Child Supported Records

(1) The record of each child supported must contain the following information: (a) A recent photograph and a description of the child supported; (b) The social security number of the child supported; (c) Name of parent or guardian; (d) The sources of financial support of the child supported, including social security, veteran’s benefits and insurance; (e) The sources of coverage for medical care costs of the child supported; (f) The name, address and telephone number of the physician or healthcare agency providing medical services of the child supported; (g) Documentation of all drugs prescribed or administered by the licensee to the child supported, which indicates date prescribed, type, dosage, frequency, amount and reason; (h) A discharge summary of the child 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; and treatments for such medical problems, accidents, seizures and illnesses of the child supported; (j) Report of significant behavior incidents and of actions taken for the child supported; and (k) Report of the use of restrictive behavior management techniques for the child supported.