1. (1) The governing body must ensure that the record of each person supported includes the following:

   1. (a) The social security number of the person supported;
   2. (b) The legal competency status of the person supported, including the name of his/her legal representative (conservator, parent, guardian, or legal custodian), if applicable;
   3. (c) Sources of coverage for the medical care costs of the person supported;
   4. (d) The name, address and telephone number of the physician or healthcare agency providing medical services for the person supported;
   5. (e) Documentation of all medications administered to the person supported by the licensee, which indicates the date prescribed, type, dosage, frequency, amount and reason;
   6. (f) Written accounts of all monies received and disbursed on behalf of the person supported;
   7. (g) Report of medical problems, accidents, seizures and illnesses of the person supported, and treatments for such medical problems, accidents, seizures and illnesses while the person supported is in respite care;
   8. (h) Report of significant behavior incidents of the person supported, and actions taken; and
   9. (i) Report of the use of restrictive behavior management techniques on the person supported.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 33-1-201, 33-1-302, 33-1-303, 33-1-305, 33-1-309, 33-2-301, 33- 2-302, 33-2-404, 33-2-407. Administrative History: New rules filed July 6, 2016; effective October 4, 2016.