NC Register Volume 23 Issue 09 - Office of Administrative Hearings
NC Register Volume 23 Issue 09 - Office of Administrative Hearings
NC Register Volume 23 Issue 09 - Office of Administrative Hearings
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APPROVED RULES<br />
(5) review;<br />
(6) education and training; and<br />
(7) documentation, including medication orders,<br />
Medication Administration Record (MAR);<br />
orders and copies <strong>of</strong> lab tests; and, if<br />
applicable, administration errors and adverse<br />
drug reactions. The residential maternity<br />
home shall maintain a MAR for each resident<br />
that documents all medications administered.<br />
Upon discharge <strong>of</strong> a resident, the residential<br />
maternity home shall return prescription<br />
medications to the resident or person or<br />
agency legally authorized to remove the minor<br />
from residential maternity care. The<br />
residential maternity home shall provide oral<br />
or written education to the resident or person<br />
or agency legally authorized to remove the<br />
minor from residential maternity care<br />
regarding the medications. Unwanted, outdated,<br />
improperly labeled, damaged,<br />
adulterated or discontinued prescription<br />
medications shall be returned to a pharmacy<br />
for disposal.<br />
(m) When residents return to the maternity home, post delivery<br />
care shall be available to the residents in accordance with the<br />
recommendations <strong>of</strong> the resident's licensed medical provider and<br />
the pr<strong>of</strong>essional staff <strong>of</strong> the maternity home. A resident shall not<br />
be required to remain in the maternity home after medical<br />
discharge. Referral to a licensed medical provider or medical<br />
clinic or community family planning resource shall be made if<br />
requested by the resident.<br />
(n) A resident and her infant may be considered for aftercare if<br />
the resident was in residential care prior to delivery.<br />
(o) The period <strong>of</strong> aftercare for the resident and her child shall<br />
not exceed 12 consecutive months, during which time a plan for<br />
independent living shall be developed with the resident and<br />
assistance provided in achieving the goal <strong>of</strong> the plan within the<br />
designated time frame.<br />
(p) Services provided for the plan <strong>of</strong> independent living shall<br />
include:<br />
(1) parenting preparation classes;<br />
(2) stages <strong>of</strong> growth in infants;<br />
(3) day-to-day care <strong>of</strong> infants;<br />
(4) discipline, education planning;<br />
(5) job seeking skills;<br />
(6) locating housing;<br />
(7) money management;<br />
(8) food management;<br />
(9) child-care;<br />
(10) health education;<br />
(11) stress management;<br />
(12) life skills;<br />
(13) decision making;<br />
(14) substance abuse; and<br />
(15) pregnancy prevention, as well as other services<br />
based on the individual needs <strong>of</strong> the resident.<br />
(q) A case record shall be maintained at the maternity home for<br />
each resident which includes documents concerning all social<br />
work, counseling, medical, psychological, and dental services, as<br />
well as any other services provided to each resident.<br />
History Note: Authority G.S. 131D-1; 143B-153;<br />
Eff. February 1, 1986;<br />
Amended Eff. October 1, 2008; June 1, 1990.<br />
10A <strong>NC</strong>AC 70K .0205<br />
PHYSICAL FACILITIES<br />
History Note: Authority G.S. 131D-1; 143B-153;<br />
Eff. February 1, 1986;<br />
Amended Eff. June 1, 1990;<br />
Repealed Eff. October 1, 2008.<br />
10A <strong>NC</strong>AC 70K .0206 CASE PLAN OR OUT-OF-HOME<br />
FAMILY SERVICES AGREEMENT<br />
(a) A residential maternity home shall develop a written case<br />
plan or out <strong>of</strong> home family services agreement within 30 days <strong>of</strong><br />
a resident's admission to the maternity home. The case plan or<br />
out <strong>of</strong> home family services agreement shall be developed in<br />
cooperation with the resident, her parents or guardian or the<br />
legal custodian. The case plan or out-<strong>of</strong>-home family services<br />
agreement shall be based upon an assessment <strong>of</strong> the needs <strong>of</strong> the<br />
resident. The case plan or out-<strong>of</strong>-home family services<br />
agreement shall include:<br />
(1) goals stated in specific, realistic, and<br />
measurable terms; and<br />
(2) plans that are action oriented, including<br />
specific responsibilities <strong>of</strong> the resident, the<br />
residential maternity home, the parents or<br />
guardians, other family members, legal<br />
custodians and other agencies that are<br />
providing services to the resident.<br />
(b) The case plan or out-<strong>of</strong>-home family services agreement<br />
shall be reviewed within 60 days <strong>of</strong> placement, the second case<br />
plan or out-<strong>of</strong>-home family services agreement review shall<br />
occur within 90 days <strong>of</strong> the first review and subsequent reviews<br />
shall be held every six months. The resident, parents or<br />
guardians or legal custodians as well as any individual or agency<br />
providing services shall participate in the reviews to determine<br />
the resident's progress or lack <strong>of</strong> progress towards meeting the<br />
goals and objectives, and to determine changes that need to be<br />
made in the case plan or out-<strong>of</strong>-home family services agreement.<br />
(c) If the legal custodian is a county department <strong>of</strong> social<br />
services, the residential maternity home, the department <strong>of</strong> social<br />
services, parents or guardian, and resident shall develop a single<br />
out-<strong>of</strong>-home family services agreement. The residential<br />
maternity home shall attend court reviews, child and family team<br />
meetings, agency reviews and permanency planning action team<br />
meetings. The Out-<strong>of</strong>-Home Family Services Agreement (DSS-<br />
5240 or DSS-5241) and the Transitional Living Plan (CARS<br />
Plan Review) may serve as the out-<strong>of</strong>-home family services<br />
agreement for the maternity home if the documents reflect input<br />
and participation by the maternity home. Maternity homes shall<br />
follow the same timeframes for completing these documents as<br />
described in Paragraph (b) <strong>of</strong> this Rule.<br />
History Note: Authority G.S. 131D-1; 143B-153;<br />
Eff. October 1, 2008.<br />
<strong>23</strong>:<strong>09</strong> NORTH CAROLINA REGISTER NOVEMBER 3, 2008<br />
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