(A)Each county department
of job and family services (CDJFS) or its designated agency shall maintain information
required pursuant to section 5101.631 of the Revised Code, as the official adult
protective services case record for each adult who is the subject of a referral
of abuse, neglect, or exploitation. This case record shall document all activities
performed by the CDJFS or its designated agency from the time of receipt of the
referral of abuse, neglect, or exploitation until the closing of the case.
(B)The CDJFS or its
designated agency shall record all case record information in the Ohio database
for adult protective services information system (ODAPS) maintained by the Ohio
department of job and family services (ODJFS). The information contained in ODAPS
will constitute the actual, official, and permanent case record.
(C)The case record
shall contain all information, pictures, documents,
and communications pertaining to the investigation of a report of abuse, neglect,
or exploitation, and the provision of services to alleviate any indicated concerns.
(D)The case record
shall contain case notes which document chronologically all activities performed
during the investigation, assessment, case planning, and provision of services.
The case notes shall include but are not limited to:
(1)Phone calls.
(2)Personal interviews.
(3)Reason and date
for adult protective service termination.
(4)Dates(s) of receipt
and preparation of documentation or communication as specified in paragraph (C)
of this rule.
(E)Each case record
prepared, maintained, and permanently kept in accordance
with paragraphs (A) to (D) of this rule shall contain, but not be limited to, the
following information, as applicable:
(1)Information on each
referral received by the CDJFS, or its designated
agency, alleging abuse, neglect, or exploitation,
including the screening decision pursuant to rule 5101:2-20-11 of the Administrative
Code.
(2)Information on each
referral received by the CDJFS, or its designated
agency, that is categorized and screened as an information
and/or referral intake pursuant to rule 5101:2-20-11 of the Administrative Code.
(3)Documentation that
the CDJFS, or its designated agency, has attempted to locate the correct address of the principals
of the report, and make required face-to-face contacts with the principals of the
report as required in rule 5101:2-20-12 of the Administrative Code.
(4)Justification for
all extensions and waivers executed for failing to complete any information gathering
activity as set forth in rule 5101:2-20-12 of the Administrative Code.
(5)Documentation of
the CDJFS's, or its designated agency's, request for assistance from law enforcement during the
course of the investigation/assessment and the corresponding rationale for the request.
(6)Copies of all assessments
used in assessing/investigating abuse, neglect, and exploitation reports, or determining
the need for continued services.
(7)Case notes concerning
the activities and statements of persons involved in the case, describing the activity
or statements, naming the persons involved, and stating the dates of occurrence.
(a)Case notes shall
be prepared at or near the time of the occurrence being recorded and shall be prepared
by or under the supervision of the staff member with the most direct knowledge of
the occurrence.
(b)Opinions of CDJFS
staff, its designated agency staff, and others included in case notes or dictation
shall be identified as such.
(8)Documentation of
verbal, written, or electronic referrals made by the CDJFS, or its designated agency,
on behalf of the client and all principlesprincipals being served by the CDJFS, or its designated agency,
to community service providers, including other public agencies and private agencies.
(9)Documentation of
the decision to transfer the case, or make a referral regarding the case, to a CDJFS
or its designated agency in another county.
(a)The case record
shall include a narrative of the discussion held with the proposed receiving CDJFS, or its designated agency,
and any decisions made during that discussion.
(b)If the proposed
receiving CDJFS or its designated agency declines to accept the transfer of the
case, the CDJFS responsible for the case, or its designee, shall make a referral
to the proposed receiving CDJFS or its designated agency and document this in the
case record before closing the case.
(10) Documentation of
the services provided directly by the CDJFS, or its
designated agency staff, to the client and other principlesprincipals, including
the dates of service.
(11) Reports from service
providers, including but not limited to medical, educational, psychological, diagnostic,
and treatment services.
(12) Copies of written
notification to the prosecuting attorney when a mandated referent/reporter fails
to make a report of abuse, neglect, or exploitation.
(13) Documentation and/or
copies of all required assessment/investigation notifications and referrals.
(14) Documentation of
any assessment/investigation information provided to a county interdisciplinary
team (I-team), or evaluation team, for case review.
(15) Required notations
and copies of any forms for any release of information including written permission
from the director or his designee, when information is released as set forth in
rule 5101:2-20-05 of the Administrative Code.
(16) A copy of all complaints,
motions, petitions, pleadings, and other documents submitted to the court by the
CDJFS, its designated agency, or any other party.
(17) A copy of all court
orders, findings, written determinations, and journalized
entries from the court.
(18) Copies of applications
for financial or social service support programs.
(19) Documentation that
the CDJFS, or its designated agency, has verified the citizenship or immigration status of
the client, as applicable.
(20) Documentation of
all visits and communications with the principlesprincipals of the case as required in rule 5101:2-20-16
of the Administrative Code.
(21) Documentation of
case plan development, review, necessary amendments, and signatures as required
by rule 5101:2-20-16 of the Administrative Code.
(F)Any case information
or documentation that cannot be directly entered into ODAPS shall be uploaded into
the system and maintained as part of the electronic case record.
(G)The case record
shall be considered confidential and not public record. Information contained in
the case record shall, upon request, be made available by the CDJFS or its designated
agency to the adult who is the subject of the report, and legal counsel for the
adult as required in rule 5101:2-20-05 of the Administrative Code.
Effective: 10/1/2021
Five Year Review (FYR) Dates: 6/22/2021 and 10/01/2026
Certification: CERTIFIED ELECTRONICALLY
Date: 09/07/2021
Promulgated Under: 111.15
Statutory Authority: 5101.61
Rule Amplifies: 5101.60 to 5101.71
Prior Effective Dates: 03/17/2003, 12/01/2007, 08/01/2012,
04/01/2018, 12/01/2019