All adult day care centers shall maintain an individual folder for each participant. Each record shall include but not be limited to the following:
- (1) Admission information including medical and social history and identification.
- (2) Physician's orders for medications, treatments, diet, rehabilitation, and special medical procedures.
- (3) Current health evaluations.
- (4) A chart of medications administered and any reactions, if applicable.
- (5) A written plan of care.
- (6) Copies of initial and periodic examinations, evaluations, and progress notes.
- (7) An authorization statement for emergency medical assistance including the name of a designated physician.
- (8) Name, address, and phone number of at least two (2) family members, guardians, and/or other persons designated to be contacted in an emergency.
- (9) Discharge plan and summary, when appropriate.
Added at 11 Ok Reg 901, eff 12-17-93 (emergency)
Added at 11 Ok Reg 2635, eff 6-25-94
Amended at 20 Ok Reg 1182, eff 5-27-03