Ariz. Admin. Code § R6-5-7438 - Admission and Intake; Criteria; Process; Restrictions
A. Admissions: A licensee shall have a
written admissions policy, which shall:
1.
Describe the licensee's admission criteria, including:
a. Population to be served, including age
range, gender, physical development, social behavior, and custody and
guardianship status;
b. Geographic
area of service;
c. The needs,
problems, and child-related issues best served at the licensee's facility;
and
d. The method used to assign a
child to a particular living unit;
2. Contain an acknowledgment that the
licensee abides by the Interstate Compact on the Placement of Children, the
Indian Child Welfare Act, and the Interstate Compact on Juveniles;
and
3. Provide that the licensee
shall not refuse admission to any child on the grounds of race, religion, or
ethnic origin.
B. Age
Limit; Continuing Care for Persons in High School: A licensee shall not admit a
person who is age 18 or older, except a licensee may continue to care for an
individual under age 22 who was a child in care and turned age 18 while in
care, as long as the individual is currently enrolled in and regularly
attending a high school program or vocational training program. A licensee
shall not allow an individual to remain in care after the individual receives a
high school degree or certificate of equivalency, or completes the vocational
training program.
C. Admissions
Outside of Criteria: A licensee shall not accept a child who is not within the
licensee's admission criteria unless:
1. The
placing agency or person specifically authorizes the admission after reviewing
the agency's program description;
2. The admission is consistent with the terms
of the agency's license and will not result in a violation of this Article;
and
3. The child's individual
service plan explains:
a. The reasons for
acceptance, and
b. How the facility
will meet the child's needs.
D. Intake Assessment:
1. A licensee shall not accept a child into
care unless:
a. The child has a current intake
assessment covering the child's social, health, educational, legal, family,
behavioral, psychological, and developmental history; or
b. The licensee completes such an assessment
within seven days following the child's admission.
2. In this subsection, "current" means within
the six months prior to admission.
E. Admission and Intake Process and
Requirements: The licensee shall have a written policy and procedures
describing the process and requirements for both regular and emergency
admissions and intake. The policy shall include the provisions listed in this
subsection.
1. The licensee shall have a
method to allow a child to participate in admission and intake decisions,
including selection of a living unit, if developmentally appropriate and
consistent with the licensee's program.
2. The licensee shall provide the placing
agency or person with a reasonable opportunity to participate in admission and
intake decisions.
3. Except for
emergency admissions as prescribed in subsection (F), the licensee shall not
admit a child unless the licensee has, at the time of or prior to admission:
a. A written agreement with the child's
placing agency;
b. A court order;
or
c. The written consent of the
child's custodial parent or guardian.
4. The licensee shall obtain any available
medical information about the child before or at the time of the child's
admission. The information may include:
a. A
report of a medical examination of the child performed within 45 days prior to
admission;
b. A report of a dental
examination of the child performed within six months prior to admission;
and
c. The child's and family's
medical history.
5. If
the information described in subsection (D)(4) is not available, the licensee
shall comply with the requirements of
R6-5-7452 to obtain an examination.
6. At the
time of or prior to admission, the licensee shall obtain written consent from
the child's placing agency or person for the licensee to authorize routine
medical and dental procedures for the child.
7. If a child is taking medication at the
time of admission, the licensee shall:
a. If
the medication is in its original container, labeled by the dispensing
pharmacist with a fill date, prescribing physician, and instructions for
administration, document the receipt of the medication as prescribed in
subsection (E)(7)(c); or
b. If the
medication is not in its original container, or if the container is not labeled
as described in subsection (E)(7)(a), contact the prescribing physician to
verify the medication administration schedule and reason for the medication;
and
8. A licensee shall not refill a
prescription that a child brings at admission without having a licensed medical
practitioner determine the child's need for the medication and documenting the
need as prescribed in subsection (E)(7)(c).
9. Within 24 hours of a child's admission, a
direct care staff member who has the training prescribed in
R6-5-7433(B)(4), or a licensed medical practitioner, shall assess the child's general health,
by:
a. Looking at the child for signs of
obvious physical injury and symptoms of disease or illness;
b. Assessing the child for evidence of
apparent vision and hearing problems; and
c. Documenting any conditions or problems and
referring the child for immediate or further assessment or treatment, if
indicated.
F.
Emergency Admissions: In an emergency situation requiring immediate placement,
a licensee shall:
1. Gather as much
information as possible about the child and the circumstances requiring
placement;
2. Record this
information in the child's record, within two days of admission, as an
emergency admission notation; and
3. Keep an emergency admission record, which
shall include at least the following information about the child:
a. Physical health,
b. Family history,
c. Educational background,
d. Legal status, and
e. A statement explaining the need for
care.
Notes
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