Chapter DOC 347

DOC 347.16(2) (2) Verify the authority to release the youth.

DOC 347.16 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

subch. IV of ch. DOC 347 Subchapter IV — Staffing

DOC 347.17 DOC 347.17 Staffing. The facility shall develop, implement, and document a staffing plan that identifies and provides for sufficient staff at the facility to provide adequate and continuous supervision of youth including all of the following:

DOC 347.17(1) (1) A supervisor or designee physically on-site during every shift at the facility.

DOC 347.17(2) (2) Adequate staff to provide for the direct supervision of youth in living units and other areas where youth are present. The use of a video monitoring system shall not be used to replace direct staff supervision.

DOC 347.17(3) (3) Staff ratios of a minimum of one staff member supervising 8 youth during waking hours and one staff member supervising 16 youth during sleeping hours, except during exigent circumstances. The facility shall document the exigent circumstances.

DOC 347.17(4) (4) Whenever there is a youth in the facility, at least one staff member of the same gender as the youth on duty at the facility.

DOC 347.17 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.18 DOC 347.18 Training.

DOC 347.18(1) (1) Orientation. Before a new staff member is permitted to work independently with youth, the facility shall provide at least 40 hours of orientation training for the new staff member including all of the following areas:

DOC 347.18(1)(a) (a) Facility policies and procedures.

DOC 347.18(1)(b) (b) Facility operations and facility emergencies.

DOC 347.18(1)(c) (c) Rules under this chapter.

DOC 347.18(1)(d) (d) Youth grievance procedures under s. DOC 347.38.

DOC 347.18(1)(e) (e) First aid, use of an automated external defibrillator, and use of other emergency equipment.

DOC 347.18(1)(f) (f) Adolescent brain development.

DOC 347.18(1)(g) (g) Trauma-informed care and resiliency.

DOC 347.18(1)(h) (h) Positive behavior management, de-escalation techniques, and conflict management.

DOC 347.18(1)(i) (i) Sexual abuse and sexual harassment prevention, detection, and response.

DOC 347.18(1)(j) (j) Sex trafficking.

DOC 347.18(1)(k) (k) Suicide and self-harm prevention.

DOC 347.18(1)(L) (L) Laws on confidentiality of personally identifiable information.

DOC 347.18(1)(m) (m) Mandatory reporting requirements under s. 48.981 (2), Stats.

DOC 347.18(2) (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.

DOC 347.18(3) (3) Annual training. Security staff shall receive at least 24 hours of annual training including all of the following:

DOC 347.18(3)(a) (a) Care and custody of youth.

DOC 347.18(3)(b) (b) Trauma-informed care and resiliency.

DOC 347.18(3)(c) (c) Two hours of suicide and self-harm prevention.

DOC 347.18(3)(d) (d) Mental health and crisis intervention.

DOC 347.18(3)(e) (e) Administration of medications.

DOC 347.18(3)(f) (f) Health screening of youth at the time of admission.

DOC 347.18(3)(g) (g) Use of restraints and security control devices.

DOC 347.18(3)(h) (h) Fire safety, evacuation procedures, and use of self-contained breathing apparatus.

DOC 347.18(3)(i) (i) Positive behavior management, de-escalation techniques, and conflict management.

DOC 347.18(3)(j) (j) The facility’s use of force policies and procedures.

DOC 347.18(4) (4) Documentation. All staff training shall be documented.

DOC 347.18 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

subch. V of ch. DOC 347 Subchapter V — Food Service and Nutrition

DOC 347.19 DOC 347.19 Food service.

DOC 347.19(1) (1) Sanitation. The kitchen area and all equipment shall be maintained in a sanitary condition.

DOC 347.19(2) (2) Food safety.

DOC 347.19(2)(a) (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.

DOC 347.19(2)(b) (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.

DOC 347.19(2)(c) (c) Food and drink shall be protected from contamination. Meals shall be covered during transit to and within the facility.

DOC 347.19(2)(d) (d) Food temperatures shall be properly maintained and documented daily.

DOC 347.19(2)(e) (e) Kitchen storage and dishwashing equipment temperatures shall be monitored and documented daily.

DOC 347.19(2)(f) (f) Garbage containers shall be covered, emptied daily, and kept clean.

DOC 347.19(2)(g) (g) Cleaning agents shall be stored separately from food service items.

DOC 347.19(3) (3) Inventory. There shall be a documented inventory accounting for all sharps, tools, and utensils at all times.

DOC 347.19(4) (4) Inspection.

DOC 347.19(4)(a) (a) Internal monthly inspection of all food service areas shall be conducted and documented.

DOC 347.19(4)(b) (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.

DOC 347.19 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.20 DOC 347.20 Meals.

DOC 347.20(1) (1) The facility shall provide nutritious and quality food for all youth.

DOC 347.20(2) (2) The facility shall develop menus that satisfy generally accepted nutritional standards.

DOC 347.20(3) (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.

DOC 347.20(4) (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).

DOC 347.20(5) (5) Special diets are provided as prescribed by a qualified health care professional.

DOC 347.20(6) (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.

DOC 347.20(7) (7) Youth shall eat meals in a cafeteria or common area unless approved by a supervisor or designee.

DOC 347.20 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

subch. VI of ch. DOC 347 Subchapter VI — Health and Mental Health Care

DOC 347.21 DOC 347.21 Health screening.

DOC 347.21(1) (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.

DOC 347.21(2) (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.

DOC 347.21(3) (3) The health screening shall be conducted in a confidential setting upon the youth’s admission.

DOC 347.21(4) (4) If urgent concerns are identified during the health screening, referrals to medical, mental health, or supervisory staff shall be immediate.

DOC 347.21(5) (5) A qualified health care professional shall review the health screening within 72 hours. The review shall be documented.

DOC 347.21(6) (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.

DOC 347.21(7) (7) Documentation of health screening results and subsequent review of the health screening form shall be maintained in the youth’s confidential medical record.

DOC 347.21 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.22 DOC 347.22 Health care assessment.

DOC 347.22(1) (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.

DOC 347.22(2) (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.

DOC 347.22(3) (3) Documentation of health care assessment results shall be maintained in the youth’s confidential medical record.

DOC 347.22 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.23 DOC 347.23 Medical care.

DOC 347.23(1) (1) The facility shall provide youth medical care under s. 938.505 (1), Stats.

DOC 347.23(2) (2) The facility shall provide youth with a schedule of access to medical care to be provided under sub. (1).

DOC 347.23(3) (3) The facility shall provide access and arrange for transportation to emergency medical care services.

DOC 347.23(4) (4) All licensed or certified health care professionals shall provide services in accordance with the standards of practice established by the applicable regulatory body.

DOC 347.23(5) (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.

DOC 347.23(6) (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.

DOC 347.23(7) (7) The facility shall allow for submission and screening of medical requests on a daily basis.

DOC 347.23(8) (8) When practicable, the facility shall be in contact with a youth’s personal physician.

DOC 347.23(9) (9) The facility’s provision of medical care shall ensure access to all of the following:

DOC 347.23(9)(a) (a) Pregnancy management.