NC Register Volume 23 Issue 09 - Office of Administrative Hearings

APPROVED RULES
(5) review;
(6) education and training; and
(7) documentation, including medication orders,
Medication Administration Record (MAR);
orders and copies of lab tests; and, if
applicable, administration errors and adverse
drug reactions. The residential maternity
home shall maintain a MAR for each resident
that documents all medications administered.
Upon discharge of a resident, the residential
maternity home shall return prescription
medications to the resident or person or
agency legally authorized to remove the minor
from residential maternity care. The
residential maternity home shall provide oral
or written education to the resident or person
or agency legally authorized to remove the
minor from residential maternity care
regarding the medications. Unwanted, outdated,
improperly labeled, damaged,
adulterated or discontinued prescription
medications shall be returned to a pharmacy
for disposal.
(m) When residents return to the maternity home, post delivery
care shall be available to the residents in accordance with the
recommendations of the resident's licensed medical provider and
the professional staff of the maternity home. A resident shall not
be required to remain in the maternity home after medical
discharge. Referral to a licensed medical provider or medical
clinic or community family planning resource shall be made if
requested by the resident.
(n) A resident and her infant may be considered for aftercare if
the resident was in residential care prior to delivery.
(o) The period of aftercare for the resident and her child shall
not exceed 12 consecutive months, during which time a plan for
independent living shall be developed with the resident and
assistance provided in achieving the goal of the plan within the
designated time frame.
(p) Services provided for the plan of independent living shall
include:
(1) parenting preparation classes;
(2) stages of growth in infants;
(3) day-to-day care of infants;
(4) discipline, education planning;
(5) job seeking skills;
(6) locating housing;
(7) money management;
(8) food management;
(9) child-care;
(10) health education;
(11) stress management;
(12) life skills;
(13) decision making;
(14) substance abuse; and
(15) pregnancy prevention, as well as other services
based on the individual needs of the resident.
(q) A case record shall be maintained at the maternity home for
each resident which includes documents concerning all social
work, counseling, medical, psychological, and dental services, as
well as any other services provided to each resident.
History Note: Authority G.S. 131D-1; 143B-153;
Eff. February 1, 1986;
Amended Eff. October 1, 2008; June 1, 1990.
10A NCAC 70K .0205
PHYSICAL FACILITIES
History Note: Authority G.S. 131D-1; 143B-153;
Eff. February 1, 1986;
Amended Eff. June 1, 1990;
Repealed Eff. October 1, 2008.
10A NCAC 70K .0206 CASE PLAN OR OUT-OF-HOME
FAMILY SERVICES AGREEMENT
(a) A residential maternity home shall develop a written case
plan or out of home family services agreement within 30 days of
a resident's admission to the maternity home. The case plan or
out of home family services agreement shall be developed in
cooperation with the resident, her parents or guardian or the
legal custodian. The case plan or out-of-home family services
agreement shall be based upon an assessment of the needs of the
resident. The case plan or out-of-home family services
agreement shall include:
(1) goals stated in specific, realistic, and
measurable terms; and
(2) plans that are action oriented, including
specific responsibilities of the resident, the
residential maternity home, the parents or
guardians, other family members, legal
custodians and other agencies that are
providing services to the resident.
(b) The case plan or out-of-home family services agreement
shall be reviewed within 60 days of placement, the second case
plan or out-of-home family services agreement review shall
occur within 90 days of the first review and subsequent reviews
shall be held every six months. The resident, parents or
guardians or legal custodians as well as any individual or agency
providing services shall participate in the reviews to determine
the resident's progress or lack of progress towards meeting the
goals and objectives, and to determine changes that need to be
made in the case plan or out-of-home family services agreement.
(c) If the legal custodian is a county department of social
services, the residential maternity home, the department of social
services, parents or guardian, and resident shall develop a single
out-of-home family services agreement. The residential
maternity home shall attend court reviews, child and family team
meetings, agency reviews and permanency planning action team
meetings. The Out-of-Home Family Services Agreement (DSS-
5240 or DSS-5241) and the Transitional Living Plan (CARS
Plan Review) may serve as the out-of-home family services
agreement for the maternity home if the documents reflect input
and participation by the maternity home. Maternity homes shall
follow the same timeframes for completing these documents as
described in Paragraph (b) of this Rule.
History Note: Authority G.S. 131D-1; 143B-153;
Eff. October 1, 2008.
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