1. (a) Facility staff shall complete a confidential record for each juvenile admitted to the facility and include, at the minimum, the following:

   1. (1) court case number, if any;
   2. (2) date and time of admission and release;
   3. (3) name and nicknames;
   4. (4) last known address;
   5. (5) custodian;
   6. (6) name of attorney, if any;
   7. (7) name, title, and signature of delivering officer;
   8. (8) specific charge(s);
   9. (9) sex;
   10. (10) date of birth;
   11. (11) place of birth;
   12. (12) race or nationality;
   13. (13) education and school attended;
   14. (14) religious preference;
   15. (15) medical history questionnaire;
   16. (16) medical consent forms, court orders authorizing medical treatment, or documentation of request for medical consent;
   17. (17) name, relationship, address, and phone number of parent, guardian, or person with whom the juvenile resides at the time of admission;
   18. (18) driver's license number, social security number and medical assistance number, if any;
   19. (19) statement signed by the juvenile that he/she has been advised of juvenile rights, program rules, grievance process, and discipline policy;
   20. (20) date of petition, if available;
   21. (21) additional notations including identifying marks, any open wounds or sores requiring treatment, evidence of disease or body vermin, or tattoos;
   22. (22) inventory of personal property;
   23. (23) emergency contact person; and
   24. (24) signature of person recording data.

2. (b) Facility staff shall maintain a confidential record on each juvenile and ensure that the record is safeguarded from unauthorized and improper disclosure. The case record includes, at a minimum, the information in this subsection, when and where applicable:

   1. (1) documented legal authority to accept juvenile;
   2. (2) referral source;
   3. (3) record of court appearances;
   4. (4) signed release of information forms when records are requested or distributed;
   5. (5) notations of temporary absences from the facility;
   6. (6) visitors' names and dates of visits;
   7. (7) a record of telephone calls;
   8. (8) a report of any accidents or injury occurring to a resident while detained;
   9. (9) probation officer or caseworker assignment;
   10. (10) progress reports on program involvement;
   11. (11) court dates and disposition, if any;
   12. (12) grievance and disciplinary record, if any;
   13. (13) referrals to other agencies; and
   14. (14) final discharge or transfer report.

Added at 14 Ok Reg 1863, eff 6-2-97

Amended at 17 Ok Reg 3202, eff 7-18-00 (emergency)

Amended at 18 Ok Reg 2625, eff 7-1-01

Amended at 38 Ok Reg 1125, eff 8-26-21