ProceduresforCompletingResidentialCareRecordsChecklists

AspartoftheResidentialCarelicenserenewalprocess,licenseeswillberequiredtoreviewtheirrecordsanddocumentthereviewonchecklistspriortothelicensingstudyvisit.

Thelicenseewill review 20%ofthe currentrecordsin each area(personnel,children,shelterhomeparents,asapplicable).Ifyouarealicenseewithmultiplelicensedprogramswhicharebeingrenewedatonetimethis20%mustbetakenfromeachlicensedprogram.Ifstaffmembersareassignedtoworkinmultipleprogramsthey shouldbeconsideredanemployeeoftheprogramtheyworkatthemajorityofthetime.Forchildren's records,thereview should include20%ofchildrencurrentlyincare*whohavebeenadmittedsincethelastlicensewasissued.Thelicenseeshouldreviewaminimumof10and amaximumof25recordsofeachtype.(Note:Ifthetotalnumberofcurrentrecordsisfewerthan10,thelicenseeshouldreviewallrecords.)Inaddition,thelicenseewillreviewthreechildren'srecordsclosedwithinthelast24monthstoverifycompliancewithrequired dischargeinformation.ThelicenseewilldocumentthereviewonchecklistformsprovidedbytheDepartment.

PersonnelFilesChecklist (AllPrograms)

Children'sRecordChecklist (AllPrograms)

Shelter Parent RecordChecklist (Shelter Home Programs)Thelicenseewillcompletethechecklistformsasfollows:

1.Thelicenseewillfill-intheinformationlistedatthetopofeachchecklistform.

2.Foreachfilereviewed,thelicenseewillindicatethat therequired information is included inthefilebymarkingacheckbesidetheboxindicatingtheEECregulatoryrequirement.Someboxesallowdocumentationofmorethanonerequirement.Lineshave beenprovidedforeachcheckmarkneededinthoseboxes.

3.Thelicenseemaymakeadditionalcopiesoftheblankchecklistifmoreareneededtodocumentreviewofthenecessaryrecords.

4.Thelicenseewillretaintheoriginalofthecompletedchecklistformsandmaintainthemintheirrecordsuntilthenextlicensingstudy.Licensorswillreviewthesechecklistsduringthe licensingstudy.

*Iftheprogramserveschildrentaking antipsychoticmedication, thelicenseeshould includeat leastonesuchrecordinitsreview.

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RPProceduresforCompletingRecordsChecklist20140401