Person Supported Records

(1) The record of each person supported must contain the following: (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 DEVELOPMENTAL CHAPTER 0465-02-16 DISABILITIES SEMI-INDEPENDENT LIVING 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 the 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 medical problems, accidents, seizures and illnesses of the person supported, and treatments of 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; and (l) Written accounts of all monies received and disbursed on behalf of the person supported.