Chapter DOC 346

DOC 346.16(2)(c) (c) Procedures on use of force, restraints, and security control devices.

DOC 346.16(2)(d) (d) Fire safety equipment and evacuation procedures.

DOC 346.16(3) (3) Documentation. All staff training shall be documented.

DOC 346.16 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

subch. V of ch. DOC 346 Subchapter V — Food Service and Nutrition

DOC 346.17 DOC 346.17 Food service.

DOC 346.17(1) (1) Sanitation. The kitchen area and all equipment shall be maintained in a sanitary condition.

DOC 346.17(2) (2) Food safety.

DOC 346.17(2)(a) (a) Food items shall be stored at least 6 inches off the floor. Opened food packages shall be stored in airtight containers that are labeled and dated. Food items shall be stored in appropriate locations and temperatures.

DOC 346.17(2)(b) (b) All persons who work in food service areas shall wear clean garments and clean caps or hairnets and shall keep their hands clean at all times when engaged in the handling of food, drink, utensils, or equipment.

DOC 346.17(2)(c) (c) Food and drink shall be protected from contamination. Meals shall be covered during transit to and within the facility.

DOC 346.17(2)(d) (d) Food temperature shall be properly maintained and documented daily.

DOC 346.17(2)(e) (e) Kitchen storage and dishwashing equipment temperatures shall be monitored and documented daily.

DOC 346.17(2)(f) (f) Garbage containers shall be covered, emptied daily, and kept clean.

DOC 346.17(2)(g) (g) Cleaning agents shall be stored separately from food service items.

DOC 346.17(3) (3) Inventory. There shall be a documented inventory accounting for all sharps, tools, and utensils at all times.

DOC 346.17(4) (4) Inspection.

DOC 346.17(4)(a) (a) Internal monthly inspection of all food service areas shall be conducted and documented.

DOC 346.17(4)(b) (b) Annual inspection of all full-production and service kitchens by a qualified, independent outside source documenting that the food service area meets applicable health and safety codes shall be conducted.

DOC 346.17 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

DOC 346.18 DOC 346.18 Meals.

DOC 346.18(1) (1) The facility shall provide nutritious and quality food for all youth.

DOC 346.18(2) (2) The facility shall develop menus that satisfy generally accepted nutritional standards.

DOC 346.18(3) (3) An annual menu review by a qualified nutritionist or dietician shall be completed and maintained in the facility files. Any change or substitution to the menu shall be documented.

DOC 346.18(4) (4) A youth may abstain from any foods that violate the youth’s religion. Consistent with available resources, the facility shall provide a substitute with other available foods from the menu served at the meal. The substitutions shall be consistent with sub. (2).

DOC 346.18(5) (5) Special diets are provided as prescribed by a qualified health care professional.

DOC 346.18(6) (6) Youth shall receive 3 nutritious meals and a snack daily, with no more than 14 hours between the evening meal and breakfast. Two of the meals shall be hot, including the entrée.

DOC 346.18(7) (7) Youth shall eat meals in a cafeteria or common area unless approved by a supervisor or designee.

DOC 346.18 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

subch. VI of ch. DOC 346 Subchapter VI — Health and Mental Health Care

DOC 346.19 DOC 346.19 Health screening.

DOC 346.19(1) (1) The facility shall use a health screening form that is developed in conjunction with qualified health care professionals and is completed at the time of admission for each youth to record information about current and past medical, mental health, and dental conditions, physical and developmental disabilities, recent injuries or physical trauma, alcohol or other drug abuse problems, and suicide or self-harm risk. The completion of a health screening form upon admission of youth shall be documented.

DOC 346.19(2) (2) A youth whose screening under sub. (1) is not completed within one hour of admission shall be under constant staff supervision until the screening is completed. Section DOC 346.23 applies if a youth screens positive for risk of suicide or self-harm.

DOC 346.19(3) (3) The health screening shall be conducted in a confidential setting.

DOC 346.19(4) (4) If urgent concerns are identified during the health screening, referrals to medical, mental health, or supervisory staff shall be immediate.

DOC 346.19(5) (5) A qualified health care professional shall review the health screening within 72 hours. The review shall be documented.

DOC 346.19(6) (6) Documentation of health screening results and subsequent review of the health screening form shall be maintained in the youth’s confidential file.

DOC 346.19 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

DOC 346.20 DOC 346.20 Health care assessment.

DOC 346.20(1) (1) All youth shall receive a full health care assessment by a qualified health care professional within 7 days of admission.

DOC 346.20(2) (2) The assessment shall be documented.

DOC 346.20(3) (3) Documentation of health care assessment results shall be maintained in the youth’s confidential medical record.

DOC 346.20 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

DOC 346.21 DOC 346.21 Medical care.

DOC 346.21(1) (1) The facility shall provide youth with necessary medical care while the youth is in custody.

DOC 346.21(2) (2) The facility shall provide youth with a schedule of access to medical care to be provided under sub. (1).

DOC 346.21(3) (3) The facility shall provide access to emergency medical and dental services.

DOC 346.21(4) (4) All licensed or certified health care professionals shall provide services in accordance with the standards of practice established by the applicable regulatory body.

DOC 346.21(5) (5) Health care staff shall be in compliance with state and federal licensure certification and registration. Verification of compliance shall be maintained at the facility.

DOC 346.21(6) (6) A youth may refuse specific health evaluations and treatments in accordance with applicable federal and state law. All refusals shall be documented and maintained in the youth’s confidential medical record.

DOC 346.21(7) (7) The facility shall allow for submission and screening of medical requests on a daily basis.

DOC 346.21(8) (8) The facility’s provision of medical care shall ensure access to all of the following:

DOC 346.21(8)(a) (a) Pregnancy management.

DOC 346.21(8)(b) (b) Acute and chronic medical conditions management.

DOC 346.21(8)(c) (c) Communicable disease and infection control.

DOC 346.21(8)(d) (d) Detoxification and withdrawal care.

DOC 346.21 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

DOC 346.22 DOC 346.22 Mental health care.

DOC 346.22(1) (1) The facility shall provide youth with necessary mental health services from a qualified mental health professional while the youth is in custody.

DOC 346.22(2) (2) Licensed mental health professionals shall be in compliance with state and federal licensure certification and registration. Verification of compliance shall be maintained at the facility.

DOC 346.22(3) (3) The facility shall have a schedule of access to on-site mental health care services.

DOC 346.22(4) (4) The facility shall provide access to emergency mental health care.

DOC 346.22 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

DOC 346.23 DOC 346.23 Suicide and self-harm prevention.

DOC 346.23(1) (1) Risk of suicide or self-harm. The facility shall do all of the following:

DOC 346.23(1)(a) (a) Obtain documented information from a transporting agency’s observation pertaining to a youth’s mental health and potential for suicide or self-harm.

DOC 346.23(1)(b) (b) Require staff to immediately notify qualified medical and mental health professionals of all incidents of self-harm or attempted self-harm. The notification and incident shall be documented.

DOC 346.23(1)(c) (c) Require staff to immediately notify qualified medical and mental health professionals of youth who have communicated having ideation, plan, or intent to engage in self-harm or suicide. The notification and incident shall be documented.

DOC 346.23(2) (2) Suicide or self-harm watch. The facility shall do all of the following:

DOC 346.23(2)(a) (a) Identify designated supervisory staff to be notified if a youth is determined to be a suicide or self-harm risk.

DOC 346.23(2)(b) (b) Designate areas within the facility and provide security precautions for youth who are placed on suicide or self-harm watch.

DOC 346.23(2)(c) (c) Establish monitoring procedures for youth on suicide or self-harm watch, including frequency and documentation of wellness checks under s. DOC 346.39.

DOC 346.23(3) (3) Youth supervision. The facility shall do all of the following:

DOC 346.23(3)(a) (a) Identify staff who may initiate a suicide or self-harm watch.

DOC 346.23(3)(b) (b) Require notification to qualified mental health professionals when the youth is placed on suicide or self-harm watch. Assessment by a qualified mental health professional shall be completed as soon as practicable.

DOC 346.23(3)(c) (c) Identify qualified mental health professionals who are authorized to remove a youth from a suicide or self-harm watch status after an in-person assessment.

DOC 346.23(3)(d) (d) Establish requirements for the frequency of communication between health care and facility staff regarding the status of a youth who is on suicide or self-harm watch.

DOC 346.23(3)(e) (e) Establish an intervention protocol during an apparent suicide or self-harm attempt, including life-sustaining measures.

DOC 346.23(3)(f) (f) Identify persons to be notified in case of attempted or completed suicides or self-harm.

DOC 346.23(4) (4) Documentation. The facility shall document actions taken and decisions made regarding youth who are at risk of attempting suicide or self-harm, including all of the following:

DOC 346.23(4)(a) (a) Individual initiating the suicide or self-harm watch.

DOC 346.23(4)(b) (b) Date and time watch was initiated.

DOC 346.23(4)(c) (c) Reason watch was initiated.

DOC 346.23(4)(d) (d) Date, time, and name of supervisor contacted.

DOC 346.23(4)(e) (e) Date and time of referral to a qualified mental health professional.

DOC 346.23(4)(f) (f) Written documentation from the qualified mental health professional removing a youth from a suicide or self-harm watch including name, date, and time.

DOC 346.23(5) (5) Support services. The facility shall provide access to debriefing and support services for youth and staff following a suicide or self-harm incident.

DOC 346.23 History History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.

DOC 346.24 DOC 346.24 Medications.