Ariz. Admin. Code § 21-7-211

Current through Register Vol. 31, No. 2, January 10, 2025

Section R21-7-211 - Admission and Intake; Criteria; Process; Restrictions

A. The licensee shall have a written policy and procedure describing the process and requirements for both regular and emergency admissions and intake. The policy shall include the provisions listed in this subsection.

1. The licensee shall have a method to allow a child to participate in admission and intake decisions, including selection of living unit, if developmentally appropriate and consistent with the licensee's program;

2. The licensee shall provide the Placing Entity or, if there is no Placing Entity, parent or guardian who placed the child with the Agency with a reasonable opportunity to participate in admission and intake decisions;

3. For an emergency admission the licensee shall have documentation that attempts were made to obtain the following:

a. A written agreement with the child's Placing Entity,

b. A court order, or

c. The written consent of the child's custodial parent or guardian;

4. The licensee shall obtain any available medical information about the child before or at the time of the child's admission. The information shall include the following, if available to the licensee:

a. A report of a medical examination of the child performed within 45 calendar days prior to admission;

b. A report of a dental examination of the child performed within six months prior to admission; and

c. The child's and child's family's medical history;

5. The licensee shall comply with the requirements of R21-7-224 to obtain an examination;

6. At the time of or prior to admission, the licensee shall obtain written consent from the Placing Entity, or if there is no Placing Entity the child's parent or guardian, for the licensee to authorize routine medical and dental procedures for the child;

7. If a child is taking medication at the time of admission, the licensee shall:

a. Document in the child's medical record required by R21-7-121 and the medication administration schedule required by R21-7-226; and

b. Administer medication, prescribed or over-the-counter, only if it is in the original container, and if applicable, labeled by the dispensing pharmacy with a fill date, prescribing physician, and instructions for administration; or

c. Schedule a medical appointment immediately if the medication is not its original container, and if applicable, labeled by the dispensing pharmacy with a fill date, prescribing physician, and instructions for administration; and

8. Within 24 hours of a child's admission, a licensed medical professional or staff who has the training listed in R21-7-132, shall complete a child's initial wellness screening, to include:

a. A visual inspection of the child for signs of obvious physical injury and symptoms of disease or illness;

b. An assessment of the child for evidence of apparent vision and hearing problems; and

c. The documentation of any condition or problem and referring the child for immediate or further assessment or treatment, if indicated.

B. Intake Assessment:

1. Prior to admitting a child into a facility, a licensee shall:

a. Ensure the child has a current intake assessment covering the child's social, health, educational, legal, family, behavioral, psychological, and developmental history; or

b. Completes such an assessment within seven workdays following the child's admission;

2. In this subsection, "current" means within the six months prior to admission.

C. The licensee shall not admit a person who is age 18 or older, except a licensee may provide care for a young adult less than 21 years of age who was a child in care and turned 18 while in care as long as the young adult is currently enrolled in and regularly attending a high school program, vocational training program or post-secondary education or meets criteria in A.R.S. § 8-521.02 and continues to reside in a Child Welfare Agency under an individual case plan agreement for out of home care.

1. A child who turns 18 and continues to reside in care is not required to obtain a Level One fingerprint clearance card.

2. A young adult who exits and re-enters care under A.R.S. § 8-521.02 is not required to obtain a Level One fingerprint clearance card.

3. A licensee who provides care for a young adult who is continuing in care shall adhere to all requirements of this Chapter.

D. The licensee shall obtain written approval from the Department prior to admitting a child who does not fall within the licensee's admission criteria.

Ariz. Admin. Code § R21-7-211

New Section made by final rulemaking at 29 A.A.R. 2231, effective 11/6/2023.