Person Supported Records

(1) Each record of the person supported must contain the following information: (a) A recent photograph and a description of the person supported; (b) The social security number of the person supported; (c) The legal competency status of the person supported, including the name of his/her legal representative (conservator, parent, guardian, or legal custodian), if applicable; (d) The sources of financial support including social security, veteran’s benefits and insurance of the person supported; MINIMUM PROGRAM REQUIREMENTS FOR INTELLECTUAL AND CHAPTER 0465-02-13 DEVELOPMENTAL DISABILITIES PLACEMENT SERVICES (e) The sources of coverage for medical care costs of the person supported; (f) The name, address and telephone number of the physician or healthcare agency providing medical services for the person supported; (g) Documentation of all medications prescribed or administered by the licensee to the person supported, which indicates date prescribed, type, dosage, frequency, amount and reason; (h) A discharge summary of the person supported, which states the date of discharge, reasons for discharge and referral for other services, if appropriate; (i) Report of medical problems, accidents, seizures and illnesses of the person supported, and treatments for such medical problems, accidents, seizures and illnesses; (j) Report of significant behavior incidents of the person supported, and actions taken; (k) Report of the use of restrictive behavior management techniques on the person supported; (l) A list of each individual article of personal property of the person supported valued at fifty dollars ($50.00) or more, including its disposition if it is no longer in use; and (m) Written accounts of all monies received and disbursed on behalf of the person supported.