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 NoteNote: 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 HistoryHistory: 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 52.22DCF 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)(d)1.1. If the resident is under age 18, the resident’s parents or guardian and legal custodian, if any, and other persons important to the resident. DCF 52.22(1)(d)2.2. If the resident is 18 years of age or over, other authorities or agencies involved in the resident’s placement; the resident’s guardian, if any; and, with the resident’s consent, other persons important to the resident. DCF 52.22(2)(ag)(ag) The treatment plan for a new resident shall be based on the initial assessment under sub. (1) (intro.) and incorporate information documented on the forms required under ch. DCF 37. DCF 52.22 NoteNote: The forms required under ch. DCF 37 are DCF-F-872A-E, Information for Out-of-Home Care Providers, Part A and DCF-F-872B-E, Information for Out-of-Home Care Providers, Part B. Both forms are available in the forms section of the department website at http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence, P.O. Box 8916, Madison, WI 53708−8916. DCF 52.22(2)(am)(am) The treatment plan for a new resident shall address all of the following: DCF 52.22(2)(b)(b) The treatment plan shall be time-limited, goal-oriented and individualized to meet the specific needs of the resident as identified from the assessment and shall include all of the following components: DCF 52.22(2)(b)1.1. The resident’s treatment goals and permanency planning goals which specify whether the resident is to return as quickly as possible to the resident’s family or attain another placement providing long-term stability. DCF 52.22(2)(b)2.2. A statement of behavioral or functional objectives that specifies behaviors to be changed, eliminated or modified, and includes projected achievement dates, with measurable indicators or criteria for monitoring progress and assessing achievement of treatment goals. The statement shall identify all staff responsible for working with the resident in achieving the objectives. DCF 52.22(2)(b)5.5. Identification of services and their arrangements on behalf of the resident and the resident’s family. DCF 52.22(2)(c)1.1. A treatment plan shall be dated and signed by center staff who participated and by the placing person or agency when participating. DCF 52.22(2)(c)2.2. A copy of the center’s dated and signed treatment plan shall be provided to the resident’s placing person or agency and upon request, anyone else participating in the treatment planning process. DCF 52.22(3)(a)(a) A resident’s services case manager shall coordinate, monitor and document the following in the resident’s treatment record during implementation of the resident’s treatment plan: DCF 52.22(3)(a)1.1. Assessment of the resident’s progress in response to treatment, in dated summary form, using criteria found in the resident’s treatment plan. DCF 52.22(3)(a)2.2. Significant events relating to implementation of the resident’s treatment plan. DCF 52.22(3)(b)(b) At least once every 3 months, the center shall conduct a treatment plan review that includes a review of reasonable and prudent parenting requests and decisions made for a resident and the resident’s progress toward meeting treatment plan goals. If available, the individuals who participated in the development of the resident’s assessment and treatment plan shall be invited to participate in the review. DCF 52.22(3)(bm)(bm) The center shall conduct a treatment plan review and revise the treatment plan as needed, consistent with the resident’s needs, treatment plan goals, and the permanency planning goals of the placing person or agency. DCF 52.22(3)(c)(c) Center staff shall record in the resident’s treatment record the results of all treatment plan reviews, the date of each review and the names of participants. DCF 52.22 HistoryHistory: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (2) (a) 5. and (b) 4. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1414: emerg. renum. (1) (d) to (1) (d) 1., 2. and am., eff. 8-1-14; CR 14-054: renum. (1) (d) to (1) (d) 1., 2. and am. Register April 2015 No. 712, eff. 5-1-15; EmR1633: emerg. renum. (2) (a) to (2) (am) and am. (2) (am) (intro.), cr. (2) (ag), r. and recr. (3) (b), cr. (3) (bm), eff. 11-18-16; CR 16-051: renum. (2) (a) to (2) (am) and am. (2) (am) (intro.), cr. (2) (ag), r. and recr. (3) (b), cr. (3) (bm) Register July 2017 No. 739, eff. 8-1-17; CR 21-107: am. (2) (b) 1., 5. Register June 2022 No. 798, eff. 7-1-22. DCF 52.23(1)(1) Policies and procedures. A center shall have written policies and procedures which explain the process for discharge of a resident. Those policies and procedures shall ensure that center professional staff document and date in the resident’s treatment record all of the following: DCF 52.23(1)(a)(a) That center professional staff have attempted involvement of the resident, if able to understand, and the resident’s parents or guardian and legal custodian, if any, and placing person or agency, if different, in developing the plan for aftercare. DCF 52.23(1)(b)(b) That center professional staff have prepared in writing, at least 30 days before the planned discharge of the resident, an aftercare plan for the resident that includes all of the following: DCF 52.23(1)(b)1.1. Identification of persons and agencies participating in development of the aftercare plan. DCF 52.23(1)(b)2.2. Recommendations for continuing or additional services and identification of service providers. DCF 52.23(1)(b)3.3. The name, address and telephone number of the person or agency to receive the former resident upon discharge and the relationship, if any, of the former resident to that person or the head of that agency. DCF 52.23(1)(c)(c) That center professional staff have provided copies of the aftercare plan to the resident, if able to understand, and the resident’s parents, guardian and legal custodian and placing person or agency if not the same. DCF 52.23(2)(a)(a) The center shall document in the resident’s treatment record efforts made by center staff to prepare the resident and the resident’s family for discharge including but not limited to, discussing with them their feelings about becoming a family unit again or, where applicable, efforts to help the resident and resident’s family adjust to a different placement or living arrangement. DCF 52.23(2)(b)(b) Each resident who has not had a health examination within the periodicity schedule of the medical assistance HealthCheck program shall have a complete health examination before discharge. DCF 52.23(2)(c)(c) The center shall ensure that at discharge a resident’s personal clothing and belongings go with the resident. DCF 52.23(3)(3) Discharge summary. The center shall send to the placing person or agency within 30 days following the resident’s discharge a copy of the former resident’s discharge summary and place a copy in the former resident’s treatment record. The discharge summary shall include all of the following: DCF 52.23(4)(4) Additional provisions for residents from out-of-state. The center shall notify the department’s interstate compact office at the end of each month of all out-of-state resident discharges from the center for that month, who received each resident at discharge and the destination of the resident at discharge. DCF 52.23 NoteNote: Mail or fax written information of the above to: Department of Children and Families, Interstate Compact on Placement of Children, Division of Safety and Permanence, 201 W. Washington Avenue, P.O. Box 8916, Madison, WI 53708-8916. The fax number is (608) 422-7170 - attn. ICPC.
DCF 52.23 HistoryHistory: Cr. Register, February, 2000, No. 530, eff. 9-1-00; CR 21-107: am. (2) (c) Register June 2022 No. 798, eff. 7-1-22. DCF 52.31DCF 52.31 Resident rights and grievance procedure. DCF 52.31(1)(a)(a) Residents receiving services for a mental illness, alcohol or drug abuse or a developmental disability have the patient rights under s. 51.61, Stats., and ch. DHS 94 and shall have access to grievance resolution procedures that meet standards set out in subch. III of ch. DHS 94. Other residents receiving treatment services under this chapter who are not specifically identified as coming under s. 51.61, Stats., and ch. DHS 94 shall have rights that are comparable and access to grievance resolution procedures that are comparable. DCF 52.31(1)(b)(b) A resident’s rights under this section are subject to the rights, duties and responsibilities of the resident’s parent or guardian and legal custodian, if any. A resident’s rights are also subject to the terms and conditions of any court order or other lawful authority governing the conduct of the resident and subject to any limitations or denial of a right allowed under s. 51.61, Stats., ch. DHS 94 and this section. DCF 52.31(1)(c)(c) Center staff at the time of a resident’s admission or within 48 hours after admission shall give the resident, if able to understand, and the resident’s parents or guardian and legal custodian, if any, an explanation, both orally and in writing, of resident rights under s. 51.61, Stats., ch. DHS 94 and this section. DCF 52.31(2)(2) Compliance assurance. The center director shall ensure that all staff who work with residents are aware of the requirements of this section. The director shall also ensure that staff are aware of the requirements of s. 48.78 or 938.78, Stats., s. 51.30, Stats., and ch. DHS 92 on confidentiality and s. 51.61, Stats., and ch. DHS 94 on patient rights and the rights otherwise accorded under this section and the criminal and civil penalties for violating those statutes and rules. The rights and grievance procedures shall be posted in a conspicuous location in each living unit in the center. DCF 52.31 HistoryHistory: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635. DCF 52.41(1)(1) Program statement and operating plan. Each center shall have a written program statement describing center treatment purpose, philosophy, approach and methods used, and services available, as well as a written operating plan describing available treatment and services as specified under pars. (a) to (d). A center shall give a copy of the current center program statement and, upon request, the center operating plan, and all updates, to each resident’s placing person or agency and, if not the same, the resident’s parents or guardian and legal custodian, if any. A center’s operating plan shall describe all of the following: DCF 52.41(1)(a)(a) Treatment. Treatment program policies and procedures covering all of the following: DCF 52.41(1)(a)2.2. Qualifications of staff responsible for planning and carrying out treatment procedures. DCF 52.41(1)(a)3.3. The population served by age and sex and by type, such as developmentally disabled, emotionally disturbed, alcohol or drug abusing, transitioning to independence, juvenile delinquent or correctional aftercare, and the range or types of behaviors or conditions for which the center’s treatment procedures and techniques are appropriate. DCF 52.41(1)(a)4.4. Pre-screening procedures used for determining appropriateness of admission. DCF 52.41(1)(a)5.5. Procedures used to involve the resident and the resident’s parents or guardian and legal custodian, if any, in resident assessment and treatment planning including identification of the means used to foster positive relationships between the resident and the resident’s family or guardian that are supportive of the resident in reaching treatment plan and permanency plan goals. DCF 52.41(1)(a)6.6. How the center will implement and review specific provisions of the resident’s treatment plan, court order and permanency plan developed under s. 48.38, Stats., including how the center will coordinate efforts with the placing person or agency and other involved persons or agencies. DCF 52.41(1)(a)7.7. Methods used by the center for determining when treatment goals are achieved, or that treatment is ineffective or detrimental for a particular resident. DCF 52.41(1)(a)8.8. Resident conduct as governed by center behavior management and control procedures or measures including house rules covering policies on resident overnight visits outside the center and off-grounds privileges and any resident rights limitations under s. DCF 52.31 prohibiting such things as gang-related clothing or therapeutically contraindicated items. DCF 52.41(1)(a)9.9. A list of daily activities available to residents including educational and recreational activities. DCF 52.41(1)(a)10.10. Procedures which ensure clear communication between resident care workers on one shift and the resident care workers on the next shift regarding any significant incident involving a resident they supervise in common such as running away, an incident of abuse or neglect pursuant to s. 48.981, Stats., a behavior that injures the resident or others, an accident requiring medical attention, intentional property damage, any emergency safety intervention physical hold restraint or physically enforced separation as defined under s. DCF 52.42 (1) or any other incident of a serious nature. The procedures shall include documenting any incident involving a resident and the date and time it occurred in the resident’s case record and, if pertinent to resident treatment, in the resident’s treatment record progress notes. DCF 52.41(1)(b)(b) Educational program services. Educational program services that coordinate a resident’s educational programming with the school from which the resident came upon admission and the school which will receive the resident after center discharge and that cover all of the following:
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