Sec. 16.03.01.01. Individual Case Records

A. Required. Each facility or other program to which a youth is principally assigned shall maintain a case record for each youth assigned to that program.

B. Contents. The case record shall include:

(1) Identifying information about the youth and the youth's parents, guardians, or care-givers;

(2) A recent photograph of the youth;

(3) Prior placement information;

(4) A treatment service plan adopted under Courts and Judicial Proceedings Article, §3-8A-20.1, Annotated Code of Maryland;

(5) Documentation of services provided during the youth's detention or commitment;

(6) Documentation of services provided or offered to the youth in the community;

(7) Written reports about the youth;

(8) Health records, including health, mental health, substance abuse, and other evaluations of the youth, including suicide risk;

(9) Educational records;

(10) Legal documents;

(11) Classification and assessment documents;

(12) A discharge plan that specifies the required level of supervision and services;

(13) Disciplinary incident documentation; and

(14) Progress notes.

C. Retention Period. The Department shall retain the case record for each youth in accordance with its most currently approved records retention schedule.