SECTION 340:110-5-63. Records  


Latest version.
  • (a)   Child's case record. Records maintained by the foster home agency (agency) for children in placement include, but are not limited to:
    (1)   an intake form including the child's name, any known nickname(s), birth date and place, race, gender, religion, and parents and other significant relatives' names, addresses, and phone numbers;
    (2)   history of previous placements and dates;
    (3)   the reason for the present placement;
    (4)   the circumstances leading to the child's present placement;
    (5)   the child's relationship with other significant adults and children;
    (6)   the admission assessment including the child's current functioning level and medical history, including:
    (A)   current medications;
    (B)   immunization records;
    (C)   known allergies; and
    (D)   childhood diseases;
    (7)   current court order(s) documenting the child's legal custody and other applicable court orders;
    (8)   certified birth verification;
    (9)   the child's medical information, including:
    (A)   the child's medical authorization number, when applicable;
    (B)   a medical examination completed within 30-calendar days following placement; however, when a resident is transferred from another licensed program; a documented medical exam performed within the 12 months prior to admission is acceptable;
    (C)   written authorization to provide medical care;
    (D)   disabilities;
    (E)   psychosocial information;
    (F)   the child's last licensed physician's name, when known; and
    (G)   medical services documentation;
    (10)   the child's family of origin history;
    (11)   information regarding the child's family's physical health, including father, mother, and grandparents;
    (12)   information regarding family members' emotional stability;
    (13)   reports from schools, specialists, and other agencies;
    (14)   documentation the child's rights were explained to the child;
    (15)   documentation the grievance policy was explained to the child;
    (16)   a service plan, per Oklahoma Administrative Code (OAC) 340:110-5-3 completed within 30-calendar days of placement and signed and dated by the child, staff, foster parents, and parent or guardian;
    (17)   a service plan revision every six months;
    (18)   signed and dated case notes;
    (19)   a discharge plan including anticipated placement length and future placement;
    (20)   a discharge summary including an assessment of the child's placement progress, continuing needs and plans, and recommendations for any follow-up services; and
    (21)   documentation of efforts to obtain or inability to obtain any of the information contained in this Section.
    (b)   Foster home record. The agency maintains a current case file on each foster home. Entries dated in chronological order and identifying the personnel member who recorded the information, include:
    (1)   the certification form and documents verifying certification per, OAC 340:110-5-57(b);
    (2)   a complete home study report, including evaluation and recommendations as required;
    (3)   records of all children placed in the home with dates, names, ages, and payment rates for services, when applicable;
    (4)   records of all children removed from the home with dates, names, ages, and removal reasons;
    (5)   financial agreements, when applicable;
    (6)   signed and dated case notes, visits or contacts, and conferences;
    (7)   a copy of the placement agreement on each child;
    (8)   correspondence;
    (9)   home study records, updated annually, per OAC 340:110-5-57(d);
    (10)   professional development documentation; and
    (11)   written agreements and contracts between the agency and the foster parents.
[Source: Amended at 10 Ok Reg 2273, eff 6-11-93; Amended at 13 Ok Reg 997, eff 1-24-96 (emergency); Amended at 13 Ok Reg 2663, eff 6-28-96; Amended at 23 Ok Reg 1092, eff 6-1-06; Amended at 37 Ok Reg 1858, eff 11-1-20]