SECTION 75:30-3-5. Children's services

(a)   Client records for both residential and non-residential children shall contain, at a minimum, the following information:

(1)   Intake and screening information:

(A)   Client's name;

(B)   Date of initial contact/intake;

(C)   Age;

(D)   Pertinent medical information;

(E)   Mother's name;

(F)   Father's name; and

(G)   Name of adult client's abuser.

(2)   Custody

(A)   Has the court entered a custody order; If yes, what does the order provide?;

(B)   With whom does the child physically reside?;

(C)   Does the child have contact with the adult client's abuser?; and

(D)   Is visitation court ordered with the abuser?

(3)   Safety, including but not limited to:

(A)   History of child abuse or neglect;

(B)   Exposure or witnessing violence;

(C)   Child's response to witnessing violence; and

(D)   History of involvement in the child welfare system; including the presence of current child welfare involvement.

(4)   Service notes, which shall minimally include: the date, location, start time, duration and description of services provided delineated by time spent and service code, if applicable, or documentation of referral to other services or case management.

(b)   Within five (5) business days of entry into residential services (excluding advocacy or children's activities or crisis intervention), all certified programs shall offer to assess the risk and needs, including culturally specific needs, of the children accompanying primary victims and offer children's services to address the impact of violence and trauma in their lives and to facilitate healing. A risk and needs screening and assessment on each child, when accepted, shall minimally include information on his or her:

(1)   Brief trauma screening to assess the impact of trauma;

(2)   Developmental history to include speech and language, hearing and visual;

(3)   Medical or physical health history;

(4)   Social history to include interactions with peers;

(5)   History of use of tobacco, alcohol or other drugs;

(6)   Parent/guardian custodial status; and

(7)   Community referral needs.

(c)   Services provided to each child shall be culturally sensitive while addressing identified risks and needs, and shall minimally include:

(1)   Safety planning that is appropriate with respect to the child or adolescent's age, development, and education;

(2)   A specific safe, protected play area for children;

(3)   Advocacy with community systems;

(4)   Referral to community resources for needed services;

(5)   Linkage and advocacy with the local school system to provide for educational needs;

(6)   Parenting support for clients, if applicable; and

(7)   Children's groups using age appropriate topics and based on established best practices.

(d)   Pursuant to Title 10A O.S. § 1-2-101, any person having reason to believe that a child under the age of eighteen (18) years is a victim of abuse or neglect shall report the matter promptly to the Department of Human Services.

(e)   Compliance with this 75:30-3-5 shall be determined by a review of client records, program policies and procedures, on-site observation, written agreements, and/or other program supporting documentation.

[Source: Added at 31 Ok Reg 820, eff 9-12-14; Amended at 33 Ok Reg 1226, eff 9-11-16; Amended at 35 Ok Reg 882, eff 9-14-18; Amended at 36 Ok Reg 1390, eff 9-13-19]