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 Pennsylvania Code (Last Updated: April 5, 2016)
 Title 55. PUBLIC WELFARE
 PART VIII. Intellectual Disability and Autism Manual
 Subpart E. Residential Agencies/Facilities/Services
 Article I. Licensing/Approval
 Chapter 6500. Family Living Homes

  Section 6500.182. Content of records  

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  • (a) A separate record shall be kept for each individual.

    (b) Entries in an individual’s record must be legible, dated and signed by the person making the entry.

    (c) Each individual’s record must include the following information:

    (1) Personal information, including:

    (i) The name, sex, admission date, birthdate and Social Security number.

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

    (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual’s natural home, if other than English.

    (iv) The religious affiliation.

    (v) The next of kin.

    (vi) A current, dated photograph.

    (2) Unusual incident reports relating to the individual.

    (3) Physical examinations.

    (4) Dental examinations.

    (5) Assessments as required under § 6500.151 (relating to assessment).

    (6) A copy of the invitation to:

    (i) The initial ISP meeting.

    (ii) The annual update meeting.

    (iii) The ISP revision meeting.

    (7) A copy of the signature sheet for:

    (i) The initial ISP meeting.

    (ii) The annual update meeting.

    (iii) The ISP revision meeting

    (8) A copy of the current ISP.

    (9) Documentation of ISP reviews and revisions under § 6500.156 (relating to ISP review and revision), including the following:

    (i) ISP review signature sheets

    (ii) Recommendations to revise the ISP.

    (iii) ISP revisions.

    (iv) Notices that the plan team member may decline the ISP review documentation.

    (v) Requests from plan team members to not receive the ISP review documentation.

    (10) Content discrepancy in the ISP, the annual updates or revisions under § 6500.156.

    (11) Restrictive procedure protocols related to the individual.

    (12) Restrictive procedure records related to the individual.

    (13) Recreational and social activities provided to the individual.

    (14) Copies of psychological evaluations and assessments of adaptive behavior, as necessary.

The provisions of this § 6500.182 amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial pages (251501) to (251502).

Notation

Authority

The provisions of this § 6500.182 amended under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).

Cross References

This section cited in 55 Pa. Code § 6500.183 (relating to record information kept at the home); 55 Pa. Code § 6500.201 (relating to exceptions for respite care); and 55 Pa. Code § 6500.202 (relating to exceptions for emergency respite care).