9 CAR § 31-1005. Children's records

(a) The agency shall keep a confidential case record for each child that includes the following: (1) Demographic information; (2) Plan of safe care, if applicable; (3) A complete intake; (4) Assessments; (5) Consents, including consent for medical care and authority to place the child; (6) Interstate Compact on the Placement of Children, Arkansas Code § 9-29-201 et seq., information, if applicable; (7) Treatment plans and treatment plan reviews; (8) Copies of legal documents, for example, birth certificate, Social Security card, court orders, or documentation of its attempts to obtain the documents; (9) Physical exams and immunization records or documentation of its attempts to obtain the documents; (10) Psychological reports, if applicable; (11) Educational reports, if applicable; (12) Disciplinary and incident reports, if applicable; (13) Daily behavioral observations; (14) Nightly visual observations; (15) Medication and physician’s orders; (16) Therapy progress notes; (17) Physician notes; (18) Documentation of casework services and child contact; and (19) Discharge statement. (b) Records for each child shall be kept for five (5) years from the date of discharge, unless otherwise specified by Arkansas law. (c) The agency shall establish safeguards to limit access to records by authorized individuals only.