Foster Care (AFC Rule 203 & Child Foster Care Rule 2960) & CRS (MN Statutes, sections 245D.21 - 245D.26) licensed by County . 245D Licensing Policies and Forms $ 150.00 This is a collection of policies and forms from MN Department of Human Services that are required to provide services under the 245D license. (d) Within 24 hours of reporting maltreatment as required under section 626.557 or chapter 260E, the license holder must inform the case manager of the report unless there is reason to believe that the case manager is involved in the suspected maltreatment. (ii) the occurrence of possible adverse reactions to the medication or treatment; (5) notation of any occurrence of a dose of medication not being administered or treatment not performed as prescribed, whether by error by the staff or the person or by refusal by the person, or of adverse reactions, and when and to whom the report was made; and. (h) License holders who provide direct support services themselves must complete the orientation required in subdivision 4, clauses (3) to (11). 2. A license holder providing intensive support services as identified in section 245D.03, subdivision 1, paragraph (c), must establish, enforce, and maintain policies and procedures as required in this section. The license holder must disclose the nature of the activity or occurrence reported and the agency that received the report. (b) In addition, a positive support analyst must: (1) have four years of supervised experience conducting functional behavior assessments and designing, implementing, and evaluating effectiveness of positive practices behavior support strategies for people who exhibit challenging behaviors as well as co-occurring mental disorders and neurocognitive disorder; (2) have received training prior to hire or within 90 calendar days of hire that includes: (i) ten hours of instruction in functional assessment and functional analysis; (ii) 20 hours of instruction in the understanding of the function of behavior; (iii) ten hours of instruction on design of positive practices behavior support strategies; (iv) 20 hours of instruction preparing written intervention strategies, designing data collection protocols, training other staff to implement positive practice strategies, summarizing and reporting program evaluation data, analyzing program evaluation data to identify design flaws in behavioral interventions or failures in implementation fidelity, and recommending enhancements based on evaluation data; and. The license holder must document the reasonable cause for not providing the notice at least 30 days before implementing the revisions. (4) the license holder maintained substantial compliance with the other requirements of chapters 245A and 245C and other applicable laws and rules. (a) Within five working days after the completion of the internal review required in subdivision 6, the license holder must consult with the expanded support team following the emergency use of manual restraint to: (1) discuss the incident reported in subdivision 5, to define the antecedent or event that gave rise to the behavior resulting in the manual restraint and identify the perceived function the behavior served; and. */
. Reference Library, Office of the What is it? License holder responsibility for individual rights of persons served by the program. (9) how services must be coordinated across other providers licensed under this chapter serving the person and members of the support team or expanded support team to ensure continuity of care and coordination of services for the person. (1) provide each person or each person's legal representative with a written notice that identifies the service recipient rights in subdivisions 2 and 3, and an explanation of those rights within five working days of service initiation and annually thereafter; (2) make reasonable accommodations to provide this information in other formats or languages as needed to facilitate understanding of the rights by the person and the person's legal representative, if any; (3) maintain documentation of the person's or the person's legal representative's receipt of a copy and an explanation of the rights; and. The license holder must maintain documentation that the applicable requirements have been met. All complaints must be resolved within 30 calendar days of receipt or the license holder must document the reason for the delay and a plan for resolution; (4) requires a complaint review that includes an evaluation of whether: (i) related policies and procedures were followed and adequate; (ii) there is a need for additional staff training; (iii) the complaint is similar to past complaints with the persons, staff, or services involved; and. The person must be allowed to accumulate possessions to the extent the residence is able to accommodate them, unless doing so is contraindicated for the person's physical or mental health, would interfere with safety precautions or another person's use of the bedroom, or would violate a building or fire code. Staff ratio requirement for each person receiving services. The license holder must provide written reports regarding the person's progress or status as requested by the person, the person's legal representative, the case manager, or the team. The minimum number of direct support service staff members required at any one time to meet the combined staff ratio requirements of the persons present at that time can be determined by the following steps: (1) assign to each person in attendance the three-digit decimal below that corresponds to the staff ratio requirement assigned to that person. (7) for state-operated community-based services, the person no longer demonstrates complex behavioral needs that cannot be met by private community-based providers identified in section 252.50, subdivision 5, paragraph (a), clause (1). Person requiring staff ratio of one to eight. (a) For purposes of this subdivision, "medication administration" means: (1) checking the person's medication record; (2) preparing the medication as necessary; (3) administering the medication or treatment to the person; (4) documenting the administration of the medication or treatment or the reason for not administering the medication or treatment; and. Audio/Video, Legislative Research, There must be an area in which a person receiving services can rest if: (1) the person becomes ill during the day; (2) the person does not live in a licensed residential site; (4) there is not a caretaker immediately available. (d) The support plan addendum must include a summary of the discussion required in paragraph (c). (d) Use of adaptive aids or equipment, orthotic devices, or other medical equipment ordered by a licensed health professional to treat a diagnosed medical condition do not in and of themselves constitute the use of mechanical restraint. The license holder must allow for locked storage of personal items. (b) A license holder approved for alternative licensing inspection under this section must be deemed to be in compliance with all the requirements of this chapter, and the commissioner must not perform routine licensing inspections. Related forms. Availability of current written policies and procedures. (c) Upon receipt of a complaint regarding the services of a license holder approved for alternative licensing inspection under this section, the commissioner must investigate the complaint and may take any action as provided under section 245A.06 or 245A.07. "Service site" means the location where the service is provided to the person, including, but not limited to, a facility licensed according to chapter 245A; a location where the license holder is the owner, lessor, or tenant; a person's own home; or a community-based location. A person must be assigned a staff ratio requirement of one to eight if: (1) the person does not meet the requirements in subdivision 4; and. "Support plan" has the meaning given in sections 256B.0913, subdivision 8; 256B.092, subdivision 1b; 256B.49, subdivision 15; and 256S.10, or successor provisions. The recipient maintains control of how his or her worker (s) provide services by scheduling . (d) A denial of the certification or the removal of the certification based on a determination that the requirements under section 245A.03, subdivision 6a, paragraph (b), have not been met is not subject to appeal. (b) Chemicals, detergents, and other hazardous or toxic substances must not be stored with food products or in any way that poses a hazard to persons receiving services. COMMUNITY RESIDENTIAL SETTINGS; FOOD AND WATER. background-color: #2ea3f2; The major classes of psychotropic medication are antipsychotic (neuroleptic), antidepressant, antianxiety, mood stabilizers, anticonvulsants, and stimulants and nonstimulants for the treatment of attention deficit/hyperactivity disorder. (4) the names of the staff or position responsible for implementing the supports and methods. Refusal to authorize psychotropic medication. "Prescriber" means a person who is authorized under section 148.235; 151.01, subdivision 23; or 151.37 to prescribe drugs. (c) Restraint may be used as an intervention procedure to: (1) allow a licensed health care professional to safely conduct a medical examination or to provide medical treatment ordered by a licensed health care professional; (2) assist in the safe evacuation or redirection of a person in the event of an emergency and the person is at imminent risk of harm; or. Authorization must be obtained within five working days of service initiation and renewed annually thereafter. Spreadsheet, Minnesota No person receiving services must be counted as or be substituted for a staff member in calculating the staff-to-participant ratio. (i) psychologist licensed under sections 148.88 to 148.98, who has stated to the Board of Psychology competencies in the above identified areas; (ii) clinical social worker licensed as an independent clinical social worker under chapter 148D, or a person with a master's degree in social work from an accredited college or university, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services in the areas identified in clauses (1) to (11); (iii) physician licensed under chapter 147 and certified by the American Board of Psychiatry and Neurology or eligible for board certification in psychiatry with competencies in the areas identified in clauses (1) to (11); (iv) licensed professional clinical counselor licensed under sections 148B.29 to 148B.39 with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services who has demonstrated competencies in the areas identified in clauses (1) to (11); (v) person with a master's degree from an accredited college or university in one of the behavioral sciences or related fields, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services with demonstrated competencies in the areas identified in clauses (1) to (11); (vi) person with a master's degree or PhD in one of the behavioral sciences or related fields with demonstrated expertise in positive support services, as determined by the person's needs as outlined in the person's assessment summary; or. Weapons and ammunition must be stored separately in locked areas that are inaccessible to a person receiving services. Instruction and assistance to staff implementing the Coordinated Service and Support Plan and service outcomes, including direct observation of service delivery sufficient to assess staff competency. (c) A license holder or staff person is restricted from accepting an appointment as a guardian as follows: (1) under section 524.5-309 of the Uniform Probate Code, any individual or agency that provides residence, custodial care, medical care, employment training, or other care or services for which the individual or agency receives a fee may not be appointed as guardian unless related to the respondent by blood, marriage, or adoption; and. (c) Prior to giving notice of temporary service suspension, the license holder must document actions taken to minimize or eliminate the need for service suspension. Deadlines, Chief For programs operating a day services facility, each facility must have had at least one on-site inspection by the commissioner following issuance of the initial license. At least once per year, or within 30 days of a written request by the person, the person's legal representative, or the case manager, the license holder, in coordination with the person's support team or expanded support team, must meet with the person, the person's legal representative, the case manager, and other people as identified by the person or the person's legal representative, and participate in service plan review meetings following stated timelines established in the person's support plan or support plan addendum. (h) The documentation required under sections 245D.07 and 245D.071 must meet the individual program plan requirements identified in section 256B.092 or successor provisions. The license holder must verify and document competence according to the requirements in section 245D.09, subdivision 3. The training curriculum must incorporate an observed skill assessment conducted by the trainer to ensure unlicensed staff demonstrate the ability to safely and correctly follow medication procedures. The training must be provided by a licensed health care professional or a manufacturer's representative and incorporate an observed skill assessment to ensure staff demonstrate the ability to safely and correctly operate the equipment according to the treatment orders and the manufacturer's instructions. Publications, Legislative Reference The notice at least 30 days before implementing the supports and methods laws and rules for! ( c ) for not providing the notice at least 30 days before implementing the revisions requirements have been.., Minnesota No person receiving services section 148.235 ; 151.01, subdivision ;. 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