Section 441.105.8. Program services.

         105.8(1) Care plan. There shall be a written care plan developed for each resident remaining in the facility over four days. The care plan will be based on individual needs determined through the assessment of each youth. The care plan shall be developed in consultation with child care services, probation services, social services and educational, medical, psychiatric and psychological personnel as appropriate. The plan shall include:

            a.                Identification of specific needs;

            b.                Description of planned service;

            c.                Which staff person(s) will be responsible for each element of the plan;

            d.                Where services are to occur;

            e.                Frequency of activities or services.

         105.8(2) Educational programs. All children currently enrolled in a school shall continue in that school when possible, or in an appropriate alternative. Where educational assessments indicate an educational need for a child not currently enrolled in public schools, an alternative shall be developed in cooperation with public schools, area education agency, and the referring worker. When an educational program is established within the facility it shall meet the educational and teaching standards established by the state department of public instruction. A child should be compelled to participate in an educational program only in compliance with the compulsory education law, Iowa Code chapter 299.

         105.8(3) Daily program. The daily program shall be planned to provide a consistent, well structured, yet flexible framework for daily living, and shall be periodically reviewed and revised as the needs of the individual child or the living group change.

Attention shall be given to the special nature of the facility population and its resulting stresses, for example, rapid turnover in population and minimal screening at intake.

         105.8(4) Optional services. When a facility provides services in addition to those required by these rules, they shall be clearly defined in writing.

         105.8(5) Recreation program. The facility shall provide adequately designed and maintained indoor and outdoor activity areas, equipment, and equipment storage facilities appropriate for the age group which it serves. There shall be a variety of activity areas and equipment so that all children can be active participants in different types of individual and group sports and other motor activity.

            a.                Games, toys, equipment, and arts and crafts materials shall be selected according to age, number of children, and with consideration of the needs of children to engage in both active and quiet play. All materials shall be of a quality to ensure safety and shall be of a type which allows imaginative play and creativeness.

            b.                The facility shall plan and carry out efforts to establish and maintain workable relationships with the community recreational resources. The facility staff shall enlist the support of these resources to provide opportunities for children to participate in community recreational activities.

         105.8(6) Health care.

            a.                Health assessment at intake. Facility staff shall review each child’s health status at intake. The purpose of this preliminary review is to identify medication needs and problems that need immediate medical attention. Within seven days of intake, all reasonable efforts shall be made to perform a more comprehensive health assessment on each child who has not had a comprehensive health assessment within the past year. If the assessment cannot be performed within seven days, it shall be arranged for the earliest possible time, and the reasons for the delay shall be documented. A registered nurse, an advanced registered nurse practitioner, a physician assistant, or a physician shall perform the comprehensive health assessment.

            b.                Existing health needs. Facilities shall provide or secure medical treatment for a child’s illnesses and injuries that come to the facility’s attention during the child’s stay.

            c.                Monitoring side effects of medications. Facilities shall monitor each child’s use of medications and shall inform the authorized prescriber if adverse reactions are noted.

            d.                Sharing medical information. Facilities shall share information about significant changes in medical status with the child’s caseworker and parents or guardian. Discharge information shall include information about significant medical changes that occurred while the child was at the facility.

         105.8(7) Counseling program. Counseling services shall be related to the immediate problem, daily living skills, peer relationships, educational opportunities, vocational opportunities, future planning and preparation for placement, family counseling, and any other factors identified in the individual care plan. Counseling shall be done by appropriate staff personnel.

         105.8(8) Dietary program. The facility shall provide properly planned, nutritious and inviting food and take into consideration the special food needs and tastes of children.

         105.8(9) Liability. Juvenile shelter care homes that apply the reasonable and prudent parent standard reasonably and in good faith in regard to a child in foster care shall have immunity from civil or criminal liability which might otherwise be incurred or imposed. This subrule shall not remove or limit any existing liability protection afforded under any other law.

[ ARC 2743C , IAB 10/12/16, effective 12/1/16]