10A NCAC 13H .1201. RECORDS

Required forms are available free of charge, upon request, from the county department of social services.  The following records shall be maintained in an orderly manner on each resident and be readily available for review by a representative of the supervising and/or licensing agency:

(1)           Agreement between resident and group home;

(2)           The services and accommodations the home offers for a particular resident must be in writing and a copy signed by the manager and the resident or responsible party.  A copy must be given to the resident and/or family and/or agency responsible for placement.  A copy must be kept in the resident's record in the facility;

(3)           Refund policies must be in writing and signed by an authorized board member or the administrator with a copy given to the resident, family and/or social worker at the time of admission.  A copy must also be filed in the resident's record;

(4)           Resident register ‑‑ form DSS‑1865;

(5)           Resident financial record ‑‑ form DSS‑1866 or an approved bookkeeping system;

(6)           Report of health services to resident ‑‑ form DSS‑1867 or DSS‑FL2;

(7)           Reports of medical examinations ‑‑ form DSS‑FL2;

(8)           An approved record noting monthly receipts, disbursements and balance on hand of any money a resident requests the manager to keep.  All or any portion of the funds must be available to the resident upon his request;

(9)           Individual goal plan;

(10)         Authorization of self‑administering of medication;

(11)         All reports must be used as listed in 10A NCAC 13G .1200 for this type home.

 

History Note:        Authority G.S. 131D‑2; 143B‑153; 168‑1; 168‑9;

Eff. January 1, 1978.