9 CAR § 31-1003. Admission

(a) The facility shall not admit any child for whom the facility cannot provide adequate care. (b) A psychiatric residential treatment facility licensed under the Child Welfare Agency Licensing Act, Arkansas Code § 9-28-401 et seq., and holding a permit from the Health Services Permit Agency or the Health Services Permit Commission shall not admit a child for psychiatric residential treatment unless the child is: (1) An Arkansas resident; (2) A child of a parent who is an Arkansas resident; (3) A child placed by or on behalf of another state’s child welfare agency; (4) A child for whom the facility is being paid by another state's Medicaid program; (5) A child of an active-duty member or veteran of the uniformed services as defined in Arkansas Code § 6-4-302; or (6) A nonresident child victim of human trafficking when the regulated facility maintains responsibility for the return of the child to the out-of-state custodian. (c) Each child shall have a: (1) Medical exam no more than one (1) year before admission; or (2) Documented appointment date for an exam within one (1) week after admission. (d) Each child shall have: (1) Proof of current immunizations; (2) A letter of exemption in accordance with the Department of Health; or (3) A scheduled appointment within one (1) week after admission. (e) The facility shall obtain written verification of the placing agent’s authority to place the child at the time of admission. (f) The facility shall obtain written authority for medical care for the child from the placing agent at the time of admission. (g) The agency shall comply with the Interstate Compact on the Placement of Children, Arkansas Code § 9-29-201 et seq., when admitting children from outside Arkansas, if applicable. (h) The facility shall establish that all persons referred for admission are under eighteen (18) years of age at the time of admission. (i)(1) Residents may remain in the program after reaching eighteen (18) years of age with the reason for continued placement documented. (2) The resident shall be discharged no later than their twenty-first birthday. (j) The facility shall not admit a child under five (5) years of age. (k) At the time of admission, the following information shall be documented in the child’s record: (1) Name, signature, and role or relationship of the person who relinquished the child into care; (2) A brief description of the circumstances that require admission; (3) The date and time of the admission; (4) A brief description of the child’s history, if known, including behavioral history; (5) Any known medical history and known current health conditions; (6) All medications currently prescribed for the child, if known and available; and (7) The child’s current behavior or known emotional condition. (l) Intake information shall be completed on each child in its care within ten (10) working days after admission. (m) The intake shall include: (1) Demographic information on the child and parent or parents, including: (A) Name; (B) Address; (C) Birth date; (D) Gender; (E) Race; and (F) Religious preference; (2) A factual description of the circumstances that require placement; (3) A brief social history of the family; (4) The child’s current legal status or custody; and (5) Any history of previous placements outside the family. (n)(1) The facility shall: (A) Obtain copies of legal documents within thirty (30) days of admission; or (B) Document its attempts to obtain the documents. (2) The legal documents shall include without limitation: (A) Birth certificates; (B) Social Security cards; and (C) Court orders. (o) Facilities that have an adult program shall provide sleeping and living arrangements to ensure separation of adults from children.