016.22.16 Ark. Code R. 001

Current through Register Vol. 49, No. 10, October, 2024

Rule 016.22.16-001 - Minimum Licensing Standards for Child Welfare Agencies- Residential and Placement

INTRODUCTION

"The Child Welfare Licensing Act," Ark. Code Ann. 9-28-401 et. seq., (the Act) is the legal authority under which the Child Welfare Agency Review Board establishes minimum licensing standards for child welfare agencies, as defined under the statute.

Child Welfare Agency Review Board

The Child Welfare Agency Review Board (Board) shall promulgate and publish rules and regulations setting minimum standards governing the granting, revocation, refusal, conversion, and suspension of licenses for a child welfare agency and the operation of a child welfare agency.

The Board may consult with such other agencies, organizations, or individuals as it shall deem proper.

The Board may amend the rules and regulations promulgated pursuant to this section from time to time, in accordance with the rule promulgation procedures in the Arkansas Administrative Procedure Act, § 25-15-201et seq.

The Board shall promulgate rules and regulations that:

1. Promote the health, safety, and welfare of children in the care of a child welfare agency;

2. Promote safe and healthy physical facilities;

3. Ensure adequate supervision of the children by capable, qualified, and healthy individuals;

4. Ensure appropriate educational programs and activities for children in the care of a child welfare agency;

5. Ensure adequate and healthy food service;

6. Include procedures for the receipt, recordation, and disposition of complaints regarding allegations of violations of this subchapter, of the rules promulgated under the Child Welfare Agency Licensing Act, or of child maltreatment laws;

7. Include procedures for the assessment of child and family needs and for the delivery of services designed to enable each child to grow and develop in a permanent family setting;

8. Ensure that criminal record checks and central registry checks are completed on owners, operators, employees, volunteers, foster parents, adoptive parents, and other persons in the homes as set forth in this subchapter;

9. Require the compilation of reports and making those reports available to the division when the board determines it is necessary for compliance determination or data compilation;

10. Establish rules governing retention of licensing records maintained by the division.

A licensed Child Welfare Agency may adopt and apply internal operating procedures that meet or exceed the minimum standards required by the board.

The Arkansas Administrative Procedure Act, Ark. Code Ann. 25-15-201 et seq., shall apply to all proceedings brought to the Board under this subchapter, except that the following provisions shall control during adverse action hearings to the extent that they conflict with the Arkansas Administrative Procedure Act:

1. All parties to an adverse action shall be entitled to engage in and use formal discovery as provided for in Rules 26, 28, 29, 30, 31, 32, 33, 34, and 36 of the Arkansas Rules of Civil Procedure including:

a. Requests for admission;

b. Request for production of documents and things;

c. Written interrogatories;

d. Oral and written depositions.

2. All evidentiary rulings in an adverse action hearing shall be governed by the Arkansas Rules of Evidence with respect to the following types of evidence:

a. The requirements of personal knowledge of a witness as required by Rule 602;

b. The admissibility of character evidence as set forth by Rules 608 and 609;

c. The admissibility of character evidence as set forth by Rules 701-703;

d. The admissibility of hearsay evidence as set forth by Rules 801-806.

Residential Agencies Requiring Licensing

Any person, organization, corporation, partnership, voluntary association or other entity which provides care, training, education, custody, supervision for a total of six (6) or more unrelated minors on a twenty-four (24) hour basis, or receives a child victim of human trafficking in any type of shelter or facility, and is not otherwise exempt by the Act, requires a license.

Residential Types of Licenses

Emergency Residential Child Care Facility

Any child welfare agency that provides twenty-four (24) hour custodial care for six (6) or more unrelated children or a child victim of human trafficking on an emergency basis, not to exceed ninety (90) days. Any child admitted as an emergency placement shall be designated as such and shall be discharged within ninety (90) days.

Emergency Family Style Care

Any child welfare agency that provides twenty-four (24) hour custodial care, in a home like setting, for six (6) or more unrelated children or a child victim of human trafficking on an emergency basis, not to exceed ninety (90) days.

Residential Child Care Facility

Any child welfare agency that provides care, training, education, custody or supervision on a twenty-four (24) hour basis for six (6) or more unrelated minors.

Residential Family Style Care

Any child welfare agency that provides care, training, education, custody or supervision, in a home like setting, on a twenty-four (24) hour basis for six (6) or more unrelated minors or a child victim of human trafficking.

Psychiatric Residential Treatment Facility

A residential child care facility in a non-hospital setting that provides a structured, systematic, therapeutic program of treatment under the supervision of a physician licensed by the Arkansas State Medical Board who has experience in the practice of psychiatry. It is for children who are emotionally disturbed and in need of daily nursing services, physician's supervision and residential care, but who are not in an acute phase of illness requiring the services of an inpatient psychiatric hospital.

Sexual Rehabilitative Program

A treatment program that offers a specific and specialized therapeutic program for children with sexually maladaptive behaviors. A licensed sexual rehabilitative program may be in a residential childcare facility, a therapeutic foster care home, or a psychiatric residential treatment facility.

Independent Living

A child welfare agency that provides specialized services in adult living preparation in an experiential setting for persons sixteen (16) years of age or older.

Independent Living Family Style Care

A child welfare agency that provides specialized services in adult living preparation in an experiential home like setting for persons sixteen (16) years of age or older.

Transitional Living

A child welfare agency that provides specialized services in adult living preparation in a structured setting for persons eighteen (18) years of age or older who have been admitted into the agency's residential program prior to the age eighteen (18).

An agency may be licensed for any or all types of licenses, depending on the types of services it provides.

License Status

The Board shall issue all licenses to child welfare agencies upon majority vote of members present during each properly called board meeting at which a quorum is present. The Board shall have the power to deny an application to operate a child welfare agency or to revoke or suspend a previously issued license to operate a child welfare agency. The Board may also issue letters of reprimand or caution to a child welfare agency. Any denial of application or revocation or suspension of a license shall be effective when made.

Provisional

Issued to a newly licensed agency for a one (1) year period, to give the agency time to demonstrate substantial compliance with minimum licensing standards. At the discretion of the Board, a provisional license may be issued up to one (1) additional year.

Probationary

Issued to an agency that has not maintained compliance with minimum licensing standards, but the Board believes that compliance can be restored and subsequently maintained. This license may be issued for up to one (1) year, at the discretion of the Board.

Regular

Issued either to a previously licensed agency that continues to meet all minimum licensing standards, or issued to an agency that meets all essential standards and has a favorable compliance history, which predicts full compliance with all standards within a reasonable time. A regular license shall remain open and effective until closed at the request of the agency or Board action.

Suspended

Board action taken when an agency has failed to maintain compliance with minimum licensing standards, but the violations do not warrant revocation. A license may not be suspended for longer than one (1) year at a time. The Board may issue a probationary or regular license when compliance is restored.

Closed

Action taken when the agency requests that the license be closed.

Revoked

Board action taken when an agency has failed to maintain compliance with minimum licensing standards. The agency may not apply for a new license for at least one (1) year from the date of revocation.

Status Change

After a board action an amended license shall be issued any time there is a change in the agency's program that affects the license type, status, capacity, ages of children served, a name change or address change.

A license to operate a child welfare agency shall apply only to the address and location stated on the application and license issued, and it shall be transferable from one holder of the license to another or from one place to another.

Whenever ownership of a controlling interest in the operation of a child welfare agency is sold, the following procedures shall be followed:

1. The seller shall notify the division of the sale at least thirty days prior to the completed sale;

2. The seller shall remain responsible for the operation of the child welfare agency until such time as the agency is closed or a license is issued to the buyer;

3. The seller shall remain liable for all penalties assessed against the child welfare agency which are imposed for violations or deficiencies occurring before the transfer of a license to the buyer;

4. The buyer shall be subject to any corrective action notices to which the seller was subject; and

5. The provisions of subsection (a) of this section, including those provisions regarding obtaining licenses or permits from the Office of Long-Term Care of the Division of Medical Services of the Department of Human Services and regarding obtaining any permits from the Health Services Permit Agency or the Health Services Permit Commission shall apply in their entirety to the new owner of the Child Welfare Agency.

The Child Placement Agency shall inform current and potential clients if their license has been suspended or revoked, or if they have voluntarily surrendered their license.

How To Apply The Standards

Section 100 of the Minimum Licensing Standards for Child Welfare Agenciesapplies to all agencies. Subsequent sections apply to specific types of residential agencies. The agency shall meet the license requirements of its agency category.

Special Consideration

The Child Welfare Agency Review Board may approve an agency's request for special consideration to allow a licensee to deviate from the letter of a rule if the licensee has demonstrated that the deviation is in the best interest of the children and does not pose a risk to persons served by the licensee.

If the board grants a request for special consideration, the child welfare agency's practice as described in the request shall be the compliance terms under which the child welfare agency will be held responsible and violations of those terms shall constitute a rule violation.

The Child Welfare Agency Review Board has authorized the Managers and Supervisors of the Licensing Unit to make temporary rulings regarding special consideration requests when the best interests of a child requires an immediate decision, subject to final approval at the next regularly scheduled meeting of the Board.

Alternative Compliance

The Board may grant an agency's request for alternative compliance upon a finding that the agency does not meet the letter of a regulation promulgated under the Child Welfare Agency Licensing Act, but that the agency meets or exceeds the intent of that rule through alternative means.

If the board grants a request for alternative compliance, the agency's practice as described in the request for alternative compliance shall be the compliance terms under which the agency will be held responsible and violations of those terms shall constitute a rule violation.

The Child Welfare Agency Review Board has authorized the Managers and Supervisors of the Licensing Unit to make temporary rulings regarding Alternative Compliance requests when the best interests of a child requires an immediate decision, subject to final approval at the next regularly scheduled meeting of the Board.

Alternative Compliance requests granted in the areas listed below shall be time limited and shall not exceed two (2) years in length. These alternative compliances shall be monitored on an ongoing basis for compliance and shall be reviewed by the Board every two (2) years.

1. Staff to Child ratio;

2. Capacity;

3. Sleeping arrangements;

4. Bathrooms.

100 GENERAL REQUIREMENTS

The standards in Section 100 apply to all agencies unless otherwise indicated.

101 Applications & Licensing Procedure

1. The owner or board shall prepare and furnish an application packet for a license that contains the following:

a. A completed application form;

b. A letter from the agency's board or owner (as applicable) authorizing a person to sign the application;

c. A copy of the Articles of Incorporation, bylaws, and current board roster, if applicable, including names, addresses, and contact information of officers. Out of state agencies shall have legal authorization from the Arkansas Secretary of State to do business in Arkansas;

d. A personnel list with verifications of qualifications and experience;

e. Substantiation of the agency's financial soundness. This shall include but is not limited to: a budget showing sufficient resources to operate for a period of six (6) months either with resources on hand or with projected revenue from verifiable sources, verifiable letters of financial support and/or monthly bank account statements may be included to project income;

f. Proof of general and professional liability insurance (does not apply to State agencies);

g. A written description of the agency's program of care, including intake policies, types of services offered, and a written plan for providing health care services to children in care;

h. Fire inspection;

i. Arkansas Department of Health inspection, including food service inspection, septic/sewage inspection, non-municipal water sources and general sanitation inspection, as applicable;

j. Floor plan with room dimensions;

k. Zoning approval, where applicable;

l. Any additional information requested by the Licensing Specialist to verify compliance with these standards and to make a recommendation regarding the granting of a license.

2. Once a completed application packet has been received, the Division shall complete a licensing study and recommendation within ninety (90) days. If a recommendation is not made within ninety (90) days, the applicant may appear before the Board to request a license.

102Organization & Administration

1. The agency shall obtain a license before receiving six (6) or more children who are unrelated to the caregiver for care on a twenty-four hour basis, or receives a child victim of human trafficking in any type of shelter or facility.

2. The purpose and mission of the agency, including treatment philosophy, services provided, and characteristics of children it is designed to serve, shall be stated in writing.

3. The following policies of the agency shall be current and available to all employees of the agency and the Licensing Specialist:

a. Personnel policies;

b. Volunteer policy;

c. Student intern policy;

d. Admission policy;

e. Intake policy;

f Behavior Management policy;

g. Crisis Management policy;

h. Child Maltreatment/Mandated Reporter policy; according to Arkansas law, including, procedures to ensure that alleged, suspected, or witnessed incidents of maltreatment are reported to the Child Maltreatment Hotline, and documented as required by these or other applicable regulations or laws;

i. Child Exploitation policy;

j. Visitation policy;

k. Family Therapy/Therapeutic Pass policy (Psychiatric only);

l. Admission Health Assessments policy (Psychiatric only);

m. Public Safety policy (Sexual Rehabilitative Programs only);

n. Target Population, Admission/Exclusion Criteria, and Discharge Criteria policy (Sexual Rehabilitative Programs only).

4. If cameras are used for security or surveillance, the agency shall have written policy governing their use, including the following:

a. Access to the live viewing or recordings is limited to:

* Persons approved by the Administrator,

* Law enforcement,

* Division of Children and Family Services Investigators,

* Division of Children and Family Services personnel as approved or designated by the Director,

* and regulatory authorities;

b. The placing authority and the child shall be informed regarding the use of cameras;

c. Cameras shall not be used to observe or record children while toileting, bathing, dressing or undressing.

5. The agency shall be legally authorized to conduct business in Arkansas by state law and local ordinance.

6. The agency shall provide copies of all programmatic licenses, certifications, and accreditations held by the agency.

7. The agency shall meet all federal, state, and local laws and ordinances that apply to child welfare agencies and to the proper care of children in such facilities.

8. The Owner and/or Board of Directors shall be responsible for operating the facility and shall have final responsibility to ensure that the facility meets licensing requirements. Names and addresses of Board members shall be provided to the Licensing Specialist annually.

9. The agency shall maintain a current organizational chart showing the administrative structure of the organization.

10. The agency shall maintain proof of current general and professional liability insurance.

11. The agency shall notify the Licensing Unit within five (5) days of any change of Administrator, Social Service Director, or Clinical Director.

12. The agency shall establish and follow written policies and procedures that meet or exceed the Minimum Licensing Standards for Child Welfare Agencies.

13. Agencies applying for an Arkansas license shall provide proof that they are licensed in good standing in their home state, if applicable, and are in good standing in all other states where they are licensed. If an agency is being disciplined or sanctioned in another jurisdiction, the board shall be notified.

14. Agencies licensed in Arkansas after January 18, 2002 shall have an office in Arkansas.

15. Agencies licensed in Arkansas shall maintain all required files for licensing review as needed. They may choose to:

a. Maintain these files in their office in Arkansas; or

b. Arrange to provide the required files to the licensing staff

16. Agencies licensed in Arkansas shall have a qualified person on call to supervise emergency services. [Pursuant to 104]

17. A residential child care facility license shall not be granted to an applicant to operate the facility in his/her own residence, or in a home owned and occupied by an employee of the agency.

18. If electronic records are kept, these records shall be made available to the Licensing Specialist for purposes of monitoring and investigation.

19. Any disciplinary action taken against the agency by another jurisdiction shall be reported to the Licensing Unit.

20. If an agency is inactive for one (1) year the license shall be closed in good standing, unless the agency requests annually in writing that the license remains open. This request shall be approved by the CWARB.

21. If a facility has been inactive for more than six (6) months, the Licensing Unit shall be notified before children are taken into care.

22. If a facility becomes inactive, the Licensing Unit shall be notified within 30 days.

23. The agency shall not permit, aid, or abet an unlicensed person to perform activities requiring a license.

24. The agency shall not misrepresent the type or status of education, training, expertise, licensure, or professional affiliations.

103Central Registry & Criminal Record Checks

1. The agency shall conduct background checks as required by the Child Welfare Agency Licensing Act (§ 9-28-409) using forms approved by the Licensing Unit. Background checks conducted by or for other licensing authorities (e.g., Office of Long Term Care, Division of Developmental Services, et.al) do not meet the requirement of this standard.

2. The following persons in a child welfare agency shall be checked with the Child Maltreatment Central Registry in his state of residence, if available, and any state of residence in which the person has lived for the past five (5) years, and in the person's state of employment, if different, for reports of child maltreatment:

a. Employees, having direct and unsupervised contact with children;

b. House parents and each member of the household age fourteen years and older;

c. Volunteers, mentors, sponsors and student interns having direct and unsupervised contact with children;

d. Owners having direct and unsupervised contact with children;

e. Members of the agency's board of directors having direct and unsupervised contact with children.

3. Persons required to have the Child Maltreatment Central Registry Check shall repeat the check every two (2) years.

4. Any person found to have a record of child maltreatment shall be reviewed by the owner or administrator of the agency, in consultation with the Child Welfare Agency Review Board or its designee, to determine corrective action. Corrective action may include, but is not limited to, counseling, training, probationary employment, non-selection for employment, or termination.

5. The following persons in a Child Welfare Agency shall be checked with the Identification Bureau of the Arkansas State Police for convictions of offenses listed in Arkansas Code Annotated 9-28-409:

a. Employees having direct and unsupervised contact with children;

b. Volunteers, mentors, sponsors, and student interns having direct and unsupervised contact with children;

c. House parents, and each member of the household age eighteen (18) years and older. The house parents shall certify in writing annually whether or not household members age fourteen (14) thru seventeen (17) have criminal records;

d. Owners having direct and unsupervised contact with children;

e. Members of the agency's board of directors having direct and unsupervised contact with children.

6. If any person (listed in #5 above) has not resided in Arkansas continuously for the past five (5) years, a record check with the Federal Bureau of Investigation shall be completed.

7. All persons required to be checked with the Department of Arkansas State Police under this subsection shall repeat the check at a minimum of every five (5) years.

8. Child Maltreatment Central Registry Checks and Arkansas State Police/FBI Criminal Record Checks shall be initiated within ten (10) days of employment.

9. The agency shall provide a copy of the Federal Bureau of Investigation Criminal Record Check form and the Arkansas State Police Criminal Record Check form to the Licensing Office upon initiation.

10. The agency shall maintain on file evidence that background checks have been initiated as required and results of the completed checks.

11. No person guilty of an excluded criminal offense pursuant to A.C.A. §9-28-409 shall be permitted to have direct and unsupervised contact with children, except as provided in the statute.

12. A child welfare agency shall immediately notify the Licensing Unit when a person(s) listed in #5 above is found to have a record of an excluded criminal offense.

104 General Personnel Requirements

All personnel employed on or after April 12, 1999 shall meet the following requirements:

1. The agency shall have an administrator who shall be responsible for the general management of the agency, possessing at least one of the following qualifications [Only "a" and "b" meet requirements for Psychiatric facilities]:

a. A doctorate degree;

b. A master's degree in a human services field (child development, psychology, sociology, social work, guidance and counseling, divinity, education), administration, business, or a related field;

c. A bachelor's degree in a human services field, administration, business, or a related field, and at least two (2) years of work experience in a human services agency.

2. The agency shall have a Social Services Director who shall supervise child placement activities and/or casework services by the agency, possessing at least one of the following qualifications (Psychiatric facilities see section 906 and Sexual Rehabilitative Program see 1006):

a. A master's degree or higher in a human services field (child development, psychology, sociology, social work, counseling and guidance, divinity, education);

b. A bachelor's degree in a human services field and two (2) years of work experience in a child welfare agency;

c. Anyone permitted to supervise child placement or casework services shall meet the qualifications for Social Services Director.

3. Each agency shall have a caseworker who is responsible for doing assessments, case planning, and casework services, possessing at least one of the following

(Psychiatric facilities see section 906):

a. A bachelor's degree in a human services field;

b. A bachelor's degree and two (2) years work experience in a human services field.

4. If casework services are contracted, the agency shall maintain all required personnel information on the contracted caseworkers.

5. A caseworker shall not have more than twenty-five (25) children's cases at a time.

105 Staff Qualifications & Training

1. Child caring staff shall be at least twenty-one (21) years old and have a high

school diploma or the equivalent.

2. Assistant child caring staff shall be at least nineteen (19) years old, have a high school diploma or the equivalent, and be under the direct supervision of regular staff (excludes psychiatric and sexual rehabilitative programs).

3. Child caring staff shall complete pre-service training prior to being counted in the staff/child ratio. This training may be counted toward training hours for the first year. This applies to personnel employed on or after January 1, 2011.

4. Pre-service training shall include but is not limited to:

a. Confidentiality;

b. Resident grievance process (psychiatric only);

c. Fire and disaster plans;

d. Suicide awareness and protocol;

e. Behavior management;

f. Crisis intervention strategies;

g. Agency policies and procedures;

h. Child Maltreatment/Mandated Reporter policy; rehabilitative only);

i One (1) hour of training on the program's safety plan (sexual

j.Minimum Licensing Standards for Child Welfare Agencies (that

pertains to license type).

5. All child caring staff shall have a current certificate of successful completion of First Aid and CPR. The training shall require hands on skill base instruction as well as practical testing. Training and certification that is provided solely on-line will not be accepted. Staff shall complete this requirement within 90 days of hire.

6. At least one (1) child caring staff currently certified in hands on, skill based CPR and First Aid must be able to immediately respond to an emergency.

7. No staff shall be allowed to participate in a physical restraint until properly trained to do so.

8. All full-time child caring staff shall have thirty (30) hours of job related in-service or workshop training each year. First aid, CPR, and in-service training at the facility may be included.

9. Child caring staff working twenty-four (24) hours a week or less shall have at least fifteen (15) hours of job related in-service or workshop training each year. First Aid, CPR, and in-service training at the facility may be included.

10. All child caring staff in Psychiatric facilities shall complete ten (10) hours of psychiatric specific training before being counted in the staff to child ratio. This applies to employees hired on or after September 1, 2016.

11. Sexual Rehabilitative program child caring staff shall receive their initial ten (10) hours of sexual rehabilitative training within sixty (60) days of employment.

12. All child caring staff in Sexual Rehabilitative programs shall have at least ten (10) hours of sexual rehabilitative training annually, which may be included in the required thirty (30) hours of annual training.

13. Documentation verifying annual training shall include the date, number of hours, the name of the source, and the topic/title.

14. The Administrator, Social Services Director, each caseworker, and each therapist of a child welfare agency shall have twenty-four (24) hours of job-related continuing education each year.

15. The agency shall maintain a personnel file for each employee, which shall include:

a. A resume or application;

b. Date of hire;

c. Verifications of qualifications;

d. Documentation of required annual training;

e. Criminal Record Check and Child Maltreatment Central Registry Check information as required by law;

f. Documentation that applicable employees are informed that they are mandated reporters of suspected child maltreatment, according to A.C.A § 12-18-402, and are provided the information needed to make a report;

g. A functional job description;

h. At least three (3) positive personal references from non-relatives.

16. All Owner/operators, employees, or volunteers in a child welfare agency shall be responsible for ensuring the proper care, treatment, safety, and supervision of the children they supervise.

106Sponsors, Mentors, Volunteers & Student Interns

1. The agency shall have a policy clearly defining the qualifications, duties, and supervision of sponsors, mentors and volunteers.

2. A sponsor is a non-relative person approved to take a child to the Sponsor's home. This does not include normal age-appropriate activities such as overnight visits with friends, extra-curricular activities, church activities, or short-term summer camps. A sponsor's record shall contain the following documentation and narrative:

a. Documentation and narrative of at least one (1) home visit for evaluation purposes prior to visitation occurring; A visual inspection of the home to ensure the home is appropriate and free of health and safety hazards;

b. At least three (3) non-relative character references;

c. Documentation of Child Maltreatment Central Registry, State Police Criminal Record Checks, and FBI Criminal Record Checks, if applicable, as required for all household members;

d. Documentation of continuing contact and an annual inspection of the sponsor's home to ensure continued compliance.

3. A mentor is a person who offers supportive services to the child on or off campus

such as, shopping, movies, sporting events, etc. A mentor's record shall contain:

a. At least three (3) non-relative character references;

b. Documentation of Child Maltreatment Central Registry Checks, State Police Criminal Record Checks, and FBI Criminal Record Checks, if applicable.

4. A volunteer is a non-paid person who donates their time and/or services to an agency or the child. A volunteer:

a. Shall have appropriate supervision by a designated staff person;

b. Who is counted in the staff/child ratio, provides direct care and substitutes as staff, shall meet all qualifications required for a paid employee in that position.

5. A student intern is a student or a recent graduate who is undergoing supervised practical training at an agency. Student interns:

a. Shall have appropriate supervision by a designated staff person;

b. Who are counted in the staff/child ratio, provide direct care and substitute as staff, shall meet all qualifications required for a paid employee in that position.

107Exploitation of Children

1. The agency shall not require a child to acknowledge dependency, destitution, or neglect or to make public statements about his/her background.

2. The agency shall not use or allow to be used, any reports, pictures, or any other information from which a child can be identified, except under the following conditions:

a. The child and the parent/guardian sign a consent form that describes the purposes for which the identification is being made;

b. The signed consent shall say in which publication or broadcast the identification will appear;

c. The parent/guardian and child shall be informed that the consent may be withdrawn.

3. All information regarding children and their families shall be kept strictly confidential and may only be released with the consent of the child or parent/guardian, except to authorized persons or agencies.

4. The agency shall document that all staff have been made aware of the need to

protect the confidentiality of children in the use of social media.

108 Ethical Standards

1. The Arkansas Child Welfare Agency Review Board sets forth this section as a

Code of Ethics/Standards for Practice for all child welfare agencies within the State of Arkansas Violations of the following shall be grounds for disciplinary action:

a. Confidentiality: In providing services, a child welfare agency shall safeguard information given by clients. A child welfare agency shall obtain the client's informed written consent before releasing confidential information, except when consent to disclose is permitted by law or required by judicial order. If the client is a minor, then the written consent shall be made with the minor and their legal representative or guardian;

b. Misrepresentation: A child welfare agency shall not misrepresent its program services or experience;

c. Client Relationships: Relationships with clients shall not be exploited by the child welfare agency staff for personal gain.

109 Unprofessional Conduct

1. Unprofessional conduct in the practice of child welfare activities shall include, but

not limited to the following:

a. Permitting, aiding, or abetting an unlicensed person to perform activities requiring a professional license;

b. Misrepresenting type or status of education, training, expertise, licensure, or professional affiliations;

c. Failing to maintain confidentiality, except as otherwise required or permitted by law, of all information that has been received from a client in confidence during the course of services;

d. Violating the ethical standards adopted by the Board;

e. Failing to report to the Licensing Unit any disciplinary action taken against the child welfare agency by another jurisdiction, domestic or international, or failing to report to the Licensing Unit the surrender of a license or loss of authorization to practice child welfare activities in another jurisdiction;

f. Failing to comply with any stipulation or agreement with the Board involving probation or a settlement of any disciplinary matters;

g. Engaging in behavior that could be viewed as sexual, dangerous, exploitative, or physically harmful to children.

110Inspections, Investigations & Corrective Action

1. The Licensing Specialist shall conduct inspections to ensure continued compliance with licensing standards.

2. The Licensing Specialist shall investigate complaints of alleged violation of licensing standards against all residential facilities, and may participate in investigations of alleged child maltreatment.

3. The agency shall cooperate with the Licensing Unit in conducting inspections and investigations, and shall provide information required to verify compliance with rules.

4. Inspections and investigations may be scheduled or unscheduled, at the discretion of the Licensing Specialist, and may be conducted outside regular working hours.

5. The frequency of inspections shall be at the discretion of the Licensing Unit, and may be based on the agency's compliance history.

6. At the discretion of the Licensing Unit, a multi-disciplinary team may be asked to advise the Licensing Specialist during initial approval or during inspections. This team may include a professional in the appropriate field.

7. Upon finding any violations of licensing standards, the Licensing Specialist shall issue to the agency a corrective action notice, which shall state:

a. A factual description of the conditions that constitute a violation of the standard;

b. The specific law or standard violated;

c. A reasonable time frame within which the violation shall be corrected.

8. The agency shall provide a written corrective action plan, when requested to do so, by the Licensing Specialist in a corrective action notice.

9. Any owner/operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being subjected to conditions or circumstances that would reasonably result in child maltreatment.

10. If a complaint of child maltreatment is filed against any owner/operator, employee, foster parent, volunteer, or other person in a child welfare agency, the agency administration shall evaluate the risk to children and determine the suitability of the person(s) to supervise, be left alone with children, have disciplinary control over children, or remain in the child welfare agency until the allegations are determined to be true or unsubstantiated. Any interim corrective action measures shall be approved by the Licensing Unit.

11. The agency shall maintain a log or file of all calls to the child abuse hotline.

12. The agency shall notify the Licensing Unit by the next business day when a report of child maltreatment is accepted by the child abuse hotline against the owner/operator, employee, foster parent, volunteer, child, or other person in a child welfare agency.

13. The agency and all staff shall cooperate fully with investigators during a child maltreatment investigation.

14. The agency shall take steps to prevent harm or retaliation against the child while an allegation of child maltreatment is being investigated.

15. Any person with a true finding of child maltreatment shall be reviewed by the owner or administrator of the agency, in consultation with the Child Welfare Agency Review Board or its designee, to determine corrective action. Corrective action may include, but is not limited to, counseling, training, probationary employment, non-selection for employment, or termination.

16. Any employee who has been sanctioned by any licensing or certifying entity for any reason pertaining to child safety shall be reviewed by the owner or administrator of the agency, in consultation with the Child Welfare Agency Review Board or its designee, to determine corrective action. Corrective action may include, but is not limited to, counseling, training, probationary employment, non-selection for employment, or termination.

17. The agency shall notify the Licensing Unit by the next business day of serious injuries requiring emergency medical treatment, agency vehicle accidents, arrests, elopements, suicide attempts, or deaths, and maintain documentation of the incident and notification.

18. The agency shall maintain reports on all incidents that cause injury, property damage or disruption to routine operation or services.

200 EMERGENCY RESIDENTIAL FACILITIES

In addition to all standards in Section 100, the following standards shall be met:

Facilities holding an Emergency Residential Facility license provide residential care on an emergency basis for up to ninety (90) days.

201 Admission

1. The agency shall establish written criteria for admitting/excluding children.

2. The facility shall not admit any child for whom the facility cannot provide adequate care.

3. Each child shall have a medical examination no more than one (1) year before admission, or a documented appointment date for an exam within one (1) week after admission.

4. Each child shall have proof of current immunizations, or a letter of exemption in accordance with the Arkansas Department of Health, or a scheduled appointment within one (1) week after admission.

5. The facility shall obtain written verification of the placing agent's authority to place the child within five (5) working days.

6. The facility shall obtain written authority for medical care for the child from the placing agent within 72 hours.

7. The agency shall comply with the Interstate Compact on the Placement of Children when admitting children from outside Arkansas, if applicable.

8. The facility shall establish that all persons referred for admission are under the age of eighteen (18) years at the time of admission.

9. Residents may remain in the program after reaching age eighteen (18) years with the reason for continued placement documented.

10. The facility may admit children birth to eighteen (18) years of age.

11. The facility shall admit children for a maximum of ninety (90) days.

12. At the time of admission the following information shall be documented in the child's record.

a. Name, signature and role or relationship of the person who relinquished the child into care;

b. A brief description of the circumstances requiring admission;

c. The date and time of the admission;

d. A brief description of the child's history (if known) including behavioral history;

e. Any known medical history and known current health conditions;

f. All medications currently prescribed for the child (if known and available);

g. The child's current behavior or known emotional condition.

13. Intake information shall be completed on each child in care within ten (10) working days after admission.

14. The intake shall include:

a. Demographic information on the child and parent(s), including name, address, birth date, gender, race, and religious preference;

b. A factual description of the circumstances requiring placement;

c. A brief social history of the family;

d. The child's current legal status/custody;

e. Any history of previous placements outside the family.

15. The facility shall obtain copies of legal documents within thirty (30) days of admission, or shall document their attempts to obtain the documents. The legal documents shall include, but not be limited to, birth certificates, social security cards and court orders.

16. A dependent juvenile child of a parent who is in the custody of DCFS shall be subject to all regulations regarding space, ratio, health and safety.

17. Facilities that have an adult program shall provide sleeping and living arrangements to ensure separation of adults from children.

202Assessment & Case Planning

1. The agency shall assign a caseworker to each child who is responsible for doing assessments, case planning, and casework services.

2. A plan of safe care shall be developed for all children with physical limitations, medical conditions, or behaviors that are indicative of harm to self or others; to include, but not limited to: arson, physical aggression, sexual aggression, suicidal behaviors or other self-harming tendencies. This plan shall identify the behavior and or problem, and shall specify the safeguards that are to be implemented. The agency shall document that the child caring staff are informed of the provisions of the plan and place a copy of the plan in the child's record.

3. An assessment of services needed to ensure the health and welfare of the child, including medical history and psychological history shall be completed for each child and included in the case plan.

4. A case plan shall be developed for each resident received for care.

5. The case plan shall be developed within thirty days after placement.

6. The child's case plan shall contain, at the minimum:

a. Specific needs of the child;

b. Plan for meeting child's needs;

c. Special treatment issues (e.g., psychotropic medications, sexual misconduct, and neurological disorders) shall be identified, with a statement of how the special needs shall be met;

d. A plan to ensure that the child's educational needs are met according to applicable state law.

7. A copy of the case plan shall be made available to the parent(s), guardian(s), court, or other agencies involved in case plan services delivery.

8. The agency caseworker shall visit the child monthly to monitor the progress of the case plan.

203Children's Records

1. The agency shall keep a confidential case record for each child that includes the following:

a. Demographic information;

b. Plan of safe care, if applicable;

c. A complete intake;

d. Consents, including consent for medical care and authority to place the child;

e. Interstate Compact information, if applicable;

f. Case plans;

g. Copies of legal documents (e.g., birth certificate, social security card, court orders), or documentation of their attempts to obtain the documents;

h. Physical exams and immunization records, or documentation of their attempts to obtain the documents;

i. Psychological reports, if applicable;

j. Educational reports, if applicable;

k. Disciplinary and incident reports, if applicable;

l. Documentation of casework services and child contact;

m. Discharge statement.

2. Records for each child shall be kept for five (5) years from the date of discharge, unless otherwise specified by Arkansas law.

204Behavior Management

1. The agency shall have a written discipline policy that is consistently followed.

2. Discipline shall be directed toward teaching the child acceptable behavior and self-control.

3. Discipline shall be appropriate to the child's age, development, and history.

4. The following actions shall not be used, including as discipline:

a. Denial of meals, sleep, shelter, essential clothing, or case plan activities;

b. Denial of parental visits or regular phone/mail contact with family. Non-disciplinary case planning issues are accepted;

c. Lewd or obscene language;

d. Derogatory comments about the child, the child's family, race, or gender;

e. Restriction to a room for more than a short period of time without periodic observation;

f. Restriction to a dark room or area;

g. Locked isolation;

h. Physical injury or threat of bodily harm;

i. Humiliating or degrading action;

j. Extremely strenuous work or exercise;

k. Mechanical/chemical restraints.

5. Physical restraint shall be initiated only by a trained staff, and only to prevent injury to the child, other people or property, and shall not be initiated solely as a form of discipline.

6. Physical restraints shall be performed using minimal force and time necessary. Physical restraint means the application of physical force without the use of any device, for the purposes of restraining the free movement of a resident's body. Briefly holding a child without undue force in order to calm or comfort, or holding a hand to safely escort a child from one area to another, is not considered a physical restraint.

7. Documentation of all physical restraints shall be maintained and include child's name, date, time, reason, staff involved, and measures taken prior to restraint.

8. A child shall not be allowed to administer discipline, except teen parents may discipline their own children under the supervision and guidance of staff.

9. Searches of a child or a child's personal property shall be for reasons limited to safety and security of children and staff, in cases of suspected theft, or suspicion of possession of items which are not permitted by agency policy.

10. Any searches requiring removal of clothing shall be done in privacy and shall be witnessed by two (2) staff of the same gender as the child.

205 Ratio & Supervision

1. The facility shall not exceed its total licensed capacity.

2. There shall be a staff/child ratio of at least 1:9 during waking hours and at least 1:12 during sleeping hours. Staff members' children shall be counted in the ratio.

3. If any child is under age six (6) years, the ratio shall be at least 1:7 at all times.

4. Only staff who directly supervises children shall be counted in this ratio.

5. Child caring staff shall be responsible for providing the level of supervision, care, and treatment necessary to ensure the safety and well-being of each child at the facility, taking into account the child's age, individual differences and abilities, surrounding circumstances, hazards and risks.

6. All child caring shift-staff, counted in the staff child ratio, shall remain awake at all times. House parents are excluded from this requirement.

7. The facility shall maintain a daily census report to include the child's name and room or building assignment.

206 Health & Medical Care

1. Each child shall have a medical exam at least annually. Health exams need not be repeated during the year if a child moves from one facility or agency to another, provided the results of the exam are available to the receiving facility or agency.

2. All medications shall be administered to children by staff according to medical instructions.

3. The administering of all medications, including over-the-counter, shall be logged at the time the medication is given, by the person administering the medication.

4. The medication log shall include:

a. The child's name;

b. Time and date;

c. Medication dosage;

d. Initials of the person administering the medication.

5. All medications excluding Epi-pens, inhalers, and Glucagon kits shall be kept securely locked, and stored according to pharmaceutical recommendations. An age-appropriate and developmentally capable child may be provided, or have access to non-narcotic prescriptions with an approved safety plan. Examples include, but are not limited to, birth control, acne cream, topical creams.

6. Keys to medication storage areas shall be on the premises and readily accessible by staff at all times.

7. Currently prescribed medications belonging to children shall be returned to the parent or custodian upon discharge.

207 Program

1. The facility shall ensure each child receives education in accordance with the Arkansas Department of Education.

2. The facility shall teach each child the daily living tasks required as a part of living in a group setting, and shall assign only light chores that are age-appropriate.

3. The agency shall have a policy regarding each child's money received and shall ensure that each child's funds are available to that child under staff supervision for personal use.

4. The facility shall not allow a child's outside employment, chores, or extracurricular activities to interfere with the child's time for school, sleep, family visits, or case plan activities.

5. The facility shall provide each child with adequate and nutritious food.

6. The facility shall ensure that each child has sufficient sleep for his/her age and physical condition.

7. Each child shall be instructed in good grooming and personal hygiene habits.

8. The facility shall ensure each child is provided with his/her own clothing that is clean, well fitting, seasonal, and appropriate to age and gender, unless otherwise directed by a physician.

9. The facility shall ensure each child is provided with opportunities for regular recreational activities and exercise.

10. The facility shall provide activities and equipment that are age appropriate to the children in their care.

11. The use of television, videos, computer games and other screen time activities shall be monitored and time limited.

208 Grounds

1. The grounds of the facility shall be kept clean and free of safety hazards.

2. The facility shall provide sufficient outdoor recreation space for age appropriate physical activities.

3. Swimming pools shall be inspected and approved annually by the Arkansas Department of Health.

209Buildings

1. No facility shall be located in a shopping center, strip mall, or other buildings used for commercial activity.

2. Unused or vacant portions of a facility shall not be rented, leased, loaned, or otherwise occupied by any commercial or other business entity, or private individuals, not associated with the facility or its management.

3. All buildings used by children or staff shall be inspected and approved annually for fire safety by fire department officials.

4. All buildings used by children or staff shall be inspected and approved annually for health and sanitation as required by the Arkansas Department of Health.

5. All buildings shall comply with local zoning ordinances and land use requirements where those exist.

6. All buildings and furnishings shall be safe, clean, and in good repair.

7. There shall be no more than twelve (12) children in a sleeping unit. A sleeping unit is considered to be a group of bedrooms.

8. Sleeping units sharing the same building shall be separated into different corridors, wings, floors, etc. Sleeping units modified or newly constructed after September 1, 2016, shall comply with this standard.

9. Licensing shall be notified of any changes to buildings that affect usage, size, capacity, or structural changes.

10. Building usage shall be approved by licensing prior to resident occupancy, and all required inspections, permits, and authorizations shall be provided.

11. Any modifications to buildings used by children, or an increase in capacity, shall require inspection and approval by the Fire and Health Department, if applicable.

12. All parts of buildings used as living, sleeping, or bath areas shall have a heating, ventilating and air conditioning source that keeps the temperature a minimum of sixty-five (65) degrees and a maximum of eighty-five (85) degrees.

13. The facility shall provide a living area that has at least thirty-five (35) square feet of floor space per child. The dining area and indoor recreation area may be included in this space.

14. The facility shall provide a dining room.

15. The facility shall have a kitchen.

16. Manufactured homes, used as residential facilities, shall be tied down and underpinned as required by the Arkansas Manufactured Home Commission. The home shall obtain an inspection and approval from the Arkansas Manufactured Home Commission prior to being licensed.

210 Bathrooms

1. The facility shall provide bathrooms for the children.

2. There shall be a separate toilet, bathtub or shower, and sink for each six (6) children.

3. There shall be an adequate supply of hot and cold running water.

4. The bathroom shall be clean and sanitary.

5. There shall be separate bath and toilet facilities for males and females.

6. There shall be an adequate supply of soap, towels, and tissue.

211 Sleeping Arrangements

1. The facility shall provide bedrooms for the children.

2. There shall be no more than four (4) children per bedroom.

3. There shall be at least fifty (50) square feet of floor space per child in each bedroom.

4. No child age four (4) years or over shall share a bedroom with a child of the opposite gender, except teenaged parents who participate in the care of their own children.

5. Each child shall have a separate bed with a mattress, sheets, pillow, pillowcase, and adequate cover, all in good condition.

6. All cribs used for children shall have current certification of compliance with Consumer Product Safety Commission (CPSC) standards.

7. Children twelve (12) months of age and below shall be placed flat on their backs to sleep, in accordance with American Academy of Pediatrics guidelines, to lessen the risk of suffocation and Sudden Infant Death Syndrome. (If a child rolls over on his/her own, the facility is not required to reposition the child.) If there is a medical reason a child cannot sleep on his/her back, a signed statement from the child's physician shall be in the file stating the reason, the sleep position indicated, and the time frame required.

8. Beds shall be positioned to ensure all children can easily exit the room in case of emergency.

9. No child under the age of six (6) shall occupy a top bunk.

10. Bedding shall be changed at least weekly, more often if needed.

11. Each child shall have an area to store personal belongings.

12. Staff sleeping quarters shall be separate from children's sleeping rooms.

13. Room arrangements shall be based on characteristics of each resident to ensure the safety of each child.

212 Safety

1. The facility shall have an operable telephone or comparable communication system.

2. The facility shall have a continuous supply of clean drinking water. If the water source is not a municipal system, the source shall be approved by the Arkansas Department of Health annually.

3. A private sewage/septic system shall be approved initially and upon any increase in capacity by the Arkansas Department of Health.

4. There shall be operational smoke detectors near the cooking area, heating units, and within ten (10) feet of each bedroom.

5. An operational chemical fire extinguisher or other fire suppression system approved by local fire inspection officials shall be in the cooking area of each building. Approval of the fire suppression system shall be documented.

6. There shall be an emergency evacuation plan diagramed and posted in each building used by children.

7. Fire drills shall be practiced with children each month.

8. Severe weather drills shall be practiced with children quarterly.

9. A record of drills shall be maintained, showing date and time of day of the drill, number of participants, and length of time required to reach safety.

10. Each child shall be instructed in emergency procedures at admission.

11. The facility shall have proof of current rabies vaccinations for all household pets as required by Arkansas law.

12. No child shall be allowed to operate dangerous machinery or equipment, including firearms, without proper adult supervision and following manufacturers' guidelines for age, safety precautions, and safety gear.

13. The agency shall have policy and procedure for carrying, storage and use of all firearms located at the facility,

14. All firearms shall be maintained in a secure, locked location, or secured by a trigger lock.

15. All ammunition shall be secured and locked separately from firearms unless they are stored in a safe, hand gun safe or a long gun safe.

213 Transportation

1. The facility shall have agency procured transportation available at all times.

2. The facility vehicle(s) shall not be used for personal use, unless other facility transportation is available.

3. Any vehicle used to transport children shall be in safe working condition and maintained in compliance with motor vehicle laws.

4. Any vehicle used to transport children shall be insured.

5. Children shall be transported only by an authorized person possessing a valid driver's license.

6. Children shall be transported according to Arkansas law, including, but not limited to, use of safety belts, child safety seats, and smoking restrictions.

214Discharge

1. The discharge shall be planned by agency staff.

2. The agency may discharge a child on an emergency basis if failure to do so could result in harm to the child, other persons, or significant property damage.

3. A child shall be discharged to the custody of the child's parent or a person with authorization from the parent, guardian or a person authorized by court order to assume custody of the child.

4. The agency shall complete a discharge statement on each child that includes the discharge date and reason for discharge and provide a copy of it to the child's custodian.

5. Documentation of the discharge shall be maintained in the child's record.

300 EMERGENCY FAMILY STYLE CARE

In addition to all standards in Section 100, the following standards shall be met:

Facilities holding an Emergency Family Style Care license provide residential care on an emergency basis for up to ninety (90) days in a home like setting.

301 Admission

1. The agency shall establish written criteria for admitting/excluding children.

2. The facility shall not admit any child for whom the facility cannot provide adequate care.

3. Each child shall have a medical exam no more than one (1) year before admission, or a documented appointment date for an exam within one (1) week after admission.

4. Each child shall have proof of current immunizations, or a letter of exemption in accordance with the Arkansas Department of Health, or a scheduled appointment within one (1) week after admission.

5. The facility shall obtain written verification of the placing agents' authority to place the child within five (5) working days.

6. The facility shall obtain written authority for medical care for the child from the placing agent within seventy-two (72) hours.

7. The agency shall comply with the Interstate Compact on the Placement of Children when admitting children from outside Arkansas, if applicable.

8. The facility shall establish that all persons referred for admission are under the age of eighteen (18) years at the time of admission.

9. Residents may remain in the program after reaching age eighteen (18) years with the reason for continued placement documented.

10. The facility may admit children birth to 18 years of age.

11. The facility shall admit children for a maximum of ninety (90) days.

12. At the time of admission, the following information shall be documented in the child's record:

a. Name, signature and role or relationship of the person who relinquished the child into care;

b. A brief description of the circumstances requiring admission;

c. The date and time of the admission;

d. A brief description of the child's history (if known) including behavioral history;

e. Any known medical history and known current health conditions;

f. All medications currently prescribed for the child (if known and available);

g. The child's current behavior or known emotional condition.

13. Intake information shall be completed on each child in care within ten (10) working days after admission.

14. The intake shall include:

a. Demographic information on the child and parent(s), including name, address, birth date, gender, race, and religious preference;

b. A factual description of the circumstances requiring placement;

c. A brief social history of the family;

d. The child's current legal status/custody;

e. Any history of previous placements outside the family.

16. A dependent juvenile child of a parent who is in the custody of DCFS shall be subject to all regulations regarding space, ratio, health and safety.

17. Facilities that have an adult program shall provide sleeping and living arrangements to ensure separation of adults from children.

302Assessment & Case Planning

1. The agency shall assign a caseworker to each child who is responsible for doing assessments, case planning, and casework services.

2. A plan of safe care shall be developed for all children with physical limitations, medical conditions, or behaviors that are indicative of harm to self or others; to include, but not limited to: arson, physical/sexual aggression, and/or suicidal behaviors or other self-harming tendencies. This plan shall identify the behavior/problem, and shall specify the safeguards that are to be implemented. The agency shall document that the child caring staff are informed of the provisions of the plan and place a copy of the plan in the child's record.

3. An assessment of services needed to ensure the health and welfare of the child, including medical history and psychological history shall be completed for each child and included in the case plan.

4. A case plan shall be developed for each resident received for care.

5. The case plan shall be developed within thirty days after placement.

6. The child's case plan shall contain, at the minimum:

a. Specific needs of the child;

b. Plan for meeting child's needs;

c. Special treatment issues (e.g., psychotropic medications, sexual misconduct, and neurological disorders) shall be identified, with a statement of how the special needs shall be met;

d. A plan to ensure that the child's educational needs are met according to applicable state law.

7. A copy of the case plan shall be made available to the parent(s), guardian(s), court, or other agencies involved in case plan services delivery.

8. The agency caseworker shall visit the child monthly to monitor the progress of the case plan.

303Children's Records

1. The agency shall keep a confidential case record for each child that includes the following:

a. Demographic information;

b. Plan of safe care, if applicable;

c. A complete intake;

d. Consents, including consent for medical care and authority to place the child;

e. Interstate Compact information, if applicable;

f. Case plans;

g. Copies of legal documents (e.g., birth certificate, social security card, court orders), or documentation of their attempts to obtain the documents;

h. Physical exams and immunization records, or documentation of their attempts to obtain the documents;

i. Psychological reports, if applicable;

j. Educational reports, if applicable;

k. Disciplinary and incident reports, if applicable;

l. Documentation of casework services and child contact;

m. Discharge statement.

2. Records for each child shall be kept for five (5) years from the date of discharge, unless otherwise specified by Arkansas law.

304Behavior Management

1. The agency shall have a written discipline policy that is consistently followed.

2. Discipline shall be directed toward teaching the child acceptable behavior and self-control.

3. Discipline shall be appropriate to the child's age, development, and history.

4. The following actions shall not be used, including as discipline:

a. Denial of meals, sleep, shelter, essential clothing, or case plan activities;

b. Denial of parental visits or regular phone/mail contact with family. Non-disciplinary case planning issues are accepted;

c. Lewd or obscene language;

d. Derogatory comments about the child, the child's family, race, or gender;

e. Restriction to a room for more than a short period of time without periodic observation;

f. Restriction to a dark room or area;

g. Locked isolation;

h. Physical injury or threat of bodily harm;

i. Humiliating or degrading action;

j. Extremely strenuous work or exercise;

k. Mechanical/chemical restraints.

5. Physical restraint shall be initiated only by a trained staff, and only to prevent injury to the child, other people or property, and shall not be initiated solely as a form of discipline.

7. Documentation of all restraints shall be maintained and include child's name, date, time, reason, staff involved, and measures taken prior to restraint.

8. A child shall not be allowed to administer discipline, except teen parents may discipline their own children under the supervision and guidance of staff.

10. Any searches requiring removal of clothing shall be done in privacy.

305 Ratio & Supervision

1. The facility shall use a houseparent staffing model.

2. The facility shall not exceed its total licensed capacity.

3. The facility shall have no more than eight (8) children in each unit, including the houseparent's children.

4. There shall be a staff/child ratio of at least 1:8 at all times. Staff members' children shall be counted in the ratio.

6. The facility shall maintain a daily census report to include the child's name and building or room assignment.

306 Health & Medical Care

2. All medications shall be administered to children by staff according to medical instructions.

3. The administering of all medications, including over-the-counter, shall be logged at the time the medication is given, by the person administering the medication.

4. The medication log shall include:

a. The child's name;

b. Time and date;

c. Medication dosage;

d. Initials of the person administering the medication.

6. Keys to medication storage areas shall be on the premises and readily accessible by staff at all times.

7. Currently prescribed medications belonging to children shall be returned to the parent or custodian upon discharge.

307 Program

1. The facility shall ensure each child receives education in accordance with the Arkansas Department of Education.

2. The facility shall teach each child the daily living tasks required as a part of living in a group setting, and shall assign only light chores that are age-appropriate.

3. The agency shall have a policy regarding each child's money received and shall ensure that each child's funds are available to that child under staff supervision for personal use.

4. The facility shall not allow a child's outside employment, chores, or extracurricular activities to interfere with the child's time for school, sleep, family visits, or case plan activities.

5. The facility shall provide each child with adequate and nutritious food, routinely eaten in the home, cottage, or unit.

6. The facility shall ensure that each child has sufficient sleep for his/her age and physical condition.

7. Each child shall be instructed in good grooming and personal hygiene habits.

8. The facility shall ensure each child is provided with his/her own clothing that is clean, well fitting, seasonal, and appropriate to age and gender, unless otherwise directed by a physician.

9. The facility shall ensure each child is provided with opportunities for regular recreational activities and exercise.

10. The facility shall provide activities and equipment that are age appropriate to the children in their care.

11. The use of television, videos, computer games and other screen time activities shall be monitored and time limited.

12. The agency shall have policy and procedure to ensure children in care are allowed to participate in age appropriate activities away from the facility.

308 Grounds

1. The grounds of the facility shall be kept clean and free of safety hazards.

2. The facility shall provide sufficient outdoor recreation space for age appropriate physical activities.

3. Swimming pools shall be inspected and approved annually by the Arkansas Department of Health.

309Buildings

1. The building shall be a single-style dwelling, such as a house or cottage, or duplex in which the facility occupies both units. Multiple units may be located on campus.

2. The building(s) shall house only children in Emergency Family Style Care or Residential Family Style Care.

3. No facility shall be located in a shopping center, strip mall, or other buildings used for commercial activity.

4. Unused or vacant portions of a facility shall not be rented, leased, loaned, or otherwise occupied by any commercial or other business entity, or private individuals, not associated with the facility or its management.

5. All buildings used by children or staff shall be inspected and approved annually for fire safety by fire department officials.

6. All buildings used by children or staff shall be inspected and approved annually for health and sanitation as required by the Arkansas Department of Health.

7. All buildings shall comply with local zoning ordinances and land use requirements where those exist.

8. All buildings and furnishings shall be safe, clean, and in good repair.

9. Licensing shall be notified of any changes to buildings that affect usage, size, capacity, or structural changes.

10. Building usage shall be approved by licensing prior to resident occupancy, and all required inspections, permits, and authorizations shall be provided.

11. Any modification to buildings used by children, or an increase in capacity shall require inspection and approval by the Fire and Health Department, if applicable.

13. The facility shall provide a living area that has at least thirty-five (35) square feet of floor space per child. The dining area and indoor recreation area may be included in this space.

14. The facility shall provide a dining area.

15. The facility shall have a kitchen.

310 Bathrooms

1. The facility shall provide bathrooms for the children.

2. There shall be a separate toilet, bathtub or shower, and sink for each six (6) children.

3. There shall be an adequate supply of hot and cold running water.

4. The bathroom shall be clean and sanitary.

5. There shall be an adequate supply of soap, towels, and tissue.

311 Sleeping Arrangements