reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-11 - Physical requirements

Current through July 10, 2024
(a) Any building
			 used as a residence shall be in compliance with all applicable federal, state
			 and local codes which govern construction, building safety and zoning
			 ordinances.
(b) A residence located
			 in a building containing more than two living units or more than three
			 individuals per living unit shall obtain a fire marshal's certificate in
			 accordance with Sec.
			 29-305
			 CGS.
(c) For a residence licensed
			 for three or fewer individuals, the licensee shall comply with the requirements
			 of the department's home safety inspection report unless a fire marshal's
			 certificate is obtained for each residence.
(d) The residence and grounds shall be free
			 from unpleasant odors, refuse and potential safety hazards.
(e) Furniture and furnishings shall be safe
			 and in good repair.
(f) The
			 residence shall have toileting and bathing facilities that are clean,
			 accessible and afford privacy to individuals.
(g) Fire extinguishers shall be located in
			 the kitchen and the furnace area.
(h) Each residence and vehicle shall have
			 emergency first aid supplies.
(i)
			 All kitchens and dining areas shall be clean, well-lighted, ventilated,
			 screened and provided with appropriate equipment for the preparation and
			 serving of food.
(j) There shall at
			 all times be a working telephone accessible to individuals with emergency
			 numbers posted in an easily visible location. The department shall be
			 immediately notified of any change in the telephone number.
(k) Each individual shall have a minimum of
			 eighty square feet in a single bed room and at least sixty square feet in a
			 multiple bed room.
(l) Each
			 individual shall have sufficient and accessible storage space to accommodate
			 all in-season clothing.
(m) Laundry
			 facilities shall be available to all individuals.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-12 - Emergency planning

Current through July 10, 2024
(a) Each residence
			 shall have a plan in place which accommodates individuals' needs and identifies
			 direct contact personnel responsibilities in the event of a life threatening
			 emergency.
(b) The licensee shall
			 provide training for direct contact personnel and individuals being served on
			 how to respond in case of fire and other life threatening situations and shall
			 carry out monthly evacuation drills.
(c) If the licensee finds an inefficiency or
			 other problems identified during a drill, the licensee shall write and carry
			 out a plan of specific corrective action(s).
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-13 - Staffing

Current through July 10, 2024
(a) The administrator shall have policies and
			 procedures delineating licensee personnel practices, hiring practices,
			 performance expectations, duties and responsibilities, evaluation and
			 termination.
(b) Each residence
			 shall have sufficient direct care personnel at all times to ensure that the
			 individuals' essential requirements for health and safety are met. No violation
			 of this subsection may be found for a residential facility which receives a
			 service rate from the department and which maintain direct care staffing levels
			 which are consistent with the funding provided for that purpose. The licensing
			 division of the department shall promptly notify the appropriate region if a
			 determination is made that the residence is maintaining staffing levels
			 consistent with the contract but that those staffing levels are inadequate to
			 meet the essential requirements for health and safety of the
			 individuals.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-14 - Staff development

Current through July 10, 2024
(a) The
			 administrator shall specify training requirements for direct contact personnel
			 including training content, trainer qualifications and delivery
			 method.
(b) Direct contact
			 personnel shall participate in an orientation in the following areas within
			 thirty days of employment and every two years thereafter:
(1) signs and symptoms of disease and
			 illness;
(2) communicable disease
			 control;
(3) resident basic health
			 and behavioral needs;
(4) routines
			 of the residence; and
(5) emergency
			 procedures for the residence.
New employees who have not completed the orientation shall not
				work without other personnel on duty that have been trained in these
				areas.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-15 - Special protections

Current through July 10, 2024
(a)
Human
			 Rights
Policies and procedures shall be in place which:
(1) ensure that each individual, parent,
			 legal guardian or advocate is fully informed of the individual's rights and of
			 all rules and regulations governing individual conduct and
			 responsibilities;
(2) assure
			 confidential treatment of all information concerning individuals;
(3) provide for the safekeeping and
			 accountability of individuals' personal property;
(4) comply with Sec.
			 17a-238
			 CGS and the regulations promulgated thereunder, concerning the rights of
			 individuals under the supervision of the commissioner of mental retardation and
			 which:
(A) prohibit mistreatment, neglect or
			 abuse of individuals;
(B) include a
			 system for reporting alleged violations, carrying out investigations in
			 accordance with Sections
			 17a-101,
			 17a-430 and
			 46a-11 CGS, and
			 instituting appropriate sanctions if the allegation is substantiated;
(C) are formulated with individual
			 participation where appropriate; and
(D) ensure that all incidents, injuries,
			 restraints, serious accidents and deaths are reported in a timely
			 fashion.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-16 - Individual records

Current through July 10, 2024
Individuals' records shall be started at the time of admission
				and remain current and shall include as appropriate:
(a) reports of accidents, seizures,
			 illnesses, hospitalizations and treatments thereof, immunizations and
			 allergies;
(b) documentation of all
			 periods of restraint with justification and authorization for each;
(c) documentation of significant behavioral
			 incidents;
(d) health history and
			 current medical status;
(e) family
			 related information;
(f) legal
			 competency status;
(g) name, date
			 of admission, date of birth, place of birth, social security number, and
			 department number if appropriate;
(h) sources of financial support, including
			 social security, veterans' benefits and insurance, as appropriate;
			 and
(i) physical description and
			 photograph.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-17 - Habilitative services

Current through July 10, 2024
(a) The
			 administrator shall have a written policy which gives employees direction
			 regarding habilitative programming that supports sound residential service
			 practices, normalization principles and department philosophy.
(b) Within forty five days after formal
			 admission by the licensee, an overall plan of service addressing habilitative
			 programming shall be developed for each individual and implemented within
			 thirty days of development, or as delineated in the overall plan of
			 services.
(c) If an individual
			 exceeds thirty days in respite status, the licensee shall conduct an
			 interdisciplinary team meeting within ten working days following the expiration
			 of the thirty day respite status to identify and implement priority health and
			 habilitative needs.
(d) Overall
			 plans of services shall be developed maximizing suggestions and participation
			 from the individual, the family, guardian or advocate and with persons who are
			 knowledgeable about the individual's strengths, preferences, needs and special
			 interests.
(e) The overall plan of
			 services shall be developed after a review of the information in the current
			 individual record in relation to the current skills and health status of the
			 individual.
(f) The overall plan of
			 services shall guide the development of an integrated habilitative program with
			 identified strategies for learning, which utilizes measurable behavioral goals
			 and objectives.
(g) The licensee
			 shall provide the individual with opportunities for learning through activities
			 and social interactions which provide community experiences.
(h) The overall plan of services, including
			 goals and objectives, shall be reviewed and updated, at a minimum, on a
			 quarterly basis to meet ongoing individual needs.
(i) Behavioral strategies involving the use
			 of aversive procedures, including restraints, shall be reviewed at least
			 monthly by the program author or designee.
(j) Data will be collected to document the
			 individual's progress, as specified in the individual teaching
			 strategy.
(k) The overall plan of
			 services planning process shall be conducted annually based on an annual
			 assessment of the individual's functioning skills.
(l) The annual overall plan of services shall
			 be implemented within thirty days of its development, or as delineated in the
			 planning document, and kept on file for two years from the date of
			 development.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-18 - Health services

Current through July 10, 2024
(a)
Medical
(1) Each residence shall
			 comply with Sec.
			 20-14h to
			 20-14j,
			 inclusive, CGS and the regulations promulgated thereunder pertaining to the
			 administration of medication.
(2)
			 Each licensee shall have a policy regarding:
(A) individual consent for medical
			 treatment;
(B) individual consent
			 for administration of medication;
(C) administration of medication for
			 individuals who can self-administer;
(D) individual consent of disposal of
			 medication no longer in use; and
(E) ongoing individual health care and
			 injuries;
(3) The
			 licensee shall provide nursing services in accordance with individual needs
			 which may include:
(A) coordination,
			 assessment, monitoring and provision of medical services; and
(B) planning and implementation of training
			 for direct contact personnel.
(4) The licensee shall assure medical
			 examinations as indicated by the individual's physician with:
(A) additional testing or follow-up as
			 determined by the physician; and
(B) signed and dated documentation of medical
			 treatment through physician's orders, progress notes or other medical reports,
			 in order to assure the provision of necessary health care.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-19 - Financial records

Current through July 10, 2024
(a) The facility
			 shall have policies and procedures which:
(1)
			 provide for the safekeeping, availability and the accountability of the
			 individual's financial interests;
(2) ensure that individual finances shall be
			 separate from the licensee's financial records;
(3) ensure maintenance of receipts of monies
			 disbursed or received for items in excess of $20.00; and
(4) address the licensee's responsibility for
			 individuals who are independent in managing their finances.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-20 - Transfer

Current through July 10, 2024
(a) No individual shall be transferred except
			 in accordance with the provisions of Sec.
			 17a-210
			 CGS, or as otherwise authorized by law.
(b) The licensee shall have policies and
			 procedures which:
(1) govern the notification
			 to the department of the proposed resident transfer;
(2) govern the respite status, admission,
			 transfer and discharge of individuals; and
(3) describe the procedure by which the
			 financial interests are protected for individuals who are transferred to
			 another residence.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-21 - Residential schools

Current through July 10, 2024
In addition to meeting the requirements set out in Sec.
				17a-227-1 through
				17a-227-20 inclusive of
				these regulations, an applicant for licensure or renewal as a residential
				school shall:
(a) Set forth in policy
			 and procedure a method of coordinating programming and communications between
			 the residential and educational components which shall include provision for
			 participation by educational staff in the interdisciplinary process.
(b) Have a policy demonstrating compliance
			 with Sec.
			 10-212a
			 CGS for teachers who administer medications during school hours.
(c) Have a written policy and procedure
			 outlining duty, function and responsibility of educational and residential
			 personnel who are assigned duties in other than their respective
			 areas.
(d) All medications shall be
			 administered by a registered nurse or a licensed practical nurse and shall be
			 reviewed every ninety days.
(e)
			 Each residential school shall establish a behavior review committee to review
			 and document approval of all individual behavior treatment programs which
			 incorporate aversive or potentially aversive techniques and/or behavior
			 modifying medications. Each school shall develop policies and procedures
			 regarding the operation of this committee. The committee shall have a
			 representation of diverse views which may include psychology, parent, local
			 citizen not otherwise involved, staff, and a representative of the department's
			 human rights committee or regional director designee.
(f) Records of the residential school shall
			 include written permission, signed by the parent, for disclosure of the
			 educational record to residential staff and to the commissioner or his
			 designee.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Section 17a-227-22 - Habilitative nursing facilities

Current through July 10, 2024
In addition to meeting the requirements of Sec.
				17a-227-1 through
				17a-227-20, inclusive of
				these regulations, an applicant for licensure or renewal of a license as an
				habilitative nursing facility shall:
(a) Develop policies and procedures which
			 address totally enclosed cribs and barred enclosures as restraints.
(b) Only licensed nurses shall be allowed to
			 administer medications and all medications shall be reviewed every thirty days
			 by the nurse.
(c) Appropriate
			 inservice training to staff shall be provided including:
(1) proper positioning procedures;
(2) bathing procedures;
(3) proper feeding procedures;
(4) side effects of medication; and
(5) charting seizures.
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-227-24 - Applications

Current through July 10, 2024
(a) Applications for a license to conduct or
				maintain a community training home and provide personal care services for
				persons with mental retardation or autism shall be filed, on forms provided by
				the department of mental retardation, with the region in which the home is
				located. An application may be filed by one person or persons.
(b) Applications for an initial license to
				conduct or maintain a community training home shall be signed by the
				applicant(s). The application packet shall be completed by the applicant with
				assistance from the department and include the following information:
(1) the real property interest, if any, the
				applicant(s) holds in the residence, such as lease or ownership;
(2) the address and physical description of
				the residence
(3) three character
				references for each applicant from three responsible who are not related to the
				applicant(s);
(4) verification of
				any conviction records of the applicant(s) and any other occupants of the home;
(5) whether the applicant(s)
				currently holds or previously held licenses from the department or any other
				state department;
(6) a
				certification of good health for each applicant signed by a licensed physician
				within the past twelve months;
(7)
				the employment status of the applicant(s) for the past three years;
(8) a complete list of all occupants,
				indicating age and relation to the applicant(s); and
(9) a local fire marshal's certificate if the
				CTH is located in a structure containing more than two dwelling
				units.
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-227-26 - Renewal

Current through July 10, 2024
(a) At least 45 days prior to the expiration
				date of a license the department will notify the licensee to initiate renewal
				of a license if the licensee wishes to continue to conduct or maintain a
				residence. Application for renewal shall be made on a Summary Application for
				Renewal, signed by the licensee on forms provided by the department. The
				Summary Application for Renewal is designed to update the information contained
				in the initial application which may not be current and any other information
				which needs to be updated annually.
(b) The Summary Application for Renewal shall
				be filed with the regional office serving the community training home. The
				Summary Application for Renewal shall be processed in accordance with the
				licensing procedure outlined in Sec.
				17a-227-25 of
				these regulations. If a license is not denied or renewed within 30 days after
				the expiration date of the license, the commissioner shall issue a provisional
				license for not more than 60 days. The commissioner may grant 30 day extensions
				not to exceed 180 days to any provisional license. A provisional license may
				only be issued if (1) the licensee substantially complies with initial and
				operating standards; (2) any deficiencies do not materially affect the health
				and safety of clients; and either (3) the licensee has developed an acceptable
				plan of correction; or (4) time is needed for the orderly transfer of
				residents.
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-227-27 - Revocation, compliance orders, sanctions

Current through July 10, 2024
(a) A license may
				be revoked at any time a licensee:
(1) fails
				to comply with the licensing procedure prescribed by the department;
(2) fails to comply with any applicable
				initial or operating standard, fails to obtain necessary waivers, or fails to
				submit and implement an acceptable plan of correction;
(3) fails to comply with applicable state and
				local laws relating to building, health, fire, protection, safety, sanitation
				and zoning;
(4) furnishes or makes
				any false or misleading statements to the commissioner or the department in
				order to obtain or retain a license;
(5) fails or refuses to submit reports when
				required or make records available when requested by the commissioner or
				department or otherwise denies unrestricted access to records of individuals
				served by the licensee;
(6)
				refuses to admit the commissioner or his designee onto the licensed premises at
				any reasonable time as deemed necessary by the commissioner or his designee to
				protect the health or safety of the residents.
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-227-28 - Hearings

Current through July 10, 2024
Any person aggrieved by a decision to:
(1) deny an application for an initial
				license;
(2) deny an application
				for renewal of a license;
(3)
				revoke a license; or
(4) any other
				decision authorized pursuant to Sec.
				17a-227-27
				of these regulations, may request by certified letter an administrative hearing
				within 15 days of receipt of the notice of the action by certified letter.
				Administrative hearings shall be conducted in accordance with the department's
				rules of practice, sections
				19-570-1
				through 67, inclusive of the Regulations of Connecticut State Agencies. In the
				absence of a written request for an administrative hearing within the fifteen
				day period, the decision or action of the commissioner shall be deemed
				effective from the date of receipt of the notice of such decision or action.
				Requests for an administrative hearing must be made in writing to the
				commissioner.
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-227-29 - Initial standards

Current through July 10, 2024
The licensee must meet the following standards before
				  obtaining any license to conduct or maintain a residence for persons with
				  mental retardation or autism.
(a)
Licensee Qualifications and Responsibilities
(1) The licensee shall demonstrate the
				capacity to maintain a health and safe living environment for
				individuals.
(2) The licensee shall
				complete the department's approved training for community training home
				operators and/or shall be able to demonstrate during the CTH home study phase,
				that they are competent in the following areas:
(A) first aid,
(B) cardiopulmonary resuscitation
				(CPR),
(C) emergency medical
				procedures,
(D) infection control
				procedures,
(E) how to respond in
				case of fire and other life-threatening situations, and
(F) DMR mission statement.
(G) For homes licensed for children:
(1) permanency planning,
(2) subsidized adoption,
(3) educational rights,
(4) relations with natural families,
				and
(5) information
				resources.
(H) For homes
				licensed for adults:
(1) use of generic
				resources,
(2) age-appropriate
				activities and expectations, and
(3) supported employment.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Contracting for Residential Support Services Supported Living Services › Section 17a-227-32 - Applications

Current through July 10, 2024
(a) Applications for a contract to provide
				residential support services to persons with mental retardation shall be filed,
				on forms provided by the department, with the regional office serving such
				persons.
(b) Existing contractors
				and new applicants shall make available updated application materials as
				requested by the department.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Contracting for Residential Support Services Supported Living Services › Section 17a-227-33 - Contracting procedure

Current through July 10, 2024
(a) The regional
				office will review the application, and other such materials which may be
				required to accompany the application for completeness and accuracy. The
				regional office will provide technical assistance to the applicant upon request
				to complete the application package.
(b) The regional director or his designee
				will approve or deny the application.
(c) Upon regional approval of the
				application, the department will enter into a contract with the applicant to
				provide residential support services. The contract shall be for a term of up to
				one fiscal year and may be renewed in accordance with Sec.
				17a-227-32 of these
				regulations. All contracts are conditional upon compliance with these
				regulations.
(d) Upon execution of
				the contract, the contractor shall provide the residential support services
				identified in the contract. The contract shall describe the services to be
				provided, the frequency and duration of those services and the amount to be
				paid to the contractor for provision of such services.
(e) The regional office shall conduct an
				annual performance review of the contract to determine client needs,
				eligibility for renewal and contractor efficiency and effectiveness.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Contracting for Residential Support Services Supported Living Services › Section 17a-227-34 - Contract cancellation

Current through July 10, 2024
(a) The contract
				may be terminated without cause upon 30 days written notice by either party
				during the term of the contract. The department has the right to terminate the
				contract within 24 hours notice when it deems the health or welfare of the
				service recipient(s) is endangered.
(b) Contracts are subject to contractor
				compliance with all applicable department policies related to human rights,
				overall plans of service, freedom from abuse or neglect, use of restraints and
				psychotropic medications or other policies. As such, the contract may be
				cancelled, terminated or suspended for violation or non-compliance with such
				policies.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Contracting for Residential Support Services Supported Living Services › Section 17a-227-35 - Rights of service recipients

Current through July 10, 2024
(a)
The
				contractor shall:
(1) Notify the
				department and other public agencies specified in state laws or regulations of
				any instance of suspected abuse or neglect,
(2) Cooperate with agencies investigating
				abuse or neglect of persons with mental retardation and supply any information
				requested during the investigation, and
(3) Document any instance of possible abuse
				or neglect or unusual incidents in the person's record and shall notify the
				region within 72 hours of learning of the incident.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Contracting for Residential Support Services Supported Living Services › Section 17a-227-36 - Planning and provision of residential support services

Current through July 10, 2024
(a) The contractor shall participate in any
				orientation or training that is required by the contract to familiarize him
				with the needs of person(s) named pursuant to the contract and to give him the
				necessary skills to meet those needs.
(b) Whenever requested by the region, the
				contractor or his designee shall be a member of the person's interdisciplinary
				team and shall assist in the development of the person's overall plan of
				service or follow-along plan.
(c)
				The contractor shall ensure that documentation requirements specified in a
				person's overall plan of service or follow-along plan are met in a timely and
				accurate fashion.
(d) The
				contractor shall assist the person to obtain any health, psychological,
				cognitive, social, or other assessment of the person that is specified as the
				contractor's responsibility in the person's overall plan of service or
				follow-along plan.
(e) Regardless
				of the presence or absence of an overall plan of service or follow-along plan
				as required by the region, the contractor shall develop a written residential
				support services plan in collaboration with the person.
(1) The residential support services plan
				shall contain measurable service objectives that relate to the kind and amount
				of assistance needed by the person that will allow him to live in his own home.
				These objectives shall also relate to goals in the person's overall plan of
				service or follow-along plan that are essential to assisting the person to live
				in his own home if the person has such a plan.
(2) The contractor shall review the plan with
				the person to be served on a scheduled or as needed basis to ensure the
				continued relevance and effectiveness of the plan. This review shall occur not
				less than quarterly during the first year of service and annually
				thereafter.
(3) The contractor
				shall give the DMR case manager or other DMR personnel access to all documents
				pertaining to the residential support services plan to ensure that it is being
				implemented and that it continues to meet the needs of the
				individual.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 227 - Licensing of Community Living Arrangements, Residential Schools and Habilitative Nursing Facilities › Contracting for Residential Support Services Supported Living Services › Section 17a-227-37 - Contract conclusion

Current through July 10, 2024
(a) Upon conclusion
				of the contract or more frequently if required by the contract, the contractor
				shall report to the department on forms provided by the department on the
				expenditure of funds and programmatic outcomes.
(b) The commissioner shall ensure that all
				payments made pursuant to the contract have been properly expended and shall
				recoup any payments improperly expended.
(c) The contractor shall maintain all records
				pertaining to this contract for a period of three years and provide the
				department access to such records upon request.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-2 - Application process

Current through July 10, 2024
(a) Any provider
			 requesting funding under these regulations shall make application to the
			 department prior to the authorization of the clients or the establishment of a
			 rate by the department of income maintenance during times designated by the
			 Commissioner for receipt of applications.
(b) The application shall be on forms
			 provided by the department and shall at least include the following
			 information:
(1) name and address of
			 corporation, person or persons who will operate the private residential
			 facility,
(2) list of other
			 programs and their addresses currently being run by the corporation or
			 person,
(3) full disclosure of
			 partners or board members, and officers,
(4) if a corporation, a copy of a financial
			 audit conducted within the past two years by an independent certified public
			 accountant, or licensed public accountant,
(5) if a person or partnership, three
			 professional references and present employment information,
(6) concerning the private residential
			 facility for which funds are requested:
(A)
			 type of private residential facility,
(B) proposed opening date,
(C) proposed number of clients,
(D) specific location,
(E) age, sex and disability range of proposed
			 clients,
(F) type of day programs
			 to which clients will have access,
(G) staffing pattern by shift,
(H) professional/clinical services to be
			 provided,
(I) proposed operating
			 budget,
(J) advance payment
			 requirements, and
(K) method of
			 financing the development of the private residential facility and any long term
			 financing requirements.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-3 - Advance payments

Current through July 10, 2024
(a) The
			 commissioner may make payments to a provider in advance of provider's rendering
			 services for any of the following expenditures:
(1) Rent or mortgage, utilities and other
			 costs incurred to open and maintain the private residential facility.
(2) Salaries, fringe benefits and other
			 expenses for direct care, and professional staff incurred in order to (A)
			 develop the residential services, (B) select, evaluate and place clients, or
			 (C) both (A) and (B).
(3)
			 Administrative and organizational expenses incurred in order to develop the
			 private residential facility.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-6 - Referral process

Current through July 10, 2024
(a) Referrals, as
			 defined in these regulations, shall be made on forms provided by the
			 department, by private providers or department agencies for persons who are
			 known to these providers or agencies and who are currently requesting or
			 receiving services from these providers. Referrals shall be made with
			 permission of the individual, parent, guardian or other legal representative or
			 by the responsible state agency.
(b) Referral information provided to the
			 regional eligibility team shall be sufficient to substantiate the referring
			 party's position:
(1) that the individual is
			 mentally retarded as defined in these regulations and therefore potentially
			 eligible for department funding;
(2) that there is justification of the
			 individual's need for residential services at a level of care provided for in
			 Section 7 (b) of these regulations according to some or all of the following
			 factors;
(A) the need to deinstitutionalize
			 that person,
(B) the need to
			 prevent that person's institutionalization,
(C) the need for age-appropriate or other
			 specific types of residential services,
(D)
			  the urgent need of that person for placement to prevent
			 functional deterioration; and
(E)
			 that the person's financial statement confirms his receipt of aid to the
			 disabled, aid to the blind or aid to the elderly or that his ability to pay for
			 residential services as defined in Section 7 (c) of these regulations, does not
			 exceed the potential cost of such level of care.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-7 - Eligibility determination

Current through July 10, 2024
(a) Determination
			 of client eligibility for authorization shall be based on the regional
			 eligibility team's review of the information provided in written referral
			 materials in accordance with Section 6 of these regulations. This review shall
			 include, but shall not be limited to, verification of the client's diagnosis of
			 mental retardation as defined in these regulations, determination of the level
			 of care required by the client and determination of need for residential
			 services. The commissioner or his designee may waive the level of care assigned
			 to a specific client by the regional eligibility team, and assign a different
			 level, if the commissioner or his designee deems such action reasonable to
			 facilitate or promote an otherwise appropriate placement.
(b) There shall be five levels of care:
(1) Level I shall be the supervised level of
			 care which shall provide minimal protection and supervision, limited
			 professional, consultative and support services concentrating on the use of
			 generic community services, refinement of independent living skills and
			 counseling for placement into employment. Residents shall have
			 self-preservation skills and shall be capable of self-administering any
			 medications they may require.
(2)
			 Level II shall be the semi-structured level of care which shall provide the
			 supervision of basic living skills, training in the use of leisure time and
			 development of social skills. Residents shall have self-preservation skills,
			 shall be capable of administering any medications they may require and shall
			 receive training to assure maintenance of these skills.
(3) Level III shall be the structured level
			 of care which shall provide training in basic living skills, training in the
			 use of leisure time and development of social skills and professional
			 consultative and support services as needed. Residents may not have acquired
			 self-preservation skills or may not be capable of self-administering
			 medications and shall receive training in both.
(4) Level IV shall be the intensive level of
			 care which shall provide training in basic self-care skills, behavioral
			 intervention and modification of problem behaviors, and direct professional
			 support services. Residents shall receive intensive training designed to
			 develop self-preservation skills and shall have medications administered by
			 appropriately training personnel.
(5) Level V shall be the highly intensive
			 level of care which shall provide total support for self-care, intensive
			 behavioral intervention and modification, and direct professional support
			 services. Residents shall require twenty-four hour supervision due to total
			 lack of self preservation skills and may require up to twenty-four hour medical
			 monitoring.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-8 - Ratio

Current through July 10, 2024
(a) The ratio as defined in these regulations
			 shall be set at: three clients from the public sector, one client from the
			 department's urgent waiting list, and two clients from the private
			 sector.
(b) Such ratio shall be in
			 effect until it is reviewed and revised by the commissioner in consultation
			 with the commission on long term care and private sector representatives.
			 Review shall occur one year after the effective date of these regulations and
			 at least annually thereafter.
(c)
			 Regarding new private residential facilities, such ratios shall be applied to
			 either an individual private residential facility or several private
			 residential facilities sponsored by the same provider provided these private
			 residential facilities are approved for development in accordance with Section
			 2 of these regulations and shall be available in a timely way agreed upon in
			 advance by the developing provider and the department.
(d) Regarding existing private residential
			 facilities, such ratio shall be applied only to vacated beds.
(e) Nothing in this section shall prevent a
			 private residential facility from selecting more than the specified number of
			 clients from the public sector.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-9 - Client selection

Current through July 10, 2024
(a) The provider
			 planning to develop or manage a specific private residential facility, upon
			 receiving a commitment from the department to proceed with such development
			 shall have access to lists of individuals who have been determined by regional
			 eligibility teams to need the level of care to be provided by the private
			 residential facility and are therefore eligible for authorization. Likewise,
			 existing private residential facilities operating under the provisions of these
			 regulations which seek to fill a vacancy shall have similar access to such
			 lists of clients, determined to need the level of care provided by the private
			 residential facility.
(b) The
			 availability of these lists of eligible clients shall not be unreasonably
			 restricted by geographic catchment area, however, it is understood that for
			 some persons there may be an optimal region of placement that shall be
			 considered during the selection process.
(c) From these lists of public and private
			 sector individuals, the designated staff or individuals charged by the provider
			 with the responsibility for client selection (1) shall have access to referral
			 information concerning the eligible individuals being considered for placement
			 which is contained in department files; (2) shall have access to visitation
			 with those individuals and staff of those person's current residential and day
			 program; and (3) may contact those individuals' families. Staff involved in
			 these selection activities shall adhere to statutory requirements regarding
			 client confidentiality.
(d) To
			 qualify for funding under these regulations, the licensee shall select
			 individuals for residence from among clients determined to be eligible by the
			 regional eligibility team and in accordance with the ratio set forth in Section
			 8.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-10 - Client authorization

Current through July 10, 2024
The commissioner shall authorize a client for funding at the
				rate established by the department of income maintenance under Section 17-313b
				of the General Statutes when he finds that the client has been determined
				eligible for funding according to Section 7 of these regulations, that the
				client has been selected by an eligible private residential facility that can
				provide the level of care he needs and that his selection conforms with the
				ratio as set forth in Section 8. Such authorization shall remain in effect
				until the next reauthorization or until the client leaves the private
				residential facility.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-11 - Grandfathered individuals

Current through July 10, 2024
(a) The
			 commissioner shall pay for the per diem reimbursement costs as established by
			 Section 4 of these regulations after June 30, 1984 when the regional
			 eligibility team determines that a grandfathered individual (1) is eligible for
			 authorization at his current level of care in accordance with Section 7 (b) of
			 these regulations; (2) requires a different level of care which is currently
			 available in his current private residential facility or; (3) is not
			 appropriate at the present level of care but that a transfer is clinically
			 contraindicated at the time; (4) meets the financial eligibility requirements
			 of Section 7 (c) and (d).
(b) The
			 regional eligibility team shall provide notice in writing within thirty days
			 after the review to any grandfathered individual who does not meet the
			 conditions addressed in sub-section (a) of this section, of its determination
			 that the client is not eligible for department funding after June 30, 1984.
			 Copies of such notice shall also be forwarded to the provider operating the
			 private residential facility in which the client currently resides. Clients
			 denied eligibility for authorization may appeal the regional eligibility team
			 decision under the provisions of the statute. The department shall, however,
			 provide funding at the level provided by the department of income maintenance
			 prior to July, 1984, until final disposition of the appeal.
(c) The transfer process according to Section
			 13 of these regulations shall be implemented immediately upon receipt of notice
			 from the regional eligibility team that a grandfathered client has been
			 determined financially ineligible for department funding or determined to be
			 eligible for funding at a different level of care than provided at the private
			 residential facility in which he currently resides.
Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-12 - Reauthorization

Current through July 10, 2024
(a) Client reauthorization for funding, as
			 defined in these regulations, shall be conducted for each funded individual by
			 the department on at least an annual basis.
(b) Reauthorization may be conducted more
			 frequently at the request of the individual, his legal representative, the
			 private provider providing residential services, or the department.
			 Justification for any such request may include:
(1) change of client's functioning which
			 would warrant a different level of care, or
(2) emergency transfer of the client in
			 accordance with Section 13 of these regulations.