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(c) Procedures on use of force, restraints, and security control devices.
(d) Fire safety equipment and evacuation procedures.
(3) Documentation. All staff training shall be documented.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
Subchapter V — Food Service and Nutrition
DOC 346.17 Food service.
(1) Sanitation. The kitchen area and all equipment shall be maintained in a sanitary condition.
(2) Food safety.
(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.
(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.
(c) Food and drink shall be protected from contamination. Meals shall be covered during transit to and within the facility.
(d) Food temperature shall be properly maintained and documented daily.
(e) Kitchen storage and dishwashing equipment temperatures shall be monitored and documented daily.
(f) Garbage containers shall be covered, emptied daily, and kept clean.
(g) Cleaning agents shall be stored separately from food service items.
(3) Inventory. There shall be a documented inventory accounting for all sharps, tools, and utensils at all times.
(4) Inspection.
(a) Internal monthly inspection of all food service areas shall be conducted and documented.
(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.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
DOC 346.18 Meals.
(1) The facility shall provide nutritious and quality food for all youth.
(2) The facility shall develop menus that satisfy generally accepted nutritional standards.
(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.
(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).
(5) Special diets are provided as prescribed by a qualified health care professional.
(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.
(7) Youth shall eat meals in a cafeteria or common area unless approved by a supervisor or designee.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
Subchapter VI — Health and Mental Health Care
DOC 346.19 Health screening.
(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.
(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.
(3) The health screening shall be conducted in a confidential setting.
(4) If urgent concerns are identified during the health screening, referrals to medical, mental health, or supervisory staff shall be immediate.
(5) A qualified health care professional shall review the health screening within 72 hours. The review shall be documented.
(6) Documentation of health screening results and subsequent review of the health screening form shall be maintained in the youth’s confidential file.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
DOC 346.20 Health care assessment.
(1) All youth shall receive a full health care assessment by a qualified health care professional within 7 days of admission.
(2) The assessment shall be documented.
(3) Documentation of health care assessment results shall be maintained in the youth’s confidential medical record.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
DOC 346.21 Medical care.
(1) The facility shall provide youth with necessary medical care while the youth is in custody.
(2) The facility shall provide youth with a schedule of access to medical care to be provided under sub. (1).
(3) The facility shall provide access to emergency medical and dental services.
(4) All licensed or certified health care professionals shall provide services in accordance with the standards of practice established by the applicable regulatory body.
(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.
(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.
(7) The facility shall allow for submission and screening of medical requests on a daily basis.
(8) The facility’s provision of medical care shall ensure access to all of the following:
(a) Pregnancy management.
(b) Acute and chronic medical conditions management.
(c) Communicable disease and infection control.
(d) Detoxification and withdrawal care.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
DOC 346.22 Mental health care.
(1) The facility shall provide youth with necessary mental health services from a qualified mental health professional while the youth is in custody.
(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.
(3) The facility shall have a schedule of access to on-site mental health care services.
(4) The facility shall provide access to emergency mental health care.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
DOC 346.23 Suicide and self-harm prevention.
(1) Risk of suicide or self-harm. The facility shall do all of the following:
(a) Obtain documented information from a transporting agency’s observation pertaining to a youth’s mental health and potential for suicide or self-harm.
(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.
(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.
(2) Suicide or self-harm watch. The facility shall do all of the following:
(a) Identify designated supervisory staff to be notified if a youth is determined to be a suicide or self-harm risk.
(b) Designate areas within the facility and provide security precautions for youth who are placed on suicide or self-harm watch.
(c) Establish monitoring procedures for youth on suicide or self-harm watch, including frequency and documentation of wellness checks under s. DOC 346.39.
(3) Youth supervision. The facility shall do all of the following:
(a) Identify staff who may initiate a suicide or self-harm watch.
(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.
(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.
(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.
(e) Establish an intervention protocol during an apparent suicide or self-harm attempt, including life-sustaining measures.
(f) Identify persons to be notified in case of attempted or completed suicides or self-harm.
(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:
(a) Individual initiating the suicide or self-harm watch.
(b) Date and time watch was initiated.
(c) Reason watch was initiated.
(d) Date, time, and name of supervisor contacted.
(e) Date and time of referral to a qualified mental health professional.
(f) Written documentation from the qualified mental health professional removing a youth from a suicide or self-harm watch including name, date, and time.
(5) Support services. The facility shall provide access to debriefing and support services for youth and staff following a suicide or self-harm incident.
History: CR 24-065: cr. Register July 2025 No. 835, eff. 8-1-25.
DOC 346.24 Medications.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.