Chapter DOC 346

DOC 346.23(3) (3) The operational plan under s. DOC 346.04 shall contain policies and procedures for juvenile health care, including all of the following components:

DOC 346.23(3)(a) (a) The names of staff who are designated with the authority to make health care decisions, including emergency medical and dental care.

DOC 346.23(3)(b) (b) The completion of health screening in a manner which ensures the privacy of a juvenile and confidentiality of information.

DOC 346.23(3)(c) (c) Names, addresses and telephone numbers of health care professionals who provide emergency and other health care services, including counseling, shall be listed and available to staff.

DOC 346.23(3)(d) (d) Referral of juveniles to health care professionals or to agencies which provide health care or counseling at the time of admission and throughout the period of detention.

DOC 346.23(3)(e) (e) Provision of non-emergency health care, including use of a juvenile’s personal physician.

DOC 346.23(3)(f) (f) A schedule of access to routine health care which is provided to juveniles.

DOC 346.23(3)(g) (g) Submission, processing, and disposition of requests for health care by juveniles.

DOC 346.23(3)(h) (h) Provision of a special diet if ordered by a health care professional.

DOC 346.23(4) (4) The superintendent shall maintain agreements with health care professionals.

DOC 346.23 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.24 DOC 346.24 Medications.

DOC 346.24(1) (1) The operational plan under s. DOC 346.04 shall contain policies and procedures developed in consultation with health care professionals, relating to the control, administration, and delivery of prescription and nonprescription medications, including all of the following components:

DOC 346.24(1)(a) (a) Process by which security staff or health care professionals verify and determine the necessity of medications brought in by juveniles or other persons for a juvenile.

DOC 346.24(1)(b) (b) Process for continuing administration of verified medications.

DOC 346.24(1)(c) (c) Process for the inventory and secure storage of all medications brought into the facility.

DOC 346.24(1)(d) (d) Consent of a juvenile’s parent, guardian or legal custodian shall be required for treatment, except in the event of an emergency during which a parent, guardian or legal custodian is not available.

DOC 346.24(1)(e) (e) Administration or delivery of prescription and nonprescription medications to juveniles, including identification of staff authorized by the facility to do so.

DOC 346.24(1)(f) (f) Documentation of the administration or delivery of medication to a juvenile. The documentation shall include the type and dosage of medication, the name of the practitioner who prescribed the medication, the name of the person who administered or delivered the medication, the date and time of administration or delivery, and any refusal by a juvenile of recommended or prescribed medications.

DOC 346.24(1)(g) (g) Return or disposal of a juvenile’s unused medications inventoried upon admission or unused non-facility provided medications received by the juvenile after admission.

DOC 346.24(1)(h) (h) Inventory and disposal of unused facility provided medications upon the juvenile’s release.

DOC 346.24(1)(i) (i) Delivery of insulin for juveniles who are insulin dependent diabetics.

DOC 346.24(2) (2) Drugs requiring parenteral administration shall be prescribed by a practitioner as defined under s. 961.01 (19), Stats., and administered by a health care professional, except juveniles who are insulin dependent diabetics may be permitted to self-administer insulin injections.

DOC 346.24 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.25 DOC 346.25 Communicable disease control. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the care, treatment and supervision of juveniles who may have communicable diseases, including all of the following components:

DOC 346.25(1) (1) Provision of treatment and supervision of juveniles during isolation or quarantine under s. 252.06 (6) (b), Stats.

DOC 346.25(2) (2) Documentation of the need for isolation or quarantine under s. 252.06 (6) (b), Stats., in the juvenile’s confidential medical file.

DOC 346.25(3) (3) Provision of laboratory screening for juveniles who may have been exposed to a communicable disease, if ordered by a health care professional.

DOC 346.25(4) (4) Screening for tuberculosis shall be performed on all juveniles in custody for more than one week if ordered by a health care professional. Separate parental consent is not required for ordered tuberculosis screening.

DOC 346.25 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.26 DOC 346.26 Suicide prevention. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the supervision and housing of juveniles who may be at risk of seriously injuring themselves, including all of the following components:

DOC 346.26(1) (1) Assessment of a juvenile’s suicide risk at admission and documentation of the results.

DOC 346.26(2) (2) Designation of security staff or health care professionals who may assess a juvenile’s level of suicide risk and who may authorize placement on or removal from a suicide watch status for juveniles who are suicide risks.

DOC 346.26(3) (3) Identification of areas within the facility where juveniles who are suicide risks shall be housed.

DOC 346.26(4) (4) Referral of juveniles who are suicide risks to a mental health professional.

DOC 346.26(5) (5) Documentation of observation of juveniles under s. DOC 346.44.

DOC 346.26(6) (6) Communication between health care professionals and security staff regarding the status of a juvenile who is a suicide risk.

DOC 346.26(7) (7) Intervention of a suicide in progress, including first aid measures.

DOC 346.26(8) (8) List of persons to be notified in case of potential, attempted or completed suicides.

DOC 346.26(9) (9) Documentation of actions and decisions regarding juveniles who are suicide risks.

DOC 346.26(10) (10) Annual training plan for officers and other staff.

DOC 346.26 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.27 DOC 346.27 Crisis intervention. The operational plan under s. DOC 346.04 shall contain policies and procedures for the provision of professional services for a juvenile displaying mental distress, including withdrawal, uncontrolled emotions or self-destructive behavior.

DOC 346.27 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.28 DOC 346.28 Medical records. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to medical records of juveniles, including all of the following components:

DOC 346.28(1) (1) Juvenile medical records shall be kept separate from other records, including custodial and adult records, and shall be maintained in a confidential manner in accordance with ss. 51.30, 146.82, and 252.15, Stats., and other applicable state or federal laws.

DOC 346.28(2) (2) Records shall be maintained in locked storage and accessible only by designated staff.

DOC 346.28(3) (3) No person except those authorized under s. 51.30 or 146.82, Stats., or other applicable state or federal law may have access to information in the records or be permitted to inspect the records.

DOC 346.28(4) (4) Whenever a person is allowed access to a juvenile’s confidential medical record, a notation shall be made in the file which includes the person’s name, date of access and authorization for access.

DOC 346.28 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.29 DOC 346.29 Nutrition. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the nutrition of juveniles, including all of the following components:

DOC 346.29(1) (1) The facility shall provide nutritious and quality food for all juveniles. Menus shall satisfy generally accepted nutritional standards.

DOC 346.29(2) (2) Milk shall be offered as a beverage at every meal.

DOC 346.29(3) (3) A juvenile may abstain from any foods that violate the juvenile’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. (1).

DOC 346.29(4) (4) Daily menus of food actually served shall be kept on file for at least 60 days and shall be made available to the department upon request.

DOC 346.29(5) (5) Menus and portion sizes shall be reviewed at least annually by a dietitian to ensure compliance with nationally recommended food allowances. Reports shall be available to the department upon request.

DOC 346.29(6) (6) Supplementary food or modified diet, as ordered by a physician, shall be provided for those juveniles who have special needs.

DOC 346.29(7) (7) A minimum of 3 meals, 2 of which are hot, shall be provided at regular meal times during each 24 hour period with no more than 14 hours between the evening meal and breakfast. Provided basic nutritional standards are met, the superintendent may permit variations based on weekend and holiday food service demands.

DOC 346.29 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

subch. VI of ch. DOC 346 Subchapter VI — Resources for Juveniles

Subch. VI of ch. DOC 346 Note Note: This subchapter applies to the Department of Corrections in carrying out its statutory responsibilities to regulate juvenile detention facilities, and to the Department of Children and Families to the extent DCF has authority pursuant to s. 938.485, Stats., or any other provision of ch. 938, Stats., to establish and enforce standards for services to juveniles.

DOC 346.30 DOC 346.30 Personal hygiene. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the personal hygiene of juveniles, including all of the following components:

DOC 346.30(1) (1) Toilet articles sufficient for the maintenance of cleanliness and hygiene, including but not limited to, toothpaste and toothbrush, soap, comb, toilet paper, shampoo, shaving materials, and feminine hygiene materials shall be provided. There shall be no common use of these items.

DOC 346.30(2) (2) Juveniles shall be permitted to shower on a daily basis.

DOC 346.30 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.31 DOC 346.31 Personal property. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the inventory, storage and return of a juvenile’s personal property, including all of the following components:

DOC 346.31(1) (1) Items of personal property, including money, which are taken from the juveniles shall be listed in writing, stored in a safe place and returned to the juvenile upon release. Each juvenile and an employee shall sign the written property list at the time of admission and release. If a juvenile cannot or will not sign the property list, a written notation to that effect shall be placed on the list and verified by one witness.

DOC 346.31(2) (2) Provision for the possession of authorized personal property.

DOC 346.31(3) (3) Provision for the return of juvenile’s property.

DOC 346.31(4) (4) Provision for the disposal of unclaimed or unauthorized property.

DOC 346.31 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.32 DOC 346.32 Clothing and linen. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to the clothing and linen which a juvenile is permitted to have, including all of the following:

DOC 346.32(1) (1) Clothing. All of the following shall be provided:

DOC 346.32(1)(a) (a) A set of clean clothing if juveniles are not allowed to wear their personal clothing.

DOC 346.32(1)(b) (b) Clean undergarments which shall be issued daily.

DOC 346.32(1)(c) (c) Clean outer garments which shall be issued a minimum of twice weekly.

DOC 346.32(2) (2) Linen. All of the following shall be provided:

DOC 346.32(2)(a) (a) A clean and sanitized, fire-retardant mattress and pillow, including integrated units, which shall be kept clean and in good repair.

DOC 346.32(2)(b) (b) Two sheets or one sheet and one mattress cover and pillowcases, which shall be exchanged and cleaned weekly.

DOC 346.32(2)(c) (c) A towel and washcloth, which shall be exchanged and cleaned twice weekly.

DOC 346.32(2)(d) (d) A clean, fire-retardant blanket, which shall be laundered monthly and before reissue to another juvenile.

DOC 346.32 History History: CR 09-039: cr. Register October 2010 No. 658, eff. 11-1-10.

DOC 346.33 DOC 346.33 Mail. The operational plan under s. DOC 346.04 shall contain policies and procedures relating to written contact between juveniles and their families, friends, attorneys, the court system, governmental officials and others, including all of the following components:

DOC 346.33(1) (1) The amount of mail a juvenile may send or receive may not be limited unless the reasons for such limitation are documented in the juvenile’s record.

DOC 346.33(2) (2) Privileged correspondence may not be limited.

DOC 346.33(3) (3) Mail to the juvenile shall be delivered on the same day that it is received at the facility.

DOC 346.33(4) (4) Appropriate writing materials shall be provided to juveniles upon request.

DOC 346.33(5) (5) Postage for a minimum of 2 non-privileged letters a week shall be provided for each juvenile. Postage for privileged correspondence may not be limited.

DOC 346.33(6) (6) Incoming privileged mail may be opened and inspected in the presence of the juvenile to whom the mail is addressed. Privileged mail may not be read.