Section 57.38. Resident records.

 

(1)  The licensee shall maintain on the premises a record for each current resident. Each record shall contain all of the following information:

(a) Resident's first name, last name, and alias, if any, date of birth, and gender.

(b) Recent photograph of the resident.

(c) Voluntary placement agreement or court order or both as appropriate.

(d) Referral information such as court reports and assessments from the placing agency.

(e) Name, address and telephone number of the placing agency, parent, guardian, or legal custodian that is responsible for the resident.

(f) Name, address, and telephone number of the person or placing agency and physician to be called in an emergency.

(g) If the group home is a family-operated group home, a completed form CFS-872A, Information for Foster Parents-Part A and a completed form CFS-872B, Information for Foster Parents-Part B.

(h) Treatment plan and reviews and post-discharge plan.

(i) Current medical information including all of the following:

1. Medical consent and signed releases.

2. Name of physician and dentist.

3. Dates of medical and dental examinations and recommendations for follow-up care.

4. Immunizations.

5. Illnesses and accidents and dates of each.

6. Medications and treatments received and dates of each.

7. Allergies, including allergies to food or medication.

8. Physical limitations.

(j) Name of school and current grade.

(k) Religious preference.

(L) Incident reports involving the resident for whom the record was made.

(m) Description of any resident rights that are denied or limited and disposition of any grievances.

(n) Inventory of the resident's clothing and other possessions.

(o) Non-medical signed releases and consents.

(p) Discharge summary.

(q) Any other information as appropriate.

(2)  Resident records shall be maintained in a secure location pursuant to the confidentiality requirements in s. DCF 57.39 . The record required in sub. (1) shall be maintained by the licensee until the resident reaches the age of 21 or 7 years after the resident is discharged from the group home, whichever is later. The record of a resident that has been discharged may be stored off the premises, but must be made available to the department upon request.

CR 04-067 : cr. Register September 2005 No. 597 , eff. 1-1-06; correction in (2) made under s. 13.92 (4) (b) 7. , Stats., Register November 2008 No. 635 ; EmR1414 : emerg. am. (2), eff. 8-1-14; CR 14-054 : am. (2) Register April 2015 No. 712 , eff. 5-1-15.

Note

Form CFS 872A, Information for Foster Parents - Part A and form CFS 872B, Information for Foster Parents – Part B can be found in the forms section of the department's website at http://dcf.wisconsin.gov or by telephoning any field office listed in Appendix A. Microsoft Windows NT 6.1.7601 Service Pack 1