(1) Youth shall be taken for immediate treatment at a hospital or other appropriate medical facility, if at admission, upon initial visual inspection, the youth appears to be seriously physically harmed, has an urgent medical need, exhibits signs of intoxication due to drugs or alcohol, or exhibits signs of disorientation or psychosis, and cannot be appropriately treated at the facility. The youth shall be admitted to the facility when he or she has been cleared by a hospital or other medical facility for admission.

(2) A comprehensive health assessment shall be completed within 72 hours of admission and at yearly intervals thereafter. Such assessment shall include, but is not limited to the following: medical history, standard review of illnesses and symptoms, and physical examination that meets current medical standards as required by OCFS.

(3) A specialized secure detention facility shall provide ambulatory health services, including, but not limited to: daily sick call, medication administration as authorized or prescribed by medical professionals, and evaluation of youth following physical restraints or altercations.

(4) A specialized secure detention facility shall provide access to outside services sufficient to meet the needs of the youth population, such as: radiology, laboratory, a full range of special diagnostic or therapeutic services (e.g., orthopedics, obstetrician), and dentist or orthodontist services.

(5) A specialized secure detention facility shall establish and maintain a confidential permanent individual medical record for every youth.

(6) A specialized secure detention facility shall address the needs of a youth who has been diagnosed with an infectious disease, including isolation because of such needs.

(7) A youth’s medical record shall be forwarded when a youth is transferred to a different facility or placement.