Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 89 - DEVELOPMENTAL DISABILITIES DOMICILIARY HOMES › Section 11-89-2 - Definitions

Current through June, 2024
As used in this chapter, unless a different meaning clearly
				  appears in the context:
"Administrator" means the person responsible for managing
				  and administering the developmental disabilities domiciliary home(s) and who
				  assures that appropriate care for the residents is provided.
"Behavior management" means the use of behavior modification
				  techniques, physical restraints, behavior-modifying drugs, or aversive stimuli
				  to develop and reinforce socially or personally desirable behavior and
				  eliminate or reduce, or both, a resident's maladaptive behavior(s).
"Capable of self-preservation" means a person who has the
				  mental capacity and physical capability to follow instructions and to evacuate
				  from the facility safely without human assistance in emergency
				  situations.
"Cardiopulmonary resuscitation" (CPR) means an emergency
				  first aid procedure which consists of opening and maintaining a person's
				  airway, providing artificial ventilation through rescue breathing and providing
				  artificial circulation through external cardiac compression.
"Caregiver" means a person who is certified as responsible
				  for providing direct care and training to a resident as specified in the
				  resident's individual plan and who may supervise new personnel.
"Case manager" means the person who is responsible for
				  developing the resident's individual plan, and monitoring, coordinating,.
				  facilitating and advocating for resident services as indicated in the
				  individual plan.
"Certification" means a formal declaration by the department
				  that a caregiver has met the prescribed certification standards of this
				  chapter.
"Department" means the department of health of the State of
				  Hawaii.
"Developmental disabilities division" is the division of the
				  department designated to plan, coordinate, implement, monitor, and provide
				  services to developmentally disabled persons as defined in chapter 333F,
				  HRS.
"Developmental disabilities domiciliary home" means any
				  facility licensed under this chapter to provide twenty-four hour supervision or
				  care, excluding licensed nursing care, for a fee, to not more than five adults
				  with mental retardation or developmental disabilities as defined in chapter
				  333F, HRS.
"Dietitian" means a person who is registered or is eligible
				  for registration by the commission on dietetic registration of the American
				  Dietetic Association.
"Director" means the director of health.
"Division" means the developmental disabilities
				  division.
"Facility" means a home in the process of seeking a
				  developmental disability domiciliary home license or a home already licensed as
				  such.
"Fully ambulatory" means able to walk without human
				  assistance or assisting devices.
"Individual Plan (IP)" means a specific plan of care which
				  sets forth a structured set of services in the residential setting designed to
				  achieve purposeful outcomes for the resident. The plan specifies the
				  habilitation and support services to be provided, behavioral and service
				  objectives, and the outcomes to be achieved.
"Interdisciplinary team" means a group of persons who
				  participate in the identification of resident needs and the determination of
				  resident services. At a minimum, the team shall include the resident, caregiver
				  and case manager. The team may also include persons who have worked or will
				  work closely with the resident, persons who provide needed assessments or
				  services, and the resident's family, guardian, or advocate.
"License" means a document issued by the department which
				  indicates that the caregiver, facility, and program meet the standards of this
				  chapter.
"Licensed capacity" means the number of residents and
				  specific restrictions, if any, stated on the license which limits the type of
				  residents permitted by the director in a particular facility.
"Normalization" means the process of giving the residents
				  the opportunity to experience a normalizing environment consisting of daily
				  rhythms, life cycle, and making choices.
"Nutritionist" means a person who has completed a master's
				  degree in public health nutrition or nutritional sciences from an accredited
				  university, and is a registered dietitian or is eligible for registration by
				  the Commission on dietetic registration of the American Dietetic
				  Association.
"Personal care" means basic activities normally performed
				  independently by individuals, such as toileting, bathing, dressing, eating,
				  body hygiene, and ambulation.
"Physician" means an individual holding a valid license to
				  practice medicine or osteopathy issued under chapters 453 or 460, HRS.
"Registered professional nurse" means a person who is
				  licensed as a registered nurse in the State of Hawaii, as defined by chapter
				  457, HRS.
"Resident" is an adult with developmental disabilities who
				  is unrelated to the caregiver, resides in a domiciliary home for a fee, is
				  unable to live independently, requires supervision, care and training, and who
				  does not require care by a licensed nurse.
"Responsible adult" means an adult who temporarily takes
				  charge of a domiciliary home during the absence of the caregiver or
				  administrator.
"Semi-ambulatory" means those residents who are able to walk
				  with human assistance or assisting devices.
"Special diet" means a special or limited selection of food
				  or drink which is included in the Hawaii diet manual and ordered by a
				  physician.
"Standard chest x-ray" means a chest x-ray taken by standard
				  techniques.
"Tuberculin skin test" means an intradermal injection of
				  .0001 mg (5 tuberculin units) of purified protein derivative in 0.1 cc of
				  sterile diluent.
"Waiver" means an exemption from a specific rule or
				  regulation.
Whenever the singular is used in this chapter, it can
				  include the plural.