degree in the Higher Education Directory, which is
				  incorporated by reference, including subsequent amendments and editions. This
				  information can be obtained through Higher Education Publications, Inc. at its
				  website,
www.hepinc.com
at a cost of one
				  hundred twenty-five dollars ($125.00).
The executive director shall:
(A) direct the maternity home's program of
				  care and services in accordance with policies established by the governing
				  board and within license standards;
(B) recruit, employ, supervise, and discharge
				  staff;
(C) provide, or cause to be
				  provided a training program for staff;
(D) prepare the annual budget, supervise
				  expenditures, and operate within the maternity home's budget;
(E) establish and maintain relationships with
				  other human service agencies and represent the agency in the community;
				  and
(F) delegate authority to a
				  staff member meeting the qualifications described in this Subparagraph or
				  Subparagraph (a)(3) of this Rule during his or her absence.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0202 - SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A maternity
				  home shall have a written statement of purpose and objectives, services
				  offered, eligibility requirements, application procedures, and procedures for
				  implementing all services. This information shall be available to persons or
				  agencies making inquiries about the maternity home.
(b) Social Services. The maternity home shall
				  provide admission, residential, and discharge services to applicants, residents
				  in care, and their families or legal custodians, as follows:
(1) Admission services shall include an
				  assessment of: the individual's need for maternity home care; services for the
				  applicant's individual needs; and a determination whether the maternity home's
				  program of care and services can meet the applicant's needs.
(2) When an applicant who lives out of state
				  is being considered for admission and the applicant is under 18 years old, the
				  provisions of the North Carolina interstate placement laws (G.S.
				  7B-3800 et. seq.) shall be met.
(3) Staff shall be assigned the
				  responsibility for making admission decisions.
(4) Applicants or legal custodians shall
				  complete a written application before or upon admission. Written agreements
				  shall be made concerning release of information, medical care, and fees for
				  care and services.
(5) An applicant
				  accepted for care shall be referred to and have a working agreement with a
				  licensed child-placing agency or county department of social services of the
				  applicant's choice for planning and decision making in relation to her baby. No
				  maternity home staff member shall assume any responsibility for placement of
				  children for adoption.
(6)
				  Residential services throughout the period of care shall include counseling for
				  each resident and her family.
(7)
				  Each resident shall have the opportunity to talk privately with staff, family
				  members, friends, and social workers from child-placing agencies or county
				  departments of social services and to express grievances regarding the
				  maternity home.
(8) Each resident
				  shall have assistance as requested in making the best use of her time in the
				  maternity home, adjusting to the living situation, accessing all services
				  needed, resolving personal and family problems, and planning for
				  discharge.
(9) Discharge services
				  for residents shall include planning for living arrangements, employment, or
				  education. For those residents planning to keep their babies, discharge
				  services shall include preparation for parenthood and support services for
				  single parents.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0203 - CASE RECORD

Current through Register Vol. 39, No. 2, July 15, 2024
A confidential case record shall be maintained for each
					 resident which includes:
(1) a
				  completed application for admission and services with identifying information
				  about the resident;
(2) a summary
				  of the referral source, background information about the resident, and an
				  assessment of the services needed;
(3) a complete medical and obstetrical
				  history and examination before or within one week after admission to the
				  home;
(4) record of medical and
				  dental services received;
(5)
				  authorization for medical care for minors;
(6) authorization for receiving or sending
				  information concerning the resident;
(7) copy of financial agreements;
(8) a copy of the agreement with the licensed
				  child placing agency or county department of social services providing services
				  to the resident;
(9) case plan or
				  out-of-home family services agreement;
(10) visitation and contact plan including
				  type, duration, location both on-site and off-site, and frequency, as well as
				  any rationale for restrictions on family involvement; the facility shall
				  maintain documentation of all family time;
(11) date of admission to the maternity home
				  and documentation of services provided including hospital care and delivery
				  dates;
(12) date, time and
				  circumstances of discharge from the maternity home and the resident's plans for
				  herself and baby; and in the case of minors the name, relationship and
				  signature of the individual the resident was released to;
(13) correspondence and contacts with other
				  persons or agencies concerning the resident; and
(14) signed acknowledgement of client
				  rights.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 February 1, 1986;
Amended Eff. October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0205 - REPEALED - PHYSICAL FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 February 1, 1986;
Amended Eff. June 1, 1990;
Repealed
					 Eff. October 1, 2008.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0206 - CASE PLAN OR OUT-OF-HOME FAMILY SERVICES AGREEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  A residential maternity home shall develop a written case plan or out of home
				  family services agreement within 30 days of a resident's admission to the
				  maternity home. The case plan or out of home family services agreement shall be
				  developed in cooperation with the resident, her parents or guardian or the
				  legal custodian. The case plan or out-of-home family services agreement shall
				  be based upon an assessment of the needs of the resident. The case plan or
				  out-of-home family services agreement shall include:
(1) goals stated in specific, realistic, and
				  measurable terms; and
(2) plans
				  that are action oriented, including specific responsibilities of the resident,
				  the residential maternity home, the parents or guardians, other family members,
				  legal custodians and other agencies that are providing services to the
				  resident.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0207 - CLIENT RIGHTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A residential
				  maternity home shall develop and implement policies and procedures to protect
				  the individual rights and dignity of residents and family members who are
				  provided services by the agency.
(b) A residential maternity home shall have a
				  client's rights policy, which includes that each resident has the right to:
(1) be treated with dignity and
				  respect;
(2) be free from coercion
				  and influence in deciding to parent her baby or release for adoption;
(3) privacy;
(4) be provided adequate food, clothing and
				  shelter;
(5) have access to family
				  time and have telephone conversations with family members and other
				  individuals, when not contraindicated in the visitation and contact
				  plan;
(6) have personal property
				  and a space for storage;
(7)
				  express opinions on issues concerning the resident's care or
				  treatment;
(8) receive care in a
				  manner that recognizes variations in cultural values and traditions;
(9) be free from coercion by agency staff
				  with regard to religious or cultural decisions. The agency shall have a process
				  to assure that, whenever practical, the wishes of the resident and the parents
				  of minors with regard to religious and cultural participation are ascertained
				  and followed;
(10) not be
				  identified in connection with publicity for the agency which shall bring the
				  resident, or resident's family embarrassment;
(11) give written permission before pictures
				  or other means of identifying residents are used in publicity or public
				  relations for the maternity home (if the resident is a minor, written
				  permission shall be obtained from the parents, guardian or the legal
				  custodian); and
(12) not be forced
				  to acknowledge dependency on or gratitude to the agency.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0208 - GRIEVANCE PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A residential
				  maternity home shall provide to each resident, parents, guardians or legal
				  custodians of minors, upon placement:
(1) a
				  written description of policies and procedures that the resident her parents,
				  guardian or legal custodian follows to register complaints;
(2) information about resident's and
				  family's' rights;
(3) the process
				  for appealing a decision or action of the agency; and
(4) the process of resolution of a
				  complaint.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0209 - SEARCHES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A residential
				  maternity home shall have written policies and procedures regarding staff
				  conducting searches of resident's rooms and possessions that shall be discussed
				  with each resident and, if applicable, their parents, guardians or legal
				  custodians prior to or upon placement.
(b) The search policies and procedures shall
				  include:
(1) circumstances under which
				  searches are conducted;
(2) persons
				  who are allowed to conduct searches;
(3) provision for removing and disposing of
				  items seized as a result of searches; and
(4) provision for documenting
				  searches.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0200 - MINIMUM LICENSURE STANDARDS › Section 70K .0210 - CRITICAL INCIDENTS AND CRITICAL INCIDENT REPORTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  maternity home shall have written policies and procedures for handling and
				  reporting critical incidents.
(b)
				  The maternity home shall have and follow policies and procedures for handling
				  any suspected incidents of abuse or neglect of a resident involving staff,
				  subcontractors, volunteers or interns in a facility supervised by the maternity
				  home. The policies and procedures shall include:
(1) a provision for reporting any suspicions
				  of abuse or neglect to the appropriate county department of social services for
				  investigation;
(2) a provision for
				  recording any suspected incident of abuse or neglect and for promptly reporting
				  it to the executive director or to the governing body;
(3) a provision for notifying the parents,
				  guardian, or legal custodian, if applicable;
(4) a provision for preventing a recurrence
				  of the alleged incident pending the investigative assessment;
(5) a policy concerning personnel action to
				  be taken when the incident involves a staff member, subcontractor, volunteer or
				  intern;
(6) a provision for
				  submitting a critical incident report to the licensing authority within 72
				  hours of the incident being accepted for an investigative assessment by a
				  county department of social services; and
(7) a provision for submitting written
				  notification to the licensing authority within 72 hours of the case decision by
				  the county department of social services conducting the investigative
				  assessment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0301 - APPLICATION OF PHYSICAL PLANT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) New
				  construction and existing buildings proposed for use as a residential maternity
				  home shall comply with the requirements of this Section.
(b) Except when otherwise specified, existing
				  licensed homes or portions of existing licensed homes shall meet licensure and
				  code requirements in effect at the time of construction, initial licensure,
				  change in service, change in resident capacity or evacuation capability of the
				  residents, addition, renovation or alteration.
(c) New additions, alterations, modifications
				  and repairs made to the building shall meet the requirements of this
				  Section.
(d) A residential
				  maternity home shall not have two different types of occupancies, as defined in
				  the State Building Code in the same building.
(e) Rules contained in this Section are the
				  Physical Plant requirements and do not prohibit buildings, systems or
				  operational conditions that exceed these requirements.
(f) Equivalency: Alternate methods,
				  procedures, design criteria and functional variations from the physical plant
				  requirements shall be approved by the Division of Health Service Regulation
				  when the facility can demonstrate to the Division of Health Service
				  Regulation's satisfaction, that the intent of the physical plant requirements
				  are met and the variation does not reduce the safety or operational
				  effectiveness of the facility.
(g)
				  The facility must comply with all applicable local, state and federal
				  regulations.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0303 - LOCATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A residential
				  maternity home shall be in a location approved by local zoning
				  boards.
(b) The home shall be
				  located so that hazards to the residents are minimized.
(c) The site of the home shall:
(1) be accessible by streets, roads and
				  highways and be maintained for motor vehicles and emergency vehicle
				  access;
(2) be accessible to fire
				  fighting and other emergency services;
(3) have a water supply, sewage disposal
				  system, garbage disposal system and trash disposal system approved by the local
				  health department having jurisdiction;
(4) meet all local ordinances; and
(5) be free from exposure to pollutants known
				  to the applicant or licensee.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0304 - LIVING ARRANGEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
A residential maternity home shall provide living
					 arrangements to meet the individual needs of the residents, the live-in staff
					 and their children or relative children. There shall be a designated room for
					 residents to talk privately with staff and to receive
					 visitors.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0305 - LIVING ROOM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Residential
				  maternity homes shall have a living room area of a minimum of 200 square feet
				  for a capacity of six or fewer residents and 15 square feet per additional
				  resident.
(b) All living rooms
				  shall have operable windows that meet the North Carolina State Building Code
				  and be lighted to provide 30 foot candles of light at floor level.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0306 - DINING ROOM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Residential
				  maternity homes shall have a dining room or area of a minimum of 120 square
				  feet for a capacity of six or fewer residents and 10 square feet per additional
				  resident. The dining room may be used for other activities during the
				  day.
(b) When the dining area is
				  used in combination with a kitchen, an area five feet wide shall be allowed as
				  work space in front of the kitchen work areas and shall not be included in the
				  required square footage.
(c) The
				  dining room shall have operable windows and be lighted to provide 30 foot
				  candles of light at the floor level.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0307 - KITCHEN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The kitchen in
				  a residential maternity home shall be large enough to provide for the
				  preparation and preservation of food and the washing of dishes.
(b) The kitchen floor shall have a
				  non-slippery, water-resistant covering.
(c) The kitchen shall be approved by the
				  local sanitarian for the total number of residents (mothers, infants and any
				  other children), as well as any live-in direct care staff and their
				  dependents.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Amended Eff. November 1, 2009;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0308 - BEDROOMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) There shall be
				  bedrooms sufficient in number and size to meet the individual needs of the
				  maternity home residents (residents include mothers and their children), the
				  live-in staff and their children or relative children residing in the home.
				  Residents shall not share bedrooms with staff or the staff's' children or
				  relative children.
(b) Only rooms
				  authorized by the Division of Health Service Regulation, Construction Section
				  by plan review or field inspection, shall be used for bedrooms.
(c) A room where access is through a
				  bathroom, kitchen or another bedroom shall not be approved for a resident's
				  bedroom.
(d) There shall be a
				  minimum area of 100 square feet, excluding vestibule, closet or wardrobe space,
				  in rooms occupied by one mother and a minimum area of 80 square feet per bed,
				  excluding vestibule, closet or wardrobe space, in rooms occupied by two
				  mothers. There shall be additional square footage of 40 square feet for each
				  infant and toddler, 60 square feet for each pre-school aged child and 80 square
				  feet for each school aged child.
(e) The total number of residents assigned to
				  a bedroom shall not exceed the number authorized by the Division of Health
				  Service Regulation, Construction Section, by plan review or field inspection,
				  for that particular bedroom.
(f) A
				  bedroom shall not be occupied by more than two mothers along with any children
				  or infants of those mothers.
(g)
				  Each resident bedroom shall have one or more operable windows and be lighted to
				  provide 30 foot candles of light at floor level. The window area shall be
				  equivalent to at least eight percent of the floor space. The windows shall have
				  a maximum of 44 inch sill height. Each bedroom shall be provided with a window
				  that meets the North Carolina State Building Code for emergency egress. These
				  windows shall be openable without the use of keys or tools.
(h) Bedroom closets or wardrobes shall be
				  large enough to provide each mother with a minimum of 48 cubic feet of separate
				  clothing storage space (approximately two feet deep by three feet wide by eight
				  feet high) of which at least one-half shall be for hanging clothes with an
				  adjustable height hanging bar. Additional closet or wardrobe space shall be
				  provided for the children of mothers at the rate of 10 cubic feet per
				  child.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0309 - BATHROOMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Residential
				  maternity homes shall have one full bathroom for each five or fewer mothers and
				  children, not including infants. Live-in staff shall have a separate bathroom
				  from residents in care.
(b) The
				  bathrooms shall be designed to provide privacy. A bathroom with two or more
				  water closets (commodes) shall have privacy partitions for each water closet.
				  Each tub or shower shall have privacy partitions or curtains.
(c) Entrance to the bathroom shall not be
				  through a kitchen, another person's bedroom or another bathroom.
(d) The required bathrooms of residents shall
				  be located so there is no more than 40 feet from any resident's bedroom
				  door.
(e) Hand grips shall be
				  installed at all commodes, tubs and showers used by the residents.
(f) Non-skid surfacing or strips shall be
				  installed in showers and bath areas.
(g) The bathrooms shall be lighted to provide
				  30 foot candles of light at floor level and have mechanical ventilation at the
				  rate of two cubic feet per minute for each square foot of floor area. These
				  vents shall be vented directly to the outdoors.
(h) The bathroom floor shall have a
				  non-slippery, water-resistant covering.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0310 - CORRIDORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Corridors shall
				  be a minimum clear width of three feet.
(b) Corridors shall be lighted with night
				  lights providing one foot candle of light at the floor.
(c) Corridors shall be free of all equipment
				  and other obstructions.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter K - RESIDENTIAL MATERNITY HOMES › Section .0300 - PHYSICAL PLANT › Section 70K .0311 - OUTSIDE ENTRANCES AND EXITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  residential maternity homes, all floor levels shall have at least two exits. If
				  there are only two, the exit or exit access doors shall be so located and
				  constructed to minimize the possibility that both may be blocked by any one
				  fire or other emergency condition.
(b) At least one entrance and exit door shall
				  be a minimum width of three feet and another shall be a minimum width of two
				  feet and eight inches.
(c) If the
				  home has any resident who requires physical assistance with evacuation, the
				  home shall have at least one principal outside entrance and exit for the
				  resident's use which shall be at grade level or accessible by ramp with a one
				  inch rise for each 12 inches of length of the ramp. For the purposes of this
				  Rule, a principal outside entrance or exit is one that is most often used by
				  residents for vehicular access.
(d)
				  All exit door locks and latches shall be easily operable from the inside at all
				  times without keys.
(e) All
				  entrances and exits shall be free of all obstructions or impediments to allow
				  for full instant use in case of fire or other emergency.
(f) All steps, porches, stoops and ramps
				  shall be provided with handrails and guardrails.
(g) Outdoor stairways and ramps shall be
				  illuminated by no less than five foot candles of light at grade
				  level.
Authority
					 G.S.
					 131D-1;
					 143B-153;
Eff.
					 October 1, 2008;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. April 5,
					 2016.