Residential Care Agencies: Health Services
(1)A residential care agency must obtain all private health record information referred to in this rule in a manner that complies with federal and state law.
(2)Medical history. Within 30 days of a child in care being placed with a residential care agency, the residential care agency must obtain available medical history and other health-related information on the child in care, including:
(a)Significant findings of the most current physical examination;
(b)The child in care’s current immunizations, history of surgical procedures and significant health issues or injuries, and past or present communicable diseases;
(c)Any known allergies;
(d)Dental, vision, hearing, and behavioral health;
(e)Documentation that the child in care has received age-appropriate instruction regarding pregnancy prevention, nutrition, prevention of HIV and AIDS, and general information about the prevention and treatment of sexually transmitted disease; and
(f)Physician or qualified medical professional’s orders, including those related to medications, if any.
(3)Health Services. The residential care agency must provide or arrange for the following health services, as applicable:
(a)Information on maintaining reproductive health and birth control.
(d)Fetal alcohol syndrome.
(e)Accessing child and infant health insurance programs.
(f)Screening for breast and other common cancers.
(g)Provide all necessary feminine hygiene products.
(h)Access to birth control, vaccinations, and information about preventing sexually transmitted diseases.
(4)Medical examinations. A residential care agency must safeguard the health of each child in care it serves by providing for a medical examination by a physician or qualified medical professional at the following intervals:
(a)Three examinations during the first year of the child’s life.
(b)One examination at the age of two.
(c)One examination at the age of four.
(d)One examination at the age of six.
(e)One examination at the age of nine.
(f)One examination at the age of 14.
(5)A residential care agency must have written procedures for accessing routine and urgent medical care for children in care, including obtaining necessary consents.
Rule 413-215-0546 — Residential Care Agencies: Health Services,