(ii) the name, address, and telephone number of the person's legal representative, if any, and a primary emergency contact, the case manager, and family members or others as identified by the person or case manager; (2) service information, including service initiation information, verification of the person's eligibility for services, documentation verifying that services have been provided as identified in the support plan or support plan addendum according to paragraph (a), and date of admission or readmission; (3) health information, including medical history, special dietary needs, and allergies, and when the license holder is assigned responsibility for meeting the person's health service needs according to section 245D.05: (i) current orders for medication, treatments, or medical equipment and a signed authorization from the person or the person's legal representative to administer or assist in administering the medication or treatments, if applicable; (ii) a signed statement authorizing the license holder to act in a medical emergency when the person's legal representative, if any, cannot be reached or is delayed in arriving; (iii) medication administration procedures; (iv) a medication administration record documenting the implementation of the medication administration procedures, and the medication administration record reviews, including any agreements for administration of injectable medications by the license holder according to the requirements in section 245D.05; and. (a) The license holder must provide services in response to the person's identified needs, interests, preferences, and desired outcomes as specified in the support plan and the support plan addendum, and in compliance with the requirements of this chapter. Coordination and evaluation of individual service delivery. (h) For state-operated community-based services, the license holder shall prioritize the capacity created within the existing service site by the termination of services under paragraph (b), clause (7), to serve persons described in section 252.50, subdivision 5, paragraph (a), clause (1). Supervision must be provided until the caretaker arrives to bring the person home. (d) The support plan addendum must include a summary of the discussion required in paragraph (c). If the license holder will not allow the emergency use of manual restraint, the policy and procedure must identify the alternative measures the license holder will require staff to use when a person's conduct poses an imminent risk of physical harm to self or others and less restrictive strategies would not achieve safety; (3) instructions for safe and correct implementation of the allowed manual restraint procedures; (4) the training that staff must complete and the timelines for completion, before they may implement an emergency use of manual restraint. Topic (Index), Rules 5 to DHS via the Behavioral Intervention Report Form, DHS-5148. The license holder shall complete a monitoring form, approved by the commissioner, for each incident involving the emergency use of a manual restraint. Find the 245d Pre Application Worksheet you want. Community residential settings and day service facilities. The license holder must establish and maintain a record-keeping system for the incident and emergency reports. I have a 245D license and need help with paperwork, compliance, or audits. 16) MHCP sends you a Welcome Letter to confirm your enrollment. A license holder that has been denied a certification or that has had a certification removed may again request certification when the license holder is in compliance with the requirements of section 245A.03, subdivision 6a, paragraph (b). (g) For notices issued under paragraph (b), clause (7), the lead agency shall provide notice to the commissioner and state-operated services at least 30 days before the conclusion of the 90-day termination period, if an appropriate alternative provider cannot be secured. Conditions for emergency use of manual restraint. "Cultural competence" or "culturally competent" means the ability and the will to respond to the unique needs of a person that arise from the person's culture and the ability to use the person's culture as a resource or tool to assist with the intervention and help meet the person's needs. County Licensing Functions Under 245D 245D.21 Facility Licensure Requirements and ApplicationProcess. I need help with RMS, MN-ITS billing, or the 6790 form. Directory, Legislative The license holder shall monitor a person's health and welfare during an emergency use of a manual restraint. This provision does not apply to an individual who has been fully discharged from a commitment; (2) maintain equipment, vehicles, supplies, and materials owned or leased by the license holder in good condition when used to provide services; (3) follow procedures to ensure safe transportation, handling, and transfers of the person and any equipment used by the person, when the license holder is responsible for transportation of a person or a person's equipment; (4) be prepared for emergencies and follow emergency response procedures to ensure the person's safety in an emergency; and. Subd. PSYCHOTROPIC MEDICATION USE AND MONITORING. Medication assistance and administration includes, but is not limited to: (i) providing medication-related services for a person; (v) medication documentation and charting; (vi) verification and monitoring of effectiveness of systems to ensure safe medication handling and administration; (vii) coordination of medication refills; (viii) handling changes to prescriptions and implementation of those changes; (ix) communicating with the pharmacy; and. /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.
"Direct contact" has the meaning given in section 245C.02, subdivision 11, and is used interchangeably with the term "direct support service.". Conditions for psychotropic medication administration. (12) discharge summary, including service termination notice and related documentation, when applicable. (c) The license holder must provide a written notice to all persons or their legal representatives and case managers at least 30 days before implementing any procedural revisions to policies affecting a person's service-related or protection-related rights under section 245D.04 and maltreatment reporting policies and procedures. (5) four years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older under the supervision of a staff person who meets the qualifications identified in clauses (1) to (3). Investigations of alleged or suspected maltreatment. Taking the action necessary to facilitate the accomplishment of the outcomes according to 245D.07. If the support team or expanded support team makes a determination that is contrary to the recommendation of a licensed professional treating the person, the license holder must document the specific reasons why a contrary decision was made. (a) The license holder must ensure that service sites owned or leased by the license holder are free from hazards that would threaten the health or safety of a person receiving services by ensuring the requirements in paragraphs (b) to (h) are met. Instructions and Help about 144 245d mn form. DFL/GOP, House Approval must be granted until the end of the qualifying accreditation period. Allowed but restricted procedures include: (1) permitted actions and procedures subject to the requirements in subdivision 7; (2) procedures identified in a positive support transition plan subject to the requirements in subdivision 8; or. A facility must have a non-coin-operated telephone that is readily accessible. */
. [Repealed by amendment, 2013 c 108 art 8 s 25]. DAY SERVICES FACILITIES; SATELLITE LICENSURE REQUIREMENTS AND APPLICATION PROCESS. "Person" has the meaning given in section 245A.02, subdivision 11. The results must be reviewed by the support team or expanded support team as part of a service plan review. When an area has a 911 number or a mental health crisis intervention team number, both numbers must be posted and the emergency number listed must be 911. Calendar, General Orders of the (c) Only one license holder may deliver integrated community supports at the address of the multifamily housing building. 2012 c 216 art 18 s 20; 2013 c 108 art 8 s 25; 2014 c 312 art 27 s 24-29; 2015 c 71 art 7 s 11,12; 2022 c 98 art 17 s 26. Each incident report must include: (i) the name of the person or persons involved in the incident. (3) be a board-certified behavior analyst or board-certified assistant behavior analyst by the Behavior Analyst Certification Board, Incorporated. (b) A single occupancy bedroom must have at least 80 square feet of floor space with a 7-1/2 foot ceiling. (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. This chapter does not apply to family adult foster care homes that do not provide services licensed under this chapter. Home and Community Based Services (HCBS) (Waiver) (245D License), Mental Health and Substance Abuse Treatment Providers, Telehealth Law in Minnesota (formerly Telemedicine), Complete the Waiver and Alternative Care (AC), List of Excluded Individuals/Entities (LEIE), Elderly Waiver (EW) and Alternative Care (AC) Program Provider Manual. The license holder must provide the monitoring data to the expanded support team for review every three months, or as otherwise requested by the person or the person's legal representative. (e) When possible, a person must be allowed to have items of furniture that the person personally owns in the bedroom, unless doing so would interfere with safety precautions, violate a building or fire code, or interfere with another person's use of the bedroom. For purposes of this subdivision, "weapons" means firearms and other instruments or devices designed for and capable of producing bodily harm. Food must be obtained, handled, and properly stored to prevent contamination, spoilage, or a threat to the health of a person. "Home and community-based services" means the services identified in section 245D.03, subdivision 1, and as defined in: (1) the federally approved waiver plans governed by United States Code, title 42, sections 1396 et seq., including the waivers for persons with disabilities under section 256B.49, subdivision 11, including the brain injury (BI) waiver plan; the community alternative care (CAC) waiver plan; the community access for disability inclusion (CADI) waiver plan; the developmental disabilities (DD) waiver plan under section 256B.092, subdivision 5; the elderly waiver (EW) plan under section 256S.01, subdivision 1; or successor plans respective to each waiver; or. (3) providing reminders, in person, remotely, or through programming devices such as telephones, alarms, or medication boxes, to take regularly scheduled medication or perform regularly scheduled treatments and exercises. Archive, Session Laws Assessments must be based on the person's status within the last 12 months at the time of service initiation. Why become a Direct Support Professional (DSP)? The refusal to authorize medication administration must be reported to the prescriber as expediently as possible. background-color: #2ea3f2; Orientation or training received by the staff person from sources other than the license holder in the same subjects as identified in subdivision 4 may count toward the orientation and annual training requirements if received in the 12-month period before the staff person's date of hire. The HCBS standards under Minnesota Statutes, chapter 245D, are part of a larger HCBS Waiver Provider Standards initiative to improve the dignity, health, and independence of the people we serve. The ratio assigned each person and the documentation of how the ratio was arrived at must be kept in each person's individual service plan. If the license holder uses a subcontractor or temporary staff to perform services licensed under this chapter on the license holder's behalf, the license holder must ensure that the subcontractor or temporary staff meets and maintains compliance with all requirements under this chapter that apply to the services to be provided, including training, orientation, and supervision necessary to fulfill their responsibilities. (b) When a facility is located in a multifunctional organization, the facility may share common space with the multifunctional organization if the required available primary space for use by persons receiving day services is maintained while the facility is operating. Why work for Companion Linc? Relicensing forms Community residential setting (CSR) License Corporate AFC license Family AFC License with HCBS/245D Family AFC License without HCBS/245D Additional forms Questions Contact licensing@sourcewell-mn.gov or call 218-895-4120. (a) The following procedures are allowed when the procedures are implemented in compliance with the standards governing their use as identified in clauses (1) to (3). (b) For employees hired after January 1, 2014, the license holder must maintain documentation in the personnel record or elsewhere, sufficient to determine the date of the employee's first supervised direct contact with a person served by the program, and the date of first unsupervised direct contact with a person served by the program. Nothing in this paragraph requires that the support plan include the use of technology for the provision of services. Action taken by the license holder must include, at a minimum: (1) consultation with the person's support team or expanded support team to identify and resolve issues leading to issuance of the notice; and. Deadlines, Chief If approval is withdrawn, the right must be immediately and fully restored. "Day services facility" means a facility licensed according to this chapter at which persons receive day services licensed under this chapter from the license holder's direct support staff for a cumulative total of more than 30 days within any 12-month period and the license holder is the owner, lessor, or tenant of the facility. (3) the summary of the expanded support team review required under subdivision 7. "Certification" means the commissioner's written authorization for a license holder to provide specialized services based on certification standards in section 245D.33. 2013 c 108 art 8 s 28; 2014 c 312 art 27 s 77; 2015 c 21 art 1 s 50; 2016 c 158 art 1 s 98; 2022 c 98 art 17 s 26. (8) an emergency escape plan for each resident. 1) Have all owners and managing officials complete the Waiver Training here:https://mn.gov/dhs/partners-and-providers/training-conferences/minnesota-health-care-programs/provider-training/waiver-ac-provider-training-101.jsp. (b) Within the scope of services, the license holder must, at a minimum, complete assessments in the following areas before the 45-day planning meeting: (1) the person's ability to self-manage health and medical needs to maintain or improve physical, mental, and emotional well-being, including, when applicable, allergies, seizures, choking, special dietary needs, chronic medical conditions, self-administration of medication or treatment orders, preventative screening, and medical and dental appointments; (2) the person's ability to self-manage personal safety to avoid injury or accident in the service setting, including, when applicable, risk of falling, mobility, regulating water temperature, community survival skills, water safety skills, and sensory disabilities; and. Rules, Joint (4) maintain emergency contact information for persons served at the facility that can be readily accessed in an emergency. (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. (a) "Mechanical restraint" means the use of devices, materials, or equipment attached or adjacent to the person's body, or the use of practices that are intended to restrict freedom of movement or normal access to one's body or body parts, or limits a person's voluntary movement or holds a person immobile as an intervention precipitated by a person's behavior. (d) If there are elevators in the facility, the license holder must have elevators inspected each year. (4) use medical equipment, devices, or adaptive aides or technology safely and correctly according to written instructions from a licensed health professional. Services, Legislators The summary must include a statement regarding any decision made related to the use of technology and a description of any further research that must be completed before a decision regarding the use of technology can be made. (3) prevent the person from physically harming self or others. The recipient maintains control of how his or her worker (s) provide services by scheduling . (b) Community residential settings are permitted single-family use homes. "Emergency" means any event that affects the ordinary daily operation of the program including, but not limited to, fires, severe weather, natural disasters, power failures, or other events that threaten the immediate health and safety of a person receiving services and that require calling 911, emergency evacuation, moving to an emergency shelter, or temporary closure or relocation of the program to another facility or service site for more than 24 hours. Customize the template with smart fillable fields. This chapter may be cited as the "Home and Community-Based Services Standards" or "HCBS Standards.". (b)(1) The license holder must inform the person and case manager of the policies and procedures affecting a person's rights under section 245D.04, and provide copies of those policies and procedures, within five working days of service initiation. (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. (10) a setting that meets the definition of a dwelling unit within a residential occupancy as defined in the State Fire Code. Except for a license holder who is the sole direct support staff, the license holder must provide adequate supervision of staff providing direct support to ensure the health, safety, and protection of rights of each person and implementation of the responsibilities assigned to the license holder in each person's support plan or support plan addendum. "Legal representative" means the parent of a person who is under 18 years of age, a court-appointed guardian, or other representative with legal authority to make decisions about services for a person. Orientation to individual service recipient needs. The license holder must ensure that the following people have access to the information in subdivision 1 in accordance with applicable state and federal laws, regulations, or rules: (1) the person, the person's legal representative, and anyone properly authorized by the person; (3) staff providing services to the person unless the information is not relevant to carrying out the support plan or support plan addendum; and. The CPR training must include instruction, hands-on practice, and an observed skills assessment under the direct supervision of a CPR instructor; and. (2) documentation methods the license holder will use to monitor and measure changes in the target symptoms that are to be alleviated by the psychotropic medication if required by the prescriber. I have a non-coin-operated telephone that is readily accessible licensed under this chapter family adult foster care homes that not. 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Letter to confirm your enrollment services FACILITIES ; SATELLITE Licensure Requirements and ApplicationProcess based on Certification Standards in section.... Amendment, 2013 c 108 art 8 s 25 ] meaning given in section 245A.02, subdivision 11 foot. 245D.21 facility Licensure Requirements and ApplicationProcess square feet of floor space with a 7-1/2 foot.. Discussion required in paragraph ( c ) accreditation period have elevators inspected each year in. As part of a service plan review the meaning given in section 245A.02, subdivision 11 12 months the! The facility that can be readily accessed in an emergency escape plan for each resident ( Index ), 5., Joint ( 4 ) maintain emergency contact information for persons served the!
"Direct contact" has the meaning given in section 245C.02, subdivision 11, and is used interchangeably with the term "direct support service.". Conditions for psychotropic medication administration. (12) discharge summary, including service termination notice and related documentation, when applicable. (c) The license holder must provide a written notice to all persons or their legal representatives and case managers at least 30 days before implementing any procedural revisions to policies affecting a person's service-related or protection-related rights under section 245D.04 and maltreatment reporting policies and procedures. (5) four years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older under the supervision of a staff person who meets the qualifications identified in clauses (1) to (3). Investigations of alleged or suspected maltreatment. Taking the action necessary to facilitate the accomplishment of the outcomes according to 245D.07. If the support team or expanded support team makes a determination that is contrary to the recommendation of a licensed professional treating the person, the license holder must document the specific reasons why a contrary decision was made. (a) The license holder must ensure that service sites owned or leased by the license holder are free from hazards that would threaten the health or safety of a person receiving services by ensuring the requirements in paragraphs (b) to (h) are met. Instructions and Help about 144 245d mn form. DFL/GOP, House Approval must be granted until the end of the qualifying accreditation period. Allowed but restricted procedures include: (1) permitted actions and procedures subject to the requirements in subdivision 7; (2) procedures identified in a positive support transition plan subject to the requirements in subdivision 8; or. A facility must have a non-coin-operated telephone that is readily accessible. */
. [Repealed by amendment, 2013 c 108 art 8 s 25]. DAY SERVICES FACILITIES; SATELLITE LICENSURE REQUIREMENTS AND APPLICATION PROCESS. "Person" has the meaning given in section 245A.02, subdivision 11. The results must be reviewed by the support team or expanded support team as part of a service plan review. When an area has a 911 number or a mental health crisis intervention team number, both numbers must be posted and the emergency number listed must be 911. Calendar, General Orders of the (c) Only one license holder may deliver integrated community supports at the address of the multifamily housing building. 2012 c 216 art 18 s 20; 2013 c 108 art 8 s 25; 2014 c 312 art 27 s 24-29; 2015 c 71 art 7 s 11,12; 2022 c 98 art 17 s 26. Each incident report must include: (i) the name of the person or persons involved in the incident. (3) be a board-certified behavior analyst or board-certified assistant behavior analyst by the Behavior Analyst Certification Board, Incorporated. (b) A single occupancy bedroom must have at least 80 square feet of floor space with a 7-1/2 foot ceiling. (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. This chapter does not apply to family adult foster care homes that do not provide services licensed under this chapter. Home and Community Based Services (HCBS) (Waiver) (245D License), Mental Health and Substance Abuse Treatment Providers, Telehealth Law in Minnesota (formerly Telemedicine), Complete the Waiver and Alternative Care (AC), List of Excluded Individuals/Entities (LEIE), Elderly Waiver (EW) and Alternative Care (AC) Program Provider Manual. The license holder must provide the monitoring data to the expanded support team for review every three months, or as otherwise requested by the person or the person's legal representative. (e) When possible, a person must be allowed to have items of furniture that the person personally owns in the bedroom, unless doing so would interfere with safety precautions, violate a building or fire code, or interfere with another person's use of the bedroom. For purposes of this subdivision, "weapons" means firearms and other instruments or devices designed for and capable of producing bodily harm. Food must be obtained, handled, and properly stored to prevent contamination, spoilage, or a threat to the health of a person. "Home and community-based services" means the services identified in section 245D.03, subdivision 1, and as defined in: (1) the federally approved waiver plans governed by United States Code, title 42, sections 1396 et seq., including the waivers for persons with disabilities under section 256B.49, subdivision 11, including the brain injury (BI) waiver plan; the community alternative care (CAC) waiver plan; the community access for disability inclusion (CADI) waiver plan; the developmental disabilities (DD) waiver plan under section 256B.092, subdivision 5; the elderly waiver (EW) plan under section 256S.01, subdivision 1; or successor plans respective to each waiver; or. (3) providing reminders, in person, remotely, or through programming devices such as telephones, alarms, or medication boxes, to take regularly scheduled medication or perform regularly scheduled treatments and exercises. Archive, Session Laws Assessments must be based on the person's status within the last 12 months at the time of service initiation. Why become a Direct Support Professional (DSP)? The refusal to authorize medication administration must be reported to the prescriber as expediently as possible. background-color: #2ea3f2; Orientation or training received by the staff person from sources other than the license holder in the same subjects as identified in subdivision 4 may count toward the orientation and annual training requirements if received in the 12-month period before the staff person's date of hire. The HCBS standards under Minnesota Statutes, chapter 245D, are part of a larger HCBS Waiver Provider Standards initiative to improve the dignity, health, and independence of the people we serve. The ratio assigned each person and the documentation of how the ratio was arrived at must be kept in each person's individual service plan. If the license holder uses a subcontractor or temporary staff to perform services licensed under this chapter on the license holder's behalf, the license holder must ensure that the subcontractor or temporary staff meets and maintains compliance with all requirements under this chapter that apply to the services to be provided, including training, orientation, and supervision necessary to fulfill their responsibilities. (b) When a facility is located in a multifunctional organization, the facility may share common space with the multifunctional organization if the required available primary space for use by persons receiving day services is maintained while the facility is operating. Why work for Companion Linc? Relicensing forms Community residential setting (CSR) License Corporate AFC license Family AFC License with HCBS/245D Family AFC License without HCBS/245D Additional forms Questions Contact licensing@sourcewell-mn.gov or call 218-895-4120. (a) The following procedures are allowed when the procedures are implemented in compliance with the standards governing their use as identified in clauses (1) to (3). (b) For employees hired after January 1, 2014, the license holder must maintain documentation in the personnel record or elsewhere, sufficient to determine the date of the employee's first supervised direct contact with a person served by the program, and the date of first unsupervised direct contact with a person served by the program. Nothing in this paragraph requires that the support plan include the use of technology for the provision of services. Action taken by the license holder must include, at a minimum: (1) consultation with the person's support team or expanded support team to identify and resolve issues leading to issuance of the notice; and. Deadlines, Chief If approval is withdrawn, the right must be immediately and fully restored. "Day services facility" means a facility licensed according to this chapter at which persons receive day services licensed under this chapter from the license holder's direct support staff for a cumulative total of more than 30 days within any 12-month period and the license holder is the owner, lessor, or tenant of the facility. (3) the summary of the expanded support team review required under subdivision 7. "Certification" means the commissioner's written authorization for a license holder to provide specialized services based on certification standards in section 245D.33. 2013 c 108 art 8 s 28; 2014 c 312 art 27 s 77; 2015 c 21 art 1 s 50; 2016 c 158 art 1 s 98; 2022 c 98 art 17 s 26. (8) an emergency escape plan for each resident. 1) Have all owners and managing officials complete the Waiver Training here:https://mn.gov/dhs/partners-and-providers/training-conferences/minnesota-health-care-programs/provider-training/waiver-ac-provider-training-101.jsp. (b) Within the scope of services, the license holder must, at a minimum, complete assessments in the following areas before the 45-day planning meeting: (1) the person's ability to self-manage health and medical needs to maintain or improve physical, mental, and emotional well-being, including, when applicable, allergies, seizures, choking, special dietary needs, chronic medical conditions, self-administration of medication or treatment orders, preventative screening, and medical and dental appointments; (2) the person's ability to self-manage personal safety to avoid injury or accident in the service setting, including, when applicable, risk of falling, mobility, regulating water temperature, community survival skills, water safety skills, and sensory disabilities; and. Rules, Joint (4) maintain emergency contact information for persons served at the facility that can be readily accessed in an emergency. (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. (a) "Mechanical restraint" means the use of devices, materials, or equipment attached or adjacent to the person's body, or the use of practices that are intended to restrict freedom of movement or normal access to one's body or body parts, or limits a person's voluntary movement or holds a person immobile as an intervention precipitated by a person's behavior. (d) If there are elevators in the facility, the license holder must have elevators inspected each year. (4) use medical equipment, devices, or adaptive aides or technology safely and correctly according to written instructions from a licensed health professional. Services, Legislators The summary must include a statement regarding any decision made related to the use of technology and a description of any further research that must be completed before a decision regarding the use of technology can be made. (3) prevent the person from physically harming self or others. The recipient maintains control of how his or her worker (s) provide services by scheduling . (b) Community residential settings are permitted single-family use homes. "Emergency" means any event that affects the ordinary daily operation of the program including, but not limited to, fires, severe weather, natural disasters, power failures, or other events that threaten the immediate health and safety of a person receiving services and that require calling 911, emergency evacuation, moving to an emergency shelter, or temporary closure or relocation of the program to another facility or service site for more than 24 hours. Customize the template with smart fillable fields. This chapter may be cited as the "Home and Community-Based Services Standards" or "HCBS Standards.". (b)(1) The license holder must inform the person and case manager of the policies and procedures affecting a person's rights under section 245D.04, and provide copies of those policies and procedures, within five working days of service initiation. (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. (10) a setting that meets the definition of a dwelling unit within a residential occupancy as defined in the State Fire Code. Except for a license holder who is the sole direct support staff, the license holder must provide adequate supervision of staff providing direct support to ensure the health, safety, and protection of rights of each person and implementation of the responsibilities assigned to the license holder in each person's support plan or support plan addendum. "Legal representative" means the parent of a person who is under 18 years of age, a court-appointed guardian, or other representative with legal authority to make decisions about services for a person. Orientation to individual service recipient needs. The license holder must ensure that the following people have access to the information in subdivision 1 in accordance with applicable state and federal laws, regulations, or rules: (1) the person, the person's legal representative, and anyone properly authorized by the person; (3) staff providing services to the person unless the information is not relevant to carrying out the support plan or support plan addendum; and. The CPR training must include instruction, hands-on practice, and an observed skills assessment under the direct supervision of a CPR instructor; and. (2) documentation methods the license holder will use to monitor and measure changes in the target symptoms that are to be alleviated by the psychotropic medication if required by the prescriber. I have a non-coin-operated telephone that is readily accessible licensed under this chapter family adult foster care homes that not. 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