Rule 290-2-6-.14 - Services for Transition Care(1)Casework Services. All children in care and families of children in care shall receive case work services as provided in their comprehensive service plan from their assigned HSP or other appropriate professionals (internal and external of the center) who shall meet with and counsel with the children. The results of such counseling shall be recorded in the children's case records. The purposes of such services are to identify and monitor the children's and families' progress relative to the needs, goals and objectives identified in child care assessments and service plans and to discuss any problems being encountered by or with the children in care.(2)Health Services. The center shall provide for a comprehensive program of services to meet the health care needs and medical support needs for the child, as well as preventive, routine, and emergency medical and dental care for all children. (a) Medications. The center shall develop and implement policies and procedures for the use and management of all types of medications. All direct care staff shall receive orientation on the policies and procedures. Such policies and procedures shall include the following: 1. Non-prescription medications. The center shall designate appropriate staff to dispense non prescription medications. No child shall be given a non-prescription medication by staff members of the center unless the child exhibits symptoms that the medication is designed to relieve.2. Prescription medications. No child shall be given a prescription medication unless the medication is prescribed for the child by an authorized health care professional. (i) Prescription medications shall only be given to a child at the center by an RN, parent, guardian, custodian or person standing in loco parentis as ordered in the child's prescription. A center shall not permit such medications prescribed for one child to be given to any other child.(ii) A child's attending physician shall be notified in cases of dosage errors, drug reactions, or if the prescription medication does not appear to be effective.3. A center shall maintain a record of all medications handed out by authorized staff and taken by children to include: name of child taking medication, name of prescribing physician and date of prescription (if the medication is prescription or psychotropic), required dosage, date and time taken, dosage taken, and name and signature of staff member that handed out and supervised the taking of the medication.4. All prescription and non-prescription medications shall be kept in a locked storage cabinet or container which is not accessible to the children and stored separate from cleaning chemicals and supplies or poisons. The keys to the locked cabinets or containers shall not be accessible to residents.5. All expired medications shall be discarded and not handed out for use.(b) Infection Control. The center shall employ appropriate universal precautions and isolation techniques to ensure that underlying medical conditions are not exacerbated or infections not transmitted to others where required by the medical condition of the child.(c) First Aid Supplies. Each living unit shall have at a minimum a first aid kit and instruction manual; such kit shall contain scissors, tweezers, gauze pads, adhesive tape, thermometer, assorted band-aids, antiseptic cleaning solution, and bandages.(d) Equipment. 1. All specialized equipment and supplies necessary to meet the needs of the children shall be available at the center and maintained in clean and working order with all inspections and repairs documented.2. The center must have an operable emergency generator appropriate to meet the needs of children in care.(3)Educational and Vocational Services. A center shall not admit a child unless an educational program commensurate with the specific educational and vocational needs of the child can be provided. (a) Provisions shall be made for mandatory education of all children in care in accordance with O.C.G.A. 20-2-690et seq. or its successor statute. For purposes of these rules, an on-campus school is defined as a private school, and must be in compliance with the above law.(b) A child's assigned HSP shall monitor the child's educational or vocational progress in the course of providing case work services and planning. Progress reports, such as report cards, and other records or documentation of a child's educational or vocational performance while residing in the center shall be maintained in the child's case record.(c) Children attending public schools who wish to participate in extracurricular activities shall be provided such reasonable opportunities by the center in accordance with the child's comprehensive service plan.(d) Children's daily activities as stated in their service plans shall provide for study time during the periods the children are attending school.(4)Recreation and Leisure. The center shall provide for a program of indoor and outdoor recreational and leisure activities. When providing these activities, it shall utilize the community's cultural, social, and recreational resources whenever possible and appropriate. Children's activities as stated in their service plans shall provide for leisure and recreational time. A center shall procure and maintain a variety of recreational and leisure equipment and supplies such as games, sporting equipment, reading materials, and art supplies.(5)Other Services.(a) The center shall make arrangements to provide all children with adequate, properly fitting, seasonable clothing as required for health, comfort and physical well-being. Clothes shall be appropriate to age, gender, and individual needs.(b) Daily routines of children shall provide for appropriate personal care, hygiene, and grooming commensurate with age, gender, and cultural heritage. All necessary toiletry items and supplies, such as soap, shampoo, hair brushes, tooth brushes and paste, deodorant, and bath towels, shall be provided.(c) Children shall not be considered substitutes for employed staff and shall not be held responsible for the accomplishments of any work activity of the center such as food preparation, laundering, housekeeping, or center maintenance beyond that which is identified as a learning need in the comprehensive service plan.(d) Children shall not be used for the purposes of soliciting funds for the center, nor shall children be used in connection with any advertisement or publicity without the consent of the child and the parent(s) or guardian(s).(e) Children shall be permitted to participate in religious and cultural activities in accordance with their cultural and ethnic heritage.Ga. Comp. R. & Regs. R. 290-2-6-.14
O.C.G.A. Secs. 20-2-690.1, 49-5-3, 49-5-8, 49-5-12.
Original Rule entitled "Services for Transition Care" adopted. F. Jan. 27, 2009; eff. Feb. 16, 2009.