1. (1) A residential care agency must obtain all private health record information referred to in this rule in a manner that complies with federal and state law.

2. (2) Medical history. Within 30 days of a child in care being placed with a residential care agency, the residential care agency must obtain available medical history and other health-related information on the child in care, including:

   1. (a) Significant findings of the most current physical examination;
   2. (b) The child in care's current immunizations, history of surgical procedures and significant health issues or injuries, and past or present communicable diseases;
   3. (c) Any known allergies;
   4. (d) Dental, vision, hearing, and behavioral health; and
   5. (e) Physician or qualified medical professional's orders, including those related to medications, if any.

3. (3) Health Services. The residential care agency must provide or arrange for the following health services, as applicable:

   1. (a) Medical exams.
   2. (b) Information on maintaining reproductive health and birth control.
   3. (c) Prenatal care.
   4. (d) Well-baby care.
   5. (e) Fetal alcohol syndrome.
   6. (f) Accessing child and infant health insurance programs.
   7. (g) Screening for breast and other common cancers.
   8. (h) Provide all necessary feminine hygiene products.
   9. (i) Access to birth control, vaccinations, and information about preventing sexually transmitted diseases.
   10. (j) Age-appropriate consultation is provided regarding nutrition, pregnancy prevention, prevention of HIV and AIDS and general information about the prevention and treatment of sexually transmitted illnesses.

4. (4) Medical examinations. A residential care agency must safeguard the health of each child in care it serves by providing for a medical examination by a physician or qualified medical professional at the following intervals:

   1. (a) Three examinations during the first year of the child's life.
   2. (b) One examination at the age of two.
   3. (c) One examination at the age of four.
   4. (d) One examination at the age of six.
   5. (e) One examination at the age of nine.
   6. (f) One examination at the age of 14.
   7. (g) Have a physical examination within the first 60 days after admission of a child in care. Documentation of a physical examination having occurred within the calendar year will meet this requirement.
5. (5) A residential care agency must have written procedures for accessing routine and urgent medical care for children in care, including obtaining necessary consents.

Statutory/Other Authority

ORS 409.050, ORS 418.327, ORS 418.240 & ORS 418.005

Statutes/Other Implemented

ORS 418.205 - 418.327

History

OTIS 35-2023, amend filed 04/17/2023, effective 04/18/2023
CWP 26-2022, renumbered from 413-215-0546, filed 11/28/2022, effective 12/01/2022
CWP 24-2020, minor correction filed 01/13/2020, effective 01/13/2020
CWP 22-2016, f. & cert. ef. 12-1-16
CWP 12-2016(Temp), f. & cert. ef. 7-1-16 thru 12-27-16
Renumbered from 413-210-0160, CWP 33-2008, f. & cert. ef. 10-17-08
SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95