Search & Status (Senate), Bill Search Review, Minnesota Issues Auditor, Revisor (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. (a) Within five working days of the emergency use of manual restraint, the license holder must complete and document an internal review of each report of emergency use of manual restraint. Download PDF Community residential settings and day service facilities. background-color: #2ea3f2; "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. OVERVIEW OF 245D HCBS LICENSE STRUCTURE . for the Day, Supplemental Instructions and Help about 144 245d mn form. List, Bill The license holder must comply at all times with all applicable fire and safety codes under section 245A.04, subdivision 2a, and adequate supervision requirements under section 245D.31 for all persons receiving day services. (c) Intensive support services provide assistance, supervision, and care that is necessary to ensure the health and welfare of the person and services specifically directed toward the training, habilitation, or rehabilitation of the person. For purposes of this chapter, a day services facility license is a satellite license of the day services program. Exterior stairs and walkways must be kept free of ice and snow. [Repealed by amendment, 2013 c 108 art 8 s 25]. The license holder must conduct a review of incident reports for identification of incident patterns, and implementation of corrective action as necessary to reduce occurrences. Safety procedures specific to each person's activities must be explained and be available in writing to all staff members and persons receiving services. "Health services" means any service or treatment consistent with the physical and mental health needs of the person, such as medication administration and monitoring, medical, dental, nutritional, health monitoring, wellness education, and exercise. of Health; no new development of SLS in SLF or ICF/DD . This applies even if you receive a difficulty of care rate in addition to GRH payments. Not everyone who has a 245A license is required to obtain a 245D-HCBS licenseas in the following situations. Ssa gov 3368. (c) Prior to giving notice of service termination, the license holder must document actions taken to minimize or eliminate the need for termination. Situation 2)Foster care services for persons age 65 or older under the Elderly Waiver (EW) or the Alternative Care. (c) Before providing 45 days of service or within 60 calendar days of service initiation, whichever is shorter, the license holder must meet with the person, the person's legal representative, the case manager, other members of the support team or expanded support team, and other people as identified by the person or the person's legal representative to determine the following based on information obtained from the assessments identified in paragraph (b), the person's identified needs in the support plan, and the requirements in subdivision 4 and section 245D.07, subdivision 1a: (1) the scope of the services to be provided to support the person's daily needs and activities; (2) the person's desired outcomes and the supports necessary to accomplish the person's desired outcomes; (3) the person's preferences for how services and supports are provided, including how the provider will support the person to have control of the person's schedule; (4) whether the current service setting is the most integrated setting available and appropriate for the person; (5) opportunities to develop and maintain essential and life-enriching skills, abilities, strengths, interests, and preferences; (6) opportunities for community access, participation, and inclusion in preferred community activities; (7) opportunities to develop and strengthen personal relationships with other persons of the person's choice in the community; (8) opportunities to seek competitive employment and work at competitively paying jobs in the community; and. 2012 c 216 art 18 s 25; 2013 c 108 art 8 s 35; 2014 c 275 art 1 s 51,140; 2014 c 312 art 27 s 46,47,77; 2015 c 78 art 6 s 4,5; 1Sp2020 c 2 art 5 s 25; 2022 c 98 art 5 s 1. Nothing in this section changes the commissioner's responsibilities to investigate alleged or suspected maltreatment of a minor under chapter 260E or a vulnerable adult under section 626.557. Commission (LCC), Legislative-Citizen Commission Please include your county of residence in all communications. Tracking Sheets, Hot "License holder" has the meaning given in section 245A.02, subdivision 9. Legislative Auditor, Legislative Coordinating "Intermediate care facility for persons with developmental disabilities" or "ICF/DD" means a residential program licensed to serve four or more persons with developmental disabilities under section 252.28 and chapter 245A and licensed as a supervised living facility under chapter 144, which together are certified by the Department of Health as an intermediate care facility for persons with developmental disabilities. PROGRAM CATEGORY OF SERVICE SERVICE FACILITY LICENSE LICENSE . (a) At no time must one direct support staff member be assigned responsibility for supervision and training of more than ten persons receiving supervision and training, except as otherwise stated in each person's support plan or support plan addendum. (g) In the event of an emergency service initiation, the license holder must ensure the training required in this subdivision occurs within 72 hours of the direct support staff person first having unsupervised contact with the person receiving services. (b) The license holder shall provide the setting capacity report on the forms and in the manner prescribed by the commissioner. (5) the percentage of living units that are controlled by the license holder in the multifamily housing building by dividing clause (2) by clause (3). 2013 c 108 art 8 s 33; 2014 c 312 art 27 s 43-45; 2015 c 78 art 6 s 31; 1Sp2019 c 9 art 5 s 16-18; 2022 c 98 art 17 s 26. (iii) respects each person's history, dignity, and cultural background; (2) self-determination that supports and provides: (i) opportunities for the development and exercise of functional and age-appropriate skills, decision making and choice, personal advocacy, and communication; and, (ii) the affirmation and protection of each person's civil and legal 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. If the person or the person's legal representative refuses to authorize the administration of a psychotropic medication as ordered by the prescriber, the license holder must not administer the medication. The license holder must ensure that emergency use of manual restraints complies with the requirements of this chapter and the license holder's policy and procedures as required under subdivision 9. The license holder must establish policies and procedures that promote service recipient rights by providing a simple complaint process for persons served by the program and their authorized representatives to bring a grievance that: (1) provides staff assistance with the complaint process when requested, and the addresses and telephone numbers of outside agencies to assist the person; (2) allows the person to bring the complaint to the highest level of authority in the program if the grievance cannot be resolved by other staff members, and that provides the name, address, and telephone number of that person; (3) requires the license holder to promptly respond to all complaints affecting a person's health and welfare. Labels, Joint Departments, (9) receive services from an individual who is competent and trained, who has professional certification or licensure, as required, and who meets additional qualifications identified in the person's support plan or support plan addendum. (5) the procedures and forms to be used to monitor the emergency use of manual restraints, including what must be monitored and the frequency of monitoring per each incident of emergency use of manual restraint, and the person or position who is responsible for monitoring the use; (6) the instructions, forms, and timelines required for completing and submitting an incident report by the person or persons who implemented the manual restraint; and. (c) If the commissioner finds that the license holder has failed to comply with the certification requirements under section 245A.03, subdivision 6a, paragraph (b), the commissioner may issue a correction order and an order of conditional license in accordance with section 245A.06 or may issue a sanction in accordance with section 245A.07, including and up to removal of the certification. The results must be reviewed by the support team or expanded support team as part of a service plan review. (b) For community residential services, training and competency evaluations must include the following, if identified in the support plan: (1) appropriate and safe techniques in personal hygiene and grooming, including hair care; bathing; care of teeth, gums, and oral prosthetic devices; and other activities of daily living (ADLs) as defined under section 256B.0659, subdivision 1; (2) an understanding of what constitutes a healthy diet according to data from the Centers for Disease Control and Prevention and the skills necessary to prepare that diet; and. Positive support specialist qualifications. (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. The license holder must protect service recipient records against loss, tampering, or unauthorized disclosure according to the requirements in sections 13.01 to 13.10 and 13.46. Rule Status, State If a person chooses not to have a piece of required furniture, the license holder must document this choice and is not required to provide the item. (3) the presence of direct support staff at a service site while services are being provided, unless a determination has been made and documented in the person's support plan or support plan addendum that the person does not require the presence of direct support staff while services are being provided. A day services program ; no new development of SLS in SLF or ICF/DD and day service.! Hot `` license holder '' has the meaning given in section 245A.02, 9! Service plan review c 108 art 8 s 25 ] a difficulty of care rate in addition GRH! 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