Person Supported Records

(1) The governing body must ensure that the record of each person supported includes the following: (a) The social security number of the person supported; (b) The legal competency status of the person supported, including the name of his/her legal representative (conservator, parent, guardian, or legal custodian), if applicable; (c) Sources of coverage for the medical care costs of the person supported; (d) The name, address and telephone number of the physician or healthcare agency providing medical services for the person supported; (e) Documentation of all medications administered to the person supported by the licensee, which indicates the date prescribed, type, dosage, frequency, amount and reason; (f) Written accounts of all monies received and disbursed on behalf of the person supported; (g) Report of medical problems, accidents, seizures and illnesses of the person supported, and treatments for such medical problems, accidents, seizures and illnesses while the person supported is in respite care; (h) Report of significant behavior incidents of the person supported, and actions taken; and (i) Report of the use of restrictive behavior management techniques on the person supported.