reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4109 - Program statement

Current through Vol. 24-12, July 15, 2024
Rule 109.
(1) An
				  institution shall have and follow a current written program statement which
				  specifically addresses all of the following:
(a) The types of children to be admitted for
				  care.
(b) The services provided to
				  residents and parents directly by the institution and the services provided by
				  outside resources.
(c) Policies and
				  procedures pertaining to admission, care, safety, and supervision, methods for
				  addressing residents' needs, implementation of treatment plans, and discharge
				  of residents.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4110 - Employees qualified under prior rules

Current through Vol. 24-12, July 15, 2024
Rule 110. An employee in a position approved before the
					 effective date of these rules is deemed to be qualified for that position at
					 the institution. A person appointed to a position after the date of these rules
					 shall meet the qualifications of these rules for that
					 position.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4111 - Job description

Current through Vol. 24-12, July 15, 2024
Rule 111. An institution shall provide a job description
					 for each staff position that identifies rules, required qualifications, and
					 lines of authority.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4112 - Criminal history check, subject to requirements; staff qualifications

Current through Vol. 24-12, July 15, 2024
Rule 112.
(1) Child
				  caring institutions subject to
				  42 USC
				  671 shall not permit a child caring
				  institution staff member to begin working unless all the following has been
				  completed using the forms, and in the manner, prescribed by the department:
(a) A criminal record check as referenced in
				  R
				  400.4113(f), including a
				  fingerprint-based check of national crime information databases, unless an
				  alternative criminal history check has been approved by the federal
				  government.
(b) A check of
				  Michigans child abuse and neglect central registry or Canadian provincial
				  agency as referenced in
				  R
				  400.4113(i).
(c) A check of other states child abuse
				  registry that the person has lived in within the preceding five
				  years.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4113 - Employee records

Current through Vol. 24-12, July 15, 2024
Rule 113. An institution shall maintain employee records
					 for each employee and shall include documentation of all of the following
					 information prior to employment or at the time specified in this rule:
(a) Name.
(b) A true copy of verification of education
				  from an accredited college or university where minimum education requirements
				  are specified by rule.
(c)
				  Verification of high school diploma or GED when specified by rule.
(d) Work history.
(e) Three dated references which are obtained
				  prior to employment from persons unrelated to the employee and which are less
				  than 12 months old.
(f) A record of
				  any convictions other than minor traffic violations from either of the
				  following entities:
(i) Directly from the
				  Michigan state police or the equivalent state law enforcement agency, Canadian
				  province, or other country where the person usually resides or has resided in
				  the previous 5 years.
(ii) From an
				  entity accessing either Michigan state police records or equivalent state,
				  Canadian provincial, or other country law enforcement agency where the person
				  usually resides or has resided in the previous 5 years.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4114 - Tuberculosis screening for employees and volunteers

Current through Vol. 24-12, July 15, 2024
Rule 114. The licensee shall document, prior to employment,
					 that each employee and volunteer who has contact with residents 4 or more hours
					 per week for more than 2 consecutive weeks is free from communicable
					 tuberculosis. Freedom from communicable tuberculosis shall be verified within
					 the 1 year period before employment and shall be verified every 1 year after
					 the last verification or prior to the expiration of the current
					 verification.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4115 - First aid; CPR

Current through Vol. 24-12, July 15, 2024
Rule 115. A person certified within the preceding 36 months
					 in first aid and within the preceding 24 months in age-appropriate
					 cardiopulmonary resuscitation by the American Red Cross, the American Heart
					 Association, or an equivalent organization or institution approved by the
					 department shall be on duty at all times when 1 or more children are
					 present.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4116 - Chief administrator; responsibilities

Current through Vol. 24-12, July 15, 2024
Rule 116.
(1) An
				  agency shall assign the chief administrator responsibility for the on-site
				  day-to-day operation of the institution and for ensuring compliance with these
				  rules.
(2) An institutions chief
				  administrator shall be administratively responsible annually for all of the
				  following functions:
(a) Not less than once
				  annually, conduct a written assessment and verify the agency's compliance with
				  these rules.
(b) Develop and
				  implement a written plan to correct, within 6 months, rule violations
				  identified as a result of the assessment conducted pursuant to subdivision (a)
				  of this subrule.
(c) Conduct a
				  written evaluation of trends and patterns of all unplanned
				  discharges.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4117 - Chief administrator; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 117.
(1) A
				  chief administrator, at the time of appointment, shall possess either of the
				  following:
(a) A master's degree in a human
				  behavioral science, education, business administration, or public
				  administration from an accredited college or university and 2 years of
				  experience in a child caring institution or child placing agency or equivalent
				  organization from another state or Canadian province.
(b) A bachelor's degree with a major in
				  education, a human behavioral science, business administration, or public
				  administration from an accredited college or university and 4 years of
				  post-bachelor's degree experience in a child caring institution or child
				  placing agency or equivalent organization from another state or Canadian
				  province.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4118 - Social service supervisor; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 118. A social service supervisor, at the time of
					 appointment to the position, shall possess either of the following:
(a) A master's degree in a human behavioral
				  science from an accredited college or university and 2 years of experience as a
				  social service worker.
(b) A
				  bachelor's degree in a human behavioral science or another major with 25% of
				  the credits in a human behavioral science from an accredited college or
				  university and 4 years of experience as a social service worker.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4119 - Social service worker; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 119. A social service worker, at the time of
					 appointment to the position, shall possess a bachelor's degree with a major in
					 a human behavioral science from an accredited college or university or another
					 major with 25% of credits in human behavioral sciences.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4120 - Supervisor of direct care workers; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 120. A supervisor of direct care workers shall have 1
					 of the following:
(a) A bachelor's
				  degree from an accredited college or university and 2 years of work experience
				  in a child caring institution.
(b)
				  Two years of college from an accredited college or university and 3 years of
				  work experience in a child caring institution.
(c) A high school diploma and 4 years of work
				  experience in a child caring institution.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4122 - Resident and parent visitation

Current through Vol. 24-12, July 15, 2024
Rule 122. An institution shall provide for visits between
					 each resident and the resident's parents, unless parental rights have been
					 terminated or the resident's record contains documentation that visitation is
					 detrimental to the resident.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4123 - Education

Current through Vol. 24-12, July 15, 2024
Rule 123.
(1) An
				  institution shall not admit a child for care unless an appropriate educational
				  program can be provided.
(2)
				  Provision shall be made for an appropriate education program in accordance with
				  1976 PA 451, MCL 380.1 to 380.1853. Each resident of school age shall be
				  enrolled not later than 5 school days after admission and continuously
				  thereafter.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4124 - Communication

Current through Vol. 24-12, July 15, 2024
Rule 124. An institution shall have and follow a written
					 policy regarding communication that ensures that a child is able to communicate
					 with family and friends in a manner appropriate to the child's functioning and
					 consistent with the child's treatment plan and security
					 level.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4125 - Personal possessions; money; clothing; storage space

Current through Vol. 24-12, July 15, 2024
Rule 125.
(1) A
				  licensee shall have a written policy that designates all of the following:
(a) The method used to safeguard residents'
				  personal possessions and money.
(b)
				  The method used to accurately account for and return possessions and money to
				  the resident or guardian upon discharge.
(c) The method for ensuring that each
				  resident has sufficient clean, properly fitting, seasonal clothing.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4126 - Sufficiency of staff

Current through Vol. 24-12, July 15, 2024
Rule 126 The licensee shall have a sufficient number of
					 administrative, supervisory, social service, direct care, and other staff on
					 duty to perform the prescribed functions required by these administrative rules
					 and in the agency's program statement and to provide for the continual needs,
					 protection, and supervision of residents.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4127 - Staff-to-resident ratio

Current through Vol. 24-12, July 15, 2024
Rule 127.
(1) The
				  licensee shall develop and adhere to a written staff-to-resident ratio formula
				  for direct care workers.
(2) At a
				  minimum, 1 direct care worker shall be responsible for not more than 10
				  residents at 1 time during residents' normal awake hours and not more than 20
				  residents at 1 time during the residents' normal sleeping hours.
(3) The ratio formula for direct care workers
				  shall correspond with the institution's purpose and the needs of the residents
				  and shall assure the continual safety, protection, and direct care and
				  supervision of residents.
(4) When
				  residents are asleep or otherwise outside of the direct supervision of staff,
				  staff shall perform variable interval, eye-on checks of residents. The time
				  between the variable interval checks shall not exceed fifteen
				  minutes.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4128 - Initial staff orientation and ongoing staff training

Current through Vol. 24-12, July 15, 2024
Rule 128.
(1) The
				  licensee shall provide an orientation program for new employees. Job shadowing
				  shall not be the only form of orientation.
The orientation shall include the following:
(a) The institution's purpose, policies, and
				  procedures, including discipline, crisis intervention techniques, and emergency
				  and safety procedures.
(b) The role
				  of the staff members as related to service delivery and protection of the
				  children.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4129 - Institutions serving developmentally disabled youth; written procedures

Current through Vol. 24-12, July 15, 2024
Rule 129. An institution providing care to developmentally
					 disabled residents shall require staff to follow written procedures for
					 bathing, feeding, toilet training, and daily activities of
					 residents.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4130 - Privacy and confidentiality

Current through Vol. 24-12, July 15, 2024
Rule 130.
(1) An
				  institution shall assure resident and parent privacy and confidentiality and
				  shall protect residents from exploitation.
(2) A resident's identity may be disclosed
				  for public purposes or publicity only after both of the following criteria are
				  met:
(a) The parent has consented.
(b) The resident has consented if the
				  resident is capable of consent.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4131 - Compliance with child protection law; development of plan required

Current through Vol. 24-12, July 15, 2024
Rule 131. The licensee shall develop and implement a
					 written plan to assure compliance with the child protection law, 1975 PA 238,
					 MCL 722.621 to 722.638.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4132 - Grievance procedures

Current through Vol. 24-12, July 15, 2024
Rule 132.
(1) An
				  agency shall have and follow a written grievance handling procedure for
				  residents and their families. All of the following apply:
(a) The policy shall be provided to
				  residents, their families, and referring sources prior to or at
				  admission.
(b) The policy shall be
				  explained in a language the resident and his or her family can
				  understand.
(c) There shall be
				  written acknowledgement the policy was provided as required in subdivision (a)
				  of this subrule.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4133 - Institutional care for children under 6 years of age

Current through Vol. 24-12, July 15, 2024
Rule 133. A child under 6 years of age shall not remain in
					 an institution for more than 30 days, unless this stay is documented to be in
					 the best interest of the child.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4134 - Religious/spiritual policy and practices

Current through Vol. 24-12, July 15, 2024
Rule 134.
(1) The
				  institution shall have and follow a policy on religious/spiritual participation
				  that contains, at a minimum, both of the following:
(a) A resident shall not be prohibited from
				  participating in religious activities and services in accordance with the
				  resident's own faith and parental direction as long as the participation does
				  not conflict with the safety and security of the facility.
(b) A resident shall not be compelled to
				  attend religious services or religious education nor be disciplined for failing
				  to attend.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4135 - Resident work experience

Current through Vol. 24-12, July 15, 2024
Rule 135.
(1) An
				  institution shall have and follow a written policy regarding work experiences
				  for residents that specifies, at a minimum, all of the following:
(a) How and when residents are or are not
				  compensated for working.
(b) Means
				  of protection from exploitation.
(c) The types of work experience that
				  residents will engage in.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4136 - Recreational activities, equipment, and supplies; swimming restriction

Current through Vol. 24-12, July 15, 2024
Rule 136.
(1) An
				  institution shall have and follow a written policy regarding recreational
				  activities, equipment maintenance, appropriate supervision related to age of
				  youth and developmental level of youth, and training of staff involved in
				  recreational activities.
(2)
				  Residents shall be provided a variety of indoor and outdoor recreational
				  activities designed to meet the residents' needs.
(3) An institution shall provide appropriate
				  recreation supplies and equipment.
(4) Swimming shall be permitted only where
				  and when a qualified lifeguard is on duty and who is not counted in the
				  staffing ratio.
(5) As used in this
				  rule, high adventure activity means a program that requires specially trained
				  staff or special safety precautions to reduce the possibility of an accident.
				  If the institution provides high adventure activities, including swimming, the
				  institution shall have and follow a program statement that covers all of the
				  following:
(a) Activity leader training and
				  certification and experience qualifications appropriate to the
				  activity.
(b) Specific
				  staff-to-resident ratio appropriate to the activity.
(c) Classifications and limitations for
				  resident participation.
(d)
				  Arrangement, maintenance, and inspection of the activity area.
(e) Equipment and the biannual inspection and
				  maintenance of the equipment and the program by a nationally recognized
				  inspection process.
(f) Safety
				  precautions.
(g) High adventure
				  activities shall be conducted by an adult who has training or experience in
				  conducting the activity.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4137 - Sleeping rooms

Current through Vol. 24-12, July 15, 2024
Rule 137.
(1)
				  Residents may be required to remain in their assigned rooms for up to 30
				  minutes to accommodate staff shift changes.
(2) Residents of the opposite sex, if either
				  is over 5 years of age, shall not sleep in the same sleeping room.
(3) In new and converted institutions, single
				  occupant sleeping rooms shall not be less than 70 square feet, exclusive of
				  closet space.
(4) In new and
				  converted institutions, multi-occupant sleeping rooms shall not be less than 45
				  square feet per occupant, exclusive of closet space.
(5) In new or converted secure institutions,
				  locked resident sleeping rooms shall be equipped with a 2-way monitoring
				  device.
(6) In programs that accept
				  children less than 2 years of age, the following safe sleep conditions shall be
				  followed:
(a) Infants, birth to 12 months of
				  age, shall rest alone in a crib that meets all of the following conditions:
(i) Has a firm, tight-fitting mattress with a
				  waterproof, washable covering.
(ii)
				  Does not have any loose, missing, or broken hardware or slats.
(iii) Has not more than 2 3/8 inches between
				  slats.
(iv) Has no corner posts
				  over 1/16 inches high.
(v) Has no
				  cutout designs in the headboard or footboard.
(vi) Has a tightly fitted bottom sheet that
				  covers the mattress with no additional padding placed between the sheet and
				  mattress.
(vii) Blankets shall not
				  be draped over cribs or bassinets.
(vii) Soft objects, bumper pads, stuffed
				  toys, blankets, quilts or comforters, and other objects that could smother a
				  child shall not be placed with or under a resting or sleeping infant.
An infants head shall remain uncovered during sleep.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4138 - Bedding and linen

Current through Vol. 24-12, July 15, 2024
Rule 138.
(1) Each
				  resident shall be provided with an individual bed with a clean pillow, mattress
				  and sufficient clean blankets.
(2)
				  Each resident shall be provided with clean sheets and a pillowcase at least
				  weekly and more often if soiled.
(3) All bedding shall be in good repair and
				  shall be cleaned and sanitized before being used by another person.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4139 - Driver's license

Current through Vol. 24-12, July 15, 2024
Rule 139. The institution shall document that the driver of
					 any vehicle transporting residents at the request of or on behalf of the
					 licensee shall be an adult and possess a valid operator or chauffeur license
					 with endorsement appropriate to the vehicle driven and the circumstances of its
					 use.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4140 - Transportation

Current through Vol. 24-12, July 15, 2024
Rule 140.
(1) The
				  institution shall have and follow a policy on vehicle maintenance that ensures
				  vehicles are properly maintained.
(2) All vehicles shall be insured as required
				  by state law.
(3) Each resident
				  transported shall occupy a manufacturer's designated seat. A resident shall not
				  be transported in any portion of any vehicle not specifically designed by the
				  manufacturer for passenger transportation.
(4) Infants and children shall use age
				  appropriate child safety seats as required by state law.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4142 - Health services; policies and procedures

Current through Vol. 24-12, July 15, 2024
Rule 142.
(1) An
				  institution shall establish and follow written health service policies and
				  procedures addressing all of the following:
(a) Routine and emergency medical, dental,
				  and behavioral health care.
(b)
				  Health screening procedures.
(c)
				  Documentation of medical care and maintenance of health records.
(d) Storage of medications.
(e) Dispensing medication.
(f) Definition and training of personnel
				  authorized to dispense medications.
(g) Methods for dispensing medication when
				  the resident will be off site.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4143 - Medical treatment; supervision

Current through Vol. 24-12, July 15, 2024
Rule 143. Medical treatment shall be under the supervision
					 of a licensed physician or other licensed health professional as permitted by
					 law.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4144 - Admission health screening; physical examinations

Current through Vol. 24-12, July 15, 2024
Rule 144.
(1) An
				  initial health screening shall be completed for each resident within 24 hours
				  of admission to a facility.
(2) An
				  institution shall have the following documentation of an admission physical
				  examination for each resident, unless an earlier examination is medically
				  indicated:
(a) For a resident under 3 years of
				  age, a physical examination shall have been completed within 90 calendar days
				  prior to admission or a new physical examination shall be completed within 30
				  calendar days after admission.
(b)
				  For a resident 3 years of age or older, a physical examination shall have been
				  completed within 1 year prior to admission or a new physical examination shall
				  be completed within 30 calendar days after admission.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4145 - Periodic physical examinations

Current through Vol. 24-12, July 15, 2024
Rule 145.
(1) An
				  institution shall provide and document periodic physical examination for each
				  resident as follows, unless greater frequency is medically indicated:
(a) At least once every 3 months for
				  residents under 1 year of age.
(b)
				  At least once every 14 months for residents 1 year of age or older.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4146 - Immunizations

Current through Vol. 24-12, July 15, 2024
Rule 146.
(1) A
				  resident shall have current immunizations as required by the department of
				  community health.
(2) If
				  documentation of immunizations is unavailable, immunizations shall begin within
				  30 calendar days of admission, unless a statement from a physician indicating
				  that immunizations are contraindicated is included in the residents
				  record.
(3) A written statement
				  from a physician, referring agency, parent, or guardian indicating
				  immunizations are current is sufficient documentation of
				  immunizations.
(4) Nothing in the
				  rules adopted under 1973 PA 116 shall authorize or require immunizations for
				  any child whose parent objects on religious grounds. If a parent objects to
				  immunizations on religious grounds, the objection shall be made in writing to
				  the institution and retained in the residents file.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4147 - Dental care

Current through Vol. 24-12, July 15, 2024
Rule 147.
(1) A
				  licensee shall provide for and document dental examinations and treatment for
				  each resident 3 years of age and older.
(2) A dental examination within 12 months
				  prior to admission shall be documented or there shall be an examination not
				  later than 90 calendar days following admission.
(3) Reexamination shall be provided at least
				  every 14 months unless greater frequency is indicated.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4148 - Personal hygiene

Current through Vol. 24-12, July 15, 2024
Rule 148. An institution shall assure that each resident
					 maintains or receives personal care, hygiene, and grooming appropriate to the
					 resident's age, sex, race, cultural background, and health
					 needs.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4149 - Resident nutrition

Current through Vol. 24-12, July 15, 2024
Rule 149.
(1) A
				  licensee shall provide a minimum of 3 nutritious edible meals daily unless
				  medically contraindicated and documented.
(2) Meals shall be of sufficient quantity to
				  meet the nutritional allowances recommended by USDA guidelines:
				  (www.healthierus.gov/dietaryguidelines [File Link Not Available])
(3) A resident who has been prescribed a
				  special diet by a physician shall be provided such a diet.
(4) Menus, including snacks if provided,
				  shall be written and posted prior to the serving of the meal. Any change or
				  substitution shall be noted and considered as part of the original menu. Menus
				  shall be retained for 1 year.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4150 - Incident reporting

Current through Vol. 24-12, July 15, 2024
Rule 150.
(1) Any
				  incident resulting in serious injury of a resident or illness requiring
				  inpatient hospitalization, shall be reported to the parent/ legal guardian,
				  responsible referring agency, and the licensing authority as soon as possible,
				  but not more than 24 hours after the incident.
(2) The death of a resident shall be reported
				  immediately to the parent/legal guardian or next of kin, law enforcement, the
				  licensing authority, and the referring agency.
(3) If an institution determines that a youth
				  is absent without legal permission, then the institution shall immediately
				  report the information to law enforcement, the parent/legal guardian or next of
				  kin, the licensing authority, and the referring agency.
(4) When a residents behavior results in
				  contact with law enforcement, the incident shall be reported to the
				  parent/legal guardian, responsible referring agency, and the licensing
				  authority as soon as possible, but not more than 24 hours after the
				  incident.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4151 - Emergency; continuity of operation procedures

Current through Vol. 24-12, July 15, 2024
Rule 151.
(1) An
				  institution shall establish and follow written emergency procedures that have
				  been approved by the department that maintain the continuity of operations for
				  a minimum of 72 hours to assure the safety of residents for the following
				  circumstances:
(a) Fire.
(b) Severe weather.
(c) Medical emergencies.
(d) Missing persons.
(f) Disasters.
(g) Utility failures.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4152 - Initial documentation

Current through Vol. 24-12, July 15, 2024
Rule 152. At the time of admission, all of the following
					 shall be in the resident's case record:
(a) Name, address, birth date, gender, race,
				  height, weight, hair color, eye color, identifying marks, religious preference,
				  and school status.
(b) A photograph
				  taken within the previous 12 months.
(c) A brief description of the resident's
				  preparation for placement and general physical and emotional state at the time
				  of admission.
(d) Name, address,
				  and marital status of parents and name and address of legal guardian, if
				  known.
(e) Date of admission and
				  legal status.
(f) Documentation of
				  legal right to provide care.
(g)
				  Authorization to provide medical, dental, and surgical care and treatment as
				  provided in section 14 a(1), (2), and (3) of 1973 PA 116, MCL
				  722.124a.
(h) A brief description
				  of the circumstances leading to the need for care.
(i) Documentation that the grievance policy
				  was provided as required in
				  R
				  400.4132.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4153 - Shelter care and detention institutions; preliminary service plans

Current through Vol. 24-12, July 15, 2024
Rule 153. Within 7 calendar days of admission, a plan shall
					 be developed for each resident. The plan shall include all of the
					 following:
(a) The reason for
				  care.
(b) An assessment of the
				  residents immediate and specific needs.
(c) The specific services to be provided by
				  the institution.
(d) Other
				  resources to meet the residents needs.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4154 - Shelter care and detention institutions; service plans

Current through Vol. 24-12, July 15, 2024
Rule 154.
(1)
				  Within 30 calendar days after admission and every 15 calendar days thereafter,
				  an institution shall complete a written service plan. The service plan shall
				  include all of the following:
(a) The reason
				  for continued care.
(b) Evaluation
				  of service needs.
(c) Ongoing
				  service needs.
(d) How service
				  needs will be met.
(e) Unmet
				  service needs and the reasons those needs are unmet.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4155 - Institutions not detention institutions or shelter care institutions; initial treatment plan

Current through Vol. 24-12, July 15, 2024
Rule 155.
(1) The
				  social service worker shall complete, sign, and date an initial treatment plan
				  for each resident within 30 calendar days of admission.
(2) The initial treatment plan developed by
				  the social worker shall document input from the resident, the residents
				  parents, direct care staff, and the referral source, unless documented as
				  inappropriate.
(3) The initial
				  treatment plan shall include all of the following:
(a) An assessment of the residents and
				  family's strengths and needs.
(b)
				  Plans for parent and child visitation.
(c) Treatment goals to remedy the problems of
				  the resident and family, and time frames for achieving the goals.
(d) Indicators of goal achievement.
(e) The person responsible for coordinating
				  and implementing the resident and family treatment goals.
(f) Staff techniques for achieving the
				  residents treatment goals, including a specific behavior management plan. The
				  plan shall be designed to minimize seclusion and restraint and include a
				  continuum of responses to problem behaviors.
(g) Projected length of stay and next
				  placement.
(h) For youth who are
				  permanent court wards or MCI wards, there must be documented co-ordination with
				  the agency assigned to complete adoption or permanency planning for the
				  youth.
(i) For youth 14 years of
				  age and over, a plan to prepare the youth for functional
				  independence.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4156 - Institutions not detention institutions or shelter care institutions; updated treatment plan

Current through Vol. 24-12, July 15, 2024
Rule 156.
(1) The
				  social service worker shall complete, sign, and date an updated treatment plan
				  for each resident at least once every 90-calendar days following the initial
				  treatment plan.
(2) The updated
				  treatment plan developed by the social worker shall document input from the
				  resident, the resident's parents, direct care staff, and the referral source,
				  unless documented as inappropriate.
(3) The updated treatment plan shall include
				  all of the following information:
(a) Dates,
				  persons contacted, type of contact, and place of contact.
(b) Progress made toward achieving the goals
				  established in the previous treatment plan.
(c) Changes in the treatment plan, including
				  new problems and new goals to remedy the problems. Indicators of goal
				  achievement and time frames for achievement shall be specified along with a
				  specific behavior management plan designed to minimize seclusion and restraint
				  and that includes a continuum of responses to problem behaviors.
(d) For youth who are permanent court wards
				  or MCI wards, there must be documented co-ordination with the agency assigned
				  to complete adoption or permanency planning for the youth.
(e) For youth 14 years of age and over, a
				  plan to prepare the youth for functional independence.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4157 - Behavior management

Current through Vol. 24-12, July 15, 2024
Rule 157.
(1) An
				  institution shall establish and follow written policies and procedures that
				  describe the institutions behavior management system. The policies and
				  procedures shall be reviewed annually and updated as needed. These shall be
				  available to all residents, their families, and referring agencies.
(2) At a minimum, the behavior management
				  system shall include all of the following:
(a)
				  A structured system designed to reward the positive behavior of individual
				  residents based upon the effort put forth.
(b) Positive intervention strategies to
				  assist residents in developing improved problem solving, self-management, and
				  social skills.
(c) Written
				  guidelines for informally resolving minor misbehavior.
(d) Written rules of conduct that specify all
				  of the following:
(i) Expected
				  behavior.
(ii) Acts that are
				  prohibited in the institution.
(iii) The range of interventions that may be
				  imposed for violation of those rules.
(e) Scheduled training for institution
				  personnel in the behavior management system.
(f) A provision for resident input into the
				  proper application of the behavior management system.
(g) A provision for the distribution of
				  behavior management policies and procedures to residents, parents, and referral
				  agencies.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4158 - Intervention standards and prohibitions

Current through Vol. 24-12, July 15, 2024
Rule 158.
(1) A
				  child caring institution shall establish and follow written policies and
				  procedures that prohibit the following forms of intervention:
(a) Any type of physical punishment
				  including, but not limited to:
(i) Use of
				  chemical agents including, but not limited to, pepper spray, tear gas, and
				  mace.
(ii) Hitting or striking,
				  throwing, kicking, pulling, or pushing a youth on any part of their
				  body.
(iii) Threats of restraint,
				  seclusion, punishment, or otherwise suggesting physical or emotional harm to a
				  youth.
(iv) Verbal abuse including
				  the use of derogatory or discriminatory language including negative references
				  to a youth's background or appearance or mental state. Yelling, threats,
				  ridicule, or humiliation are strictly prohibited.
(v) Peer-on-peer discipline.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4159 - Youth restraint; pregnant youth; reduction, prevention; prohibited restraints; elimination of restraints

Current through Vol. 24-12, July 15, 2024
Rule 159.
(1) A
				  child caring institution, including private secure juvenile justice facilities,
				  shall establish a process improvement and restraint reduction/elimination plan
				  that:
(a) Includes documentation of each
				  restraint.
(b) Requires staff
				  training in approved crisis prevention and intervention techniques including:
(i) Prevention, de-escalation techniques, and
				  non-violent responses to assaultive behavior.
(ii) Conflict management.
(iii) Minimizing trauma.
(iv) Staff emotional self-regulation
				  techniques.
(c) Training
				  must be conducted by certified trainers.
(d) Staff must complete refresher training
				  annually or more frequently as needed.
(e) The agency must maintain documentation
				  verifying staff training.
(f) The
				  agency will review all restraints at least monthly.
(g) The agency shall establish a restraint
				  reduction committee, including youth and family representation, for the purpose
				  of analysis, process improvement, communication, and recognition of efforts to
				  eliminate the use of restraints.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4160 - Emergency restraint

Current through Vol. 24-12, July 15, 2024
Rule 160. The use of emergency restraint as a lifesaving
					 response for a youth will be limited to:
(a) An emergency response to protect the
				  youth or others from an unanticipated or severely aggressive behavior that
				  places the youth or others at serious threat of violence or injury if no
				  immediate intervention occurs.
(b)
				  When all other interventions in the agency's crisis prevention and intervention
				  plan and the youth's individual safety and calming plan have been utilized but
				  fail to protect the youth or others from unanticipated or severely aggressive
				  behavior that places the youth or others at serious threat of violence or
				  injury if no immediate intervention occurs.
(c) The emergency restraint must not last
				  longer than needed to end the threat of serious physical harm.
(d) Staff must continuously monitor the
				  youth's breathing and other signs of physical distress and take appropriate
				  action to ensure adequate respiration, circulation, and overall
				  well-being.
(e) When an emergency
				  health situation occurs or the youth exhibits sign of physical distress during
				  the restraint, staff must immediately obtain treatment for the youth.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4161 - Secure juvenile justice facilities, mechanical restraint; policies and procedures; prohibitions

Current through Vol. 24-12, July 15, 2024
Rule 161.
(1)
				  Secure juvenile justice facilities must develop and implement written policies
				  and procedures regarding the use of mechanical restraint in actual practice in
				  secure detention and residential treatment juvenile justice
				  facilities.
(2) Staff are
				  prohibited from doing the following:
(a)
				  Handcuffing youth together during transportation or restraining youth to a
				  vehicle.
(b) Leaving sleeping youth
				  in restraints.
(c) Leaving a
				  restrained youth alone.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4162 - Seclusion within secure and nonsecure facilities; seclusion plan; prohibitions; reduction and elimination

Current through Vol. 24-12, July 15, 2024
Rule 162.
(1) An
				  agency must establish a process improvement and a seclusion
				  reduction/elimination plan that addresses the following areas:
(a) Requires staff training in approved
				  crisis prevention and intervention techniques including:
(i) Prevention, de-escalation techniques, and
				  non-violent response to assaultive behavior.
(ii) Conflict management.
(iii) Minimizing and addressing trauma for
				  youth and staff.
Michigan Administrative Code › Department - Health and Human Services › Childrens Services Agency › Licensing Rules for Child Caring Institutions › Part 1 - GENERAL PROVISIONS › Section R. 400.4163 - Health status assessment; notification; debriefing; reporting

Current through Vol. 24-12, July 15, 2024
Rule 163.
(1) The
				  agency shall develop and implement written procedures for health status
				  screening, notifications, debriefing, and reporting when a restraint, including
				  an emergency restraint, or seclusion is used.
(2) Health status screening of the youth will
				  occur immediately after seclusion or restraint by staff assigned to this
				  screening, as defined in agency policy. If the youth has any physical
				  complaints or if the screening staff has any concerns, depending on the
				  severity of the complaint or concerns, the staff will arrange for the youth's
				  health needs to be met immediately by any of the following actions:
(a) Consultation with the on-call or onsite
				  nursing staff.
(b) Referral for an
				  off-site health assessment.
(c)
				  Contacting emergency medical services.