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Kansas Records Retention Schedules

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Agency Code: 039-008 (Department for Aging and Disability Services. State Hospitals and Institutions)

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Agency Number: 039-008
Department for Aging and Disability Services
State Hospitals and Institutions

Operation and oversight of state hospitals and related facilities was transferred to KDADS at the beginning of FY2012.


SERIES ID 0447-629 
TITLE Patient Death - Thanatology Reports 
DESCRIPTION Reviews completed by ad hoc committees and submitted to the Clinical Director with recommendations regarding problems noted. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0469-629 
TITLE Patient Grievances 
DESCRIPTION Grievance form letters written to the ombudsman by patients as part of a Patient Advocacy/Complaint Resolution service. 
RETENTION See Comments 
COMMENTS Retain 5 years after resolution of grievance and transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0754-629 
TITLE Patient Log 
DESCRIPTION Log listing pertinent patient information which is used to generate assessments on a timely basis and to review the patient's current status. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0753-629 
TITLE Patient Nutritional Files 
DESCRIPTION Documents relating to patient nutritional needs maintained to ensure that the proper dietary care is provided by the staff. 
RETENTION See Comments 
COMMENTS Retain until superseded, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0455-629 
TITLE Patient Registers 
DESCRIPTION Bound registers of patients admitted. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-087 

SERIES ID 0476-629 
TITLE Payment Journal - Patient Reimbursement 
DESCRIPTION Record of payments credited to patients reimbursement accounts: dates, patient identification, source code, amounts, description of payment, name of parent or guardian, trust fund. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0474-629 
TITLE Personnel Administration Files 
DESCRIPTION Wide variety of documents used to administer personnel at agency: correspondence, reports, statistics, policies, procedures, studies, notes, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0315-629 
TITLE Personnel and Payroll Database System 
DESCRIPTION Inter-related computer databases used to manage agency personnel and payroll. 
RETENTION See Comments 
COMMENTS All information in database duplicates that found in paper records series schedule elsewhere. Retain data until updated or until no longer useful, then delete. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-075 

SERIES ID 0433-629 
TITLE Pharmacy Billing Journals 
DESCRIPTION Records of charges to an individual patient and sent to reimbursement for collection purposes to the hospital. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0459-629 
TITLE Pharmacy - Daily/Monthly Prescription Records 
DESCRIPTION Documents used to keep track of the number of prescriptions issued on a daily basis to patients. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0740-629 
TITLE Photocopier Log 
DESCRIPTION Daily log kept to monitor the number of photocopies made on a monthly basis and to generate a summary report. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0446-629 
TITLE Physicians' Continuing Medical Education Files 
DESCRIPTION Master list of on-grounds continuing medical education files, along with hours completed for each physician. 
RETENTION See Comments 
COMMENTS Retain until termination of physician, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0461-629 
TITLE Prescription Journal for Patients 
DESCRIPTION Journal of prescriptions issued to individual patients. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0303-629 
TITLE Prescriptions 
DESCRIPTION Physicians' prescriptions for various medications to be issued to clients. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1988-10-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-076 

SERIES ID 0413-629 
TITLE Primary Client Service Files 
DESCRIPTION Follow-up sheet made on patients to check the progress of patients. 
RETENTION See Comments 
COMMENTS Retain 10 years after the discharge date. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0473-629 
TITLE Printing Requisitions 
DESCRIPTION Copies of DA forms 104 used to order and pay for work by the State Printer, and supporting materials. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0650-629 
TITLE Private Review Organizations Files 
DESCRIPTION Documents relating to private organizations and reviewed for payment approval to the hospital. 
RETENTION 007 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & KSA 65-5602 
APPROVED 2001-01-11  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-125 

SERIES ID 0511-629 
TITLE Property Disposition Records - Non-Expendable 
DESCRIPTION Copies of DA forms 110 and supporting documents used to remove capital equipment from the agency inventory. 
RETENTION 003 fisc yrs 
COMMENTS A.k.a. "Condemnation Records." 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0117-629 
TITLE Property Relocation Requests 
DESCRIPTION Documents used to keep track of property locations and any possible relocation within the facility. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0110-629 
TITLE Protection from Harm Files 
DESCRIPTION Documents relating to investigations by the Risk Management Division of resident abuse cases which are used to take measures to protect the residents from any further harm. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0724-629 
TITLE Psychiatric Admission/Release Reports 
DESCRIPTION Reports listing the number of admissions and discharges which are used to determine the necessary services in the community to provide placement for patients. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0127-629 
TITLE Psychological Test Kits 
DESCRIPTION Standard psychological tests completed on residents to determine their intelligence level. 
RETENTION See Comments 
COMMENTS Retain test protocols until no longer useful, then destroy. Retain test protocol summaries in respective "Client Records" and retain accordingly. 
DISPOSITION See Comments 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0737-629 
TITLE Psychology Department Clinical Monitoring Plans 
DESCRIPTION Plans developed to monitor the quality and the appropriateness of the care and treatment of individuals who are provided psychological services. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0193-629 
TITLE Psychology Files 
DESCRIPTION Documents relating to the profile and progress or regression in the individual resident's program. 
RETENTION See Comments 
COMMENTS Retain until tenure of resident, then transfer to the resident's file. 
DISPOSITION See Comments 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0758-629 
TITLE Psychotherapy Notes 
DESCRIPTION Notes recorded in any medium by a mental health professional documenting or analyzing the contents of a conversation during a private counseling session or a group, joint, or family counseling session that is maintained separate from the rest of the patient's medical record. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 65-5602 & 45-221(a)(3) 
APPROVED 2006-01-13  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-146 

SERIES ID 0506-629 
TITLE Purchase Requisition Control Log 
DESCRIPTION Register of all purchase requisitions generated. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0479-629 
TITLE Purchasing Records - General 
DESCRIPTION Wide variety of documents (largely copies) related to operation of purchasing unit: correspondence, reports, invoices, procedures, publications, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0396-629 
TITLE Quality Assurance Plans 
DESCRIPTION A wide variety of documents relating to the Quality Assurance Program required to meet accreditation standards. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0731-629 
TITLE Quality Assurance/Risk Management Activities Files 
DESCRIPTION Documents used to assess the quality assurance and risk management activities at the facility. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0730-629 
TITLE Quality Assurance/Risk Management Supplemental Files 
DESCRIPTION Documents used to supplement the primary documentation, excluding that contained in the incident report files, of specific issues addressed by and activities of the Quality Assurance Committee. 
RETENTION See Comments 
COMMENTS Retain in conjunction with Quality Assurance/Risk Management Activities Files. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0424-629 
TITLE Quality Control Files 
DESCRIPTION Documents relating case analyses made on patients to check on the services provided. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0729-629 
TITLE Quality Improvement Plans 
DESCRIPTION Documents used to monitor the quality assurance/continuous quality improvement plans and activities at the facility. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0728-629 
TITLE Quality Improvement Supplemental Files 
DESCRIPTION Documents used to supplement the primary documentation of hospital-wide and departmental quality assurance/improvement plans and activities. 
RETENTION See Comments 
COMMENTS Retain in conjunction with Quality Improvement Plans. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0412-629 
TITLE Questionnaires/Survey Forms 
DESCRIPTION Copies of forms completed by the hospital staff as responses to agencies or research programs which have requested data. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0128-629 
TITLE Reach Program Index Cards 
DESCRIPTION Index cards relating to the screening of preschool children with learning disabilities to determine their level and needs for the Reach program which helps prepare them for school. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0727-629 
TITLE Receiving Reports 
DESCRIPTION Reports made regarding the receipt of merchandise or services which are submitted to the accounting section for use in validating invoices. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0502-629 
TITLE Reconciliation of Change Fund (Petty Cash) Records 
DESCRIPTION DA form 75 used to account for petty cash. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0129-629 
TITLE Recreation and Leisure Records 
DESCRIPTION Documents related to the residents' related recreational and leisure activities including assessments data sheets, forms, meeting notes, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS Portions may be restricted 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0442-629 
TITLE Refill Sheets Regarding Controlled Drugs 
DESCRIPTION Requests from wards for refills of prescriptions of controlled drugs. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-087 

SERIES ID 0496-629 
TITLE Reimbursement Statements 
DESCRIPTION Copies of billings sent to guardians and/or parents of patients for care and board of those patients. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0726-629 
TITLE Release Form 
DESCRIPTION Form listing the length of stay and subsequent release of patients from the facility. 
RETENTION See Comments 
COMMENTS Retain in conjunction with individual patient file. 
DISPOSITION See Comments 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0725-629 
TITLE Release of Information Log 
DESCRIPTION Log listing the nature and purpose of information requested. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0486-629 
TITLE Reports - Miscellaneous 
DESCRIPTION Collection of special reports on a variety of topics related to the agency mission. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0701-629 
TITLE Requisition Control Files 
DESCRIPTION Documents relating to assigning control numbers to requisitions maintained for convenience of reference. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0164-629 
TITLE Research and Reference Files 
DESCRIPTION Documents resulting from research projects and programs conducted: theses, dissertations, papers, publications, and other miscellaneous materials. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-10-13  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-076 

SERIES ID 0669-629 
TITLE Reserve Day Book 
DESCRIPTION Log used to monitor the number of patient therapeutic pass days billed to Medicare and Medicaid. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0445-629 
TITLE Residency Training Program Files 
DESCRIPTION Documents pertaining to the once operative Psychiatric Residency Training Program, including curriculum and class schedules. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0126-629 
TITLE Resident Activity Attendance Records 
DESCRIPTION Documents relating the attendance of residents participating in leisure activities at the facilities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0668-629 
TITLE Resident By Age Report 
DESCRIPTION Computer printout and electronic data relating to bed usage at the facility according to the various age groups. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0105-629 
TITLE Resident Care/Behavior Sheets 
DESCRIPTION Reports made by the direct care staff on the units to the nursing staff regarding resident care or behavior incidents. 
RETENTION See Comments 
COMMENTS Retain 7 years after dismissal or death, then destroy. If resident is a minor, retain until majority is reached and/or dismissal plus 7 yrs, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0106-629 
TITLE Resident Check Sheets 
DESCRIPTION Bed check sheets filled out nightly to monitor the residents in the wards. 
RETENTION 001 cldr yr 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0254-629 
TITLE Resident I.D. Picture Cards 
DESCRIPTION Photographs taken of residents to use on identification cards which are used by the physicians to help recognize them. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-093 

SERIES ID 0667-629 
TITLE Resident Ledger Files 
DESCRIPTION Computer printout of patient charges that have been deleted from the computer for various reasons. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0666-629 
TITLE Resident Master Balance Sheets 
DESCRIPTION Ending monthly balances remaining in patient accounts and used for accounting purposes. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0133-629 
TITLE Resident Review Records 
DESCRIPTION Documents relating to the review of the individual resident's current training level to assess the effectiveness of the program plan. 
RETENTION See Comments 
COMMENTS Place in the respective resident's files and retain accordingly. 
DISPOSITION See Comments 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0136-629 
TITLE Residents by County Records 
DESCRIPTION Index cards listing the number of residents admitted from a specific county which are used for reference purposes. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0495-629 
TITLE Residents Employment Files 
DESCRIPTION Personnel records maintained on residents employed. 
RETENTION See Comments 
COMMENTS Retain during tenure of employee plus 3 calendar years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0145-629 
TITLE Residents' Training Materials 
DESCRIPTION Daily routines and data used to help train residents for a variety of tasks including personal hygiene, speech, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0257-629 
TITLE Respite Files 
DESCRIPTION Documents maintained for approved respite clients which provides short-term care at the facilities to give some relief for the caregiver of a mentally retarded person. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-093 

SERIES ID 0109-629 
TITLE Restraint Reports 
DESCRIPTION Reports made on the use of restraints placed on individual residents along with a medical procedure checksheet to ensure the proper use and the well-being of the resident. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09 
K.A.R. NUMBER 53-2-093 

SERIES ID 0756-629 
TITLE Risk Management Files 
DESCRIPTION Incident reports, peer review documents, minutes, correspondence, etc. relating to reportable incidents under KSA 65-4921(f) and investigated by the Risk Management Division. 
RETENTION See Comments 
COMMENTS Retain 2 years after the Final Standard of Care is determined or retain until no longer useful if the case is potentially litigious, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-4925 
APPROVED 2003-01-09  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-133 

SERIES ID 0664-629 
TITLE Risk Management Plans and Minutes 
DESCRIPTION Documents relating to the activities of the Risk Management Committee. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0467-629 
TITLE Roof Moisture Testing Records 
DESCRIPTION Data gathered in the testing for moisture on the various roofs. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0429-629 
TITLE Roster of Attendance at Workshops 
DESCRIPTION Register of attendance for staff members requiring continuing education units for licensure and includes social workers, RNs, LMHTs, and LPNs. 
RETENTION See Comments 
COMMENTS Rosters are maintained as required by the Behavioral Sciences Regulatory Board and the Kansas State Board of Nursing. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0402-629 
TITLE Safety Program Plans 
DESCRIPTION A wide variety of documents relating to the Safety Program Plans required to meet accreditation. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0158-629 
TITLE Sanitation Checklists 
DESCRIPTION Lists used to monitor monthly sanitation checks of all the units to ensure compliance with federal standards. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0660-629 
TITLE Security Daily Activity Log 
DESCRIPTION Log maintained by the security officers on activities which occurred during each shift. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0662-629 
TITLE Security Daily Reports 
DESCRIPTION Reports made by the security staff detailing daily activities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0493-629 
TITLE Security Log 
DESCRIPTION Daily narrative record of all security related activities and events. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0697-629 
TITLE Security Patient Assistance Reports 
DESCRIPTION Reports prepared by security officers describing the type of assistance security offered to patients. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0492-629 
TITLE Security Records 
DESCRIPTION Copies of records maintained by Security Office (see Incident and Elopement Reports). 
RETENTION See Comments 
COMMENTS Reports will be used by archives staff to fill gaps in Incidents and Elopement Reports after transfers. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0512-629 
TITLE Security Report Sheets - Daily 
DESCRIPTION Logs of daily activities by individual security staff members. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0693-629 
TITLE Security Safe Log 
DESCRIPTION Log maintained by the security officers of items going in and out of the security safe. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0691-629 
TITLE Security Schedules 
DESCRIPTION Documents relating to the scheduling of inspections in every quarter to ensure proper maintenance and functioning of equipment at all times. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0585-629 
TITLE Service Rendered Report 
DESCRIPTION Form completed by Security Department officers indicating the nature and type of assistance. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1997-04-10  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-111 

SERIES ID 0175-629 
TITLE Sewing Room Requests 
DESCRIPTION Memos relating to requests for clothing articles to be manufactured or altered by the sewing room staff including item requested, by whom, what area and amount, and a description of said item. 
RETENTION 001 cldr yr 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0124-629 
TITLE Social Service Case Activity Log 
DESCRIPTION Log used by the social workers to keep track of individual resident's contacts and activities which is used for reference purposes. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0137-629 
TITLE Social Service Records 
DESCRIPTION Documents relating to client care and training which are duplicates from other units for reference use by the staff. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0131-629 
TITLE Speech Therapy Files 
DESCRIPTION Documents relating to an individual resident's program in speech therapy which are used to keep track of any progress or regression. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to resident's file. 
DISPOSITION See Comments 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0146-629 
TITLE Staff In-Service Attendance Lists 
DESCRIPTION Rosters of staff members listing the in-services they have attended which are used to monitor their certification requirements. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0112-629 
TITLE Staff In-Service Files 
DESCRIPTION Short in-service training sessions taught by professional and non-professional support staff to other staff members which are required either for promotions or to fulfill position expectations. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. Delete from computer when no longer useful. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0427-629 
TITLE State Summaries of Medical Assistance 
DESCRIPTION Program statistics of average payments made by clients. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0431-629 
TITLE Statistical Reports 
DESCRIPTION Statistics gathered on patients and used to make a variety of reports about patients and patient care. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0454-629 
TITLE Statistical Studies - Special 
DESCRIPTION Studies completed either at the request of the Central Office or community SRS related groups, or in-house data needed to make future plans. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0414-629 
TITLE Stock Requisitions 
DESCRIPTION Completed internal forms used by Purchasing Unit to record orders of expendable goods. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-075 

SERIES ID 0296-629 
TITLE Stores Requisitions 
DESCRIPTION Completed internal forms (IM-1105) used to requisition supplies by and for various organizational units in the agency. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-075 

SERIES ID 0680-629 
TITLE Student Records 
DESCRIPTION Documents relating to the rotation of students in training at the various state hospitals as a degree requirement. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(9) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0295-629 
TITLE Subject Files 
DESCRIPTION Wide variety of documents related to multiple aspects of logistical and administrative activities at the agency. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-075 

SERIES ID 0418-629 
TITLE Subject Files 
DESCRIPTION Records related to general activities of the office: "Outstanding Projects, Vehicle Cost Reports, KRDC, Work Therapy Payroll, Development of Leisure Time and Activities, Records Dispositions," etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-075 

SERIES ID 0122-629 
TITLE Subject Files - Activity 
DESCRIPTION Wide variety of documents relating to resident activities including special Olympics materials. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS Portions may be restricted 
APPROVED 1992-07-09  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-093 

SERIES ID 0679-629 
TITLE Subject Files - Administrative 
DESCRIPTION Documents relating to the administrative and operational responsibilities of the agency. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0678-629 
TITLE Subject Files - Business Office 
DESCRIPTION Wide variety of documents relating to the function and operation of the business office. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0173-629 
TITLE Subject Files - Chaplain 
DESCRIPTION Variety of documents relating to the services of chaplain for the residents at the facilities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS Portions may be restricted 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0676-629 
TITLE Subject Files - Clinical Services 
DESCRIPTION Wide variety of documents relating to functioning of the office. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-099 

SERIES ID 0256-629 
TITLE Subject Files - Community Services 
DESCRIPTION Wide variety of documents relating to the administration of the community services program. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. Portions may be restricted. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-093 

SERIES ID 0168-629 
TITLE Subject Files - General 
DESCRIPTION Records related to the employee training and career development program: correspondence, reports, publications, personnel records, and other materials. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-10-13  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-076 

SERIES ID 0138-629 
TITLE Subject Files - Music Therapy 
DESCRIPTION Wide variety of documents relating to the administration of the music therapy program. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS Portions may be restricted. 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0416-629 
TITLE Subject Files - Non-Routine 
DESCRIPTION Wide variety of documents related to the physical plant activities of a non-routine nature. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-075 

SERIES ID 0172-629 
TITLE Subject Files - Reimbursement 
DESCRIPTION Wide variety of financial documents relating to the reimbursement unit. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0294-629 
TITLE Subject Files - Reimbursement Unit 
DESCRIPTION Miscellaneous documents regarding operations of the Reimbursement Unit. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-075 
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