049-3 Wyo. Code R. §§ 3-13 - Child Health and Safety

(a) The organization shall develop, adopt, follow and maintain on file written policies and procedures to keep children safe and healthy while in their facilities.

(b) Health and Safety Documentation. Within twenty-four (24) hours of admission to the program, the program intake staff shall document or obtain the health and safety status of the child including:

(i) Allergies;

(ii) Medications;

(iii) Immunization history;

(iv) Hospitalizations;

(v) Medical diagnoses;

(vi) Medical problems that run in the family;

(vii) Complications of pregnancy, if applicable;

(vii) Special dietary needs;

(ix) Illnesses;

(x) Injuries;

(xi) Dental problems;

(xii) Mental health issues;

(xiii) Emotional problems;

(xiv) Ongoing medical care needs;

(xv) History of aggressive or violent behavior;

(xvi) Substance abuse history;

(xvii) Sexual history or behavior patterns that may place the child or other children at risk;

(xviii) Known or suspected suicide or self-injury attempts or gestures;

(xix) Emotional history which may indicate a predisposition for selfinjury or suicide;

(xx) History of fire setting;

(xxi) Homicidal thinking;

(xxii) Animal mutilation; and

(xxiii) Runaway history.

(c) Child's Health and Safety Plan. If indicated in the health and safety documentation, an individual written plan to address the child's health and safety issues shall be developed and implemented as soon as practical but not more than seven (7) calendar days from the date of the screening.

(i) A safety plan shall be developed (or updated) and implemented immediately if the needs of the child change or if an incident occurs which requires a higher level of supervision, observation or other special accommodation, including but not limited to suicide ideation or attempt, runaway, assaultive/conductive behavior, sexual behavior, when the child is a danger to himself/herself or others. These safety plans shall be communicated and available for all staff as well as parent(s), guardian(s), and/or DFS case worker.

(d) There shall be written policy and procedures to ensure that personal hygiene articles and guidance and instruction regarding personal hygiene are provided. Such articles shall include, but not be limited to soap, toothbrush, toothpaste, comb, toilet paper, sanitary products and deodorant.

(e) Medical and Dental Care Documentation. The organization shall develop, adopt, follow and maintain on file written policies and procedures governing preventive, routine and emergency medical and dental care, including provisions for effective coordination of such dental and medical care with those responsible for the child's continuing care.

(f) Communicable Disease. When the facility has a child in placement who is infected, or who may be infected, with a communicable disease, the following guidelines shall apply:

(i) The organization shall work with the legal guardian at all stages of planning for the child;

(ii) All individual patient health records are strictly confidential; and

(iii) All programs must follow Wyoming Department of Health recommended procedures for infection control for both caregivers and children (http://www.health.wyo.gov/phsd/epiid/HAIevidence.html).

(g) Allergic Reactions.

(i) The organization shall develop, adopt, follow and maintain on file written policies and procedures to handle unanticipated allergic reactions by a child; and

(ii) Notation of allergic reactions shall be made in the child's file.

(h) Suicide Prevention and Intervention.

(i) The organization shall develop, adopt, follow and maintain on file written policies and procedures governing all aspects of suicide prevention and intervention.

(ii) The suicide prevention and intervention policy must be reviewed by a licensed medical or mental health professional;

(iii) All staff and foster parents having responsibility for the supervision of children shall be trained in the implementation of the policy; and

(iv) Documentation of training shall be in the staff member's personnel file and/or the foster parent's file.

(i) Family Planning.

(i) The organization shall have a written policy concerning family planning services that complies with federal and state statutes governing family planning.

(ii) A copy of the policy shall be made available to each child of the facility or program at the time of admission.

(iii) Family planning services shall be facilitated when requested.

(iv) Family planning services are voluntary.

(j) Sexually Transmitted Diseases. All programs must be in compliance with federal and state guidelines governing sexually transmitted diseases. Screening shall be provided by public health or licensed physician upon request of child.

(k) Children in substitute care shall not participate as human subjects in medical research or experimental medical projects.

(l) The organization shall ensure that each child in care has adequate, clean, well fitting, and seasonable clothing as required for health, comfort and physical well-being and as appropriate to age, sex and individual needs. A child's clothing shall be identifiably his or her own and not shared in common.

(i) Clothing shall be kept clean and in good repair. The child shall be involved in the care and maintenance of his or her clothing. As appropriate, laundering, ironing and sewing facilities shall be accessible to the child.

(ii) When uniforms are required, the child and parent(s), guardian(s) or DFS caseworker shall be advised of this requirement prior to admission.

Notes

049-3 Wyo. Code R. §§ 3-13

Amended, Eff. 11/8/2017. Amended, Eff. 9/3/2021.