1. (1) A licensee shall maintain on the premises a record for each current resident. A resident record shall include all of the following regarding the resident:

   1. (a) First name, last name, chosen name, date of birth, and any other relevant demographic information.
   2. (b) Date of admission and discharge.
   3. (c) Recent photograph.
   4. (d) Voluntary placement agreement or court order, or both, as appropriate.

   5. (dm) Referral information, such as court reports and assessments from the placing agency, including the forms required under ch. DCF 37.

      Note: Section DCF 37.03 (2) requires that a placing agency provide an out-of-home care provider with DCF-F-CFS0872A-E and DCF-F-CFS0872B-E, Information for Out-of-Home Care Providers, Part A & Part B, within 7 days after a resident’s placement.

   6. (e) Name, address, and phone number of the placing agency; child welfare professional; and parent, guardian, legal custodian, or Indian custodian that is responsible for the resident.
   7. (f) Name, address, and phone number of the resident’s medical provider, dentist, and any other treatment provider.
   8. (g) Resident assessment, initial treatment plan, and treatment plan reviews under s. DCF 57.18.

   9. (h) Current medical information, including all of the following:

      1. 1. Medical consent and signed releases.
      2. 2. Dates and results of all physical health, mental health, dental, and optical examinations that occur while the resident is placed in the group home.
      3. 3. Immunizations.
      4. 4. Medications and treatments that the resident receives under s. DCF 57.29 (5).
      5. 5. Any allergies, including food, medication, or environmental.
      6. 6. Any physical limitations and required adaptive devices.
      7. 7. Any statements from a medical provider, registered dietician nutritionist, or prenatal care provider regarding a resident’s diet under s. DCF 57.30 (5).
   10. (i) Name of school and current grade.
   11. (j) Any religious preference.
   12. (k) Inventory of the resident’s possessions.
   13. (L) Nonmedical signed releases and consents.
   14. (m) Reasonable and prudent parenting decision records required under s. DCF 57.28 (3) (c).
   15. (n) Any serious incident report involving the resident under s. DCF 57.09 (1).

   16. (o) A description of any resident rights that are denied or limited and the disposition of any grievances under s. DCF 57.25 (4).

       Note: DCF-F-CFS2382A Intake Information – Group Home Resident, is a voluntary form that may be used to comply with this subsection. This form is available in the forms section of the department website at https://dcf.wisconsin.gov/forms.

2. (2) The resident record required in sub. (1) shall be maintained by the licensee until the resident reaches the age of 21 or 7 years after the resident is discharged from the group home, whichever is later.

History

History: CR 26-005: cr. Register May 2026 No. 845, eff. 6-1-26.