- (a) The facility shall not admit any child for whom the facility cannot provide adequate care.
(b) A psychiatric residential treatment facility licensed under the Child Welfare Agency Licensing Act, Arkansas Code § 9-28-401 et seq., and holding a permit from the Health Services Permit Agency or the Health Services Permit Commission shall not admit a child for psychiatric residential treatment unless the child is:
- (1) An Arkansas resident;
- (2) A child of a parent who is an Arkansas resident;
- (3) A child placed by or on behalf of another state’s child welfare agency;
- (4) A child for whom the facility is being paid by another state's Medicaid program;
- (5) A child of an active-duty member or veteran of the uniformed services as defined in Arkansas Code § 6-4-302; or
- (6) A nonresident child victim of human trafficking when the regulated facility maintains responsibility for the return of the child to the out-of-state custodian.
(c) Each child shall have a:
- (1) Medical exam no more than one (1) year before admission; or
- (2) Documented appointment date for an exam within one (1) week after admission.
(d) Each child shall have:
- (1) Proof of current immunizations;
- (2) A letter of exemption in accordance with the Department of Health; or
- (3) A scheduled appointment within one (1) week after admission.
- (e) The facility shall obtain written verification of the placing agent’s authority to place the child at the time of admission.
- (f) The facility shall obtain written authority for medical care for the child from the placing agent at the time of admission.
- (g) The agency shall comply with the Interstate Compact on the Placement of Children, Arkansas Code § 9-29-201 et seq., when admitting children from outside Arkansas, if applicable.
- (h) The facility shall establish that all persons referred for admission are under eighteen (18) years of age at the time of admission.
(i)
- (1) Residents may remain in the program after reaching eighteen (18) years of age with the reason for continued placement documented.
- (2) The resident shall be discharged no later than their twenty-first birthday.
- (j) The facility shall not admit a child under five (5) years of age.
(k) At the time of admission, the following information shall be documented in the child’s record:
- (1) Name, signature, and role or relationship of the person who relinquished the child into care;
- (2) A brief description of the circumstances that require admission;
- (3) The date and time of the admission;
- (4) A brief description of the child’s history, if known, including behavioral history;
- (5) Any known medical history and known current health conditions;
- (6) All medications currently prescribed for the child, if known and available; and
- (7) The child’s current behavior or known emotional condition.
- (l) Intake information shall be completed on each child in its care within ten (10) working days after admission.
(m) The intake shall include:
(1) Demographic information on the child and parent or parents, including:
- (A) Name;
- (B) Address;
- (C) Birth date;
- (D) Gender;
- (E) Race; and
- (F) Religious preference;
- (2) A factual description of the circumstances that require placement;
- (3) A brief social history of the family;
- (4) The child’s current legal status or custody; and
- (5) Any history of previous placements outside the family.
(n)
(1) The facility shall:
- (A) Obtain copies of legal documents within thirty (30) days of admission; or
- (B) Document its attempts to obtain the documents.
(2) The legal documents shall include without limitation:
- (A) Birth certificates;
- (B) Social Security cards; and
- (C) Court orders.
- (o) Facilities that have an adult program shall provide sleeping and living arrangements to ensure separation of adults from children.