Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Community Training Home Licensing Regulations › Section 17a-227-23 - Definitions

Current through July 10, 2024
For the purpose of these regulations the following
				  definitions shall apply:
(a) "Aversive
				Procedure" means the planned use of an event which may be unpleasant, noxious,
				or otherwise cause discomfort to alter the occurrence of a specific behavior.
				These procedures include the use of physical isolation, mechanical and physical
				restraint.
(b) "Behavior modifying
				medications" means any chemical agent used for the direct effect it exerts upon
				the central nervous system to modify thoughts, feelings, mental activities,
				mood, or performance. These chemical agents or psychotropic medications are
				often broken down into antimanics, antianxiety agents, antipsychotics,
				antidepressants, stimulants, and sedative/hypnotics. Medications which are not
				usually described as psychotropics are covered by this definition when they are
				prescribed primarily for their psychotropic effects such as mood stabilization
				and impulse control. These medications include certain anticonvulsants, some
				beta-blockers, and certain other drugs.
(c) "Case manager" means the person
				responsible for assisting individuals to gain access to department services,
				managing development of the client's overall plan of services, securing and/or
				coordinating services, monitoring client progress, maintaining family contact,
				collecting and disseminating data and information.
(d) "Commissioner" means the commissioner of
				the department of mental retardation.
(e) "Community training home (CTH)" means a
				private family home in which three or fewer adults or children with mental
				retardation or autism reside and which is licensed pursuant to Section
				17a-227
				CGS. For children, the CTH provides a substitute family for those who cannot
				live with their own families or for whom adoption is not immediately possible.
				For adults, the CTH provides a nurturing home environment where adults can
				share responsibilities, develop mutual relationships, be independent and make
				their own choices.
(f) "CTH home
				study" means a compilation of information gathered through processes of
				visitation, interview and research which includes the following topics: general
				information, family members, applicants as individuals, family/individual in
				function, health status, desired characteristics of individuals to be placed,
				physical aspects of the home, neighborhood and community and social worker's
				evaluation.
(g) "Community training
				home residential survey" means a checklist that is used during the licensing
				procedure to determine that general conditions in the home meet the standards
				contained in these regulations.
(h)
				"Department" means the department of mental retardation (DMR).
(i) "Designee" means a person selected to act
				on someone's behalf.
(j) "DMR
				policies" means written procedures and rules issued by the commissioner which
				govern the operation of the department and organizations and persons licensed
				to conduct or maintain private facilities pursuant to Section
				17a-227
				CGS.
(k) "Direct contract person"
				means any person, other than the licensee or his designee who provides personal
				care services, supervision or assistance to residents.
(l) "Document" means to provide material that
				is evidence of compliance with applicable regulatory standards. Such material
				may take any form which is sufficient to document compliance.
(m) "Dwelling" means any building designed
				for human habitation.
(n)
				"Emergency" means a critical circumstance in which the health or safety of the
				client or other persons must be protected immediately.
(o) "Fire safety inspection report" means a
				checklist that is used to determine compliance with the current edition of the
				National Fire Protection Association Life Safety Code, as amended by the
				department.
(p) "Individual" means
				any person with mental retardation or autism who resides in a private residence
				conducted or maintained by a person or organization licensed pursuant to
				Section
				17a-227
				CGS and these regulations.
(q)
				"Habilitation" means the process by which a person with mental retardation or
				autism is helped to acquire those life skills which enable him to experience
				community presence and participation, provide him with opportunities to develop
				and exercise competence, to make choices, to develop meaningful relationships
				and to be accorded respect and dignity.
(r) "Human rights committee" means a group of
				individuals who are not employees of the department, who provide monitoring to
				ensure the protection of legally guaranteed rights of persons who are mentally
				retarded and are recognized to do so by the region.
(s) "Interdisciplinary team (IDT)" means a
				group of persons which includes the individual being served, his or her family,
				guardian or advocate, those persons who work most directly with the individual
				in each of the professions, disciplines, or service areas that provide service
				to the individual, including direct care staff, and any other persons whose
				participation is relevant to identifying the needs of the individual, devising
				ways to meet them, writing an Overall Plan of Services and reviewing the plan
				for effectiveness.
(t) "License"
				means written authorization issued by the commissioner to any person or
				organization to conduct or maintain a private residence for the lodging of
				persons with mental retardation or autism for a period of up to one
				year.
(u) "Licensee" means the
				person who is authorized by the commissioner to conduct or maintain a private
				residence for the lodging of persons with mental retardation or autism and is
				responsible to the department for complying with the provisions of these
				regulations.
(v) "Mechanical
				restraint" means any apparatus that restricts movement. Helmets, mitts and
				similar devices used to prevent self injury are considered mechanical
				restraints.
(w) "Occupant" means
				any person residing in a home licensed as a community training home including
				residents placed there by the department and non-retarded persons residing
				there for whatever reason.
(x)
				"Overall plan of services (OPS)" means a document which specifies a strategy to
				guide the delivery of service to a client for up to one year.
(y) "Personal care services" means assistance
				to individuals which allows them to perform their routine activities of daily
				living to maintain independence, health, personal appearance, comfort, safety
				and interactions within their community.
(z) "Physical restraint" means physically
				holding a client to restrict movement or to prevent the client from harming
				himself or others.
(aa) "Private
				residence" means any dwelling that is conducted or maintained by a person or
				organization, licensed pursuant to Section
				17a-227
				G.S., as a residence for the lodging of persons with mental retardation, autism
				or both.
(bb) "Program review
				committee" means a group of professionals who are assembled to review client
				programs and behavior modifying medications to ensure that they are clinically
				sound, supported by proper documentation, and that they provide the least
				restrictive service within as normalized a setting as possible and are
				recognized by the region to do so.
(cc) "Provisional license" means a license
				which is issued in response to an application for renewal if, for any reason,
				the department has not denied or issued a permanent license within thirty (30)
				days after the expiration date of the previous license. A provisional license
				is valid for not more than 180 days.
(dd) "Region" means the management of a
				geographical subdivision of the state as defined by the department of mental
				retardation.
(ee) "Record" means
				written information pertaining to each resident which shall include
				administrative, treatment and educational data.
(ff) "Specific service plan" means a
				component of the overall plan of service that is written and implemented by a
				member of the interdisciplinary team to implement the goals assigned to that
				team member.