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-227-30 - Operating standards

Current through July 10, 2024
A licensee must meet the following standards in order to
				  maintain any license to conduct or maintain a residence for persons with mental
				  retardation or autism:
(a)
Health and Life Safety
(1) The
				applicant shall comply with the requirements delineated on the department's
				fire safety inspection report. Additionally, applicants located in a building
				containing more than two living units shall obtain a fire marshal certificate
				reflecting the applicable chapter of the NFPA Life Safety Code.
(2) The licensee shall practice and document
				evacuation procedures on a quarterly basis.
(A) At least one of the quarterly evacuation
				procedures per year shall be held during sleeping hours, and
(B) During evacuation procedures, individuals
				shall be moved to safe areas outside of the dwelling, unless their ability to
				evacuate independently has been documented, or unless practice evacuation would
				endanger the health or safety of those individuals.
(3) When the licensee is absent from the
				home, he shall provide a responsible designee who is available at all times, if
				such supervision is necessary as documented in the overall plan of
				services.
(4) The licensee shall
				ensure that the commissioner or his or her designee has access to the
				residence, the individual and his records at any reasonable time for the
				purpose of monitoring the person's safety and coordinating residential and
				other services.
(5) The licensee
				shall maintain records and reports of periodic fire safety, health, sanitation,
				and environmental inspections required by local and state laws and regulations
				and shall document actions taken to correct deficiencies noted in these
				reports.
(6) The licensee shall
				ensure and document that they and their designees are adequately trained to
				teach and support the individualized needs of residents as defined in the
				overall plan of services, including, but not limited to individuals who:
(A) Require special mealtime
				assistance,
(B) Use mobility
				devices,
(C) Have seizure disorders
				or physical disabilities,
(D) Have
				special communication needs,
(E)
				Require positioning or supportive devices,
(F) Require behavior management techniques,
				including those for behavioral emergencies,
(G) Are unable to self-administer
				medications,
(H) Receive behavior
				modifying and/or anti-convulsant medications, and
(I) Require other personal care services as
				outlined in the individual's OPS.
(7) The licensee shall ensure that required
				information is communicated to all direct contact persons to ensure the
				individual's safety and well-being.
(8) The licensee shall ensure that the
				individual receives adequate medical attention to prevent or treat any physical
				ailment or injury.
(9) The licensee
				shall assist the individual to obtain a medical examination annually or
				otherwise in accordance with the recommendation of the primary care physician
				and maintain documentation to that effect. The examination shall be appropriate
				to the person's gender and age and shall monitor chronic medical conditions,
				such as seizure disorders.
(10) The
				licensee shall record any time a person has a seizure and maintain such records
				for three years from the date of the last seizure. Such records shall include:
(A) Time of the seizure,
(B) Duration of the seizure, and
(C) Descriptive characteristics of the
				seizure.
(11) The
				licensee shall assist the individual to obtain an annual dental examination and
				maintain documentation to that effect. The examination shall be appropriate to
				the person's age and shall monitor chronic dental conditions. Individuals
				without teeth shall be seen by a dentist and evaluated for prosthetic
				devices.
(12) The licensee shall
				ensure that each individual's adaptive, corrective, mobility, orthotic,
				prosthetic, and other devices are kept in good repair, that basic maintenance
				is performed as needed and that the case manager is notified of any problems
				with the devices.
(13) The licensee
				shall ensure that the individual's case manager is notified whenever the
				seriousness or frequency of a behavior is causing distress to an individual or
				suggests the possibility of a physiological, psychiatric, or psychological
				condition.
(14) The licensee shall
				ensure that on-going psychiatric or neurological consultation is provided as
				ordered by the physician who prescribes the behavior modifying
				medication.
(15) When an individual
				receives antipsychotic medication, the licensee shall assist the individual to
				obtain an examination for signs of an involuntary movement disorder
				semi-annually or more frequently required by the department or the individual's
				physician.
(16) The licensee shall
				ensure that the individual is provided adequate nutrition and hydration and
				special diets or eating devices when specified by a dietary professional or a
				physician.
(17) The licensee shall
				ensure sufficient amounts and variety of nutritious food for meals.