reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 1 - GENERAL PROVISIONS › Section R6-6-108 - Safe and Humane Environment

Current through Register Vol. 30, No. 28, July 12, 2024
A. This Section does not apply to community
				residential settings that are governed by the provisions of Article 7, 8, 10,
				or 11 of this Chapter.
B. Service
				providers shall have a written and posted plan for meeting potential
				emergencies and disasters.
C. The
				plan shall be reviewed annually by the Division and shall include, but shall
				not be limited to:
1. The assignment of staff
				to specified duties and responsibilities;
2. A system for notification of appropriate
				persons;
3. Specification of
				evacuation routes and procedures including provisions for clients who are
				incapable of taking action for self-preservation; and
4. Provision for at least one rehearsal per
				year to evaluate the effectiveness of the plan.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-301 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in Article 1 of this Chapter,
				  the following definitions apply to this Article:
1. "ALTCS" means Arizona Long-Term Care
				System under the Arizona Health Care Cost Containment System
				(AHCCCS).
2. "Autism" means the
				same as in A.R.S. §
									36-551.
3. "Cerebral palsy" means the same as in
				A.R.S. §
									36-551.
4. "Cognitive disability" means a condition
				that involves subaverage general intellectual functioning, that exists
				concurrently with deficits in adaptive behavior manifested before the age of
				eighteen and that is sometimes referred to as intellectual
				disability.
5. "Department" means
				the Arizona Department of Economic Security.
6. "Division" means the Division of
				Developmental Disabilities within the Department.
7. "Epilepsy" means the same as in A.R.S. §
									36-551.
8. "Guardian" means the same as in A.R.S. §
									36-551.
9. "Individualized education program (IEP)"
				means a written statement, as defined in
				20
				U.S.C. 1401 and
				1412, for
				providing special education and related services to a child with a
				disability.
10. "Lawful Presence"
				means that an individual is a citizen or permanent legal resident of the United
				States or that the individual's presence in the United States is otherwise
				authorized under federal law.
11.
				"Member" means an individual enrolled with the Division.
12. "Personal information" means facts
				regarding an individual that may include:
a.
				Address,
b. Phone number,
c. Changes in physical or behavioral health
				status, or
d. Other health care
				insurance coverage.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-302 - Eligibility for Program

Current through Register Vol. 30, No. 28, July 12, 2024
A. In
				order to be eligible for the program, an individual shall:
1. Demonstrate lawful presence in the United
				States;
2. Be a resident of the
				state of Arizona;
3. Have a
				developmental disability as defined in A.R.S. §
										36-551
				and this Article; and
4. Complete
				the application process.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-304 - Eligibility under Arizona Long-term Care System

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department shall refer an individual
				with a developmental disability who may be eligible for the ALTCS to the
				Arizona Health Care Cost Containment System Administration (AHCCCS) to
				determine eligibility under ALTCS.
B. The Department shall not provide services,
				other than emergency services as provided in this Chapter, to an individual who
				has been referred for ALTCS eligibility determination until that determination
				has been completed.
C. Applicants
				who are determined eligible and enrolled in the program, but knowingly refuse
				to cooperate in the ALTCS eligibility process, are not eligible for services
				pursuant to A.R.S. §
									36-559.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-305 - Admission to Program

Current through Register Vol. 30, No. 28, July 12, 2024
When the Department determines an individual to be eligible
				  and enrolls the individual in the program, the Support Coordinator, with the
				  Planning Team, shall complete a Planning Document to document any necessary
				  supports and services.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-306 - Emergency Services

Current through Register Vol. 30, No. 28, July 12, 2024
In an emergency, the Department may provide services without
				  a Planning Document to an individual who has been enrolled in the program. The
				  Planning Team shall complete a Planning Document for emergency services within
				  10 days of the enrollment.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-307 - Eligibility Redeterminations for the Program

Current through Register Vol. 30, No. 28, July 12, 2024
The Department may redetermine eligibility for the
				  program:
1. As a result of periodic
				evaluations in accordance with A.R.S. §
									36-565;
				or
2. At any time, as authorized by
				the Division's Assistant Director or designee.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-308 - Member Responsibilities

Current through Register Vol. 30, No. 28, July 12, 2024
Members shall:
1.
				Inform the Support Coordinator of any change in personal information;
2. Participate in the development of the
				Planning Document and signify agreement or disagreement by signing the Planning
				Document;
3. Uphold all local,
				state, and federal laws and regulations; and
4. Cooperate and comply with the ALTCS
				redetermination process.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 3 - ELIGIBILITY FOR DEVELOPMENTAL DISABILITIES SERVICES PROGRAM › Section R6-6-309 - Termination of Eligibility for the Program

Current through Register Vol. 30, No. 28, July 12, 2024
A. Pursuant to A.R.S. §
									36-566(A)
				and (B), the Department may terminate
				eligibility following a 35-day written notice period to the member or the
				responsible person when:
1. The Department
				determines that the member no longer meets the conditions of eligibility for
				services;
2. The member reaches the
				age of 18, unless an application for eligibility has been filed with the
				Department; or
3. The member fails
				to comply with R6-6-308.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 4 - APPLICATION › Section R6-6-401 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in Article 1 of this Chapter,
				  the following definition applies to this Article: "Lawful presence" means the
				  same as in
				  R6-6-301.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 4 - APPLICATION › Section R6-6-402 - Application for the Division of Developmental Disabilities Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant
				shall:
1. Complete, sign, and submit an application on the
				form or by the method provided by the Division;
2. Participate in a
				face-to-face interview with a designated Department employee, if requested by
				the Division or the applicant; and
3. Submit information and documents to
				support the application, as required by the Division.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 4 - APPLICATION › Section R6-6-403 - Documentation and Verification

Current through Register Vol. 30, No. 28, July 12, 2024
The applicant shall provide documentation of the
				  following:
1. Lawful presence of the
				person to whom services are to be provided, as required by A.R.S. §
									1-502.
2.
				Residency. An applicant shall:
a. Verify
				current residency and intent to remain in Arizona by signing the
				application.
b. At the request of
				the Department, provide additional documentation demonstrating Arizona
				residency of the person to whom services would be provided.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 4 - APPLICATION › Section R6-6-404 - Eligibility under ALTCS

Current through Register Vol. 30, No. 28, July 12, 2024
The Division shall
				  refer individuals with developmental disabilities who may be eligible for the
				  Arizona Long-term Care System (ALTCS) to the Arizona Health Care Cost
				  Containment System Administration (AHCCCS) to determine eligibility under
				  ALTCS.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 6 - PROGRAM SERVICES › Section R6-6-601 - Case Management

Current through Register Vol. 30, No. 28, July 12, 2024
Upon the filing of an application for admission to services,
				  the Division shall assign a case manager to assist the applicant. Upon
				  admission, the case manager shall assist the client and the client's family in
				  all aspects of the developmental disabilities service delivery system as
				  follows:
1. The pursuit of evaluations
				and professional assessments necessary to substantiate the need for
				services;
2. The collection and
				analysis of information regarding eligibility and the prioritization of service
				needs;
3. The provision of
				information on available services and referral to appropriate service
				alternatives; and
4. The
				development of individual habilitation goals and objectives for the client
				through the ISPP.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 6 - PROGRAM SERVICES › Section R6-6-602 - Individual Service and Program Plan

Current through Register Vol. 30, No. 28, July 12, 2024
A. Within 30 days following determination of
				eligibility, the ISPP team shall conduct an evaluation to determine the
				appropriate services for the client and shall develop an ISPP based on the
				evaluation.
B. The ISPP team shall
				recommend specific services based upon:
1. The
				best interests of the client and factors listed in A.R.S. §
										36-560(H);
2. The potential for family support;
				and
3. The extent to which the
				services:
a. Promote family competence and
				independence;
b. Preserve the
				integrity of the family;
c.
				Maximize the client's independent living;
d. Involve the family in problem-solving and
				decision-making;
e. Meet the needs
				and desires of the family;
f.
				Prevent the deterioration of the family structure and functioning and improve
				the quality of life for the client and family;
g. Can be provided in the least obtrusive
				manner;
h. Provide uninterrupted
				and orderly transition from one stage of development to another based upon
				client and family ages;
i.
				Alleviate abuse or neglect or eliminate conditions that hinder the client's
				development;
j. Prevent the client
				from being a danger to himself or to others; and
k. Support a client or family who is
				experiencing a temporary but remedial crisis including hospitalization, loss of
				a job, incapacitating illness, or death.
4. In the case of a DD/ALTCS client, the ISPP
				team shall ensure that the client obtain medically necessary and other
				necessary medically related remedial and social services.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 6 - PROGRAM SERVICES › Section R6-6-603 - Assignment to Services

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The case manager shall assign a DD/ALTCS client to appropriate services within
				30 days of the Division's receipt of notification from AHCCCS of the client's
				eligibility under ALTCS.
B. In the
				case of a DD/non-ALTCS client, the case manager shall, within 30 days of the
				completion of the ISPP:
1. Assign the client
				to one or more appropriate services; or
2. Provide written notice of non-assignment,
				and reason for non-assignment, subject to the right of the responsible person
				and any joint applicant to request administrative review pursuant to A.R.S. §
				36-563 and
				R6-6-1801 et
				seq.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 6 - PROGRAM SERVICES › Section R6-6-604 - Periodic Evaluations

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Pursuant to A.R.S. §
									36-565,
				the case manager and members of the ISPP team as appropriate shall conduct
				periodic reviews in six-month intervals, or more frequently as identified in
				the client's ISPP, and shall either:
1.
				Determine that no change in services is needed;
2. Determine that services should be
				terminated;
3. Determine that the
				client should be transferred to another service; or
4. Determine that other substantial changes
				in service are required.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 6 - PROGRAM SERVICES › Section R6-6-605 - Transfer to Another Service or Changes in Service

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to a transfer or change which
				results from a periodic review, a responsible person may request in writing to
				the Division a transfer or change at any time.
B. The request shall be considered by the
				ISPP team. The recommendation and review shall be made in the same manner
				established for recommended periodic reviews of the ISPP.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 6 - PROGRAM SERVICES › Section R6-6-606 - Consent of the Responsible Person

Current through Register Vol. 30, No. 28, July 12, 2024
A. Pursuant to A.R.S. §
									36-560(D),
				no admission or assignment of any client to a program, service, or facility may
				be made by the Division without the written consent of the responsible
				person.
B. The signature of the
				responsible person on the appropriate report or ISPP shall serve as the consent
				to treatment or services required by A.R.S. §
									36-560.
C. In the event consent for any or all
				services is withheld, those services shall be terminated.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-801 - Applicability

Current through Register Vol. 30, No. 28, July 12, 2024
This Article applies to services provided in community
				  residential settings except those licensed as child developmental foster homes
				  according to Article 10 of this Chapter and those licensed as adult
				  developmental homes according to Article 11 of this Chapter.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-802 - Compliance

Current through Register Vol. 30, No. 28, July 12, 2024
A. The licensee
				shall ensure that the community residential setting is operated in compliance
				with this Chapter.
B. The licensee
				shall cooperate with the Division in assessing compliance with this
				Chapter.
C. If the Division
				identifies areas of noncompliance with this Chapter in the operation of a
				community residential setting, the licensee shall take action to achieve or
				restore compliance with these rules.
D. If the Division identifies areas of
				noncompliance with A.R.S. Title 36, Chapter 5 in the operation of a community
				residential setting, the Division may enforce corrective action through
				licensing, programmatic, or contractual remedies.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-803 - General Responsibilities of the Licensee

Current through Register Vol. 30, No. 28, July 12, 2024
A. The licensee shall immediately report at
				least the following types of incidents via telephone or telefax to the
				Division:
1. The death of a client;
2. Alleged neglect or abuse of a
				resident;
3. A missing client. The
				licensee shall report such incident to law enforcement officials and the
				Division as soon as it determines that a client is missing;
4. An incident related to a resident that
				involves law enforcement personnel, emergency services, or the media;
5. Suicide attempts by a client;
6. Hospitalization, the intervention of a
				medical practitioner, or emergency medical care in response to a serious
				illness, injury, medication errors, or suicidal behavior of a client;
				and
7. Community complaints about a
				resident or the setting.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-804 - Rights of Clients

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the rights required in
				  R6-6-102,
				  the licensee shall uphold and safeguard the rights of residents consistent with
				  applicable federal and state laws, including A.R.S. §
									36-551.01,
				  unless legally restricted or addressed in the ISPP in accordance with
				  R6-6-901 et seq. In
				  addition to those rights specifically stated in statute, rights shall include,
				  at a minimum:
1. The right to be free
				from personal and financial exploitation;
2. The right to a safe, clean, and humane
				physical environment;
3. The right
				to own and have free access to personal property;
4. The right to associate with persons of the
				client's own choosing;
5. The right
				to participate in social, religious, educational, cultural, and community
				activities;
6. The right to manage
				personal financial affairs and to be taught to do so;
7. The right to the least amount of physical
				assistance necessary to accomplish a task;
8. The right to privacy including during
				treatment and care of personal needs and with regard to written correspondence,
				telephone communication, and visitations;
9. The right to have care for personal needs
				provided, except in cases of emergency, by a direct care staff of the gender
				chosen by the responsible person. This choice shall be specified in the
				ISPP;
10. The right to be treated
				with dignity and respect; and
11.
				The right to be provided choices and to express preferences which will be
				respected and accepted.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-805 - Program Plans

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Except in cases of emergency, the licensee shall notify the Division and obtain
				ISPP team approval prior to a client's move from one community residential
				setting to another setting and prior to relocation of a community residential
				setting. If the move requires contract modification, the administrator shall
				also obtain Division approval prior to the move.
B. In cases of emergency, the licensee shall
				coordinate with the Division regarding the notification of the responsible
				person when a client moves from one community residential setting to
				another.
C. The ISPP team shall
				convene to develop or revise the ISPP within 30 days following either a
				client's admission to a community residential setting or a change in community
				residential licensee.
D. The ISPP
				team shall meet at least annually to develop or amend the complete ISPP for a
				client, using forms prescribed by the Division.
E. The ISPP team for any client residing in a
				community residential setting shall include a representative of the community
				residential setting. The representative shall have direct knowledge of the
				client.
F. The licensee shall
				develop a teaching plan or strategy for each objective assigned to the
				community residential setting by the ISPP team.
1. The teaching plan shall be consistent with
				any guidelines provided by the ISPP team.
2. The teaching plan shall include:
a. How, when, and by whom objectives will be
				implemented;
b. The method to be
				used to record data relative to progress; and
c. The procedure that will be followed should
				the objective be completed or should progress not be made as planned.
3. The licensee shall provide the
				teaching plan to the case manager.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-806 - Health

Current through Register Vol. 30, No. 28, July 12, 2024
A. At least
				annually and on forms prescribed by the Division, the licensee shall obtain
				written informed consent of the guardian, if applicable, for the provision of
				emergency medical care, routine medical care, and special procedures.
B. Within 30 calendar days of a client's
				initial admission to a community residential setting, the licensee shall obtain
				documentation of the following:
1. A physical
				examination by a medical practitioner;
2. A tuberculosis screening and
				results;
3. A hepatitis B screening
				and results;
4. Type of
				developmental disability;
5.
				Medication history;
6. Immunization
				history;
7. History of significant
				injuries, illnesses, surgeries, and hospitalizations;
8. History of allergies;
9. Dental history;
10. Seizure history;
11. Developmental history; and
12. Family medical history.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-807 - Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to
				health care records as required by
				R6-6-806, the licensee
				shall maintain the following programmatic records in the client's place of
				residence:
1. A copy of the client's most
				current annual ISPP which is placed into the records within 15 calendar days of
				receipt by the licensee;
2. The
				teaching plan or strategy for each objective specified in the client's
				ISPP;
3. A copy of monthly progress
				reports for the client, as submitted to the case manager;
4. Documentation of incidents involving the
				client;
5. Behavior treatment plan,
				if applicable;
6. All required
				consents, including, as applicable, consent for use of behavior-modifying
				medications and consent for release of personally identifiable information,
				unless these consents are maintained in the main provider record; and
7. Reference to the location of other
				pertinent records.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-808 - Staff Qualifications, Training, and Responsibilities

Current through Register Vol. 30, No. 28, July 12, 2024
A. The licensee shall maintain documentation
				of the following for each direct care staff:
1. Age 18 years or older;
2. References from persons other than family
				members;
3. Knowledge, skills, and
				experience sufficient to carry out the requirements of the position;
4. Fingerprinting, fingerprint clearance, and
				a statement by the direct care staff regarding criminal record; and
5. Current licenses, certifications, or
				registrations required for the position or required by Arizona
				statute.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-809 - Policies and Procedures

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The licensee shall develop and implement policies and procedures which address
				incidents which occur in the operation of the setting. These policies and
				procedures shall include, at a minimum:
1.
				Definitions of events and circumstances which constitute incidents;
2. Procedures for verbally reporting and
				documenting incidents, consistent with the Division's incident reporting
				procedures; and
3. Procedures for
				the review of incidents by the licensee and procedures for the development of
				corrective action to occur in response to incidents.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-810 - Consent for Release of Personally Identifiable Information

Current through Register Vol. 30, No. 28, July 12, 2024
A. When consent for the release of personally
				identifiable information is required pursuant to A.R.S. §
									36-568.01
				for a client residing in a community residential setting, the licensee shall
				obtain consent from the responsible person. The consent shall:
1. Be signed and dated,
2. Specify the purposes for the
				release.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 8 - PROGRAMMATIC STANDARDS AND CONTRACT MONITORING FOR COMMUNITY RESIDENTIAL SETTINGS › Section R6-6-811 - Exemption

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee may submit to the Division a written request for
				  an exemption of a rule contained in this Article. The request shall demonstrate
				  that the intent of the rule will be met by alternate means and that the
				  exemption will not endanger the lives or health of clients or
				  staff.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-901 - Applicability

Current through Register Vol. 30, No. 28, July 12, 2024
These rules apply to:
1. All programs operated, licensed,
				certified, supervised or financially supported by the Division.
2. All habilitation programs as defined in
				A.R.S. §
									36-551(18),
				as well as all interventions included in this Article, shall be addressed in
				the client's ISPP.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-902 - Prohibitions

Current through Register Vol. 30, No. 28, July 12, 2024
A. The following
				behavioral intervention techniques are prohibited:
1. The use of seclusion (locked time-out
				rooms).
2. The use of
				overcorrection.
3. The application
				of noxious stimuli.
4. Physical
				restraints, including mechanical restraints, when used as a negative
				consequence to a behavior.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-903 - Program Review Committee (PRC)

Current through Register Vol. 30, No. 28, July 12, 2024
A. The ISPP team shall submit to the PRC and
				Human Rights Committee any behavior treatment plan which includes:
1. Techniques that require the use of
				force.
2. Programs involving the
				use of response cost.
3. Programs
				which might infringe upon the rights of the client pursuant to applicable
				federal and state laws, including A.R.S. §
										36-551.01.
4. The use of behavior-modifying
				medications.
5. Protective devices
				used to prevent a client from sustaining injury as a result of the client's
				self-injurious behavior.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-904 - ISPP Team Responsibilities

Current through Register Vol. 30, No. 28, July 12, 2024
Upon receipt of the PRC's response and as part of its
				  development of the client's ISPP, the ISPP team shall either:
1. Implement the approved behavior treatment
				plan; or
2. Accept the PRC
				recommendation and incorporate the revised behavior treatment plan into the
				ISPP; or
3. Reject the
				recommendation in whole or in part and develop a new behavior treatment plan to
				be resubmitted to the PRC and Human Rights Committee.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-905 - Monitoring Behavior Treatment Plans

Current through Register Vol. 30, No. 28, July 12, 2024
Each ISPP team shall specifically designate and record in the
				  ISPP the name of a member of the team, excluding those direct service staff
				  responsible for implementing the approved behavior treatment plan, who
				  shall:
1. Ensure that the behavior
				treatment plan is implemented as approved.
2. Ensure that all persons implementing the
				behavior treatment plan have received appropriate training as specified in
				R6-6-906.
3. Ensure that objective, accurate data are
				maintained in the client's record.
4. Evaluate, at least monthly, collected data
				and other relevant information as a measure of the effectiveness of the
				behavior treatment plan.
5. Conduct
				on-site observations not less than twice per month and prepare, sign, and place
				in the client's record a report of all observations.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-906 - Training

Current through Register Vol. 30, No. 28, July 12, 2024
A. Any person who
				is involved in the use of a behavior treatment plan shall be trained by the
				Division or trained by an instructor approved by the Division prior to such
				involvement.
B. Initial training
				shall cover at a minimum:
1. Provisions of
				law related to:
a. Interventions;
				particularly this Article and
				42
				CFR 483.450 October 1, 1992), incorporated
				herein by reference and on file with the Office of the Secretary of
				State;
b. Legally mandated rights
				of individuals with developmental disabilities; particularly A.R.S. §§
				36-551.01, 36-561 and
				42 CFR
				483.420 (October 1, 1992), incorporated
				herein by reference and on file with the Office of the Secretary of
				State;
c. Confidentiality;
				particularly A.R.S. §§ 41-1959 and 36-586.01 and
				42 CFR
				483.410(c)(2) (October 1,
				1992), incorporated herein by reference and on file with the Office of the
				Secretary of State.
d. Abuse and
				neglect prohibitions pursuant to A.R.S. §
											36-569.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-907 - Sanctions

Current through Register Vol. 30, No. 28, July 12, 2024
For programs operated, licensed, certified, supervised or
				  financially supported by the Division, failure to comply with any part of this
				  Article may be grounds for suspension or revocation of a license, for
				  termination of contract, employment, or for any other applicable administrative
				  or judicial remedy.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-908 - Emergency Measures

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Physical management techniques employed in an emergency to manage a sudden,
				intense, or out-of-control behavior shall:
1.
				Use the least amount of intervention necessary to safely physically manage an
				individual.
2. Be used only when
				less restrictive methods were unsuccessful or are inappropriate.
3. Be used only when necessary to prevent the
				individual from harming self or others or causing severe damage to
				property.
4. Be used concurrently
				with the uncontrolled behavior.
5.
				Be continued for the least amount of time necessary to bring the individual's
				behavior under control.
6. Be
				appropriate to the situation to ensure safety.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 9 - MANAGING INAPPROPRIATE BEHAVIORS › Section R6-6-909 - Behavior-modifying Medications

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The Division shall make available the services of a consulting psychiatrist who
				shall review cases and provide recommendations to prescribing physicians to
				ensure that the medication prescribed is the most appropriate in type and
				dosage to meet the client's needs.
B. Behavior-modifying medications shall be
				prescribed and administered only:
1. When, in
				the opinion of a licensed physician, they will be effective in producing an
				increase in appropriate behaviors; and it can be justified that the harmful
				effects of the behavior clearly outweigh the potential negative effects of the
				behavior modifying medication.
2.
				As part of a behavior treatment plan in the ISPP.
3. With the informed consent of the
				responsible person.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1001 - Application for License

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Married or single persons desiring to be licensed as a child developmental
				foster home shall apply for a license to the Division on the prescribed
				forms.
B. The license applicant and
				any adult member of the household shall be fingerprinted for a criminal history
				record check. Any adult living on the premises and not residing in the home may
				be required to be fingerprinted for a criminal history record check.
C. The license applicant, any adult member of
				the household, and any adult living on the premises shall authorize the
				Division to perform a background check through Adult Protective Services and
				Child Protective Services referral files.
D. The license applicant shall participate in
				interviews with the Division and the home-study process as required by the
				Division. The home-study process shall include:
1. An interview of all members of the license
				applicant's household,
2. An
				interview of other knowledgeable parties as the Division determines
				appropriate, and
3. An inspection
				of the physical premises by the Arizona Department of Health Services and the
				Division for compliance with this Article.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1002 - Issuing an Initial License

Current through Register Vol. 30, No. 28, July 12, 2024
A. The license applicant shall comply with
				the requirements of this Article.
B. Except as provided in
				R6-6-1004(C),
				a regular license is effective for one year from the date of
				issuance.
C. Based upon records,
				reports, and observations, if the Division determines that the license
				applicant may be unable to meet the physical or emotional needs of clients, the
				Division may require further psychological or physical evaluations, at no
				expense to the license applicant, to determine whether a license may be
				issued.
D. A regular license for a
				child developmental foster home is not transferable and is valid only for the
				licensee and the address stated on the license.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1003 - Issuing a Renewal License

Current through Register Vol. 30, No. 28, July 12, 2024
A. A regular license is renewable annually
				for a one-year period.
B. The
				Division shall renew a child developmental foster home regular license when:
1. The licensee has met the annual training
				requirements of
				R6-6-1005;
2. The home meets the requirements of
				R6-6-1001,
				except as noted in this subsection:
a. The
				licensee shall submit a written statement every three years from the date of
				initial licensure from a licensed medical practitioner indicating that no adult
				living in the home or on the premises has any medical, emotional, or
				psychological problems that would adversely impact on the health and welfare of
				a child with developmental disabilities.
b. References are not required for license
				renewal.
c. The child developmental
				foster home shall receive a health inspection from the Arizona Department of
				Health Services every three years prior to license renewal, unless otherwise
				indicated by this Article.
3. Any person fingerprinted pursuant to
				R6-6-1001(B) and who is still residing in the home shall have a criminal record
				check every three years.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1004 - Issuing a Provisional License

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Division may issue a provisional
				license for up to six months when:
1. The
				license applicant is temporarily unable to meet the requirements of this
				Article, and
2. The Division is
				satisfied that the listed deficiencies can be corrected within six months or
				less by the license applicant.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1004.01 - Time-frame for Granting or Denying a License

Current through Register Vol. 30, No. 28, July 12, 2024
For the purpose of A.R.S. §
									41-1073,
				  the Division establishes the following licensing time-frames:
1. Administrative completeness review
				time-frame:
a. For an initial license, 90
				days;
b. For a renewal license, 30
				days; and
c. For an amended
				license, 30 days.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1004.02 - Administrative Completeness and Substantive Review Process

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Division shall send the license
				applicant a written notice within the administrative completeness review
				time-frame indicating that the application package is either complete or
				incomplete.
B. If the application
				package is incomplete, the Division shall list the missing information in the
				notice and ask the license applicant to supply the missing information within
				60 days from the date of notice. If the license applicant fails to do so, the
				Division may close the file.
C. A
				license applicant whose file has been closed and who later wishes to become
				licensed may reapply to the Division. The administrative completeness
				time-frame starts over when the Division receives the written request to
				reapply.
D. When the application is
				complete, the Division shall complete a substantive review of the license
				applicant's qualifications. The Division shall:
1. Review the application form and all
				required documents to ensure compliance with this Article;
2. Complete a home study as prescribed in
				R6-6-1001(D); and
3. Gather
				additional information needed to determine the license applicant's fitness to
				serve as a foster parent and ability to comply with foster care requirements,
				which may include:
a. Interviewing the
				license applicant;
b. Contacting
				references;
c. Verifying
				information provided in the application;
d. Visiting the license applicant's home;
				and
e. Requesting additional
				information, assessments, or tests as prescribed in
				R6-6-1001(F)
				and R6-6-1003(C).
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1004.03 - Contents of a Complete Application Package - Initial License

Current through Register Vol. 30, No. 28, July 12, 2024
An initial application package is complete when the Division
				  has all of the following information:
1. From the license applicant, a completed
				application form as prescribed in
				R6-6-1001(A)
				which contains the following information:
a.
				Personally identifying information, as follows:
i. Name and gender,
ii. Date and place of birth,
iii. Social security number,
iv. Ethnicity and religious
				preference,
v. Current and previous
				address,
vi. Dates resided at
				previous address,
vii. Length of
				Arizona residency,
viii. Current
				marital status and marital history, and
ix. Any other names by which the license
				applicant has been known.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1004.04 - Contents of a Complete Application Package - Renewal License

Current through Register Vol. 30, No. 28, July 12, 2024
A license renewal application package is complete when the
				  Division has all the following information:
1. From the license applicant, a completed
				renewal application form as prescribed in
				R6-6-1001(A)
				which contains the following information:
a.
				Personally identifying information, as follows:
i. Name,
ii. Address, and
iii. Phone number.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1004.05 - Contents of a Complete Request for an Amended License

Current through Register Vol. 30, No. 28, July 12, 2024
A request for an amended license is complete when the
				  Division has the following:
1. A
				description of the change requested to the license, and
2. Documentation that the requested change
				complies with this Article.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1005 - Training Requirements for Child Developmental Home Foster Parents

Current through Register Vol. 30, No. 28, July 12, 2024
A. A license
				applicant for an initial license as a Child Developmental Foster Home shall
				meet the following training requirements:
1.
				Prelicensing training in the following subjects:
a. Cardiopulmonary resuscitation appropriate
				for children and adults provided by an instructor certified in cardiopulmonary
				resuscitation;
b. First aid
				provided by an instructor certified in first aid; and
c. Child developmental foster home parent
				orientation training of 16 to 20 hours, as determined by the
				Division.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1006 - Foster Parent Responsibilities in Child Developmental Foster Homes

Current through Register Vol. 30, No. 28, July 12, 2024
A. The licensee
				shall provide the child with positive emotional support and guidance including
				but not limited to:
1. Including the child in
				daily activities;
2. Providing the
				child with positive reinforcement;
3. Assisting the child with day-to-day
				concerns with school, with friends, and with family;
4. Providing appropriate care, concern, and
				support;
5. Protecting the child
				from harm; and
6. Assisting the
				child in developing and fostering personal relationships.
Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES › Article 10 - CHILD DEVELOPMENTAL FOSTER HOME LICENSE › Section R6-6-1007 - Behavior Management

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The licensee shall comply with the Division's requirements for behavior
				management as specified in Article 9.
B. The licensee shall establish well-defined
				rules which set the limits of behavior.
C. The licensee shall provide discipline
				appropriate to the age, life experience, and individuality of each child:
1. The licensee shall develop and implement
				fair, reasonable, age and developmentally appropriate, and consistent rewards
				and consequences for implementing the rules established in subsection
				(B).
2. The licensee shall not use
				discipline which deprives the child of food, shelter, or medical
				care.
3. The licensee shall not use
				any form of corporal or physical punishment.
4. The licensee shall not participate in the
				use of verbal abuse or derogatory remarks.