Code of Massachusetts Regulations › 104 CMR - DEPARTMENT OF MENTAL HEALTH › Title 104 CMR 28.00 - Licensing and Operational Standards for Community Services › Subpart A - STANDARDS FOR COMMUNITY SERVICES › Section 28.12 - Standards Applicable to all Services

Current through Register 1525, July 5, 2024
(1)
Written Policies and Procedures
. Each provider shall
				ensure that each service it provides has and implements written policies and
				procedures which are consistent with the requirements of
				104 CMR 28.00 and which
				address:
(a) Provider philosophy and
				objectives;
(b) Enrollment, intake
				and discharge, including criteria for enrollment into and discharge from the
				service;
(c) Maintenance of person
				records, consistent with the provisions of
				104 CMR
				28.09 and all other applicable state and
				federal laws and regulatory requirements;
(d) Development, implementation and review of
				individualized treatment plans consistent with
				104 CMR 29.00:
Application for DMH Services, Referral, Service Planning and
				Appeals,
as appropriate;
(e) Quality and utilization
				management;
(f) Medication, for
				those services prescribing or administering medications, consistent with
				104 CMR
				28.06;
(g) Protection of human rights consistent
				with
				104 CMR
				28.03;
(h) Searches of property consistent with
				104 CMR
				28.08;
(i) Use of physical restraints consistent
				with
				104
				CMR 28.05;
(j) Billing third party payers and persons
				for residential services and supports and Department charges, when applicable,
				cancellation procedures, fee reductions, and abandoned of property consistent
				with
				104 CMR
				30.00:
Fiscal Administration
and any
				agreements with the Department;
(k)
				Personnel, including job descriptions and minimal staff qualifications, staff
				supervision, and training;
(l) Fire
				safety and other emergencies and disasters, including at least:
1. Procedures for evacuating persons and
				staff;
2. Provision for first aid,
				through the availability of first aid supplies, and appropriate staff
				training;
3. Provision for
				notification of fire, police, and hospital facilities for assistance;
4. Training for persons and staff in
				emergency procedures and regular fire drill procedures;
5. Ensuring the provision of transportation,
				when necessary;
6. The
				identification of an alternate site for relocation, when necessary;
				and
7. Notification and
				coordination with the Department and other state or federal agencies as
				applicable;
(m)
				Implementation of appropriate protocols for when a person is missing;
(n) Risk management and mitigation;
(o) Procedures for compliance with the
				Community Residence Tenancy Law, M.G.L. c. 186, § 17A, as
				applicable.
(p) Provision for
				training and adhering to practices relating to infection control.
(q) Safety monitoring around swimming areas,
				if applicable.
(r) Procedures to
				ensure that each resident receives appropriate grooming and hygiene articles,
				including hair products that reflect the diversity of persons served.
(s) Procedures regarding missing persons or
				runaway youth, including requirements for implementing searches and appropriate
				notifications.
(t) A policy and
				procedure for nutritional services, where applicable, including the purchase,
				storage, preparation and serving food in a manner appropriate to the age and
				persons served, including special dietary needs.