Wisconsin Legislature: DOC 347.19(2)(c)

(e) First aid, use of an automated external defibrillator, and use of other emergency equipment.

(f) Adolescent brain development.

(g) Trauma-informed care and resiliency.

(h) Positive behavior management, de-escalation techniques, and conflict management.

(i) Sexual abuse and sexual harassment prevention, detection, and response.

(j) Sex trafficking.

(k) Suicide and self-harm prevention.

(L) Laws on confidentiality of personally identifiable information.

(m) Mandatory reporting requirements under s. 48.981 (2), Stats.

(2) Initial security staff training. In addition to the training required under sub. (1), security staff shall receive at least 120 hours of training during the first year of employment. On-the-job training does not count toward the hours of required initial training for security staff.

(3) Annual training. Security staff shall receive at least 24 hours of annual training including all of the following:

(a) Care and custody of youth.

(b) Trauma-informed care and resiliency.

(d) Mental health and crisis intervention.

(e) Administration of medications.

(f) Health screening of youth at the time of admission.

(g) Use of restraints and security control devices.

(h) Fire safety, evacuation procedures, and use of self-contained breathing apparatus.

(i) Positive behavior management, de-escalation techniques, and conflict management.

(j) The facility’s use of force policies and procedures.

(4) Documentation. All staff training shall be documented.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

Subchapter V — Food Service and Nutrition

DOC 347.19 Food service.

(1) Sanitation. The kitchen area and all equipment shall be maintained in a sanitary condition.

(2) Food safety.

(a) Food items shall be stored at least 6 inches off the floor. Opened food packages shall be stored in airtight containers that are labeled and dated. Food items shall be stored in appropriate locations and temperatures.

(b) All persons who work in food service areas shall wear clean garments and clean caps or hairnets and shall keep their hands clean at all times when engaged in the handling of food, drink, utensils, or equipment.

(c) Food and drink shall be protected from contamination. Meals shall be covered during transit to and within the facility.

(d) Food temperatures shall be properly maintained and documented daily.

(e) Kitchen storage and dishwashing equipment temperatures shall be monitored and documented daily.

(f) Garbage containers shall be covered, emptied daily, and kept clean.

(g) Cleaning agents shall be stored separately from food service items.

(3) Inventory. There shall be a documented inventory accounting for all sharps, tools, and utensils at all times.

(4) Inspection.

(a) Internal monthly inspection of all food service areas shall be conducted and documented.

(b) Annual inspection of all full-production and service kitchens by a qualified, independent outside source documenting that the food service area meets applicable health and safety codes shall be conducted.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.20 Meals.

(1) The facility shall provide nutritious and quality food for all youth.

(2) The facility shall develop menus that satisfy generally accepted nutritional standards.

(3) An annual menu review by a qualified nutritionist or dietician shall be completed and maintained in the facility files. Any change or substitution to the menu shall be documented.

(4) A youth may abstain from any foods that violate the youth’s religion. Consistent with available resources, the facility shall provide a substitute from other available foods from the menu served at the meal. The substitutions shall be consistent with sub. (2).

(5) Special diets are provided as prescribed by a qualified health care professional.

(6) Youth shall receive 3 nutritious meals and a snack daily, with no more than 12 hours between the evening meal and breakfast. Two of the meals shall be hot, including the entrée.

(7) Youth shall eat meals in a cafeteria or common area unless approved by a supervisor or designee.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

Subchapter VI — Health and Mental Health Care

DOC 347.21 Health screening.

(1) The facility shall use a health screening form that is developed in conjunction with qualified health care professionals and is completed at the time of admission for each youth to record information about current and past medical, mental health, and dental conditions, physical and developmental disabilities, recent injuries or physical trauma, alcohol or other drug abuse problems, and suicide or self-harm risk. The health screening form shall be documented.

(2) A youth whose screening under sub. (1) is not completed within one hour of admission shall be under constant staff supervision until the screening is completed. Section DOC 347.26 applies if a youth screens positive for risk of suicide or self-harm.

(3) The health screening shall be conducted in a confidential setting upon the youth’s admission.

(4) If urgent concerns are identified during the health screening, referrals to medical, mental health, or supervisory staff shall be immediate.

(5) A qualified health care professional shall review the health screening within 72 hours. The review shall be documented.

(6) Within 72 hours of admission, a qualified health care professional shall offer the youth sexually transmitted infection testing, and all female youth shall be offered pregnancy testing.

(7) Documentation of health screening results and subsequent review of the health screening form shall be maintained in the youth’s confidential medical record.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.22 Health care assessment.

(1) All youth shall receive a full health care assessment by a qualified health care professional within 7 days of admission. The assessment shall be documented.

(2) A health care assessment is not required for a youth readmitted to the facility when the last health care assessment was performed within 90 days and when the youth’s new admission health screening shows no change in health status.

(3) Documentation of health care assessment results shall be maintained in the youth’s confidential medical record.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.23 Medical care.

(1) The facility shall provide youth medical care under s. 938.505 (1), Stats.

(2) The facility shall provide youth with a schedule of access to medical care to be provided under sub. (1).

(3) The facility shall provide access and arrange for transportation to emergency medical care services.

(4) All licensed or certified health care professionals shall provide services in accordance with the standards of practice established by the applicable regulatory body.

(5) Health care staff shall be in compliance with state and federal licensure certification and registration. Verification of compliance shall be maintained at the facility.

(6) A youth may refuse specific health evaluations and treatments in accordance with applicable federal and state law. All refusals shall be documented and maintained in the youth’s confidential medical record.

(7) The facility shall allow for submission and screening of medical requests on a daily basis.

(8) When practicable, the facility shall be in contact with a youth’s personal physician.

(9) The facility’s provision of medical care shall ensure access to all of the following:

(a) Pregnancy management.

(b) Acute and chronic medical conditions management.

(d) Detoxification and withdrawal care.

(e) Immunizations.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.24 Informed consent.

(1) At admission, the facility shall obtain the name and contact information of an adult family member or guardian who can provide information about a youth’s health and mental health history.

(2) The facility shall ensure all medical and mental health examinations and services conform to applicable state laws for informed consent and the right to refuse treatment.

(3) The facility shall obtain informed consent using a language that is understandable to the youth and the youth’s parent or guardian.

History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.25 Mental health care.

(1) The facility shall provide youth with mental health services from a qualified mental health professional.

(2) All qualified mental health professionals shall have training on and be knowledgeable about the assessment of mental health disorders, trauma, and suicide risk among adolescents and age-appropriate interventions.

(3) All qualified mental health professionals shall provide services in accordance with recognized standards of practice.

(4) Licensed mental health professionals shall be in compliance with state and federal licensure certification and registration. Verification of compliance shall be maintained at the facility.