California Code of Regulations › Title 22 - Social Security › Division 6 - Licensing of Community Care Facilities › Chapter 6 - Adult Residential Facilities › Article 6 - Continuing Requirements › Section 85068.2 - Needs and Services Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Prior to admission, the licensee shall
				  determine whether the facility's program can meet the prospective client's
				  service needs.
(b) If the client is
				  to be admitted, then prior to admission, the licensee shall complete a written
				  Needs and Services Plan, which shall include:
(1) The client's desires and background,
				  obtained from the client, the client's family or his/her authorized
				  representative, if any, and licensed professional, where appropriate, regarding
				  the following:
(A) Entrance to the
				  facility.
(B) Specific service
				  needs, if any.
(C) The written
				  medical assessment specified in Section
				  80069.
(D) Mental and emotional
				  functioning.
(E) The written mental
				  health intake assessment, if any, specified in Section
				  85069.3.
(F) The written functional capabilities
				  assessment specified in Section
				  80069.2.
(G) The licensee shall document the results
				  of the initial assessment of the client, conducted pursuant to Health and
				  Safety Code section
				  1180.4(a)
				  prior to or on the day of admission.
1. The
				  licensee shall document the initial assessment based on information available
				  at the time of the assessment. This information shall be maintained and brought
				  current thereafter as needed.
2.
				  This assessment shall include, but not be limited to, input from the following
				  parties: the client, authorized representative if any, and, if the client
				  chooses, a person designated by the client, including but not limited to a
				  family member or a significant other. That designated person may be present at
				  the time of admission in accordance with Health and Safety Code section
				  1180.4(a).
3. This assessment shall also include, based
				  on the information available at the time of the initial assessment, all of the
				  following:
a. A client's advance directive
				  regarding de-escalation or the use of seclusion or manual restraints. This
				  advance directive means the client's wishes regarding techniques the licensee
				  will use related to de-escalation or the use of restraint and seclusion.
i. The licensee shall be required to honor
				  the client's advance directive unless it violates statute or regulation or it
				  jeopardizes the health or safety of the client or another person.
ii. A de-escalation technique is one designed
				  to defuse a potentially dangerous interaction between two or more
				  individuals.
b.
				  Identification of early warning signs, triggers, and precipitants that cause a
				  person to escalate, and identification of the earliest precipitant of
				  aggression for persons with a known or suspected history of aggressiveness, or
				  persons who are currently aggressive.
c. Techniques, methods or tools that would
				  help the person control his or her behavior.
d. Preexisting medical conditions or any
				  physical disabilities or limitations that would place the person at greater
				  risk during restraint or seclusion.
e. Any trauma history, including any history
				  of sexual or physical abuse that the affected client feels is
				  relevant.
(H)
				  The client's individual emergency intervention plan, required by Section
				  85168.2(a).