Section 3800.243. Content of records

Each child’s record shall include:

(1) Personal information including:

(i) The name, sex, admission date, birth date and Social Security Number.

(ii) The race, height, weight, color of hair, color of eyes and identifying marks.

(iii) The dated photograph of the child taken within the past year.

(iv) Language or means of communication spoken and understood by the child and the primary language used by the child’s family, if other than English.

(v) Religious affiliation.

(vi) The name, address and telephone number of the person to be contacted in the event of an emergency.

(2) Health records.

(3) Dental, vision and hearing records.

(4) Health and safety assessments.

(5) ISPs.

(6) Restrictive procedure plans.

(7) Restrictive procedure records relating to the child.

(8) Reports of reportable incidents.

(9) Consent to treatment, as specified in § 3800.19 (relating to consent to treatment).

(10) Court order, if applicable.

(11) Admission and placement information specified in § § 3800.222 and 3800.223 (relating to description of services; and admission).

(12) Signed notification of rights, grievance procedures and applicable consent to treatment protections specified in § 3800.31 (relating to notification of rights).

(13) Service records of the contracting agency.

(14) Education records.