N.J. Admin. Code § 10:37-6.73

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:37-6.73 - Scope and purpose

(a) A written record shall be maintained for each client served. The record shall:

1. Describe the client's status at service initiation, a comprehensive needs assessment, services provided and progress made, and the client's functional ability and status at the time of discharge from a Program Element, with followup/transfer or additional linkages noted as part of Individual Service Plan (ISP). (See Article VIII of this subchapter.)

2. Substantiate that the assessment process served as the basis for the service plan.

3. Serve as a basis for service coordination, implementation, evaluation, quality assurance, and training.

4. Be current and accurate.

5. Facilitate the determination of the client's problems and the service which is being provided at any specified time.

6. Provide documentation of the staff's having followed regulations concerning client rights. (See 10:37-4.5.)

7. Provide documentation of the involvement of the client, parents, siblings, school personnel, employer, friends, community agencies and other significant figures involved in the client's service/treatment plan.

N.J. Admin. Code § 10:37-6.73