DCF 52.21(3)(d)2.a. a. Center program compatibility among residents.

DCF 52.21(3)(d)2.b. b. Age appropriate grouping in center activities and living arrangements.

DCF 52.21(3)(d)2.c. c. Transition-to-independence planning.

DCF 52.21(4) (4) Service contracts. As permitted under s. 48.61 (2), Stats., a center may enter into a contract with a prospective resident’s parent or guardian or a contract or other agreement with the prospective resident’s legal custodian or placing person or agency, if not the same, for the center to provide services for a person admitted to the center. The center shall maintain all service contracts and agreements for a resident either in the resident’s treatment record or in an administrative record. A contract or other agreement shall include all of the following:

DCF 52.21(4)(a) (a) Expectations and responsibilities of both parties, including a clear division of responsibility and authority between the center and the parent or guardian, legal custodian and placing person or agency, if not the same, for decisions on resident treatment plan services and activities, including any changes in them, both inside and outside the center, as described in the resident’s treatment plan under s. DCF 52.22 (2) (b).

DCF 52.21(4)(b) (b) The financial arrangements for the resident, and provision for periodic review of case plan progress under s. DCF 52.22 (3).

DCF 52.21(4)(c) (c) Visiting plans by parents and other persons important to the resident.

DCF 52.21(5) (5) Informed consent for medical and dental services.

DCF 52.21(5)(a) (a) Before a center may admit a prospective resident, the center shall obtain written, signed informed consent that gives the center health care consultant or resident’s physician the following authority:

DCF 52.21(5)(a)1. 1. Authority to order or provide to the resident routine medical services and procedures, including scheduled immunizations and dental services and non-prescription and prescription medications.

DCF 52.21(5)(a)2. 2. Authority to delegate and supervise administration of medications by center-authorized staff and for staff to handle and provide the medication to the resident and observe self-administration of the medication by the resident.

DCF 52.21(5)(a)3. 3. Authority to obtain other medical information on the resident.

DCF 52.21(5)(a)4. 4. Authority to provide or order when there is a life-threatening situation, emergency medical procedures, including surgery, when it is not possible to immediately reach the person or authority authorized to give signed written specific informed consent.

DCF 52.21(5)(b) (b) The consent under par. (a) does not cover administration of psychotropic medications, major surgery not of an emergency nature or major dental work. Consent for these shall be obtained in accordance with the provisions of this chapter.

DCF 52.21(6) (6) Pre-placement visit. A center shall arrange, whenever possible, with the placing person or agency for a pre-placement visit for the prospective resident and, whenever possible, shall invite the parent or guardian to participate. During a pre-placement visit, center staff shall provide the prospective resident and the prospective resident’s parent or guardian with an orientation to the center’s program.

DCF 52.21(7) (7) Adjustment facilitation. At the time of admission, center staff shall do all of the following:

DCF 52.21(7)(a) (a) Orient the new resident and the resident’s parent or guardian and legal custodian to the center’s facilities and program, if this was not done under sub. (6).

DCF 52.21(7)(b) (b) Help the new resident to adjust to the effects of separation from family and to center placement.

DCF 52.21(7)(c) (c) Give the new resident and the resident’s parent or guardian and legal custodian copies of the house rules, including rules on visiting, expected behavior and sanctions for misbehaving and resident rights and grievance and complaint procedures, with explanations of them.

DCF 52.21(8) (8) Health screening.

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 Note Note: 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 History History: 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 52.22 DCF 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: