OAR 411-348-0180
Individual Summary Sheets


A program provider must maintain a current one to two-page summary sheet for each child receiving services from the program provider. A copy of the summary sheet must be maintained by the program provider and at the Host Home. The record must include all of the following:

(1)

The child’s name, current and previous address, date of entry into the Host Home, date of birth, gender identity, sex, religious preference, current hospital, medical prime number and private insurance number (where applicable), and guardianship information.

(2)

A photo of the child taken within the last year.

(3)

The name, address, and telephone number of the following:

(a)

The child’s family, parent, guardian, advocate, or other significant person.

(b)

The child’s current physician, secondary physician, or clinic.

(c)

The child’s current dentist.

(d)

The child’s current pharmacy.

(e)

The child’s current school and educational surrogate, if applicable.

(f)

The child’s CDDP services coordinator.

(g)

The child’s behavior professional, when professional behavior services are actively involved with the development of a Temporary Emergency Safety Plan, Functional Behavior Assessment, or Positive Behavior Support Plan, or the maintenance of the Positive Behavior Support Plan.

(h)

Other representatives providing services to the child including an attorney or CASA (Court Appointed Special Advocates) representative.

(4)

Any court-ordered, or parent or guardian authorized, contacts or limitations.

Source: Rule 411-348-0180 — Individual Summary Sheets, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=411-348-0180.

411–348–0010
Statement of Purpose
411–348–0020
Definitions and Acronyms
411–348–0025
Program Management, Endorsement, Certification, and Enrollment
411–348–0030
Issuance of License
411–348–0040
Application for Initial License
411–348–0045
In-Residence Caregiver Applicant Study
411–348–0050
License Expiration, Termination of Operations, and License Return
411–348–0060
License Conditions
411–348–0070
License Renewal
411–348–0090
Change of Ownership, Legal Entity, Legal Status, Management Corporation, and In-Residence Caregiver
411–348–0100
Capacity
411–348–0110
Variances
411–348–0120
Medical Services
411–348–0130
Food and Nutrition
411–348–0140
Physical Environment
411–348–0150
General Safety
411–348–0170
Staffing Requirements
411–348–0180
Individual Summary Sheets
411–348–0185
Emergency Information
411–348–0200
Transportation
411–348–0210
Transition Planning and Supporting Families
411–348–0220
Required Furnishings
411–348–0230
Emergency Plan and Safety Review
411–348–0240
Assessment of Fire Evacuation Assistance and Fire Safety Evacuation Plan
411–348–0250
Fire Drill Requirements and Fire Safety
411–348–0260
Fire Safety Evacuation Plans
411–348–0280
Fire Safety Requirements
411–348–0300
Rights, Complaints, Notification of Planned Action, and Hearings
411–348–0350
Behavior Supports and Physical Restraints
411–348–0360
Psychotropic Medications and Medication for Behavior
411–348–0370
Personal Property
411–348–0380
Financial Records and Managing Money
411–348–0390
Entry, Exit, Transfer, and Closure
411–348–0410
Alternative Care, Childcare, Camp, and Alternate Caregivers
411–348–0430
Individual Support Plan
411–348–0460
Civil Penalties
411–348–0470
License Denial, Suspension, Revocation, and Refusal to Renew
411–348–0480
Criminal Penalties
411–348–0490
Provider Eligibility for Medicaid Service Payment
Last Updated

Jun. 8, 2021

Rule 411-348-0180’s source at or​.us