Rule 290-2-6-.11 - Admission for Transition Care Services(1) A center shall only admit medically fragile children whose known health care or medical support needs can be met by the center in accordance with its program purpose and program description. (a) Admission agreements with any public or private agencies that place children in the center shall be in writing and shall include the following provisions and requirements.(b) All relevant information required for admission to the center shall be reviewed, if available, in preplacement assessment and planning for the needs of the child. 1. All children shall have current immunizations as outlined in the Rules and Regulations of the Department of Human Resources for Immunization of Children as a Prerequisite to Admission to School or Other Facilities, Chapter 290-5-4.2. Prior to admission each child must have a current medical history and physical assessment sufficient for the provision of appropriate care and treatment to meet the child's needs while at the center.3. A physician must provide orders for the skilled nursing services and other treatments provided to meet the child's health care or medical support needs while at the center.4. Each child admitted to the center shall be under the continuing care of a physician, prior to and during the entire admission. The child shall be seen by the physician in accordance with the comprehensive service plan required in Rule .12(2).(c) When possible, there shall be a preplacement visit by the child, and the parent(s) or guardian(s), or placing agency representative if there is a reasonable likelihood that the child will be admitted.(2) Prior to admission, the center shall:(a) Provide information to the child's parent, guardian, or custodian about the services, environment, age ranges and characteristics of the other children in placement.(b) Maintain signed documentation from the custodian that they have received and considered the information provided in Rule .11(2)(a)1. above and have determined that the placement environment is appropriate and does not represent an undue risk to the health and safety of the child or children being placed.(3) The center shall comply with the Interstate Compact on the Placement of Children when admitting children from another state.(4) Written admission policies and procedures shall be established and implemented and shall include the following requirements:(a) Completion of an intake referral form that includes a social, health, educational, family, behavioral and personal developmental history to determine the placement needs (services, supports, setting, etc.) of each child and whether that placement is appropriate.(b) Completion of a written placement agreement developed with the involvement of the child, and the parent(s) or guardian(s), or placing agency representative and signed by all parties, with such agreement including the following: 1. Written authorization to care for the child;2. Written authorization to obtain medical care for the child;3. Written summary of discussions among the child and the parent(s) or guardian(s), or placing agency, and the center's Human Service Professional regarding basic care, any specialized services and/or treatments to be provided; the expectations of the involvement of the parent(s) or guardian(s), or the placing agency in service planning.(5) Upon admission, a written description of the center shall be provided to the child, the parent(s) or guardian(s),or placing agency and shall include: (a) The center's program purpose and program description;(b) The description of service planning and normal daily routines of children;(c) The description of health support services to be provided, including how the center handles illnesses, injuries, and medical emergencies (life-threatening, limb-threatening, and function-threatening conditions);(d) The center's policies and procedures for behavior management and grievances;(e) Policies and procedures for visiting hours and communications with persons outside the center;(f) The names and telephone numbers of the child's designated HSP, nurse and primary Child Care Worker; and(g) Schedule of fees if placement is not done under a Purchase of Service Agreement.Ga. Comp. R. & Regs. R. 290-2-6-.11
O.C.G.A. Secs. 49-5-3, 49-5-8, 49-5-12.
Original Rule entitled "Admission for Transition Care Services" adopted. F. Jan. 27, 2009; eff. Feb. 16, 2009.