Chapter DCF 52

DCF 52.12 Note Note: Form number CFS2172, Residential Care Center Child Abuse and Neglect Reporting and Confidentiality Responsibilities, is available in the forms section of the department website at http://dcf.wisconsin.gov or by writing or calling any field office listed in Appendix D.

DCF 52.12(9)(c) (c) A center shall have written policies and procedures for reporting to the appropriate local county social or human services department or law enforcement agency when there is reasonable cause to suspect that a child has been abused or neglected. The policies and procedures shall include:

DCF 52.12(9)(c)1. 1. Notifying the child’s placing person or agency and the department licensing representative of possible abuse or neglect and the basis for that suspicion.

DCF 52.12(9)(c)2. 2. Meeting reporting requirements in s. 48.981 (2) and (3), Stats.

DCF 52.12(9)(c)3. 3. Prohibiting imposition of a sanction or any reprisal against a person for reporting suspicion of child abuse or neglect.

DCF 52.12(9)(d) (d) When child abuse or neglect is reported, the center shall take necessary steps to protect the resident until a finding is made.

DCF 52.12(10) (10) Personnel records.

DCF 52.12(10)(a) (a) General personnel records. A center shall maintain a personnel record for each staff member under subs. (1) (a) and (2) (i). The record shall contain, at minimum, the following information:

DCF 52.12(10)(a)1. 1. The staff member’s application for employment under sub. (3) (b).

DCF 52.12(10)(a)2. 2. Copies of the staff member’s job description and the performance standards and conduct expectations relating to that job required under sub. (4) (a) and (b).

DCF 52.12(10)(a)3. 3. Documentation of information obtained from a staff member’s references required under sub. (3) (c).

DCF 52.12(10)(a)4. 4. The department-prescribed background information disclosure form, signed as required under sub. (3) (d).

DCF 52.12(10)(a)5. 5. A history of the staff member’s employment at the center, with starting and ending dates for each position.

DCF 52.12(10)(a)6. 6. A copy of the signed department form under sub. (4) (c) for reporting suspected child abuse and neglect.

DCF 52.12(10)(a)7. 7. A copy of the background records checks required under sub. (3) (d).

DCF 52.12(10)(a)8. 8. A copy of the statement under sub. (4) (d), signed by the staff member, about the need to maintain confidentiality of personally identifiable information about residents.

DCF 52.12(10)(a)9. 9. Copies of completed performance reviews and assessments under sub. (6) (b).

DCF 52.12(10)(a)10. 10. A description of training received under sub. (5) (h).

DCF 52.12(10)(a)11. 11. Authorization to administer medications, if applicable, as required under s. DCF 52.46 (2) (a) 3.

DCF 52.12(10)(a)12. 12. For RPPS decision makers, documentation of the training under sub. (5) (gm).

DCF 52.12(10)(b) (b) Health record. A center shall separately maintain a health record for each staff member containing health history, any physical or mental health evaluation under sub. (3) (f) and the physician’s statement required under sub. (3) (e).

DCF 52.12(10)(c) (c) Retention. A center shall maintain the personnel file of each staff member for 5 years after the date on which the staff member terminates employment with the center.

DCF 52.12(11) (11) Staff housing. A residential care center may not house children of staff with residents.

DCF 52.12 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (2) (f), (3) (b) 3., (d), (5) (b) 4., (e) and (10) (a) 11. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1106: emerg. cr. (5) (cm), (11), eff. 9-16-11; CR 11-026: am. (3) (e), (5) (c) 6., cr. (5) (cm), (11) Register December 2011 No. 672, eff. 1-1-12; CR 14-054: am. (8) (b) Register April 2015 No. 712, eff. 5-1-15; EmR1633: emerg. cr. (5) (gm), (10) (a) 12., eff. 11-18-16; CR 16-051: cr. (5) (gm), (10) (a) 2. Register July 2017 No. 739, eff. 8-1-17; correction in (12) (c) 3. a. made under s. 35.17, Stats., Register September 2017 No. 741; correction in (3) (b) 3., (d) made under s. 13.92 (4) (b) 7., Stats., Register March 2018 No. 747; CR 21-107: am. (6) (a) 4. Register June 2022 No. 798, eff. 7-1-22.

DCF 52.13 DCF 52.13 Administrative records.

DCF 52.13(1) (1) Types of records. A licensee shall assemble and maintain all of the following administrative records:

DCF 52.13(1)(a) (a) A document describing the governing structure of the center and, if they exist, the charter, articles of incorporation and by-laws of the governing body.

DCF 52.13(1)(b) (b) The names and positions of persons authorized to sign agreements and submit official documentation concerning the center to the department.

DCF 52.13(1)(c) (c) The table of organization and staffing schedules for the center as required under s. DCF 52.11 (1) and (2).

DCF 52.13(1)(d) (d) Audit reports required under s. DCF 52.11 (6), retained for 5 years.

DCF 52.13(1)(e) (e) Incident reports under s. DCF 52.11 (12) of a fire or other disaster, retained for 5 years.

DCF 52.13(1)(f) (f) Copies of general and professional liability insurance policies required under s. DCF 52.11 (15).

DCF 52.13(1)(g) (g) The list required under s. DCF 52.12 (8) (a) 1. of all external professional service providers the center uses.

DCF 52.13(1)(h) (h) Personnel records under s. DCF 52.12 (10), retained for 5 years after the employee leaves the center.

DCF 52.13(1)(i) (i) The center’s program statement and operating plan and updates to it required under s. DCF 52.41 (1), and as otherwise required under s. DCF 52.58 (3) or 52.59 (4), as well as copies of current written policies and procedures otherwise required by this chapter.

DCF 52.13(1)(j) (j) Menus for the last 30 days as required under s. DCF 52.44 (3) (b).

DCF 52.13(1)(k) (k) Driver records required under s. DCF 52.47 (4) for center drivers.

DCF 52.13(1)(L) (L) Documentation required under s. DCF 52.44 (4) (d) of annual in-service training of food service personnel.

DCF 52.13(1)(m) (m) Copy of vehicle insurance liability policy required under s. DCF 52.47 (6) (a) 1. and vehicle safety inspection forms required under s. DCF 52.47 (6) (a) 1.

DCF 52.13(1)(n) (n) Police accident reports under s. DCF 52.47 (7).

DCF 52.13(1)(o) (o) Reports of building inspections required under s. DCF 52.51 (1) (b) and construction approvals required under s. DCF 52.51 (1) (c), retained for 5 years.

DCF 52.13(1)(p) (p) Records of fire drills, center fire inspections, smoke detector tests and sprinkler system inspections required under s. DCF 52.55 (2) (b), (3), (4) (c) and (7) and annual heating system inspection and service reports required under s. DCF 52.56 (2) (b), retained for 5 years.

DCF 52.13(1)(q) (q) Water sample test results under s. DCF 52.56 (1) and records of tornado practice exercises required under s. DCF 52.56 (23) (c), retained for 5 years.

DCF 52.13(1)(r) (r) Copies of all need determination documentation and approvals within the past 5 years under s. DCF 52.61.

DCF 52.13(2) (2) Records maintained on-site. The administrative records listed under sub. (1) (c), (e), (g) to (k), (n), (p) and (q) shall be maintained on-site at the center location to which they apply.

DCF 52.13 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (1) (c) to (r) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.

subch. III of ch. DCF 52 Subchapter III — Admission, Treatment and Planning and Discharge

DCF 52.21 DCF 52.21 Admission.

DCF 52.21(1) (1) Policies and procedures. A center shall have written resident admission policies and procedures that describe the primary presenting problems and range of behaviors of residents which the center will treat and center procedures for admitting a resident. Before a prospective resident is admitted to a center, center professional staff shall evaluate the needs of the prospective resident using information and procedures described in the agency program statement and operating plan and determine whether the center is able to meet the identified needs of the prospective resident.

DCF 52.21(2) (2) Admission screening report. Center professional staff shall complete a written, dated and signed admission screening report on a resident which includes a preadmission review and identification of the prospective resident’s primary presenting problems and a statement recommending reasons for or against admission based on the ability of the center to meet the prospective resident’s needs.

DCF 52.21(3) (3) Conditions. A center may admit a prospective resident if the center can meet the prospective resident’s needs, as determined by the admission screening report under sub. (2) and if the following conditions are met:

DCF 52.21(3)(a) (a) Interstate placements. In accepting a prospective resident from outside the state of Wisconsin, the center has received prior written approval under the interstate compact on the placement of children under s. 48.988, Stats., and has received information on the prospective resident’s social, medical and educational history.

DCF 52.21(3)(b) (b) Child under age 7. In admitting a child age 6 or under, the center has received prior written approval from the department. A center shall meet any additional requirements determined appropriate by the department for the care and treatment of a child age 6 or under.

DCF 52.21(3)(c) (c) Consent for medical care. The center has obtained written consent for medical services as required under sub. (4).

DCF 52.21(3)(d) (d) Serving children 18 years of age or over, but under 21 years of age. In admitting residents age 18 or over:

DCF 52.21(3)(d)1. 1. The center has a license to provide care and maintenance to a resident of that age, sex, and population type.

DCF 52.21 Note Note: A current licensee may request an amendment to serve a resident population that is 18 years of age or over, but under 21 years of age, and is transitioning to independence under s. DCF 52.62 (4) (d).

DCF 52.21(3)(d)2. 2. The center program statement under s. DCF 52.41 (1) describes how all of the following are achieved:

DCF 52.21(3)(d)2.a. a. Center program compatibility among residents.

DCF 52.21(3)(d)2.b. b. Age appropriate grouping in center activities and living arrangements.

DCF 52.21(3)(d)2.c. c. Transition-to-independence planning.

DCF 52.21(4) (4) Service contracts. As permitted under s. 48.61 (2), Stats., a center may enter into a contract with a prospective resident’s parent or guardian or a contract or other agreement with the prospective resident’s legal custodian or placing person or agency, if not the same, for the center to provide services for a person admitted to the center. The center shall maintain all service contracts and agreements for a resident either in the resident’s treatment record or in an administrative record. A contract or other agreement shall include all of the following:

DCF 52.21(4)(a) (a) Expectations and responsibilities of both parties, including a clear division of responsibility and authority between the center and the parent or guardian, legal custodian and placing person or agency, if not the same, for decisions on resident treatment plan services and activities, including any changes in them, both inside and outside the center, as described in the resident’s treatment plan under s. DCF 52.22 (2) (b).

DCF 52.21(4)(b) (b) The financial arrangements for the resident, and provision for periodic review of case plan progress under s. DCF 52.22 (3).

DCF 52.21(4)(c) (c) Visiting plans by parents and other persons important to the resident.

DCF 52.21(5) (5) Informed consent for medical and dental services.

DCF 52.21(5)(a) (a) Before a center may admit a prospective resident, the center shall obtain written, signed informed consent that gives the center health care consultant or resident’s physician the following authority:

DCF 52.21(5)(a)1. 1. Authority to order or provide to the resident routine medical services and procedures, including scheduled immunizations and dental services and non-prescription and prescription medications.

DCF 52.21(5)(a)2. 2. Authority to delegate and supervise administration of medications by center-authorized staff and for staff to handle and provide the medication to the resident and observe self-administration of the medication by the resident.

DCF 52.21(5)(a)3. 3. Authority to obtain other medical information on the resident.

DCF 52.21(5)(a)4. 4. Authority to provide or order when there is a life-threatening situation, emergency medical procedures, including surgery, when it is not possible to immediately reach the person or authority authorized to give signed written specific informed consent.

DCF 52.21(5)(b) (b) The consent under par. (a) does not cover administration of psychotropic medications, major surgery not of an emergency nature or major dental work. Consent for these shall be obtained in accordance with the provisions of this chapter.

DCF 52.21(6) (6) Pre-placement visit. A center shall arrange, whenever possible, with the placing person or agency for a pre-placement visit for the prospective resident and, whenever possible, shall invite the parent or guardian to participate. During a pre-placement visit, center staff shall provide the prospective resident and the prospective resident’s parent or guardian with an orientation to the center’s program.

DCF 52.21(7) (7) Adjustment facilitation. At the time of admission, center staff shall do all of the following:

DCF 52.21(7)(a) (a) Orient the new resident and the resident’s parent or guardian and legal custodian to the center’s facilities and program, if this was not done under sub. (6).

DCF 52.21(7)(b) (b) Help the new resident to adjust to the effects of separation from family and to center placement.

DCF 52.21(7)(c) (c) Give the new resident and the resident’s parent or guardian and legal custodian copies of the house rules, including rules on visiting, expected behavior and sanctions for misbehaving and resident rights and grievance and complaint procedures, with explanations of them.

DCF 52.21(8) (8) Health screening.

DCF 52.21(8)(a) (a) Examination. Upon admission of a new resident, a center shall do one of the following:

DCF 52.21(8)(a)1. 1. Obtain either from a certified HealthCheck provider or licensed physician the results of a physical examination of the young person comparable to a comprehensive HealthCheck screening, that has taken place within one year before admission, and from a licensed dentist the results of a dental examination of the young person that was done within one year before admission.

DCF 52.21(8)(a)2. 2. Arrange for a health examination of the new resident to take place within 2 working days after admission, and a dental examination to take place within 90 days after admission. The health examination shall cover the areas prescribed in a form provided by the department.

DCF 52.21 Note Note: Copies of the Department’s age-appropriate HealthCheck examination forms can be obtained from any local public health agency, from the Department’s website at http://dhs.wisconsin.gov/forms/FtoM.asp or by writing or telephoning any field office listed in Appendix D.

DCF 52.21(8)(b) (b) Observation. An observation shall be made on each person at the time of admission to the center by a person capable of recognizing common signs of communicable disease or other evidence of ill health. If the person admitted shows overt signs of communicable disease or other evidence of ill health, the center shall make arrangements for immediate examination by a physician. If the person admitted has a risk of having a sexually transmitted disease because of recent sexual abuse history or sexual activity, the center shall immediately consult with a physician and follow whatever precautionary measures are recommended by the physician and shall make arrangements for examination by a physician to take place as soon as possible.

DCF 52.21(9) (9) Register. The center shall maintain a register of all residents. The register shall contain the date of admission and resident identifying information including name, birthdate, sex, the name and address of the placing person or agency and the name and address of a parent or guardian and legal custodian or, if the resident is 18 years of age or over, the name and address of the lawful placing authority and the name of the resident’s guardian, if applicable. If the resident is from another state, the register shall also identify the state.

DCF 52.21 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (3) (d) 1., 2., (4) (a) and (b) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1414: r. and recr. (3) (d) (title), 1., am. (3) (d) 2. a., r. and recr. (3) (d) 2. c., am. (9), eff. 8-1-14; CR 14-054: r. and recr. (3) (d) (title), 1., am. (3) (d) 2. a., r. and recr. (3) (d) 2. c., am. (9) Register April 2015 No. 712, eff. 5-1-15; correction in (1) made under s. 13.92 (4) (b) 1., Stats., Register March 2018 No. 747; CR 21-107: am. (6), (7) (a) to (c), (8) (b) Register June 2022 No. 798, eff. 7-1-22.

DCF 52.22 DCF 52.22 Assessment and treatment planning and review.

DCF 52.22(1) (1) Timeliness. Within 30 days after resident center admission, center professional staff and, as necessary, outside consultants, shall conduct an initial assessment of the resident’s treatment and service needs and, based on that assessment, shall develop for the resident a written treatment plan. In developing the treatment plan, center staff shall, if possible, involve all of the following:

DCF 52.22(1)(a) (a) The placing person or agency.

DCF 52.22(1)(b) (b) Resident care worker staff who work with the resident.