Individual Record Requirements

(1) The service recipient record for each service recipient must contain the following information: (a) Record of attendance at program services; (b) Discharge summary which states, if appropriate, service recipient condition at the time of discharge and signature of staff person preparing the summary. (c) Progress notes which must include written documentation of progress and changes which have occurred within the Plan of Care and, at a minimum must be developed on a weekly basis. Progress notes must be dated and minimally include the signature, with title or degree, of the person preparing the note