Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Congregate Facilities › Part 4 - CONGREGATE FACILITIES › Section R. 400.2411 - Services for residents

Current through Vol. 24-12, July 15, 2024
Rule 411. A congregate facility shall provide services
						for the habilitation of its residents. In addition to transportation and basic
						self-care and habilitation training, congregate facilities shall provide or
						cause to be provided all of the following program elements which are essential
						for the habilitation of their residents. Without department approval a program
						element other than basic self-care and habilitation training shall not be
						provided on the premises when it is available in the community:
(a) Basic self-care and habilitation training
					 means a service to teach and reinforce skills in dressing, grooming, eating,
					 bathing, toileting, and following of simple directions.
(b) Social education training means a service
					 which covers areas of training inclusive of recreational participation such as
					 group programs, community entertainment and recreational facilities
					 utilization. Social graces and acceptable public behavior are covered in this
					 area as are leisure time use and skills.
(c) Tutorial and special skills training is a
					 service typically providing 1-to-1 training in an area. Services include basic
					 self-care training, mobility training, or advanced skills.
(d) Adult activity, day care or day training,
					 is an activity and training service including basic self-care skills,
					 activities of daily living, utilization of community resources, hazard
					 training, individual and group programs of therapy and education, recreational
					 programs, field trips, skills maintenance, and special training. Objectives
					 range from the maintenance of a participant in the community to the development
					 of prevocational skills to permit placement in a sheltered workshop
					 setting.
(e) Work activity is a
					 work activity service provided in a protective setting in a day program to
					 serve a retarded or mentally ill adult. Activities are divided between
					 development of prevocational skills by producing a product in a structured work
					 setting and providing basic social activities of daily living training. The
					 major focus shall be on work skills for which reimbursement from products sold
					 or from contracts may be provided.
(f) Sheltered workshop is a service in a
					 certified protective workshop setting which includes special vocational
					 training, job evaluation, and rehabilitation planning with a definite objective
					 of placement in gainful employment, sheltered or independent. Certification
					 includes proper wage deviation permits from the department of labor and
					 approvals as appropriate from the division of vocational
					 rehabilitation.
(g) Personal
					 adjustment is a service for a person with psychiatric, emotional, behavioral,
					 or developmental problems and includes counseling and individual or group
					 therapy as well as diagnostic evaluation. It also includes utilization of
					 appropriate batteries of psychological testing material and related counseling
					 to assist in classification and determination of readiness for movement or
					 maintenance in the community.
(h)
					 Transportation means vehicle travel by public or private carrier and related
					 cost to and from program resources in the community including consultation,
					 medical, and other services. This includes escort between screening and entry
					 programs.
(i) Health services
					 include pharmaceutical, medical, or dental services provided directly or
					 through contractual agreement.