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Timestamp: 2020-04-05 03:23:23
Document Index: 604660549

Matched Legal Cases: ['§ 1021', '§ 1001', '§ 2380', '§ 3800', '§ 3800', '§ 4305', '§ 6000', '§ 6000', '§ 6000', '§ 6100', '§ 6100', '§ 6350', '§ 6500', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 501', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6000', '§ 6000', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6301', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6500', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 901', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 911', '§ 6400', '§ 911', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 201', '§ 4201', '§ 6400', '§ 6400', '§ 6400', '§ 6400', '§ 911', '§ 6400', '§ 6400']

55 Pa. Code Chapter 6400. Community Homes For Individuals With An Intellectual Disability Or Autism
CHAPTER 6400. COMMUNITY HOMES FOR
INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM
6400.3a. Clarification of the applicability of this chapter to private homes—statement of policy.
6400.18. Incident report and investigation.
6400.19. Incident procedures to protect the individual.
6400.20. Incident analysis.
6400.24. Applicable statutes and regulations.
6400.25. Children’s services.
6400.31. Exercise of rights.
6400.32. Rights of the individual.
6400.33. Negotiation of choices.
6400.34. Informing of rights.
6400.46. Emergency training.
6400.50. Training records.
6400.51. Orientation.
6400.52. Annual training.
6400.161. Self-administration.
6400.162. Medication administration.
6400.162a. Labeling of medication—statement of policy.
6400.163. Storage and disposal of medications.
6400.163a. Use of prescription medication—statement of policy.
6400.164. [Reserved].
6400.164a. Medication Log—statement of policy.
6400.165. Prescription medications.
6400.166. Medication record.
6400.166a. Adverse reaction—statement of policy.
6400.167. Medication errors.
6400.168. Adverse reaction.
6400.169. Medication administration training.
6400.182. Development, annual update and revision of the individual plan.
6400.183. Individual plan team.
6400.184. Individual plan process.
6400.185. Content of the individual plan.
6400.186. Implementation of the individual plan.
6400.187. [Reserved].
6400.188. Home services.
6400.194. Human rights team.
6400.195. Behavior support component of the individual plan.
6400.197—6400.206 [Reserved].
6400.207. Prohibited procedures.
6400.208. Physical restraint.
6400.209. Emergency use of a physical restraint.
6400.210. Access to or the use of an individual’s personal property.
The provisions of this Chapter 6400 issued under the Human Services Code (62 P.S. § 1021); amended under Article X of the Human Services Code (62 P.S. § § 1001—1080), unless otherwise noted.
This chapter cited in 55 Pa. Code § 2380.2 (relating to applicability); 55 Pa. Code § 3800.3 (relating to exemptions); 55 Pa. Code § 3800.56 (relating to exceptions for staff qualifications); 55 Pa. Code § 4305.11 (relating to exempt services); 55 Pa. Code § 6000.351 (relating to licensing criteria); 55 Pa. Code § 6000.903 (relating to licensing applicability); 55 Pa. Code § 6000.1003 (relating to definitions); 55 Pa. Code § 6100.81 (relating to HCBS provider requirements); 55 Pa. Code § 6100.445 (relating to locality of service location); 55 Pa. Code § 6350.21 (relating to respite care); and 55 Pa. Code § 6500.3 (relating to applicability).
This chapter is based on the principle of integration and the right of the individual with an intellectual disability or autism to live a life which is as close as possible in all aspects to the life which any member of the community might choose. For the individual with an intellectual disability or autism who requires a residential service, the design of the service shall be made with the individual’s unique needs in mind so that the service will facilitate the individual’s ongoing growth and development.
The provisions of this § 6400.1 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.1 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (397758).
The purpose of this chapter is to protect the health, safety and well-being of individuals with an intellectual disability or autism, through the formulation, implementation and enforcement of minimum requirements for the operation of community homes for individuals with an intellectual disability or autism.
The provisions of this § 6400.2 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.2 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381931).
(a) This chapter applies to community homes for people with an intellectual disability or autism, except as provided in subsection (f).
(b) This chapter contains the minimum requirements that shall be met to obtain a certificate of compliance. A certificate of compliance shall be obtained prior to operation of a community home for individuals with an intellectual disability or autism.
(1) Private homes of persons providing care to a relative with an intellectual disability or autism.
(3) Intermediate care facilities for individuals with an intellectual disability licensed by the Department in accordance with Chapter 6600 (relating to intermediate care facilities for individuals with an intellectual disability) or intermediate care facilities for individuals with other related conditions.
(7) Residential homes for three or fewer people with an intellectual disability or autism who are 18 years of age or older and who need a yearly average of 30 hours or less direct staff contact per week per home.
(g) This chapter does not measure or assure compliance with other applicable Federal and State statutes and regulations and local ordinances. It is the responsibility of the home to comply with other applicable statutes, regulations, codes and ordinances.
The provisions of this § 6400.3 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.3 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 25, 1999, effective October 26, 1999, 29 Pa.B. 3295; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381931) to (381932).
This section cited in 55 Pa. Code § 6400.3a (relating to clarification of the applicability of this chapter to private homes—statement of policy); and 55 Pa. Code § 6400.4 (relating to definitions).
§ 6400.3a. Clarification of the applicability of this chapter to private homes—statement of policy.
(a) Except as specified in subsection (b), private homes under § 6400.3(f)(1) (relating to applicability) include homes owned or leased by individuals with intellectual disabilities or their families.
(b) Homes owned or leased by providers are not private homes and must be licensed under this chapter regardless if these homes are subsequently leased by the providers to individuals with intellectual disabilities or their families.
Agency—A person or legally constituted organization operating one or more community homes for people with an intellectual disability or autism serving eight or fewer individuals.
Autism—A developmental disorder defined by the edition of the Diagnostic and Statistical Manual of Mental Disorders, or its successor, in effect at the time the diagnosis is made. The term includes autistic disorder, Asperger’s disorder and autism spectrum disorder.
Community home for individuals with an intellectual disability or autism (home)—A building or separate dwelling unit in which residential care is provided to one or more individuals with an intellectual disability or autism, except as provided in § 6400.3(f) (relating to applicability). Each apartment unit within an apartment building is considered a separate home. Each part of a duplex, if there is physical separation between the living areas, is considered a separate home.
Direct service worker—A person whose primary job function is to provide services to an individual who resides in the home.
Individual—An individual with an intellectual disability or autism who resides, or receives residential respite care, in a home and who is not a relative of the owner of the home.
Intellectual disability—Subaverage general intellectual functioning which originates during the developmental period and is associated with impairment of one or more of the following:
The provisions of this § 6400.4 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.4 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381932) to (381934).
The provisions of this § 6400.11 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133673).
(a) Appeals related to the Department’s 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).
(b) Appeals related to the Department’s licensure shall be made by filing a petition within 30 days after service of notice of the action.
§ 6400.13. Maximum capacity.
§ 6400.15. Self-assessment of homes.
(a) The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency’s certificate of compliance, to measure and record compliance with this chapter.
(b) The agency shall use the Department’s licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.
(c) A copy of the agency’s self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year.
The provisions of this § 6400.15 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.15 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended November 16, 1984, effective November 17, 1984, 14 Pa.B. 4161; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381935) to (381936).
The provisions of this § 6400.17 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133675).
§ 6400.18. Incident report and investigation.
(a) The home shall report the following incidents, alleged incidents and suspected incidents through the Department’s information management system or on a form specified by the Department within 24 hours of discovery by a staff person:
(7) An individual who is missing for more than 24 hours or who could be in jeopardy if missing at all.
(b) The home shall report the following incidents, alleged incidents and suspected incidents through the Department’s information management system or on a form specified by the Department within 72 hours of discovery by a staff person:
(2) A medication error as specified in § 6400.167 (relating to medication errors), if the medication was ordered by a health care practitioner.
(d) The home shall keep documentation of the notification in subsection (c).
(f) The home shall take immediate action to protect the health, safety and well-being of the individual following the initial knowledge or notice of an incident, alleged incident or suspected incident.
(g) The home shall initiate an investigation of an incident, alleged incident or suspected incident within 24 hours of discovery by a staff person.
(i) The home shall finalize the incident report through the Department’s information management system or on a form specified by the Department within 30 days of discovery of the incident by a staff person unless the home notifies the Department in writing that an extension is necessary and the reason for the extension.
(j) The home shall provide the following information to the Department as part of the final incident report:
The provisions of this § 6400.18 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.18 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381936) to (381937).
This section cited in 55 Pa. Code § 6000.303 (relating to no license factors); 55 Pa Code § 6000.903 (relating to licensing applicability); 55 Pa. Code § 6400.167 (relating to medication errors); and 55 Pa. Code § 6400.273 (relating to exceptions).
§ 6400.19. Incident procedures to protect the individual.
(a) In investigating an incident, the home shall review and consider the following needs of the affected individual:
(b) The home shall monitor an individual’s risk for recurring incidents and implement corrective action, as appropriate.
(c) The home shall work cooperatively with the individual plan team to revise the individual plan if indicated by the incident.
The provisions of this § 6400.19 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.19 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381937) to (381938).
§ 6400.20. Incident analysis.
(a) The home shall complete the following for each confirmed incident:
(b) The home shall review and analyze incidents and conduct and document a trend analysis at least every 3 months.
(c) The home shall identify and implement preventive measures to reduce:
(d) The home shall educate staff persons and the individual based on the circumstances of the incident.
(e) The home shall monitor incident data and take actions to mitigate and manage risks.
The provisions of this § 6400.20 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.20 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381938).
(a) An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including 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 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) The Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the person’s date of hire.
(e) If the home serves primarily individuals who are 17 years of age or younger, 23 Pa.C.S. § § 6301—6384 (relating to the Child Protective Services Law) applies.
§ 6400.22. Individual funds and property.
(a) There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property.
(b) The home’s policy may not prohibit the individual’s right to manage the individual’s own finances.
(c) Individual funds and property shall be used for the individual’s benefit.
(e) If the home assumes the responsibility of maintaining an individual’s financial resources, the following shall be maintained for each individual:
(2) For a withdrawal when the individual is given the money directly, the record shall indicate that funds were given directly to the individual.
(3) Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person.
(f) There may be no commingling of the individual’s personal funds with the home or staff person’s funds.
(g) There may be no borrowing of the individual’s personal funds by staff persons or by the home.
The provisions of this § 6400.22 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595.
§ 6400.23. Grievance procedures.
The home shall have written grievance procedures for individuals, individual’s families, advocates and staff persons, that assure investigation and resolution of complaints.
The provisions of this § 6400.23 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595.
§ 6400.24. Applicable statutes and regulations.
The home shall comply with applicable Federal and State statutes and regulations and local ordinances.
The provisions of this § 6400.24 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.24 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.25. Children’s services.
(a) The child, the child’s parents and the child’s legal guardian shall be provided the opportunity to participate in the exercise of rights, decision-making and individual plan activities, unless otherwise prohibited by court order.
(b) The provisions of this chapter regarding rights, decision-making and individual plan activities shall be implemented in accordance with generally accepted, age-appropriate parental decision-making and practices for children, including bedtimes, privacy, school attendance, study hours, visitors and access to food and property, and do not require a modification of rights in the individual plan in accordance with § 6400.185 (relating to content of the individual plan).
(c) The individual plan in § 6400.185 shall include desired outcomes relating to strengthening or securing a permanent caregiving relationship for the child.
(d) An unrelated child and adult may not share a bedroom.
(e) For purposes of this section, a child is an individual who is under 18 years of age.
The provisions of this § 6400.25 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.25 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.31. Exercise of rights.
(a) An individual may not be deprived of rights as provided under § 6400.32 (relating to rights of the individual).
(b) The home shall educate, assist and provide the accommodation necessary for the individual to make choices and understand the individual’s rights.
The provisions of this § 6400.31 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.31 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381940).
§ 6400.32. Rights of the individual.
(j) An individual has the right to voice concerns about the services the individual receives.
(k) An individual has the right to participate in the development and implementation of the individual plan.
(l) An individual has the right to receive scheduled and unscheduled visitors, and to communicate and meet privately with whom the individual chooses, at any time.
(m) An individual has the right to unrestricted access to send and receive mail and other forms of communications, unopened and unread by others, including the right to share contact information with whom the individual chooses.
(n) An individual has the right to unrestricted and private access to telecommunications.
(o) An individual has the right to manage and access the individual’s finances.
(p) An individual has the right to choose persons with whom to share a bedroom.
(q) An individual has the right to furnish and decorate the individual’s bedroom and the common areas of the home in accordance with § 6400.33 (relating to negotiation of choices).
(r) An individual has the right to lock the individual’s bedroom door.
(5) Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door.
(s) An individual has the right to have a key, access card, keypad code or other entry mechanism to lock and unlock an entrance door of the home.
(3) Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door.
(t) An individual has the right to access food at any time.
(u) An individual has the right to make health care decisions.
(v) An individual’s rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others.
The provisions of this § 6400.32 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.32 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381940).
This section cited in 55 Pa. Code § 6400.31 (relating to exercise of rights).
§ 6400.33. Negotiation of choices.
The provisions of this § 6400.33 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.33 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381940) to (381941).
This section cited in 55 Pa. Code § 6400.32 (relating to rights of the individual).
§ 6400.34. Informing of rights.
(a) The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.
(b) The home shall keep a copy of the statement signed by the individual, or the individual’s court-appointed legal guardian, acknowledging receipt of the information on individual rights.
The provisions of this § 6400.34 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.34 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381941).
(1) A master’s degree or above from an accredited college or university and 2 years work experience in administration or the human services field.
(2) A bachelor’s degree from an accredited college or university and 4 years work experience in administration or the human services field.
The Department of Public Welfare did not abuse its discretion in adopting a hearing examiner’s recommendation to deny a residential health care facility for children with pulmonary impairments’ request for a waiver of the requirement that is chief executive officer have a college degree so that its founder and administrator could become chief executive officer even though she did not hold a college degree, where the Department chose not to compromise its clearly-written and reasonable requirement that the chief executive officer have a college degree, and where it is imperative that health care facilities maintain high standards in order to give the best care to their patients, especially when the patients are medically fragile children. Second Breath v. Department of Public Welfare, 731 A.2d 674 (Pa. Cmwlth. 1999).
(a) A minimum of 1 program specialist shall be assigned for every 30 individuals. A program specialist shall be responsible for a maximum of 30 individuals, including individuals served in other types of services.
(1) A master’s degree or above from an accredited college or university and 1 year of work experience working directly with individuals with an intellectual disability or autism.
(2) A bachelor’s degree from an accredited college or university and 2 years of work experience working directly with individuals with an intellectual disability or autism.
(3) An associate’s degree or 60 credit hours from an accredited college or university and 4 years of work experience working directly with individuals with an intellectual disability or autism.
The provisions of this § 6400.44 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.44 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381943) to (381944).
This section cited in 55 Pa. Code § 6400.41 (relating to effective date of staff qualifications); and 55 Pa. Code § 6500.41 (relating to effective date of staff qualifications).
(b) A minimum of 1 staff person for every 16 individuals shall be physically present at the home when individuals are sleeping at the home.
(c) 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 plan, as an outcome which requires the achievement of a higher level of independence.
(d) The staff qualifications and staff ratio as specified in the individual plan shall be implemented as written, including when the staff ratio is greater than required under subsections (a), (b) and (c).
(e) An individual may not be left unsupervised solely for the convenience of the home or the direct service worker.
The provisions of this § 6400.45 amended under sections 201(2), 403(b), 403.1(a) and (b), 901 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 901 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.45 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381944) to (381945).
§ 6400.46. Emergency training.
(a) Program specialists and direct service workers shall be trained before working with individuals in general fire safety, 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, smoking safety procedures if individuals or staff persons smoke at the home, 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.
(c) Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home shall be trained in first aid techniques before working with individuals.
(d) Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, 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.
The provisions of this § 6400.46 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 901—922 and 1001—1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.46 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended June 17, 2016, effective June 18, 2016, 46 Pa.B. 3177; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381945) to (381946).
The provisions of this § 6400.48 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; reserved August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133679).
§ 6400.49. [Reserved].
The provisions of this § 6400.49 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; reserved August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133679).
§ 6400.50. Training records.
(a) 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.
(b) The home shall keep a training record for each person trained.
The provisions of this § 6400.50 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.50 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.51. Orientation.
(6) Consultants and contractors who are paid or contracted by the home and who will work alone with individuals, except for consultants and contractors who provide a service for fewer than 30 days within a 12-month period and who are licensed, certified or registered by the Department of State in a health care or social service field.
The provisions of this § 6400.51 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.51 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.52. Annual training.
(3) Program specialists.
(3) Consultants and contractors who are paid or contracted by the home and who work alone with individuals, except for consultants and contractors who provide a service for fewer than 30 days within a 12-month period and who are licensed, certified or registered by the Department of State in a health care or social service field.
The provisions of this § 6400.52 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.52 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
(a) A home serving 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 home based upon each individual’s needs.
(b) Poisonous materials may be kept unlocked if all individuals living in the home are able to safely use or avoid poisonous materials. Documentation of each individual’s ability to safely use or avoid poisonous materials shall be in each individual’s assessment.
(b) Heat sources do not require guards or insulation if all individuals living in the home understand the danger of heat sources and have the ability to sense and move away from the heat source quickly. Documentation of each individual’s understanding and ability shall be in each individual’s assessment.
The provisions of this § 6400.64 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133680).
§ 6400.65. Ventilation.
The provisions of this § 6400.65 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133680).
§ 6400.66. Lighting.
The provisions of this § 6400.66 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133680).
§ 6400.67. Surfaces.
(c) A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources’ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.
The provisions of this § 6400.69 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133681).
§ 6400.70. Telephone.
The provisions of this § 6400.70 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133681).
§ 6400.71. Emergency telephone numbers.
The provisions of this § 6400.71 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133681).
§ 6400.72. Screens, windows and doors.
The provisions of this § 6400.73 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133682).
§ 6400.74. Nonskid surfaces.
The provisions of this § 6400.74 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133682).
§ 6400.75. Landings.
The provisions of this § 6400.75 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133682).
§ 6400.76. Furniture and equipment.
§ 6400.78. Indoor living space.
The provisions of this § 6400.79 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133683).
§ 6400.80. Exterior conditions.
The provisions of this § 6400.80 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133683).
(a) An individual’s bedroom may not be located in basements. Any level from which there is a standard door leading from that level directly outside to grade level is not considered a basement.
§ 6400.83. Kitchens.
(b) Special provisions shall be made and adaptive equipment shall be provided, when necessary, to assist individuals in eating at the table.
(c) Utensils used for eating, drinking and preparation of food or drink shall be washed and rinsed after each use.
The provisions of this § 6400.84 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133684).
§ 6400.85. Swimming pools.
The provisions of this § 6400.86 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (133685).
§ 6400.87. [Reserved].
(f) A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher.
(c) A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative.
(d) Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home.
(a) An individual, including an individual 17 years of age or younger, shall be instructed in the individual’s primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, 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 home.
The provisions of this § 6400.130 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935. Immediately preceding text appears at serial pages (251438).
§ 6400.131. [Reserved].
(b) The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician’s assistant.
(11) An assessment of the individual’s health maintenance needs, medication regimen and the need for blood work at recommended intervals.
(15) Special instructions for the individual’s diet.
(d) Immunizations, vision and hearing screening and tuberculin skin testing may be completed, signed and dated by a registered nurse or licensed practical nurse instead of a licensed physician, certified nurse practitioner or licensed physician’s assistant.
(c) A written record of the dental examination, including the date of the examination, the dentist’s name, procedures completed and follow-up treatment recommended, shall be kept.
(h) The dental hygiene plan shall be kept in the individual’s record.
(a) If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual’s record.
The provisions of this § 6400.143 amended under Articles IX and X of the Human Services Code (62 P.S. § § 901—922 and 1001—1088).
(2) Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if 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, licensed physician’s assistant or certified nurse practitioner.
§ 6400.161. Self-administration.
(a) The home shall provide an individual who has a prescribed medication with assistance, as needed, for the individual’s self-administration of the medication.
(c) The home shall provide or arrange for assistive technology to assist the individual to self-administer medications.
(4) Take or apply the individual’s medication with or without the use of assistive technology.
The provisions of this § 6400.161 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.161 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381968).
§ 6400.162. Medication administration.
(a) A home whose staff persons or others are qualified to administer medications as specified in subsection (b) may provide medication administration for an individual who is unable to self-administer the individual’s prescribed medication.
(2) A person who has completed the medication administration course requirements as specified in § 6400.169 (relating to medication administration training) for the administration of the following:
(4) Place the medication in a medication cup or other appropriate container, or in the individual’s hand, mouth or other route as ordered by the prescriber.
The provisions of this § 6400.162 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.162 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381969).
This section cited in 55 Pa. Code § 6400.169 (relating to medication administration training).
§ 6400.162a. Labeling of medication—statement of policy.
The provisions of this § 6400.162a adopted March 26, 2010, effective March 27, 2010, 40 Pa.B. 1644.
§ 6400.163. Storage and disposal of medications.
The provisions of this § 6400.163 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.163 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381969).
§ 6400.163a. Use of prescription medication—statement of policy.
The provisions of this § 6400.163a adopted March 26, 2010, effective March 27, 2010, 40 Pa.B. 1644.
§ 6400.164. [Reserved].
The provisions of this § 6400.164 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.164 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381970).
§ 6400.164a. Medication log—statement of policy.
The provisions of this § 6400.164a adopted March 26, 2010, effective March 27, 2010, 40 Pa.B. 1644.
§ 6400.165. Prescription medications.
(g) If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes documentation of the reason for prescribing the medication, the need to continue the medication and the necessary dosage.
The provisions of this § 6400.165 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.165 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381970).
§ 6400.166. Medication record.
The provisions of this § 6400.166 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.166 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381971).
§ 6400.166a. Adverse reaction—statement of policy.
The provisions of this § 6400.166a adopted March 26, 2010, effective March 27, 2010, 40 Pa.B. 1644.
§ 6400.167. Medication errors.
(c) A medication error shall be reported as an incident as specified in § 6400.18(b) (relating to incident report and investigation).
The provisions of this § 6400.167 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.167 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381971).
This section cited in 55 Pa. Code § 6400.18 (relating to incident report and investigation).
§ 6400.168. Adverse reaction.
(a) If an individual has a suspected adverse reaction to a medication, the home shall immediately consult a health care practitioner or seek emergency medical treatment.
The provisions of this § 6400.168 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.168 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381972).
§ 6400.169. Medication administration training.
(a) A staff person who has successfully completed a Department-approved medication administration course, including the course renewal requirements, may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration).
The provisions of this § 6400.169 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.169 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381972).
Uneaten food from a person’s dish may not be served again or used in the preparation of other dishes.
(f) The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.
The provisions of this § 6400.181 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.181 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381974) to (381976).
This section cited in 55 Pa. Code § 6400.213 (relating to content of records).
§ 6400.182. Development, annual update and revision of the individual plan.
(b) The initial individual plan shall be developed based on the individual assessment within 90 days of the individual’s date of admission to the home.
The provisions of this § 6400.182 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.182 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381976) to (381977).
§ 6400.183. Individual plan team.
(5) The support coordinator, targeted support manager or a program representative from the funding source, if applicable.
(6) The program specialist for the individual’s day program, if applicable.
(7) Other specialists such as health care, behavior management, speech, occupational and physical therapy as appropriate for the individual’s needs.
The provisions of this § 6400.183 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b) and 901—922 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b) and 901—922); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.183 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381977) to (381978).
§ 6400.184. Individual plan process.
The provisions of this § 6400.184 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.184 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381978).
§ 6400.185. Content of the individual plan.
(2) The individual’s preferences related to relationships, communication, community participation, employment, income and savings, health care, wellness and education.
The provisions of this § 6400.185 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.185 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381979).
This section cited in 55 Pa. Code § 6400.25 (relating to children’s services); 55 Pa. Code § 6400.32 (relating to rights of the individual); and 55 Pa. Code § 6400.195 (relating to behavior support component of the individual plan).
§ 6400.186. Implementation of the individual plan.
The home shall implement the individual plan, including revisions.
The provisions of this § 6400.186 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.186 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381979) to (381980).
§ 6400.187. [Reserved].
The provisions of this § 6400.187 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.187 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381980).
§ 6400.188. Home services.
(a) The home shall provide services, including assistance, training and support for the acquisition, maintenance or improvement of functional skills, personal needs, communication and personal adjustment.
(b) The home shall provide opportunities and support to the individual for participation in community life, including volunteer or civic-minded opportunities and membership in National or local organizations.
(c) The home shall provide services to the individual as specified in the individual plan.
(d) The home shall provide services that are age and functionally appropriate to the individual.
The provisions of this § 6400.188 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021); amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.188 adopted August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381980) to (381981).
The provisions of this § 6400.189 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021).
(c) Documentation of recreational and social activities shall be kept in the individual’s record.
The provisions of this § 6400.190 issued under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021).
A restrictive procedure is a practice that limits an individual’s movement, activity or function; interferes with an individual’s ability to acquire positive reinforcement; results in the loss of objects or activities that an individual values; or requires an individual to engage in a behavior that the individual would not engage in given freedom of choice.
The home shall develop and implement 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 staff persons who may authorize the use of restrictive procedures and a mechanism to monitor and control the use of restrictive procedures.
The provisions of this § 6400.192 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.192 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381982).
(a) A restrictive procedure may not be used as retribution, for the convenience of staff persons, as a substitute for the program or in a way that interferes with the individual’s developmental program.
The provisions of this § 6400.193 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.193 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381983).
§ 6400.194. Human rights team.
(a) If a restrictive procedure is used, the home shall use a human rights team. The home may use a county mental health and intellectual disability program human rights team that meets the requirements of this section.
The provisions of this § 6400.194 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.194 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381983).
This section cited in 55 Pa. Code § 6400.195 (relating to behavior support component of the individual plan); and 55 Pa. Code § 6400.209 (relating to emergency use of a physical restraint).
§ 6400.195. Behavior support component of the individual plan.
(a) For each individual for whom a restrictive procedure may be used, the individual plan shall include a component addressing behavior support that is reviewed and approved by the human rights team in § 6400.194 (relating to human rights team), prior to use of a restrictive procedure.
(d) If a physical restraint will be used or if a restrictive procedure will be used to modify an individual’s rights in § 6400.185(6) (relating to content of the individual plan) the behavior support component of the individual plan shall be developed by a professional who has a recognized degree, certification or license relating to behavioral support.
The provisions of this § 6400.195 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.195 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381983) to (381984).
This section cited in 55 Pa. Code § 6400.209 (relating to emergency use of a physical restraint).
The provisions of this § 6400.196 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.196 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381984) to (381985).
§ 6400.197. [Reserved].
The provisions of this § 6400.197 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.197 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381985).
§ 6400.198. [Reserved].
The provisions of this § 6400.198 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.198 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381985).
§ 6400.199. [Reserved].
The provisions of this § 6400.199 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.199 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381985) to (381986).
§ 6400.200. [Reserved].
The provisions of this § 6400.200 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.200 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381986) to (381987).
§ 6400.201. [Reserved].
The provisions of this § 6400.201 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.201 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381987).
§ 6400.202. [Reserved].
The provisions of this § 6400.202 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.202 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381987) to (381988).
§ 6400.203. [Reserved].
The provisions of this § 6400.203 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.203 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381988).
§ 6400.204. [Reserved].
The provisions of this § 6400.204 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.204 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381988).
§ 6400.205. [Reserved].
The provisions of this § 6400.205 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.205 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381989).
§ 6400.206. [Reserved].
The provisions of this § 6400.206 reserved under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.206 adopted August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; reserved October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial page (381989).
§ 6400.207. Prohibited procedures.
The provisions of this § 6400.207 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.207 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.208. Physical restraint.
The provisions of this § 6400.208 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.208 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.209. Emergency use of a physical restraint.
If a physical restraint is used on an unanticipated, emergency basis, § § 6400.194 and 6400.195 (relating to human rights team; and behavior support component of the individual plan) do not apply until after the restraint is used for the same individual twice in a 6-month period.
The provisions of this § 6400.209 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.209 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
§ 6400.210. Access to or the use of an individual’s personal property.
(3) The home may not coerce the individual to provide consent.
The provisions of this § 6400.210 issued under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.210 adopted October 4, 2019, effective in 120 days, 49 Pa.B. 5777.
The provisions of this § 6400.212 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595. Immediately preceding text appears at serial page (131377).
§ 6400.213. Content of records.
(1) Personal information, including:
(2) Incident reports relating to the individual.
(7) Individual plan documents as required by this chapter.
(8) Copies of psychological evaluations, if applicable.
The provisions of this § 6400.213 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. § § 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
The provisions of this § 6400.213 amended through January 22, 1982, effective March 1, 1982, 12 Pa.B. 384; amended August 9, 1991, effective November 8, 1991, 21 Pa.B. 3595; amended August 27, 2010, effective August 28, 2010, 40 Pa.B. 4935; amended October 4, 2019, effective in 120 days, 49 Pa.B. 5777. Immediately preceding text appears at serial pages (381990) to (381991).
(b) The most current copies of record information required in § 6400.213(2)—(14) shall be kept at the residential home.
(c) Record information required in § 6400.213(2)—(14) that is not current shall be kept at the residential home or the administrative office.
The provisions of this § 6400.214 amended under sections 911 and 1021 of the Human Services Code (62 P.S. § § 911 and 1021).
(b) An individual’s records shall be kept for at least 4 years following the individual’s departure or until any audit or litigation is resolved.
(a) An individual’s records shall be kept locked when unattended.
(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 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 17 years of age or younger or legally incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it.
Sections 6400.232—6400.245 apply to homes serving nine or more individuals. These provisions are in addition to the other provisions of this chapter.
(a) Signs bearing the word ‘‘EXIT’’ in plain legible letters shall be placed at exits.
(c) A mechanical dishwasher shall be operated in accordance with the manufacturer’s instructions.
(a) A written daily menu shall be prepared and accessible to an individual.
(b) The menu shall be accessible to an individual at least 1 day prior to the menu date.
An individual’s bedroom may not be more than 200 feet from a bathtub or shower and a toilet.
(a) For a home serving nine or more individuals, subsections (b)—(d) supersede § 6400.82(a)—(c) (relating to bathrooms).
(c) For a home serving 15 or more individuals 18 months of age or older, except those homes previously licensed under the Departmental publication entitled ‘‘Residential Mental Retardation Facilities Subject to Licensing’’ issued as section 5100 on April 1, 1967, there shall be at least one bathtub or shower for every 15 individuals and at least one toilet for every eight individuals. For a home that was licensed prior to March 15, 1982 under the Departmental publication entitled ‘‘Residential Mental Retardation Facilities Subject to Licensure’’ issued as section 5100 on April 1, 1967, that serve 15 or more individuals, there shall be at least one bathtub or shower for every 20 individuals and at least one toilet for every 10 individuals.
The use of a homeowner’s house in respite care program, which provides temporary short period residential care for mentally retarded persons, was not permitted in single family residential zone because providing the mentally retarded persons with short term residential care was not within the definition of ‘‘family’’ as a ‘‘single, nonprofit housekeeping unit.’’ In re of Summers, 551 A.2d 1134 (Pa. Cmwlth. 1988); appeal denied 565 A.2d 1169 (Pa. 1989).
(3) Sections 6400.121—6400.127 (relating to program).
(5) Section 6400.213(4), (5), (7) and (8) (relating to content of records).
(3) Sections 6400.121—6400.127.
(5) Paragraphs 6400.213(3)—(8) (relating to content of records).
There shall be annual written documentation of each individual’s semi-independent living abilities based on assessment of the individual’s skills in each of the areas specified in § 6400.271 (relating to semi-independent living abilities), signed and dated by the program specialist.