1. (1) Each child care agency shall maintain accurate and current records on each youth in care, including:

   1. (a) identifying information on the youth and the youth's family, including the youth's name, date and place of birth, sex, religion, race, names of relatives, and other necessary information;
   2. (b) date of the youth's admission and name of the referring party;
   3. (c) date of the youth's discharge and authorization for the discharge;
   4. (d) documentation concerning a youth's specific medical problems; and
   5. (e) a dated record of significant occurrences for each youth while in care.

2. (2) Additional records to be kept by all child care agencies, except receiving homes, include:

   1. (a) a copy of the court order, parental agreement, consent decree, or consent adjustment authorizing the youth's placement and any other pertinent court action concerning the youth;
   2. (b) a report stating the reasons for placement and the current case plan;
   3. (c) a social history on the youth and youth's family;
   4. (d) psychological or psychiatric information on the youth if psychological or psychiatric services have been provided to the youth at any time;
   5. (e) quarterly progress reports on the youth's reaction to the placement and services provided;
   6. (f) quarterly reports from any parties providing any services to the youth outside the child care agency; and
   7. (g) a case plan with written quarterly reviews of the plan.
3. (3) In addition, a copy of the youth's most recent physical examination must be kept by the child care agency.

Authorizing statute(s): 41-3-1103, 52-2-111, 52-2-603, 52-2-622, MCA

Implementing statute(s): 41-3-1103, 52-2-113, 52-2-603, 52-2-622, 53-2-201, 53-4-113, MCA

History: NEW, 1983 MAR p. 742, Eff. 7/1/83; AMD, 1986 MAR p. 2080, Eff. 12/27/86; TRANS, from Dept. of SRS, 1987 MAR p. 1492, Eff. 7/1/87; TRANS, from DFS, 1998 MAR p. 663; AMD, 2011 MAR p. 387, Eff. 3/25/11.