RELATES TO: KRS Chapter 13B, 17.165, Chapter 273, 600.020(7),
620.020, 620.045, 620.050
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
194A.050(1) requires the
Secretary of the Cabinet for Health and Family Services to promulgate
administrative regulations necessary under applicable state laws to protect,
develop, and maintain the health, personal dignity, integrity, and sufficiency
of the citizens of the Commonwealth and to operate the programs and fulfill the
responsibilities of the cabinet. In order to be eligible for grants from state
government entities, KRS 620.045(2)
requires children's advocacy centers to comply with the statutory definition
established in KRS
620.020(4) and
administrative regulations promulgated by the cabinet. This administrative
regulation establishes program standards for children's advocacy
centers.
Section 1. Definitions.
(1) "Cabinet" is defined by
KRS
600.020(7).
(2) "Governing board" or "board" means the
board of directors vested with the legal responsibility for management of the
children's advocacy center.
(3)
"Referral agreement" means a written protocol or process:
(a) Defined within the operating policies of
the center; and
(b) That details
how services required by Section 4 of this administrative regulation are
established for the center's clients if the center does not have the capacity
to provide these services.
(4) "Regional children's advocacy center" or
"center" means an agency defined by
KRS
620.020(4) and designated by
the cabinet to serve as the regional children's advocacy center in accordance
with KRS
620.045(1).
Section 2. Governing Board of
Directors.
(1) A center shall be managed by a
governing board in order to allow community involvement in the planning,
development, and evaluation of services.
(2) The duties of the board shall be to:
(a) Ensure that the facility housing the
center meets the standards established in the "National Children's Alliance
2023 Standards of Accreditation for Children's Advocacy Centers", beginning
July 1, 2024; and
(b) Recruit and
maintain board members who provide broad regional representation of the area
development district where the center is located.
(3) A center shall maintain good standing as
a private, nonprofit agency within the Commonwealth of Kentucky and adhere to
the applicable requirements of KRS Chapter 273 relating to the board of
directors and organization.
Section
3. Personnel Management.
(1) A
personnel file shall be maintained by the center for each employee.
(2) The minimum contents of the personnel
file shall include:
(a) Current professional
credentials to reflect training and experience adequate for qualification for
the position to which the employee is hired;
(b) Conditions or terms of employment that
shall include a confidentiality statement signed by the employee;
(c) A personnel action document reflecting a
change in status of an employee, such as salary change, promotion, resignation,
or termination;
(d) A position
description document including title of the position, description of duties,
and requirements of training and experience necessary to qualify for the
position; and
(e) Results from a
criminal records background and central registry check conducted in accordance
with
KRS
17.165 and
922 KAR 1:470 on the employee
during the application process and every two (2) years thereafter while
employed by the center.
(3) Beginning July 1, 2024, written personnel
policies and procedures shall be established by the center and shall meet the
requirements established in the "National Children's Alliance 2023 Standards of
Accreditation for Children's Advocacy Centers".
(4) The governing board shall employ one (1)
staff person as executive director of the children's advocacy center. The
executive director shall have:
(a) A minimum
of a master's degree from an accredited college or university; and
(b) Three (3) years of post-bachelor's degree
experience in administration.
(5) A governing board shall establish the
staff positions necessary to support the administration and service delivery of
the agency.
(6) A forensic
interviewer, if employed by the center, shall have:
(a) A minimum of a master's degree from an
accredited college or university in a mental health, education, human services,
or criminal justice field; and
(b)
Two (2) years of post-bachelor's degree direct service experience with
children.
(7) Staff
providing direct services shall have a minimum of a bachelor's degree from an
accredited college or university.
(8) An employee of a children's advocacy
center shall be at least twenty-one (21) years of age.
(9) An applicant for employment shall submit
to a criminal records check in accordance with
KRS
17.165 and
922 KAR 1:470 during the
application process and every two (2) years thereafter while employed by the
center.
(10) A center volunteer who
has access to or contact with a child shall submit to a criminal records check
in accordance with
KRS 17.165 and
922 KAR 1:470 prior to beginning
service to the center and every two (2) year thereafter while service is being
provided to the center.
(11) An
employee of a center under indictment or legally charged with a violent or sex
crime as defined in KRS 17.165 shall be immediately
removed from contact with children in the center until the employee is cleared
of the charge.
(12) A center
volunteer under indictment or legally charged with a violent or sex crime as
defined in KRS
17.165 shall be immediately removed from
contact with children in the center until the center volunteer is cleared of
the charge.
(13) An employee or
designated agent shall have immunity from civil liability arising from
performance within the scope of the person's duties and shall be provided a
defense in civil actions pursuant to
KRS
620.050(2).
Section 4. Center Services and
Standards. Beginning July 1, 2024, A center shall meet the standards contained
in the "National Children's Alliance 2023 Standards for Accreditation for
Children's Advocacy Centers".,
Section
5. Client Files and Documentation.
(1) A center shall open a client file for a
child who is provided a service, excluding service that is limited to a
telephone conversation.
(2) A
client file shall include information sufficient to document the services
provided or referral made by the center and shall include:
(a) The names of the client and primary
caregiver;
(b) The name of the
recipient of service;
(c) The
client's address;
(d) The client's
date of birth;
(e) Each date of
service provided by the center;
(f)
The name and title of each service provider of the center;
(g) A description of any services provided by
the center;
(h) The referral
sources used;
(i) A description of
any follow-up services provided; and
(j) Descriptions of contacts with, report to,
and referrals from the cabinet and law enforcement agency.
(3)
(a) A
center shall maintain a system for tracking:
1. Services rendered by region, except that
comprehensive medical services and forensic interviewing shall be tracked by
county of the client's residence;
2. Clients seen by county of client's
residence;
3. Referrals made;
and
4. Contacts with other
community agencies on behalf of clients.
(b) Documentation shall be sufficient to
support statistics reported to the cabinet.
Section 6. Funding.
(1)
(a) The
cabinet shall designate one (1) regional children's advocacy center in each
area development district.
(b) A
children's advocacy center designated on or after July 1, 2007, shall retain
the designation unless it has been rescinded by the cabinet based on:
1. Periodic review of the center's
performance; or
2. The annual plan
and budget submitted by the center to the cabinet for funding for the next
fiscal year.
(c) The
cabinet shall notify the Office of the Attorney General, the Department for
Medicaid Services, and the Justice and Public Safety Cabinet of any designation
of a regional children's advocacy center made pursuant to this administrative
regulation.
(2) The
requirements of this administrative regulation shall not prohibit the center
from applying for nongovernmental grants or fundraising to support efforts
consistent with the mission of the center.
(3)
(a) In
addition to the provisions of subsection (1)(b) of this section, the
Commissioner of the Department for Community Based Services may rescind the
designation of a center if a determination is made that the center failed to:
1. Submit a budget and plan for services that
substantiates the capacity to provide services specified in
KRS
620.020(4) and in accordance
with this administrative regulation;
2. Operate in accordance with a budget and
plan for services approved by the cabinet; or
3. Operate in accordance with the
requirements of this administrative regulation.
(b) Any notice of rescission of a designation
shall:
1. Be in writing;
2. Be mailed to the center's last known
mailing address;
3. State the basis
for the rescission;
4. State the
effective date of the rescission; and
5. State any appeal rights.
(c) The cabinet shall notify the
Office of the Attorney General, the Department for Medicaid Services, and the
Justice and Public Safety Cabinet of any notice of rescission of a designation
of a regional children's advocacy center issued pursuant to this administrative
regulation. Failure by the cabinet to provide such notice shall not serve as
grounds for the affected center to invalidate the notice of
rescission.
(4) Cabinet
funding for a center shall be contracted through the regional center or the
centers' state association.
(5) A
center may contract or establish referral agreements with other agencies or
professionals to provide services established in the "National Children's
Alliance 2023 Standards for Accreditation for Children's Advocacy
Centers".
(6)
(a) Except in cases where designation has
terminated, as established in subsection (1)(b) of this section, a center that
has received written notice that its designation has been rescinded may appeal
the determination of the Commissioner of the Department for Community Based
Services by requesting an administrative hearing.
(b) Any request for an administrative hearing
shall be in writing and shall be received by the Department for Community Based
Services within thirty (30) days of the date of receipt of the notice of
rescission. This type of request shall be sent to the Office of the
Commissioner, Department for Community Based Services, Cabinet for Health and
Family Services, 275 East Main Street, 3E-A, Frankfort, Kentucky
40621.
(c) Any administrative
hearing held pursuant to this administrative regulation shall be conducted in
accordance with KRS Chapter 13B by a hearing officer employed by the
cabinet.
(d) A request for an
administrative appeal shall stay the rescission of the designation until the
administrative appeal process is final.
(e) The stay on the rescission of the
designation granted by paragraph (d) of this subsection shall not extend to
judicial review, unless a stay is granted pursuant to
KRS
13B.140(4).
Section 7. Audit and
Monitoring.
(1) The cabinet or its agent shall
randomly, or upon receipt of a complaint, audit, monitor, or conduct program
reviews of a center.
(2) A center
shall allow the cabinet or its agent access to its property and records as
required by subsection (1) of this section.
Section 8. Grievance and Appeals Process.
Client grievances. A center shall establish a written grievance procedure that
shall:
(1) Be given to the parent or guardian
of each child who comes to the center for services; and
(2) Contain a description of the services
provided by the center and the procedure for filing a client grievance in
accordance with
922 KAR 1:320, Section
10.
Section 9.
Incorporation by Reference.
(1) "National
Children's Alliance 2023 Standards of Accreditation for Children's Advocacy
Centers", 2023 Edition, is incorporated by reference.
(2) This material may be inspected, copied,
or obtained, subject to applicable copyright law, at the Department for
Community Based Services, 275 East Main, Frankfort, Kentucky 40621, Monday
through Friday, 8 a.m. to 4:30 p.m. This material may also be viewed on the
department's Web site at
https://chfs.ky.gov/agencies/dcbs/Pages/default.aspx.