Section 52.21. Admission.

 

(1)   Policies and procedures.

(a) A center shall have written resident admission policies and procedures that describe the primary presenting problems and range of behaviors of residents which the center will treat and center procedures for admitting a resident. Before a prospective resident is admitted to a center, center professional staff shall evaluate the needs of the prospective resident using information and procedures described in the agency program statement and operating plan and determine whether the center is able to meet the identified needs of the prospective resident.

(2)   Admission screening report. Center professional staff shall complete a written, dated and signed admission screening report on a resident which includes a preadmission review and identification of the prospective resident's primary presenting problems and a statement recommending reasons for or against admission based on the ability of the center to meet the prospective resident's needs.

(3)   Conditions. A center may admit a prospective resident if the center can meet the prospective resident's needs, as determined by the admission screening report under sub. (2) and if the following conditions are met:

(a) Interstate placements. In accepting a prospective resident from outside the state of Wisconsin, the center has received prior written approval under the interstate compact on the placement of children under s. 48.988 , Stats., and has received information on the prospective resident's social, medical and educational history.

(b) Child under age 7. In admitting a child age 6 or under, the center has received prior written approval from the department. A center shall meet any additional requirements determined appropriate by the department for the care and treatment of a child age 6 or under.

(c) Consent for medical care. The center has obtained written consent for medical services as required under sub. (4) .

(d) Serving children 18 years of age or over, but under 21 years of age. In admitting residents age 18 or over:

1. The center has a license to provide care and maintenance to a resident of that age, sex, and population type.

2. The center program statement under s. DCF 52.41 (1) describes how all of the following are achieved:

a. Center program compatibility among residents.

b. Age appropriate grouping in center activities and living arrangements.

c. Transition-to-independence planning.

(4)   Service contracts. As permitted under s. 48.61 (2) , Stats., a center may enter into a contract with a prospective resident's parent or guardian or a contract or other agreement with the prospective resident's legal custodian or placing person or agency, if not the same, for the center to provide services for a person admitted to the center. The center shall maintain all service contracts and agreements for a resident either in the resident's treatment record or in an administrative record. A contract or other agreement shall include all of the following:

(a) Expectations and responsibilities of both parties, including a clear division of responsibility and authority between the center and the parent or guardian, legal custodian and placing person or agency, if not the same, for decisions on resident treatment plan services and activities, including any changes in them, both inside and outside the center, as described in the resident's treatment plan under s. DCF 52.22 (2) (b) .

(b) The financial arrangements for the resident, and provision for periodic review of case plan progress under s. DCF 52.22 (3) .

(c) Visiting plans by parents and other persons important to the resident.

(5)   Informed consent for medical and dental services.

(a) Before a center may admit a prospective resident, the center shall obtain written, signed informed consent that gives the center health care consultant or resident's physician the following authority:

1. Authority to order or provide to the resident routine medical services and procedures, including scheduled immunizations and dental services and non-prescription and prescription medications.

2. Authority to delegate and supervise administration of medications by center-authorized staff and for staff to handle and provide the medication to the resident and observe self-administration of the medication by the resident.

3. Authority to obtain other medical information on the resident.

4. Authority to provide or order when there is a life-threatening situation, emergency medical procedures, including surgery, when it is not possible to immediately reach the person or authority authorized to give signed written specific informed consent.

(b) The consent under par. (a) does not cover administration of psychotropic medications, major surgery not of an emergency nature or major dental work. Consent for these shall be obtained in accordance with the provisions of this chapter.

(6)   Pre-placement visit. A center shall arrange, whenever possible, with the placing person or agency for a pre-placement visit for the prospective resident and, whenever possible, shall invite the parent or guardian to participate. During a pre-placement visit, center staff shall provide the prospective resident and his or her parent or guardian with an orientation to the center's program.

(7)   Adjustment facilitation. At the time of admission, center staff shall do all of the following:

(a) Orient the new resident and his or her parent or guardian and legal custodian to the center's facilities and program, if this was not done under sub. (6) .

(b) Help the new resident to adjust to the effects of separation from his or her family and to center placement.

(c) Give the new resident and his or her parent or guardian and legal custodian copies of the house rules, including rules on visiting, expected behavior and sanctions for misbehaving and resident rights and grievance and complaint procedures, with explanations of them.

(8)   Health screening.

(a) Examination. Upon admission of a new resident, a center shall do one of the following:

1. Obtain either from a certified HealthCheck provider or licensed physician the results of a physical examination of the young person comparable to a comprehensive HealthCheck screening, that has taken place within one year before admission, and from a licensed dentist the results of a dental examination of the young person that was done within one year before admission.

2. Arrange for a health examination of the new resident to take place within 2 working days after admission, and a dental examination to take place within 90 days after admission. The health examination shall cover the areas prescribed in a form provided by the department.

(b) Observation. An observation shall be made on each person at the time of his or her admission to the center by a person capable of recognizing common signs of communicable disease or other evidence of ill health. If the person admitted shows overt signs of communicable disease or other evidence of ill health, the center shall make arrangements for immediate examination by a physician. If the person admitted has a risk of having a sexually transmitted disease because of recent sexual abuse history or sexual activity, the center shall immediately consult with a physician and follow whatever precautionary measures are recommended by the physician and shall make arrangements for examination by a physician to take place as soon as possible.

(9)   Register. The center shall maintain a register of all residents. The register shall contain the date of admission and resident identifying information including name, birthdate, sex, the name and address of the placing person or agency and the name and address of a parent or guardian and legal custodian or, if the resident is 18 years of age or over, the name and address of the lawful placing authority and the name of the resident's guardian, if applicable. If the resident is from another state, the register shall also identify the state.

History: Cr. Register, February, 2000, No. 530 , eff. 9-1-00; corrections in (3) (d) 1., 2., (4) (a) and (b) made under s. 13.92 (4) (b) 7. , Stats., Register November 2008 No. 635 ; EmR1414 : r. and recr. (3) (d) (title), 1., am. (3) (d) 2. a., r. and recr. (3) (d) 2. c., am. (9), eff. 8-1-14; CR 14-054 : r. and recr. (3) (d) (title), 1., am. (3) (d) 2. a., r. and recr. (3) (d) 2. c., am. (9) Register April 2015 No. 712 , eff. 5-1-15.

Note

A current licensee may request an amendment to serve a resident population that is 18 years of age or over, but under 21 years of age, and is transitioning to independence under s. DCF 52.62 (4) (d) . Microsoft Windows NT 6.1.7601 Service Pack 1 Copies of the Department's age-appropriate HealthCheck examination forms can be obtained from any local public health agency, from the Department's website at http://dhs.wisconsin.gov/forms/FtoM.asp or by writing or telephoning any field office listed in Appendix D. Microsoft Windows NT 6.1.7601 Service Pack 1