<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 16.03.01.01" title_num="16" subtitle_num="03" chapter_num="01" heading="Individual Case Records.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Contents. The case record shall include:</text>
    <paragraph num="(1)">
      <text>Identifying information about the youth and the youth's parents, guardians, or care-givers;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A recent photograph of the youth;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prior placement information;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A treatment service plan adopted under Courts and Judicial Proceedings Article, §3-8A-20.1, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Documentation of services provided during the youth's detention or commitment;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Documentation of services provided or offered to the youth in the community;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Written reports about the youth;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Health records, including health, mental health, substance abuse, and other evaluations of the youth, including suicide risk;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Educational records;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Legal documents;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Classification and assessment documents;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>A discharge plan that specifies the required level of supervision and services;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Disciplinary incident documentation; and</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Progress notes.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Retention Period. The Department shall retain the case record for each youth in accordance with its most currently approved records retention schedule.</text>
  </paragraph>
</regulation>