5-015.32 APS Case Documentation

473 NAC 5-015.32

The local unit shall maintain case records on all adults for whom protective services are authorized. The case records must include documentation, including narrative, of all findings and activities relating to -

1. The receipt of the report;

2. The investigation, including priority of case and any re-prioritization, observations and decisions, date(s) and types of all contacts, and need for and authorization of emergency services;

3. The needs assessment, including Form DSS-76, "Client Assessment Tool";

4. Determination of case status;

5. Eligibility determination;

6. Central Registry check (Form DSS-1650A);

7. Service planning, including Forms DSS-3A, DSS-4, and DSS-4A;

8. Referral(s) to the county attorney or other attorney interested in the well-being of the client;

9. Court intervention action, including copies of all legal documents (e.g., guardianship, power of attorney, mental health commitment);

10. All APS contacts with the client and all collateral contacts made by the worker;

11. The findings sent to the law enforcement agency;

12. All reports received from other sources (e.g., medical, law enforcement);

13. Referrals to other community resources;

14. Form DSS-60, "Adult Abuse/Neglect Report," and/or DSS-0296; and

15. Case termination.

5-015.32A Record Retention

5-015.32B Record Retention for Licensed/Certified Facilities

5-015.32C Unfounded Investigation