DCF 57.13 Note Note: Information regarding reportable communicable diseases can be obtained from local county public health departments.

DCF 57.13(1)(i) (i) A condition or situation that requires the removal of residents from the group home or the closure of the group home.

DCF 57.13(1)(j) (j) Any physical damage to the premises that would affect compliance with this chapter including any structural damage that would affect the safe shelter of residents or any failure in the heating, cooling, electrical, plumbing, or smoke or fire detection system that is not repaired or that cannot be repaired within 24 hours after the failure occurs or becomes known.

DCF 57.13(1)(k) (k) A fire on the premises that requires the services of a fire department.

DCF 57.13 Note Note: Form CFS2146, Serious Incident Report, is available in the forms section of the department website, http://dcf.wisconsin.gov or by calling or writing any field office in Appendix A.

DCF 57.13(2) (2) Discharge of residents from out-of-state. At the end of each month, the licensee shall report in writing to the department’s interstate compact office of each resident from out-of-state that is discharged from the group home that month. The report shall include all of the information specified in s. DCF 57.20 (1) (a) to (e).

DCF 57.13 Note Note: Reports of discharged residents from out-of-state may be mailed or faxed to Interstate Compact on Placement of Children, Division of Safety and Permanence, 1 West Wilson St., P.O. Box 8916, Madison, WI 53708-8916. The facsimile number is [phone].

DCF 57.13(3) (3) Vehicle accidents. Within 7 calendar days after an accident involving a vehicle transporting a resident, the licensee shall submit a copy of any resulting police report to the department.

DCF 57.13(4) (4) Placement of juvenile offenders. The group home shall notify the department field office that serves the group home in writing, by phone, or facsimile within 48 hours of the admission of each serious juvenile offender as defined in s. DCF 57.04 (38) unless that is the primary client group served by the group home.

DCF 57.13(5) (5) Behavior intervention. A licensee shall report to the department each incident of physical restraints used with a resident within 72 hours of each occurrence.

DCF 57.13 Note Note: To report use of physical restraint, use form CFS2146, Serious Incident Report, which is available in the forms section of the Department’s website at http://dcf.wisconsin.gov or by writing or telephoning any one of the field offices listed in Appendix A.

DCF 57.13(6) (6) Proof of insurance. The licensee shall annually submit to the department proof of insurance purchased and maintained pursuant to s. DCF 57.08.

DCF 57.13(7) (7) Discontinuing or changing operations.

DCF 57.13(7)(a) (a) The licensee shall notify the department in writing at least 30 calendar days before discontinuing operation of a group home. The notice shall include the discharge summary specified in s. DCF 57.20 (1) and the post-discharge plan required under s. DCF 57.23 (3) (b), for each resident

DCF 57.13(7)(b) (b) The licensee of a corporation-operated group home shall notify the department within 30 calendar days of any change in the executive responsible for the group home, the chairperson of the board or in the corporate structure.

DCF 57.13(8) (8) Plans of correction. If requested by the department, the licensee shall submit a plan of correction for cited violations of this chapter or ch. 48, Stats., in a format provided by the department. The plan of correction must be received by the date specified by the department and be approved by the licensing representative.

DCF 57.13 Note Note: The licensing representative will notify the licensee at the conclusion of a licensing visit or within 10 working days after the licensing visit, if a plan of correction is required, the date the plan of correction is to be received by the department, and format.

DCF 57.13(9) (9) Fire safety inspection. The licensee shall submit annually to the department, the results of the fire safety inspection required under s. DCF 57.42 (4).

DCF 57.13(10) (10) Background information reporting.

DCF 57.13(10)(a) (a) When an individual that is not a client becomes a household member or is expected to become a household member, the licensee, as soon as possible, but no later than the department’s next business day, shall submit to the department a background information disclosure form for the individual.

DCF 57.13 Note Note: DCF-F-2978-E, Background Information Disclosure, is available in the forms section of the department website, http://dcf.wisconsin.gov, or by calling or writing any field office in Appendix A.

DCF 57.13(10)(b) (b) As soon as possible but no later than the department’s next business day, the licensee shall report to the department for the licensee and each household member who is 10 years old or older all of the following background changes:

DCF 57.13(10)(b)1. 1. The person has been convicted of any crime.

DCF 57.13(10)(b)2. 2. The person has been or is being investigated by any governmental agency for any act, offense or omission, including an investigation related to the abuse or neglect, or threat of abuse or neglect, to a resident or other individual; or an investigation related to misappropriation of a client’s property.

DCF 57.13(10)(b)3. 3. The person has a governmental finding substantiated against them of abuse or neglect of a client or of misappropriation of property.

DCF 57.13(10)(b)4. 4. In the case of a position for which the person must be credentialed by the department of safety and professional services, the person has been denied a license or the person’s license has been restricted or otherwise limited.

DCF 57.13(10)(b)5. 5. The person has pending criminal charges.

DCF 57.13(11) (11) Well water nitrate levels. For group homes with expectant mothers or infants under 6 months old, the licensee shall report water nitrate levels as required in ss. DCF 57.36 (8) and 57.37 (8).

DCF 57.13 Note Note: Reports submitted under this section should be submitted to the field office listed in Appendix A that serves the group home.