Section 465 IAC 2-10-66 - Care plan; program; medical servicesAuthority: IC 12-13-5-3
Affected: IC 12-17.4
Sec. 66.
(a) An institution which is licensed for more than ten (10) children and which provides a long term treatment program in addition to shelter care services shall provide a separate living unit for the shelter care service. Institutions in operation on the effective date of this rule shall have three (3) years to comply with the rule for a separate living unit; however, new institutions which plan to provide shelter care service shall comply prior to initial licensure.(b) The child caring institution shall not maintain any child in shelter care service for longer than sixty (60) days.(c) After sixty (60) days, a child shall be transferred to the child caring institution's long term program or be removed from the shelter care service if the child caring institution does not provide a long term program.(d) The child caring institution shall assess each child's situation within twenty-four (24) hours or on the next working day of admission and shall develop a written care plan. The plan shall be developed in conjunction with the placing agency or with the parents or guardian.(e) The written care plan shall include the following:(1) An assessment of the immediate needs of the child and family and the plan for meeting those needs.(2) A written plan which states how the children will be supervised during the children's sleeping hours.(3) The plan for visitation and telephone contact with family or significant others.(4) The plan for education as defined in section 60 of this rule.(5) The anticipated length of stay.(6) Any known court dates.(7) Any changes in the care plan and recorded observations made by direct care workers.(f) Medical services shall be provided as follows:(1) At the time of admission, a health evaluation checklist furnished by the SBH shall be utilized by the child caring institution to determine obvious health problems of the child.(2) Any child suspected of being physically or sexually abused and who has not received medical attention shall receive a physical examination and communicable disease determination by a licensed physician immediately.(3) Any child suspected of having a communicable disease or chronic disease that needs constant therapy shall receive a physical examination by a licensed physician within forty-eight (48) hours of admission to the child caring institution.(4) All other children shall have a physical examination and communicable disease determination by a licensed physician or nurse practitioner three (3) months prior to placement or within thirty (30) days after admission.(5) The child caring institution shall have an agreement with an on-call licensed physician and the ability to arrange for emergency medical and dental examination and treatment.Department of Child Services; 465 IAC 2-10-66; filed Jun 27, 1991, 12:00 p.m.: 14 IR 1994; readopted filed Jul 12, 2001, 1:40 p.m.: 24 IR 4235; readopted filed Nov 27, 2007, 6:52 a.m.: 20071226-IR-465070551RFA; readopted filed November 26, 2013, 4:02 p.m.: 20131225-IR-465130459RFAReadopted filed 10/10/2019, 10:42 a.m.: 20191106-IR-465190320RFA Transferred from the Division of Family Resources ( 470 IAC 3-12-66) to the Department of Child Services ( 465 IAC 2-10-66) by P.L. 234-2005, SECTION 195, effective July 1, 2005.