Section R6-6-807. Records

A.      In addition to health care records as required by R6-6-806, the licensee shall maintain the following programmatic records in the client’s place of residence:

1.        A copy of the client’s most current annual ISPP which is placed into the records within 15 calendar days of receipt by the licensee;

2.        The teaching plan or strategy for each objective specified in the client’s ISPP;

3.        A copy of monthly progress reports for the client, as sub- mitted to the case manager;

4.        Documentation of incidents involving the client;

5.        Behavior treatment plan, if applicable;

6.        All required consents, including, as applicable, consent for use of behavior-modifying medications and consent for release of personally identifiable information, unless these consents are maintained in the main provider record; and

7.        Reference to the location of other pertinent records.

B.       The licensee shall ensure that documents and entries made by agency personnel identify the person making the entry and that all are:

1.        Legible;

2.        Typed or written in ink;

3.        Dated; and

4.        Properly corrected, as necessary.

Historical Note

Adopted effective August 30, 1994, under an exemption from the provisions of A.R.S. Title 41, Chapter 6 (Supp.

94-3).