441—114.10(237) Program services.
	114.10(1) Evaluation services.
	a. 	When evaluation services are provided by staff of the facility, the services shall be clearly defined so that referral sources are clear about the components of the service.
	b. 	Evaluations shall be based on behavioral observations, social history, educational assessments and shall include an assessment of vocational needs, recreational skills, and physical therapy, speech, language, vision and hearing needs to assist in planning and placement for the child. The need for providing all of these evaluative services will be determined on the basis of the specific child being referred.
	114.10(2) Service plan. There shall be a written service plan for each child. The service plan shall be based on the individual needs determined through the assessment of each resident, provide for consultation with the family, and shall include the following:
	a. 	Identification of special needs.
	b. 	Description of planned services including measurable goals and objectives which indicate which staff person will be responsible for the specific services in the plan.
	c. 	Indication of where the services are to occur and note the frequency of activities or services.
	d. 	A discharge summary.
	114.10(3) Daily routine. Each facility shall provide a daily routine for the children in residence which is directed toward developing healthful habits in eating, sleeping, exercising, personal care, hygiene, and grooming according to the needs of the individual child and the living group.
	114.10(4) Daily log. The facility shall maintain a daily log to generally record noteworthy occurrences regarding the children in care. Problem areas or unusual behavior for specific children shall be recorded in individual children’s records.
	114.10(5) Educational services. An educational program shall be available for each child in accordance with abilities and needs. The educational and teaching standards established by the state department of education shall be met when an educational program is provided within an institution.
	114.10(6) Health care.
	a. 	There shall be 24-hour emergency and routine medical and dental services available and provided when prescribed. Provisions for these services shall be documented.
	b. 	The facility shall arrange a physical assessment including vision and hearing tests for each child in care within one week of admission unless the child has received an examination within the past year and the results of this examination are available to the facility.
	c. 	A facility shall not require medical treatment when the parent(s) or guardian of the child or the child objects to treatment on the grounds that it conflicts with the tenets and practices of a recognized church or religious denomination of which the parent(s), guardian or child is an adherent. In potentially life-threatening situations, the facility shall refer the child’s care to appropriate medical and legal authorities.
	d. 	A facility shall have and staff shall follow written procedures in case of medical emergency.
	e. 	A facility shall schedule a dental examination for each child within 14 days of admission unless the child has been examined within six months prior to admission and the facility has the results of that examination.
	114.10(7) Dietary program. The facility shall provide properly planned, nutritious and inviting food and take into consideration the dietary and health needs of children. The facility shall follow all dietary recommendations prescribed by medical personnel or a dietitian licensed in the state of Iowa.
	114.10(8) Recreation and leisure programs.
	a. 	The facility shall provide adequately designed and maintained indoor and outdoor activity areas, equipment, and equipment storage facilities appropriate for the residents it serves. There shall be a variety of activity areas and equipment so that all children can be active participants in different types of individual and group sports and other motor activities.
	b. 	Games, toys, equipment, and arts and crafts material shall be selected according to the ages and number of children with consideration to the needs of the children to engage in active and quiet play.
	c. 	The facility shall plan and carry out efforts to establish and maintain workable relationships with community recreational resources so these resources may provide opportunities for children to participate in community recreational activities.
	114.10(9) Casework services. A facility shall provide or obtain casework services in the form of counseling in accordance with the needs of each child’s individual service plan. Casework services include crisis intervention, daily living skills, interpersonal relationships, future planning and preparation for placement as required by the child.
	114.10(10) Psychiatric and psychological services—(Optional service).
	a. 	When the diagnostic evaluation of a child indicates need for care by a psychiatrist and under psychiatric guidance, the specialized treatment or consultation shall be provided or arranged by the facility.
	b. 	Psychologists, whose services are used in behalf of children, shall be licensed as a psychologist in the state of Iowa, or be certified by the department of education.
	114.10(11) Volunteers—(Optional service). Rescinded IAB 12/4/19, effective 1/8/20.
	114.10(12) Liability. Licensed group living foster care facilities that apply the reasonable and prudent parent standard reasonably and in good faith in regard to a child in foster care shall have immunity from civil or criminal liability which might otherwise be incurred or imposed. This subrule shall not remove or limit any existing liability protection afforded under any other law.
[ARC 2743C, IAB 10/12/16, effective 12/1/16; ARC 4793C, IAB 12/4/19, effective 1/8/20; ARC 6962C, IAB 4/5/23, effective 6/1/23]