441—114.9(237) Intake procedures.
	114.9(1) Intake policies. The agency shall have written intake policies specific to the licensed facility.
	114.9(2) Basis of acceptance. Children shall be accepted for care only after the following criteria have been met:
	a. 	An assessment of the child’s need for service and supervision has been agreed upon by the staff of the facility and the referring agency worker. The child, the child’s family, and any other significant people shall be invited to participate in this process to the fullest extent possible.
	b. 	The assessment indicates that the child requires the care offered by this type of facility and is likely to benefit from the program the facility offers.
	114.9(3) Referral information. The following information shall be made available prior to any decision being made regarding the acceptance of a child. The following information shall be requested by the facility if not yet received.
	a. 	A current social history.
	b. 	A copy of the child’s physical assessment including immunization history completed within one year prior to application, when available.
	c. 	Where indicated, or when available, psychological testing completed no more than one year prior to referral.
	d. 	Current educational data.
	e. 	When indicated or available, psychiatric report completed no more than one year prior to referral.
	f. 	Referring agency’s case plan which includes goals and objectives to be achieved during placement with a time frame for the achievement of these goals and objectives.
	g. 	Documentation of the legal status of the child which includes any court orders or statements of custody and guardianship.
	114.9(4) Admission requirements.
	a. 	The following items shall be secured upon admission of the child to the facility.
	(1)	A placement agreement for the child signed by the person having legal responsibility for the child and the agency where the child is being placed. When this is not available at the time of placement, it shall be furnished within 48 hours of placement in the facility.
	(2)	Emergency medical authorization from the court, the parents, the guardian, or custodian.
	b. 	The following items shall be provided to the child, the child’s family or guardian, and the referring worker at the time of placement:
	(1)	A description of the services provided.
	(2)	Written policies regarding children’s rights as in rule 441—114.13(237).
	(3)	Written policies regarding religion, work or vocational experiences, family involvement, and discipline as in rules 441—114.15(237) to 441—114.17(237) and rule 441—114.20(237).
	114.9(5) Personal assessment. At the time of intake, individual needs will be identified by staff based on written and verbal information from referral sources, observable behavior at intake and the initial interview with youth or family, school contacts, physical examinations, and other relevant material. The individual assessment shall provide the basis for development of a service plan for each child.
	114.9(6) Educational assessment. An educational assessment shall be developed by the staff and the referring worker. Involvement of the parents or guardian, area education agency, and public schools may be appropriate.
	114.9(7) Person responsible. Each agency shall designate a person or persons who have the authority to do intake.
	114.9(8) Intake sheet. An intake sheet shall be completed on each child containing at least the information specified in 114.11(2).
[ARC 4793C, IAB 12/4/19, effective 1/8/20; ARC 6962C, IAB 4/5/23, effective 6/1/23]