ORS 418.325: Medical examinations required; frequency; child’s health record; other health care; explanation to adoptive parents.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) A child-caring agency that is subject to ORS 418.205 to 418.327, 418.470, 418.475 or 418.950 to 418.970 shall safeguard the health of each child, ward or other dependent or delinquent child to whom the agency provides care or services by providing for medical examinations of each child by a qualified physician or naturopathic physician at the following intervals: (a) Three examinations during the first year of the child’s life; (b) One examination during the second year of the child’s life; (c) One examination at the age of four; (d) One examination at the age of six; (e) One examination at the age of nine; and (f) One examination at the age of 14. (2) If an examination under subsection (1) of this section has not occurred within six months prior to the transfer for adoption of the custody of a child by a child-caring agency to the prospective adoptive parents of such child, a child-caring agency shall provide for a medical examination of such child within six months prior to such transfer. (3) Any testing that occurs at intervals other than those specified in subsections (1) and (2) of this section shall not be considered to be in lieu of the required examinations. However, nothing in subsections (1) and (2) of this section is intended to limit more frequent examinations that are dictated by the general state of the child’s health or by any particular condition. (4) Within 90 days of obtaining custody of a child under six years of age, a child-caring agency shall provide for the child to be: (a) Inoculated as determined appropriate by the local public health authority; and (b) Tested for: (A) Phenylketonuria pursuant to ORS 433.288; (B) Visual and aural acuity consistent with the child’s age; (C) Sickle-cell anemia; (D) Effects of rubella, if any; (E) Effects of parental sexually transmitted infections, if any; and (F) The hereditary or congenital effects of parental use of drugs or controlled substances. (5) Within six months prior to the transfer for adoption of the custody of a child by a child-caring agency to the prospective adoptive parents of such child, the child-caring agency shall provide for such child to have a complete physical examination by a physician or naturopathic physician, including but not limited to inspection for evidence of child abuse in accordance with rules of the Department of Human Services, and be tested for visual and aural acuity consistent with the child’s age. (6) A child-caring agency shall record the results of tests provided a child pursuant to subsections (1) to (5) of this section in the child’s health record. The child’s health record shall be kept as a part of the agency’s total records of that child. The child’s health record shall be made available to both natural parents and to both prospective foster or adoptive parents of that child. A qualified member of a child-caring agency under the supervision of a qualified physician or naturopathic physician shall explain to adoptive parents the medical factors possible as a result of a child’s birth history, hereditary or congenital defects, or disease, infection or disability experience. [1973 c.545 §2; 1979 c.492 §5; 1979 c.744 §20; 2003 c.14 §221; 2011 c.278 §3; 2015 c.736 §62; 2016 c.106 §23; 2017 c.356 §39; 2019 c.280 §10; 2019 c.456 §2]
Administrative rules citing this section
- OAR 413-015-0100: Child Protective Service Authority and Responsibility — implements
- OAR 413-015-0115: Temporary rule language in effect until 08/31/2026. Definitions — implements
- OAR 413-015-0115: Temporary rule language in effect until 08/31/2026. Definitions — authority
- OAR 413-015-0205: Information Received — implements
- OAR 413-015-0205: Information Received — authority
- OAR 413-015-0210: Documentation Requirements — implements
- OAR 413-015-0211: Report of Abuse — implements
- OAR 413-015-0211: Report of Abuse — authority
- OAR 413-015-0212: Additional Screening Requirements — implements
- OAR 413-015-0212: Additional Screening Requirements — authority
- OAR 413-015-0215: Information for which OTIS is Responsible — implements
- OAR 413-015-0415: CPS Assessment Activities — implements
- OAR 413-015-0470: Notifications at Conclusion of CPS Assessment — implements
- OAR 413-015-0601: Purpose — implements
- OAR 413-015-0604: Additional Screening Activities When a Report Involves a Resource Family or Respite Provider Certified by Child Welfare — implements
- OAR 413-015-0815: Third Party CPS Assessment Activities — implements
- OAR 413-015-0870: Notifications at Conclusion of Third Party CPS Assessment — implements
- OAR 413-015-1005: Purpose of the CPS Assessment Dispositions — implements
- OAR 413-015-1010: Standard of Proof and Possible CPS Assessment Dispositions — implements
- OAR 413-015-1015: Making the CPS Assessment Disposition Determination — implements
- OAR 413-053-0000: Definitions — implements
- OAR 413-080-0052: Responding to a Concern in a Child-Caring Agency or Proctor Foster Home — implements
- OAR 413-080-0052: Responding to a Concern in a Child-Caring Agency or Proctor Foster Home — authority
- OAR 419-300-0090: Mandatory Reporting — implements
- OAR 419-300-0090: Mandatory Reporting — authority
- OAR 419-400-0005: Definitions — implements
- OAR 419-400-0010: Licensing Umbrella Rules: Regulation of Child-Caring Agencies — implements
- OAR 419-400-0020: Licensing Umbrella Rules: Requirement to Obtain and Comply with License — implements
- OAR 419-400-0030: Licensing Umbrella Rules: Requirements Related to Corporation Status — implements
- OAR 419-400-0040: Licensing Umbrella Rules: Governance — implements
- OAR 419-400-0050: Licensing Umbrella Rules: Financial Management — implements
- OAR 419-400-0060: Licensing Umbrella Rules: Respect of Children in Care — implements
- OAR 419-400-0070: Licensing Umbrella Rules: Conflict of Interest — implements
- OAR 419-400-0090: Licensing Umbrella Rules: Children and Families Rights Policy and Grievance Procedures — implements
- OAR 419-400-0100: Licensing Umbrella Rules: Resources Required — implements
- OAR 419-400-0110: Licensing Umbrella Rules: Policies and Procedures — implements
- OAR 419-400-0120: Licensing Umbrella Rules: Personnel — implements
- OAR 419-400-0130: Licensing Umbrella Rules: Privacy — implements
- OAR 419-400-0140: Licensing Umbrella Rules: Records and Documentation — implements
- OAR 419-400-0150: Licensing Umbrella Rules: Discipline, Behavior Management & Training, and Suicide Prevention (Excluding Adoption Agencies) — implements
- OAR 419-400-0160: Licensing Umbrella Rules: Crisis Intervention Training Standards and Certification Requirements — implements
- OAR 419-400-0170: Licensing Umbrella Rules: Standards For Approved Crisis Intervention Systems — implements
- OAR 419-400-0180: Licensing Umbrella Rules: Restraints and Involuntary Seclusion — implements
- OAR 419-400-0190: Licensing Umbrella Rules: Information Provided to Children in Care — implements
- OAR 419-400-0200: Licensing Umbrella Rules: Safety — implements
- OAR 419-400-0210: Licensing Umbrella Rules: Application for License, Renewal, or to Add a Program — implements
- OAR 419-400-0220: Licensing Umbrella Rules: Issuance of License — implements
- OAR 419-400-0230: Licensing Umbrella Rules: Responsibilities of Licensees — implements
- OAR 419-400-0240: Licensing Umbrella Rules: Periodic Inspections — implements
- OAR 419-400-0250: Licensing Umbrella Rules: Investigation of Complaints — implements
- OAR 419-400-0260: Licensing Umbrella Rules: Corrective Actions — implements
- OAR 419-400-0270: Licensing Umbrella Rules: Civil Penalties — implements
- OAR 419-400-0280: Licensing Umbrella Rules: Denial, Suspension, or Revocation of License and Placing Conditions on a License — implements
- OAR 419-400-0290: Licensing Umbrella Rules: Inactive and Amended Licenses — implements
- OAR 419-400-0300: Licensing Umbrella Rules: Exceptions — implements
- OAR 419-400-0310: Licensing Umbrella Rules: Notifications Involving a Child-caring Agency — implements
- OAR 419-410-0040: Academic Boarding Schools: Room and Space Requirements — implements
- OAR 419-420-0100: Adoption Agencies: Adoptive Home Requirements — authority
- OAR 419-430-0010: Day Treatment Agencies: What Law Applies — implements
- OAR 419-430-0020: Day Treatment Agencies: Staff Qualifications and Minimum Staffing Requirements — implements
- OAR 419-430-0030: Day Treatment Agencies: Physical Plant Requirements — implements
- OAR 419-430-0040: Day Treatment Agencies: Building Plans for New Facility or Remodel — implements
- OAR 419-430-0050: Day Treatment Agencies: Environmental Health — implements
- OAR 419-430-0060: Day Treatment Agencies: Food Services — implements
- OAR 419-430-0070: Day Treatment Agencies: Safety — implements
- OAR 419-430-0080: Day Treatment Agencies: Health Services — implements
- OAR 419-430-0090: Day Treatment Agencies: Medication — implements
- OAR 419-430-0100: Day Treatment Agencies: Policies and Procedures — implements
- OAR 419-430-0110: Day Treatment Agencies: Educational Services — implements
- OAR 419-440-0010: What Law Applies — implements
- OAR 419-440-0020: License Requirements — implements
- OAR 419-440-0030: Foster Care Agencies: Personal Qualifications Required for Approved Proctor Foster Parents — implements
- OAR 419-440-0040: Foster Care Agencies: Assessment and Approval of Proctor Foster Homes — implements
- OAR 419-440-0050: Foster Care Agencies: Standards for the Proctor Foster Home Environment — implements
- OAR 419-440-0060: Foster Care Agencies: Orientation for Proctor Foster Home Applicants — implements
- OAR 419-440-0070: Foster Care Agencies: Training for Parents in Proctor Foster Care — implements
- OAR 419-440-0080: Foster Care Agencies: Annual Review and Approval — implements
- OAR 419-440-0090: Foster Care Agencies: Complaints about Proctor Foster Homes — implements
- OAR 419-440-0100: Foster Care Agencies: Closures of Proctor Foster Homes — implements
- OAR 419-440-0110: Foster Care Agencies: Notifications Required of Proctor Foster Home Parents — implements
- OAR 419-440-0120: Foster Care Agencies: Records of Proctor Foster Homes — implements
- OAR 419-440-0130: Foster Care Agencies: Placement of a Child with a Proctor Foster Home — implements
- OAR 419-440-0140: Foster Care Agencies: Documentation Required When a Foster Care Agency Changes a Placement — implements
- OAR 419-440-0150: Foster Care Agencies: Respite Care — implements
- OAR 419-440-0160: Foster Care Agencies: Training of Foster Care Agency Staff — implements
- OAR 419-440-0170: Foster Care Agencies: Health Services — implements
- OAR 419-440-0180: Foster Care Agencies: Medication — implements
- OAR 419-440-0190: Foster Care Agencies: Referral and Initial Evaluation of Children in Care — implements
- OAR 419-440-0200: Foster Care Agencies: Consents, Disclosures, and Authorizations — implements
- OAR 419-440-0210: Foster Care Agencies: Information About Children in Care Placed in Physical Custody of the Foster Care Agency — implements
- OAR 419-450-0120: Homeless, Runaway, and Transitional Living Shelters: Environmental Health — implements
- OAR 419-460-0010: Outdoor Youth Programs: Applicability and General Provisions — implements
- OAR 419-460-0020: Outdoor Youth Programs: Administration — implements
- OAR 419-460-0030: Outdoor Youth Programs: Consents, Disclosures, and Authorizations — implements
- OAR 419-460-0040: Outdoor Youth Programs: Participant Clothing, Equipment, and Supplies — implements
- OAR 419-460-0050: Outdoor Youth Programs: Water Requirements — implements
- OAR 419-460-0060: Outdoor Youth Programs: Nutritional Requirements — implements
- OAR 419-460-0070: Outdoor Youth Programs: Safety — implements
- OAR 419-460-0080: Outdoor Youth Programs: Potential Weapons — implements
- OAR 419-460-0090: Outdoor Youth Programs: Contraband — implements
- OAR 419-460-0100: Outdoor Youth Programs: Transportation — implements
- OAR 419-460-0110: Outdoor Youth Programs: Health Services — implements
- OAR 419-460-0120: Outdoor Youth Programs: Staff Qualifications and Requirements — implements
- OAR 419-460-0130: Outdoor Youth Programs: Staff Health Requirements — implements
- OAR 419-460-0140: Outdoor Youth Programs: Physical Activity Limits and Requirements — implements
- OAR 419-460-0150: Outdoor Youth Programs: Staff Training — implements
- OAR 419-460-0160: Outdoor Youth Programs: Staff Ratios — implements
- OAR 419-460-0170: Outdoor Youth Programs: Age Grouping — implements
- OAR 419-460-0180: Outdoor Youth Programs: Referral and Initial Evaluation of Youth — implements
- OAR 419-460-0190: Outdoor Youth Programs: Program Services — implements
- OAR 419-460-0200: Outdoor Youth Programs: Critical Incident Program — implements
- OAR 419-460-0210: Outdoor Youth Programs: Field Activities — implements
- OAR 419-460-0220: Outdoor Youth Programs: Communication — implements
- OAR 419-460-0230: Outdoor Youth Programs: Work — implements
- OAR 419-460-0240: Outdoor Youth Programs: Animals and Pets — implements
- OAR 419-460-0250: Outdoor Youth Programs: Solo Experiences — implements
- OAR 419-460-0260: Outdoor Youth Programs: Behavior Management — implements
- OAR 419-470-0030: Room and Space Requirements — implements
- OAR 419-470-0040: Furnishings and Personal Items — implements
- OAR 419-470-0050: Residential Care Agencies: New Facility or Remodel — implements
- OAR 419-470-0060: Residential Care Agencies: Environmental Health — implements
- OAR 419-470-0070: Food Services — implements
- OAR 419-470-0080: Safety — implements
- OAR 419-470-0090: Health Services — implements
- OAR 419-470-0100: Medication — implements
- OAR 419-470-0110: Residential Care Agencies: Extracurricular, Enrichment, Cultural, and Social Activities — implements
- OAR 419-470-0120: Staff Training — implements
- OAR 419-470-0130: Minimum Staffing Requirements — implements
- OAR 419-470-0140: Sleeping Arrangements — implements
- OAR 419-470-0150: Referral and Initial Evaluation of Children — implements
- OAR 419-470-0160: Consents, Disclosures, and Authorizations — implements
- OAR 419-470-0170: Information About Children in Care — implements
- OAR 419-470-0180: Residential Care Agencies: Notification to Public Schools — implements
- OAR 419-480-0010: Secure Transportation Services: What Law Applies — implements
- OAR 419-480-0020: Secure Transportation Services: License Requirements — implements
- OAR 419-480-0030: Secure Transportation Services: Service Agreement Requirements — implements
- OAR 419-490-0040: Therapeutic Boarding Schools: Room and Space Requirements — implements
This rule cites
- ORS 418.205 — resolved
- 418.327 — resolved
- 418.470 — resolved
- 418.475 — resolved
- 418.950 — resolved
- 418.970 — resolved
- ORS 433.288 — resolved
Cited by
No inbound citations found.
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors418.html