Resident files

Upon placement, a resident's file is confidential and must be protected from unauthorized examination unless permitted or required by law or regulation. The shelter care program shall adopt a policy regarding the retention of the resident file. The resident file must include: 1. Admissions application, including: a. Resident's full name; b. Date of birth; c. Name and contact information of the referral; d. Name and contact information of the resident's custodian, if applicable; e. Name and contact information of the resident's parent or guardian; f. Name and dosage of current medication; and g. Documented consent to: (1) Complete initial screenings; (2) Provide first aid; (3) Transport to emergency room, if applicable; and (4) Distribute medications; 2. Resident photo; 3. Documentation of a daily activity log detailing the resident's time in the shelter care program; and 4. Documentation of discharge report, including the individual who the resident was discharged to, date, and location.