Source: http://www.pacode.com/secure/data/055/chapter2380/chap2380toc.html
Timestamp: 2014-10-01 08:10:59
Document Index: 470136375

Matched Legal Cases: ['§ 901', '§ 11', '§ 51', '§ 51', '§ 51', '§ 52', '§ 52', '§ 52', '§ 52', '§ 2390', '§ 4305', '§ 6000', '§ 6400', '§ 6500', '§ 1511', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 501', '§ 2380', '§ 27', '§ 2380', '§ 6000', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2390', '§ 6400', '§ 6500', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2390', '§ 2390', '§ 6400', '§ 6400', '§ 6500', '§ 6500', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380', '§ 2380', '§ 911', '§ 2380', '§ 2380', '§ 2380']

2380.17. Reporting of unusual incidents.
2380.18. Reporting of deaths.
2380.19. Record of incidents.
2380.21. Civil rights.
2380.36. Staff training.
2380.93. [Reserved]. PROGRAM
2380.1042380.105 [Reserved].
2380.1072380.108 [Reserved].
2380.121. Storage of medications.
2380.122. Labeling of medications.
2380.122a. Labeling of medicationsstatement of policy.
2380.123. Use of prescription medications.
2380.124. Medication log.
2380.124a. Medication logstatement of policy.
2380.125. Medication errors.
2380.126. Adverse reaction.
2380.126a. Adverse reactionstatement of policy.
2380.127. Administration of medications.
2380.128. Medication administration training.
2380.129. Self-administration of medications.
2380.154. Restrictive procedure review committee.
2380.155. Restrictive procedure plan.
2380.157. Seclusion.
2380.158. Aversive conditioning.
2380.159. Chemical restraints.
2380.160. Mechanical restraints.
2380.161. Manual restraints.
2380.162. Exclusion.
2380.163. Emergency use of exclusion and manual restraints.
2380.164. Use of personal funds and property.
2380.165. Restrictive procedure records.
2380.182. Development, annual update and revision of the ISP.
2380.183. Content of the ISP.
2380.184. Plan team participation.
2380.185. Implementation of the ISP.
2380.186. ISP review and revision.
2380.187. Copies.
2380.188. Provider services.
The provisions of this Chapter 2380 amended under Articles IX and X of the Public Welfare Code (62 P. S. § § 901922 and 10011080), unless otherwise noted.
This chapter cited in 6 Pa. Code § 11.146 (relating to administration of medications); 55 Pa. Code § 51.20 (relating to criminal history checks); 55 Pa. Code § 51.22 (relating to provisional hiring); 55 Pa. Code § 51.72 (relating to cost-based rate assignment); 55 Pa. Code § 52.15 (relating to provider records); 55 Pa. Code § 52.17 (relating to critical incident and risk management); 55 Pa. Code § 52.19 (relating to criminal history checks); 55 Pa. Code § 52.20 (relating to provisional hiring); 55 Pa. Code § 2390.152 (relating to development, annual update and revision of the ISP); 55 Pa. Code § 4305.11 (relating to exempt services); 55 Pa. Code § 6000.903 (relating to licensing applicability); 55 Pa. Code § 6400.182 (relating to development, annual update and revision of the ISP); and 55 Pa. Code § 6500.152 (relating to development, annual update and revision of the ISP).
(d) This chapter applies to adult training facilities operated on the grounds of or in a community residential rehabilitation mental health facility or a community home for individuals with mental retardation if permitted in accordance with Chapter 6400 (relating to community homes for individuals with mental retardation).
(e) This chapter applies to adult training facilities operated on the grounds of or in a non-State operated intermediate care facility for the mentally retarded, unless it is medically necessary or in the individuals best interest to remain at home.
(1) Older adult daily living centers as defined in the Older Adult Daily Living Centers Licensing Act (62 P. S. § § 1511.11511.22), serving four or more adults who are 60 years of age or older or adults who are 59 years of age or younger but have a dementia-related disease, such as Alzheimers disease, as a primary diagnosis, but serving no more than three adults with disabilities who are 59 years of age or younger and who do not have a dementia-related disease as a primary diagnosis.
(7) Community homes for individuals with mental retardation licensed in accordance with Chapter 6400 and intermediate care facilities for the mentally retarded licensed in accordance with Chapter 6600 (relating to intermediate care facilities for the mentally retarded) that provide day services in the same building in which the individuals live to individuals who remain at home because they are medically unable to attend a community day program or because it is in the individuals best interest to remain at the home.
The provisions of this § 2380.2 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; amended January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial pages (168737) and (131159). § 2380.3. Definitions.
AdultA person 18 years of age or older.
Adult training facility or facilityA building or portion of a building in which services are provided to four or more individuals, who are 59 years of age or younger and who do not have a dementia-related disease as a primary diagnosis, for part of a 24-hour day, excluding care provided by relatives. Services include the provision of functional activities, assistance in meeting personal needs and assistance in performing basic daily activities.
Direct service workerA person whose primary job function is to provide services to an individual who attends the providers facility.
IndividualAn adult with disabilities who receives care in an adult training facility and who has developmental needs which require assistance to meet personal needs and to perform basic daily activities. Examples of adults with disabilities include adults who exhibit one or more of the following:
(i) A physical disability such as blindness, visual impairment, deafness, hearing impairment, speech or language impairment or a physical handicap.
(iv) Mental retardation.
Plan leadThe program specialist or family living specialist, as applicable, when the individual is not receiving services through an SCO.
The provisions of this § 2380.3 amended under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.3 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; reserved January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (259666).
The provisions of this § 2380.11 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; reserved January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial page (131160). § 2380.12. Appeals.
(a) Appeals related to the Departments approval or licensure shall be made in accordance with 2 Pa.C.S. § § 501508 and 701704 (relating to the Administrative Agency Law) and 1 Pa. Code Part II (relating to General Rules of Administrative Practice and Procedure).
§ 2380.17. Reporting of unusual incidents.
(a) An unusual incident is:
(1) Abuse or suspected abuse of an individual.
(2) Injury, trauma or illness requiring inpatient hospitalization, that occurs while the individual is at the facility or under the supervision of the facility.
(3) A suicide attempt by an individual.
(4) A violation or alleged violation of an individuals rights.
(5) An individual whose absence is unaccounted for, and is therefore presumed to be at risk.
(6) The misuse or alleged misuse of an individuals funds or property.
(7) An outbreak of a serious communicable disease, as defined in 28 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting.
(8) An incident requiring the services of a fire department or law enforcement agency.
(9) A condition, except for snow or ice conditions, that results in closure of the facility for more than 1 scheduled day of operation.
(b) Written policies and procedures on the prevention, reporting, investigation and management of unusual incidents shall be developed and kept at the facility.
(c) The facility shall orally notify, within 24 hours after abuse or suspected abuse of an individual or an incident requiring the services of a fire department or law enforcement agency occurs:
(1) The county mental health and mental retardation program of the county in which the facility is located if the individual involved in the unusual incident has mental illness or mental retardation.
(2) The funding agency.
(3) The appropriate regional office of mental retardation.
(d) The facility shall initiate an investigation of the unusual incident and complete and send copies of an unusual incident report on a form specified by the Department, within 72 hours after an unusual incident occurs, to:
(e) At the conclusion of the investigation the facility shall send a copy of the final unusual incident report to:
(g) A copy of unusual incident reports relating to the facility itself, such as those requiring the services of a fire department, shall be kept.
(h) The individuals family, if appropriate, and the residential services provider, if applicable, shall be immediately notified in the event of an unusual incident relating to the individual.
The provisions of this § 2380.17 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; amended January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial page (88775).
This section cited in 55 Pa. Code § 6000.903 (relating to licensing applicability).
§ 2380.18. Reporting of deaths.
(a) The facility shall complete and send copies of a death report on a form specified by the Department, within 24 hours after a death of an individual that occurs at the facility or while under the supervision of the facility to:
(1) The county mental health and mental retardation program of the county in which the facility is located if the individual had mental illness or mental retardation.
(3) The regional office of mental retardation.
(b) The facility shall investigate and orally notify, within 24 hours after an unusual or unexpected death occurs:
(d) The individuals family, and the residential service provider, if applicable, shall be immediately notified in the event of a death of an individual.
The provisions of this § 2380.18 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; amended January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial page (88775).
§ 2380.19. Record of incidents.
The facility shall maintain a record of an individuals illnesses, traumas and injuries requiring medical treatment but not inpatient hospitalization, and seizures that occur at the facility or while under the supervision of the facility.
The provisions of this § 2380.19 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; amended January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial page (88775).
(a) An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the facility who will have direct contact with individuals, and for part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the persons date of hire.
(b) If a prospective employe who will have direct contact with individuals resides outside of this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the persons date of hire.
(c) Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the persons date of hire.
The provisions of this § 2380.20 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; amended January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial pages (88775) to (88776). § 2380.21. Civil rights.
(b) The facility shall develop and implement civil rights policies and procedures. Civil rights policies and procedures shall include the following:
(1) Nondiscrimination in the provision of services, admissions, placements, facility usage, referrals and communications with individuals who are nonverbal or non-English speaking.
(2) Physical accessibility and accommodation for individuals with physical disabilities.
(4) Informing individuals on their right to register civil rights complaints.
The provisions of this § 2380.21 adopted December 29, 1978, effective December 30, 1978, 8 Pa.B. 3820; amended January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. Immediately preceding text appears at serial page (88776).
(1) A masters degree or above from an accredited college or university and 2 years of work experience in administration or the human services field.
(2) A bachelors degree from an accredited college or university and 4 years of work experience in administration or the human services field.
(a) At least one program specialist shall be assigned for every 30 individuals, regardless of whether they meet the definition of individual in § 2380.3 (relating to definitions).
(2) Providing the assessment as required under § 2380.181(f) (relating to assessment).
(3) Participating in the development of the ISP, including annual updates and revisions of the ISP.
(5) Fulfilling the role of plan lead, as applicable, under § § 2380.182 and 2380.186(f) and (g) (relating to development, annual update and revision of the ISP; and ISP review and revision).
(6) Reviewing the ISP, annual updates and revisions under § 2380.186 for content accuracy.
(7) Reporting content discrepancy to the SC or plan lead, as applicable, and plan team members.
(11) Reporting a change related to the individuals needs to the SC or plan lead, as applicable, and plan team members.
(12) Reviewing the ISP with the individual as required under § 2380.186.
(13) Documenting the review of the ISP as required under § 2380.186.
(14) Providing the documentation of the ISP review to the SC or plan lead, as applicable, and plan team members as required under § 2380.186(d). (15) Informing plan team members of the option to decline the ISP Review documentation as required under § 2380.186(e).
(16) Recommending a revision to a service or outcome in the ISP as provided under § 2380.186(c)(4).
(19) Developing and implementing provider services as required under § 2380.188 (relating to provider services).
(1) A masters degree or above from an accredited college or university and 1 year of work experience working directly with persons with disabilities.
(2) A bachelors degree from an accredited college or university and 2 years of work experience working directly with persons with disabilities.
(3) An associates degree or 60 credit hours from an accredited college or university and 4 years of work experience working directly with persons with disabilities.
The provisions of this § 2380.33 amended under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.33 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (259673).
(d) An individual may be left unsupervised for specified periods of time if the absence of direct supervision is consistent with the individuals assessment and is part of the individuals ISP, as an outcome which requires the achievement of a higher level of independence.
(e) The staff qualifications and staff ratio as specified in the ISP shall be implemented as written, including when the staff ratio is greater than required under subsections (a), (b) and (c).
The provisions of this § 2380.35 amended under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.35 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (259674). § 2380.36. Staff training.
(a) The facility shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the facility and policies and procedures of the facility before working with individuals or in their appointed positions.
(b) The chief executive officer shall have at least 24 hours of training relevant to human services or administration annually.
(c) Program specialists and direct service workers who are employed for more than 40 hours per month shall have at least 24 hours of training relevant to human services annually.
(d) Program specialists and direct service workers shall have training in the areas of services for people with disabilities and program planning and implementation, within 30 calendar days after the day of initial employment or within 12 months prior to initial employment.
(e) Program specialists and direct service workers shall be trained before working with individuals in general firesafety, evacuation procedures, responsi-bilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the facility, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered.
(f) Program specialists and direct service workers shall be trained annually by a firesafety expert in the training areas specified in subsection (f).
(g) There shall be at least one staff person for every 18 individuals, with a minimum of two staff persons present at the facility at all times who have been trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation within the past year. If a staff person has formal certification from a hospital or other recognized health care organization that is valid for more than 1 year, the training is acceptable for the length of time on the certification. (h) Records of orientation and training, including the training source, content, dates, length of training, copies of certificates received and staff persons attending, shall be kept.
The provisions of this § 2380.36 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
A facility serving one or more individuals with a physical disability, blindness, a visual impairment, deafness or a hearing impairment shall have accommodations to ensure the safety and reasonable accessibility for entrance to, movement within and exit from the facility based upon each individuals needs.
The provisions of this § 2380.56 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.57. Lighting.
(e) Each bathroom shall have a wall mirror, soap, toilet paper, covered trash receptacle and individual clean paper towels or air hand dryer. (f) Privacy shall be provided for all toilets by partitions, doors or curtains.
Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including offices. Source
(a) Signs bearing the word EXIT in plain, legible letters shall be placed at exits.
(a) An individual shall be instructed in the individuals primary language or mode of communication, upon initial admission and reinstructed annually in general firesafety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, and smoking safety procedures if individuals smoke at the facility.
The provisions of this § 2380.103 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; reserved August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (259686). § § 2380.1042380.105. [Reserved].
The provisions of these § § 2380.1042380.105 reserved under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of these § § 2380.1042380.105 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; reserved August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (287081).
§ § 2380.1072380.108. [Reserved].
The provisions of these § § 2380.1072380.108 reserved under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of these § § 2380.1072380.108 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; reserved August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (287082).
(b) The physical examination documentation shall be signed and dated by a licensed physician, certified nurse practitioner or certified physicians assistant.
(11) Special instructions for an individuals diet.
(d) Immunizations, vision and hearing screening and tuberculin skin testing may be completed, signed and dated by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physicians assistant.
The provisions of this § 2380.111 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.112. Refusal of examination.
If an individual refuses a routine medical examination, the refusal shall be documented in the individuals record.
The provisions of this § 2380.112 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.113. Staff physical examination.
(b) The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or certified physicians assistant.
(2) Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physicians assistant.
The provisions of this § 2380.113 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.114. Communicable diseases.
The provisions of this § 2380.114 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.115. Emergency medical plan.
The provisions of this § 2380.115 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. MEDICATIONS
§ 2380.121. Storage of medications.
(a) Prescription and nonprescription medications shall be kept in their original containers, except for medications of individuals who self-administer medications and keep their medications in personal daily or weekly dispensing containers. (b) Prescription and nonprescription medications shall be kept in an area or container that is locked.
(c) Prescription medications stored in a refrigerator shall be kept in a separate locked container.
(e) Discontinued prescription medications shall be returned to the individuals family or residential program for proper disposal.
The provisions of this § 2380.121 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.122. Labeling of medications.
(b) Nonprescription medications, except for medications of individuals who self-administer medications, shall be labeled with the original label.
The provisions of this § 2380.122 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.122a. Labeling of medicationsstatement of policy.
The provisions of this § 2380.122a adopted March 26, 2010, effective March 27, 2010, 40 Pa.B. 1644. § 2380.123. Use of prescription medications.
(b) If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the ISP to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness.
The provisions of this § 2380.123 amended under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.123 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (348929).
§ 2380.124. Medication log.
(a) A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered, and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication.
(c) A list of prescription medications, the prescribed dosage, special instructions and the name of the prescribing physician shall be kept for each individual who self-administers medication.
The provisions of this § 2380.124 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.124a. Medication logstatement of policy.
§ 2380.125. Medication errors.
The provisions of this § 2380.125 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.126. Adverse reaction.
If an individual has a suspected adverse reaction to a medication, the facility shall notify the prescribing physician and the family or residential program immediately. Documentation of adverse reactions shall be kept.
The provisions of this § 2380.126 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.126a. Adverse reactionstatement of policy.
§ 2380.127. Administration of medications.
(1) A licensed physician, licensed dentist, certified physicians assistant, registered nurse or licensed practical nurse.
(4) A staff person who meets the criteria in § 2380.128 (relating to medication administration training), for the administration of oral, topical and eye and ear drop prescription medications and insulin injections.
(b) Prescription medications and injections shall be administered according to the directions specified on the prescription.
The provisions of this § 2380.127 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.128. Medication administration training.
(a) A staff person who has completed and passed the Departments Medications Administration Course is permitted to administer oral, topical and eye and ear drop prescription medications.
(b) A staff person who has completed and passed the Departments Medications Administration Course and who has completed and passed a diabetes patient education program within the past 12 months that meets the National Standards for Diabetes Patient Education Programs of the National Diabetes Advisory Board, 7550 Wisconsin Avenue, Bethesda, Maryland 20205, is permitted to administer insulin injections to an individual who is under the care of a licensed physician who is monitoring the diabetes.
(d) A staff person who administers prescription medications or insulin injections to individuals shall complete the Medications Administration Course Practicum annually.
The provisions of this § 2380.128 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
This section cited in 55 Pa. Code § 2380.127 (relating to administration of medications). § 2380.129. Self-administration of medications.
(a) To be considered capable of self-administration of medications, an individual shall:
(1) Be able to recognize and distinguish the individuals own medication.
(3) Know when the medication is to be taken.
The provisions of this § 2380.129 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. NUTRITION
The provisions of this § 2380.131 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.132. Food provided or arranged for by the facility.
(11) Uneaten food from a persons dish or from family style serving dishes may not be served again or used in the preparation of other meals.
(14) Mechanical dishwashers shall be operated in accordance with the manufacturers instructions.
The provisions of this § 2380.132 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. RESTRICTIVE PROCEDURES
(1) Limits an individuals movement, activity or function.
(2) Interferes with an individuals ability to acquire positive reinforcement.
(3) Results in the loss of objects or activities that an individual values. (4) Requires an individual to engage in a behavior that the individual would not engage in given freedom of choice.
The provisions of this § 2380.151 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.152. Written policy.
A written policy that defines the prohibition or use of specific types of restrictive procedures, describes the circumstances in which restrictive procedures may be used, the persons who may authorize the use of restrictive procedures, a mechanism to monitor and control the use of restrictive procedures and a process for the individual and family to review the use of restrictive procedures shall be kept at the facility.
The provisions of this § 2380.152 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.153. Appropriate use of restrictive procedures.
(a) A restrictive procedure may not be used as retribution, for the convenience of staff persons, as a substitute for a program or in a way that interferes with the individuals developmental program.
The provisions of this § 2380.153 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.154. Restrictive procedure review committee.
The provisions of this § 2380.154 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
This section cited in 55 Pa. Code § 2380.163 (relating to emergency use of exclusion and manual restraints).
§ 2380.155. Restrictive procedure plan.
(a) For each individual for whom restrictive procedures may be used, a restrictive procedure plan shall be written prior to the use of restrictive procedures.
(b) The restrictive procedure plan shall be developed and revised with the participation of the program specialist, the individuals direct care staff, the interdisciplinary team, as appropriate, and other professionals, as appropriate.
(c) The restrictive procedure plan shall be reviewed, and revised if necessary, according to the time frame established by the restrictive procedure review committee, not to exceed 6 months.
(2) The single behavioral outcome desired, stated in measurable terms.
(7) Physical problems that require special attention during the use of the restrictive procedure.
(8) The name of the staff person or staff position responsible for monitoring and documenting progress with the plan.
The provisions of this § 2380.155 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
(a) If a restrictive procedure is used, at least one staff person shall be available when the restrictive procedure is used who has completed training within the past 12 months in the use of and ethics of using restrictive procedures including the use of alternate positive approaches.
(c) If manual restraint or exclusion is used, the staff person responsible for developing, implementing or managing a restrictive procedure plan shall have experienced the use of the specific techniques or procedures directly on themselves.
(d) Documentation of the training program provided, including the staff persons trained, dates of the training, description of the training and the training source, shall be kept.
The provisions of this § 2380.156 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.157. Seclusion.
Seclusion, defined as placing an individual in a locked room, is prohibited. A locked room includes a room with any type of door locking device such as a key lock, spring lock, bolt lock, foot pressure lock or physically holding the door shut.
The provisions of this § 2380.157 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.158. Aversive conditioning.
The provisions of this § 2380.158 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.159. Chemical restraints.
(1) Prior to each incidence of administering a drug on an emergency basis, a licensed physician shall examine the individual and give a written order to administer the drug.
(2) Prior to each readministration of a drug on an emergency basis, a licensed physician shall examine the individual and order readministration of the drug.
(3) The individuals vital signs shall be monitored at least once each hour.
(4) Physical needs of the individual shall be met promptly.
(d) A Pro Re Nata (PRN) order for controlling acute, episodic behavior is prohibited.
(e) A drug ordered by a licensed physician as part of an ongoing program of medication is not a chemical restraint.
(f) A drug ordered by a licensed physician for a specific, time-limited stressful event or situation to assist the individual to control behavior, is not a chemical restraint.
(g) A drug ordered by a licensed physician as pretreatment prior to a medical or dental examination or treatment is not a chemical restraint. (h) A drug self-administered by an individual is not a chemical restraint.
(i) If a drug is administered in accordance with subsection (b), (f), (g) or (h) to treat a behavior that occurs at the facility, there shall be training for the individual aimed at eliminating or reducing the need for the drug in the future.
(j) Documentation of compliance with subsections (b)(i) shall be kept.
The provisions of this § 2380.159 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.160. Mechanical restraints.
(b) The use of a mechanical restraint is prohibited except for the use of helmets, mitts and muffs to prevent self-injury on an interim basis but only for the first 3 months after admission.
(1) The use of a mechanical restraint may not exceed 2 hours, unless a licensed physician examines the individual and gives written orders to continue the use of the restraint. Reexamination and new orders by a licensed physician are required for each 2-hour period the restraint is continued. If a restraint is removed for a purpose other than for movement and reused within 24 hours after the initial use of the restraint, it is considered continuation of the initial restraint.
(3) The restraint shall be checked for proper fit by staff at least every 15 minutes.
(5) The restraint shall be removed completely for at least 10 minutes during every 2 hours the restraint is used.
(d) A device used to provide support for functional body position or proper balance and a device used for medical treatment, such as sand bags to limit movement after medical treatment, a wheelchair belt that is used for body positioning and support or a helmet for prevention of injury during seizure activity, is not considered a mechanical restraint.
The provisions of this § 2380.160 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.161. Manual restraints.
(a) A manual restraint is a physical hands-on technique that lasts more than 30 seconds, used to control acute, episodic behavior that restricts the movement or function of an individual or a portion of an individuals body such as basket holds and prone or supine containment.
(b) A manual restraint shall be used only when necessary to protect the individual from injurying himself or others.
(c) A manual restraint shall be used only when it has been documented that other less restrictive methods have been unsuccessful in protecting the individual from injuring himself or others.
The provisions of this § 2380.161 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.162. Exclusion.
(a) Exclusion is removing an individual from his immediate environment and restricting him alone to a room or area. If a staff person remains with the individual, it is not exclusion.
(e) Exclusion may not be used for an individual more than two times in the same day.
(i) A room or area used for exclusion shall be well lighted and ventilated. Source
The provisions of this § 2380.162 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.163. Emergency use of exclusion and manual restraints.
If exclusion or manual restraints are used on an unanticipated, emergency basis, § § 2380.154 and 2380.155 (relating to restrictive procedure review committee; and restrictive procedure plan) do not apply until after the exclusion or manual restraint is used for the same individual twice in a 6-month period.
The provisions of this § 2380.163 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.164. Use of personal funds and property.
(a) An individuals personal funds or property may not be used as a reward or punishment.
The provisions of this § 2380.164 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
§ 2380.165. Restrictive procedure records.
The provisions of this § 2380.165 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343.
The provisions of this § 2380.172 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343. § 2380.173. Content of records.
(2) Unusual incident reports related to the individual.
(5) A copy of the invitation to:
(6) A copy of the signature sheet for:
(7) A copy of the current ISP.
(8) Documentation of ISP reviews and revisions under § 2380.186 (relating to ISP review and revision), including the following:
(9) Content discrepancies in the ISP, the annual update or revision under § 2380.186.
(10) Restrictive procedure protocols and records related to the individual.
(11) Copies of psychological evaluations, if applicable.
The provisions of this § 2380.173 amended under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.173 adopted January 15, 1993, effective January 16, 1993, 23 Pa.B. 343; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial page (259702).
(b) The most current copies of record information required in § 2380.173(2)(11) shall be kept at the facility.
(c) The record information required in § 2380.173(2)(11), that is not current shall be kept at the facility or at the facilitys administrative office.
(b) Individual records shall be kept for at least 4 years following the individuals departure or until any audit or litigation is resolved.
(b) The individual, and the individuals parent, guardian or advocate, shall have access to the records and to information in the records. If the interdisciplinary team documents, in writing, that disclosure of specific information constitutes a substantial detriment to the individual or that disclosure of specific information will reveal the identity of another individual or breach the confidentiality of persons who have provided information upon an agreement to maintain their confidentiality, that specific information identified may be withheld.
Written consent of the individual, or the individuals parent or guardian if the individual is incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it.
(b) If the program specialist is making a recommendation to revise a service or outcome in the ISP as provided under § 2380.186(c)(4) (relating to ISP review and revision), the individual shall have an assessment completed as required under this section.
(f) The program specialist shall provide the assessment to the SC or plan lead, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
The provisions of this § 2380.181 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.181 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
This section cited in 55 Pa. Code § 2380.33 (relating to program specialist); 55 Pa. Code § 2380.173 (relating to content of records); 55 Pa. Code § 2380.182 (relating to development, annual update and revision of the ISP); 55 Pa. Code § 2380.186 (relating to ISP review and revision); 55 Pa. Code § 2390.152 (relating to development, annual update and revision of the ISP); 55 Pa. Code § 6400.182 (relating to development, annual update and revision of the ISP); and 55 Pa. Code § 6500.152 (relating to development, annual update and revision of the ISP).
§ 2380.182. Development, annual update and revision of the ISP.
(b) When an individual is not receiving services through an SCO and does not reside in a home licensed under Chapter 6400 or 6500 (relating to community homes for individuals with mental retardation; and family living homes), the adult training facility program specialist shall be the plan lead when one of the following applies:
(1) The individual attends a facility licensed under this chapter.
(2) The individual attends a facility licensed under this chapter and a facility licensed under Chapter 2390 (relating to vocational facilities).
(5) Copies of the ISP, including annual updates and revisions under § 2380.186 (relating to ISP review and revision), shall be provided as required under § 2380.187 (relating to copies).
The provisions of this § 2380.182 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.182 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
This section cited in 55 Pa. Code § 2380.33 (relating to program specialist); 55 Pa. Code § 2380.181 (relating to assessment); 55 Pa. Code § 2380.186 (relating to ISP review and revision); 55 Pa. Code § 2390.151 (relating to assessment); 55 Pa. Code § 2390.156 (relating to ISP review and revision); 55 Pa. Code § 6400.181 (relating to assessment); 55 Pa. Code § 6400.186 (relating to ISP review and revision); 55 Pa. Code § 6500.151 (relating to assessment); and 55 Pa. Code § 6500.156 (relating to ISP review and revision). § 2380.183. Content of the ISP.
The ISP, including annual updates and revisions under § 2380.186 (relating to ISP review and revision), must include the following:
(2) Services provided to the individual to increase community involvement, including work opportunities as required under § 2380.188 (relating to provider services).
(i) An assessment to determine the causes or antecedents of the behavior. (ii) A protocol for addressing the underlying causes or antecedents of the behavior.
(i) Vocational programming.
(iii) Competitive community-integrated employment.
The provisions of this § 2380.183 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.183 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
§ 2380.184. Plan team participation.
(a) The plan team shall participate in the development of the ISP, including the annual updates and revisions under § 2380.186 (relating to ISP review and revision).
(iii) A direct service worker who works with the individual from each provider delivering a service to the individual.
The provisions of this § 2380.184 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.184 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
§ 2380.185. Implementation of the ISP.
The provisions of this § 2380.185 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.185 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
§ 2380.186. ISP review and revision.
(a) The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the facility licensed under this chapter with the individual every 3 months or more frequently if the individuals needs change which impact the services as specified in the current ISP.
(1) A review of the monthly documentation of an individuals participation and progress during the prior 3 months toward ISP outcomes supported by services provided by the facility licensed under this chapter.
(2) A review of each section of the ISP specific to the facility licensed under this chapter.
(5) If making a recommendation to revise a service or outcome in the ISP, the program specialist shall complete a revised assessment as required under § 2380.181(b) (relating to assessment).
(d) The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC or plan lead, as applicable, and plan team members within 30 calendar days after the ISP review meeting.
The provisions of this § 2380.186 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.186 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
This section cited in 55 Pa. Code § 2380.33 (relating to program specialist); 55 Pa. Code § 2380.173 (relating to content of records); 55 Pa. Code § 2380.181 (relating to assessment); 55 Pa. Code § 2380.182 (relating to development, annual update and revision of the ISP); 55 Pa. Code § 2380.183 (relating to content of the ISP); and 55 Pa. Code § 2380.184 (relating to plan team participation).
§ 2380.187. Copies.
The provisions of this § 2380.187 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.187 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
This section cited in 55 Pa. Code § 2380.182 (relating to development, annual update and revision of the ISP).
§ 2380.188. Provider services.
(c) The facility shall provide services to the individual as specified in the individuals ISP.
The provisions of this § 2380.188 issued under sections 911 and 1021 of the Public Welfare Code (62 P. S. § § 911 and 1021).
The provisions of this § 2380.188 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935.
This section cited in 55 Pa. Code § 2380.33 (relating to program specialist); and 55 Pa. Code § 2380.183 (relating to content of the ISP).