DOC 347.19(4)(a)(a) Internal monthly inspection of all food service areas shall be conducted and documented.
DOC 347.19(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 347.19 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.20(1)(1)
The facility shall provide nutritious and quality food for all youth.
DOC 347.20(2)
(2) The facility shall develop menus that satisfy generally accepted nutritional standards.
DOC 347.20(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 347.20(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 from other available foods from the menu served at the meal. The substitutions shall be consistent with sub.
(2).
DOC 347.20(5)
(5) Special diets are provided as prescribed by a qualified health care professional.
DOC 347.20(6)
(6) Youth shall receive 3 nutritious meals and a snack daily, with no more than 12 hours between the evening meal and breakfast. Two of the meals shall be hot, including the entrée.
DOC 347.20(7)
(7) Youth shall eat meals in a cafeteria or common area unless approved by a supervisor or designee.
DOC 347.20 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.21(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 health screening form shall be documented.
DOC 347.21(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 347.26 applies if a youth screens positive for risk of suicide or self-harm.
DOC 347.21(3)
(3) The health screening shall be conducted in a confidential setting upon the youth's admission.
DOC 347.21(4)
(4) If urgent concerns are identified during the health screening, referrals to medical, mental health, or supervisory staff shall be immediate.
DOC 347.21(5)
(5) A qualified health care professional shall review the health screening within 72 hours. The review shall be documented.
DOC 347.21(6)
(6) Within 72 hours of admission, a qualified health care professional shall offer the youth sexually transmitted infection testing, and all female youth shall be offered pregnancy testing.
DOC 347.21(7)
(7) Documentation of health screening results and subsequent review of the health screening form shall be maintained in the youth's confidential medical record.
DOC 347.21 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.22(1)(1)
All youth shall receive a full health care assessment by a qualified health care professional within 7 days of admission. The assessment shall be documented.
DOC 347.22(2)
(2) A health care assessment is not required for a youth readmitted to the facility when the last health care assessment was performed within 90 days and when the youth's new admission health screening shows no change in health status.
DOC 347.22(3)
(3) Documentation of health care assessment results shall be maintained in the youth's confidential medical record.
DOC 347.22 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.23(2)
(2) The facility shall provide youth with a schedule of access to medical care to be provided under sub.
(1).
DOC 347.23(3)
(3) The facility shall provide access and arrange for transportation to emergency medical care services.
DOC 347.23(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 347.23(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 347.23(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 347.23(7)
(7) The facility shall allow for submission and screening of medical requests on a daily basis.
DOC 347.23(8)
(8) When practicable, the facility shall be in contact with a youth's personal physician.
DOC 347.23(9)
(9) The facility's provision of medical care shall ensure access to all of the following:
DOC 347.23 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.24(1)(1)
At admission, the facility shall obtain the name and contact information of an adult family member or guardian who can provide information about a youth's health and mental health history.
DOC 347.24(2)
(2) The facility shall ensure all medical and mental health examinations and services conform to applicable state laws for informed consent and the right to refuse treatment.
DOC 347.24(3)
(3) The facility shall obtain informed consent using a language that is understandable to the youth and the youth's parent or guardian.
DOC 347.24 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.25(1)(1)
The facility shall provide youth with mental health services from a qualified mental health professional.
DOC 347.25(2)
(2) All qualified mental health professionals shall have training on and be knowledgeable about the assessment of mental health disorders, trauma, and suicide risk among adolescents and age-appropriate interventions.
DOC 347.25(3)
(3) All qualified mental health professionals shall provide services in accordance with recognized standards of practice.
DOC 347.25(4)
(4) 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 347.25(5)
(5) All youth shall receive a mental health assessment by a qualified mental health professional within 7 days of admission. The assessment shall be documented.
DOC 347.25(6)
(6) The mental health assessment shall be conducted in a confidential setting.
DOC 347.25(7)
(7) The facility shall have sufficient service hours from qualified mental health professionals to timely meet the needs of youth in the facility.
DOC 347.25(8)
(8) The facility shall have a schedule of access to on-site mental health care services.
DOC 347.25(9)
(9) Qualified mental health professionals shall develop individual mental health treatment plans for youth with identified mental health needs.
DOC 347.25(10)
(10) Qualified mental health professionals shall work with facility staff to provide guidance, insight, and direction on managing and understanding the needs and behavior of youth.
DOC 347.25(11)
(11) The facility shall provide access to emergency mental health care and transportation, if necessary.
DOC 347.25 History
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21. DOC 347.26
DOC 347.26 Suicide and self-harm prevention. DOC 347.26(1)(1)
Risk of serious harm. The facility shall do all of the following:
DOC 347.26(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 347.26(1)(b)
(b) Determine whether the youth has ever considered or engaged in self-harm or attempted suicide.
DOC 347.26(1)(c)
(c) 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 347.26(1)(d)
(d) 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 347.26(2)
(2)
Suicide or self-harm watch. The facility shall do all of the following:
DOC 347.26(2)(a)
(a) Identify designated supervisory staff to be notified if a youth is determined to be a suicide or self-harm risk.
DOC 347.26(2)(b)
(b) Designate areas within the facility and provide security precautions for youth who are placed on suicide or self-harm watch.
DOC 347.26(2)(c)
(c) Establish monitoring procedures for youth on suicide or self-harm watch, including frequency and documentation of wellness checks under s.
DOC 347.48.
DOC 347.26(3)
(3)
Youth supervision. The facility shall do all of the following:
DOC 347.26(3)(a)
(a) Identify staff who may initiate a suicide or self-harm watch.
DOC 347.26(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 347.26(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 347.26(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 347.26(3)(e)
(e) Establish an intervention protocol during an apparent suicide or self-harm attempt, including life-sustaining measures.
DOC 347.26(3)(f)
(f) Notify the youth's parent or legal guardian any time a youth is placed on suicide or self-harm watch.
DOC 347.26(3)(g)
(g) Notify the youth's case worker in the county or tribe of supervision any time a youth is placed on suicide or self-harm watch.
DOC 347.26(3)(h)
(h) Identify persons to be notified in case of attempted or completed suicides or self-harm.
DOC 347.26(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 347.26(4)(e)
(e) Date and time of referral to a qualified mental health professional.
DOC 347.26(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 347.26(4)(h)
(h) Date and time of notification to youth's case worker in the county or tribe of supervision under sub.
(3) (g).
