Each individual’s record must include the following information:

1. (1) Personal information including:

   1. (i) The name, sex, admission date, birthdate and Social Security number.
   2. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.
   3. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual’s natural home, if other than English.
   4. (iv) Religious affiliation.
   5. (v) A current, dated photograph.
2. (2) Incident reports related to the individual.
3. (3) Physical examinations.
4. (4) Assessments as required under § 2380.181 (relating to assessment).
5. (5) Individual plan documents as required by this chapter.
6. (6) Copies of psychological evaluations, if applicable.

Authority

The provisions of this § 2380.173 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).

Source

The provisions of this § 2380.173 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (352111) to (352112).

Cross References

This section cited in 55 Pa. Code § 2380.174 (relating to record location).