reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1700 - RESIDENTIAL TREATMENT STAFF SECURE FOR CHILDREN OR ADOLESCENTS › Section 27G .1706 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  shall serve no more than a total of 12 children and adolescents.
(b) Family members or other legally
				  responsible persons shall be involved in development of plans in order to
				  assure a smooth transition to a less restrictive setting.
(c) The residential treatment staff secure
				  facility shall coordinate with the local education agency to ensure that the
				  child's educational needs are met as identified in the child's education plan
				  and the treatment plan. Most of the children will be able to attend school; for
				  others, the facility will coordinate services across settings such as
				  alternative learning programs, day treatment, or a job placement.
(d) Psychiatric consultation shall be
				  available as needed for each child or adolescent.
(e) If an adolescent has his 18th birthday
				  while receiving treatment in the facility, he may remain for six months or
				  until the end of the state fiscal year, whichever is longer.
(f) Each child or adolescent shall be
				  entitled to age-appropriate personal belongings unless such entitlement is
				  counter-indicated in the treatment plan.
(g) Each facility shall operate 24 hours per
				  day, seven days per week, and each day of the year.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. April
					 3, 2006 pursuant to E.O. 101, Michael F. Easley, March 27, 2006;
Pursuant to
					 G.S.
					 150B-21.3(c), a bill was not
					 ratified by the General Assembly to disapprove this rule;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1700 - RESIDENTIAL TREATMENT STAFF SECURE FOR CHILDREN OR ADOLESCENTS › Section 27G .1707 - PERSONS PERMITTED IN THE FACILITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Only
				  admitted children or adolescents, legally responsible persons, staff, other
				  family and friends identified in the treatment plan, and others permitted by
				  the facility director shall be permitted on the premises.
(b) Individuals other than those specified in
				  Paragraph (a) of this Rule are prohibited from entering the facility except in
				  instances of emergency or as permitted by law.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. April
					 3, 2006 pursuant to E.O. 101, Michael F. Easley, March 27, 2006;
Pursuant to
					 G.S.
					 150B-21.3(c), a bill was not
					 ratified by the General Assembly to disapprove this rule;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1700 - RESIDENTIAL TREATMENT STAFF SECURE FOR CHILDREN OR ADOLESCENTS › Section 27G .1708 - TRANSFER OR DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of
				  this Rule is to address the transfer or discharge of a child or adolescent from
				  the facility.
(b) A child or
				  adolescent shall not be discharged or transferred from a facility, except in
				  case of emergency, without the advance written notification of the treatment
				  team, including the legally responsible person. For purposes of this Rule,
				  treatment team means the same as the existing child and family team or other
				  involved persons as set forth in Paragraph (c) of this Rule.
(c) The facility shall meet with existing
				  child and family teams or other involved persons including the parent(s) or
				  legal guardian, area authority or county program representative(s) and other
				  representatives involved in the care and treatment of the child or adolescent,
				  including local Department of Social Services, Local Education Agency and
				  criminal justice agency, to make service planning decisions prior to the
				  transfer or discharge of the child or adolescent from the facility.
(d) In case of an emergency, the facility
				  shall notify the treatment team including the legally responsible person of the
				  transfer or discharge of the child or adolescent as soon as the emergency
				  situation is stabilized.
(e) In
				  case of an emergency, notification may be by telephone. A service planning
				  meeting as set forth in Paragraph (c) of this Rule shall be held within five
				  business days of an emergency transfer or discharge.
G.S. 122C-26;
					 143B-147;
Eff. April
					 3, 2006 pursuant to E.O. 101, Michael F. Easley, March 27, 2006;
Pursuant to
					 G.S.
					 150B-21.3(c), a bill was not
					 ratified by the General Assembly to disapprove this rule;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1800 - INTENSIVE RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS › Section 27G .1801 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An intensive residential treatment
				  facility is one that is a 24-hour residential facility that provides a
				  structured living environment within a system of care approach for children or
				  adolescents whose needs require more intensive treatment and supervision than
				  would be available in a residential treatment staff secure facility.
(b) It shall not be the primary residence of
				  an individual who is not a client of the facility.
(c) The population served shall be children
				  or adolescents who have a primary diagnosis of mental illness, severe emotional
				  and behavioral disorders or substance-related disorders; and may also have
				  co-occurring disorders including developmental disabilities. These children or
				  adolescents shall not meet criteria for acute inpatient psychiatric
				  services.
(d) The children or
				  adolescents served shall require the following:
(1) removal from home to an intensive
				  integrated treatment setting; and
(2) treatment in a locked setting.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1800 - INTENSIVE RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS › Section 27G .1802 - REQUIREMENTS OF LICENSED PROFESSIONALS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Each facility shall have at least one full-time licensed professional. For
				  purposes of this Rule, licensed professional means an individual who holds a
				  license or provisional license issued by the governing board regulating a human
				  service profession in the State of North Carolina. For substance related
				  disorders this shall include a Licensed Clinical Addiction Specialist or a
				  Certified Clinical Supervisor.
(b)
				  The governing body responsible for each facility shall develop and implement
				  written policies that specify the clinical and administrative responsibilities
				  of its licensed professional(s). At a minimum these policies shall include:
(1) supervision of direct care
				  staff;
(2) oversight of
				  emergencies;
(3) provision of
				  direct clinical psychoeducational services to children, adolescents or
				  families;
(4) participation in
				  treatment planning meetings; and
(5) coordination of each child or
				  adolescent's treatment plan.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1800 - INTENSIVE RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS › Section 27G .1803 - REQUIREMENTS OF QUALIFIED PROFESSIONALS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Each facility shall have at least one full-time qualified professional as set
				  forth in 10A NCAC 27G
				  .0104(18). In addition, the qualified
				  professional shall have two years of direct client care experience.
(b) For each facility:
(1) a qualified professional shall perform
				  clinical and administrative responsibilities a minimum of 40 hours each week;
				  and
(2) 75% shall occur when
				  children or adolescents are awake and present in the facility.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1800 - INTENSIVE RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS › Section 27G .1804 - MINIMUM STAFFING REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  Qualified Professional shall be available by telephone or page. A direct care
				  staff shall be able to reach the facility within 30 minutes at all
				  times.
(b) If children or
				  adolescents are cared for in separate units/buildings, the minimum staffing
				  numbers shall apply to each unit/building.
(c) The minimum number of direct care staff
				  required when children or adolescents are present and awake is as follows:
(1) three direct care staff shall be present
				  for up to six children or adolescents;
(2) four direct care staff shall be present
				  for seven, eight or nine children or adolescents; and
(3) five direct care staff shall be present
				  for 10, 11 or 12 children or adolescents.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1800 - INTENSIVE RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS › Section 27G .1805 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  shall serve no more than 12 children or adolescents.
(b) Family members or other legally
				  responsible persons shall be involved in development of plans in order to
				  assure a smooth transition to a less restrictive setting.
(c) Educational services within the facility
				  shall be arranged and designed to maintain the educational and intellectual
				  development of the child or adolescent. Treatment staff shall coordinate with
				  the local education agency to ensure that the child or adolescent's educational
				  needs are met as identified in the education plan.
(d) Psychiatric consultation shall be
				  available as needed for each child or adolescent.
(e) If an adolescent has his 18th birthday
				  while receiving treatment in the facility, he may remain for six months or
				  until the end of the state fiscal year, whichever is longer.
(f) Each child or adolescent shall be
				  entitled to age-appropriate personal belongings unless such entitlement is
				  counter-indicated in the treatment plan.
(g) Each facility shall operate 24 hours per
				  day, seven days per week, and each day of the year.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. April
					 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1800 - INTENSIVE RESIDENTIAL TREATMENT FOR CHILDREN OR ADOLESCENTS › Section 27G .1806 - TRANSFER OR DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of
				  this Rule is to address the transfer or discharge of a child or adolescent from
				  the facility.
(b) A child or
				  adolescent shall not be discharged or transferred from a facility, except in
				  case of emergency, without the advance written notification of the treatment
				  team, including the legally responsible person. For purposes of this Rule,
				  treatment team means the same as the existing child and family team or other
				  involved persons as set forth in Paragraph (c) of this Rule.
(c) The facility shall meet with existing
				  child and family teams or other involved persons including the parent(s) or
				  legal guardian, area authority or county program representative(s) and other
				  representatives involved in the care and treatment of the child or adolescent,
				  including local Department of Social Services, Local Education Agency and
				  criminal justice agency, to make service planning decisions prior to the
				  transfer or discharge of the child or adolescent from the facility.
(d) In case of an emergency, the facility
				  shall notify the treatment team including the legally responsible person of the
				  transfer or discharge of the child or adolescent as soon as the emergency
				  situation is stabilized.
(e) In
				  case of an emergency, notification may be by telephone. A service planning
				  meeting as set forth in Paragraph (c) of this Rule shall be held within five
				  business days of an emergency transfer or discharge.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. April
					 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1900 - PSYCHIATRIC RESIDENTIAL TREATMENT FOR CHILDREN AND ADOLESCENTS › Section 27G .1901 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The rules in this Section apply to
				  psychiatric residential treatment facilities (PRTF)s.
(b) A PRTF is one that provides care for
				  children or adolescents who have mental illness or substance abuse/dependency
				  in a non-acute inpatient setting.
(c) The PRTF shall provide a structured
				  living environment for children or adolescents who do not meet criteria for
				  acute inpatient care, but do require supervision and specialized interventions
				  on a 24-hour basis.
(d) Therapeutic
				  interventions shall address functional deficits associated with the child or
				  adolescent's diagnosis and include psychiatric treatment and specialized
				  substance abuse and mental health therapeutic care. These therapeutic
				  interventions and services shall be designed to address the treatment needs
				  necessary to facilitate a move to a less intensive community setting.
(e) The PRTF shall serve children or
				  adolescents for whom removal from home or a community-based residential setting
				  is essential to facilitate treatment.
(f) The PRTF shall coordinate with other
				  individuals and agencies within the child or adolescent's catchment
				  area.
(g) The PRTF shall be
				  accredited through one of the following; Joint Commission on Accreditation of
				  Healthcare Organizations; the Commission on Accreditation of Rehabilitation
				  Facilities; the Council on. Accreditation or other national accrediting bodies
				  as set forth in the Division of Medical Assistance Clinical Policy Number 8D-1,
				  Psychiatric Residential Treatment Facility, including subsequent amendments and
				  editions. A copy of Clinical Policy Number 8D-1 is available at no cost from
				  the Division of Medical Assistance website at
				  http://www.dhhs.state.nc.us/dma/.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff.
					 November 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1900 - PSYCHIATRIC RESIDENTIAL TREATMENT FOR CHILDREN AND ADOLESCENTS › Section 27G .1902 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility shall be under the
				  direction a physician board-eligible or certified in child psychiatry or a
				  general psychiatrist with experience in the treatment of children and
				  adolescents with mental illness.
(b) At all times, at least two direct care
				  staff members shall be present with every six children or adolescents in each
				  residential unit.
(c) If the PRTF
				  is hospital based, staff shall be specifically assigned to this facility, with
				  responsibilities separate from those performed on an acute medical unit or
				  other residential units.
(d) A
				  psychiatrist shall provide weekly consultation to review medications with each
				  child or adolescent admitted to the facility.
(e) The PRTF shall provide 24 hour on-site
				  coverage by a registered nurse.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff.
					 November 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1900 - PSYCHIATRIC RESIDENTIAL TREATMENT FOR CHILDREN AND ADOLESCENTS › Section 27G .1903 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A PRTF may have
				  more than one residential unit. Each unit of a PRTF shall serve no more than 12
				  children or adolescents except as set out in Paragraph (b) of this Rule. Each
				  residential unit shall be administered, staffed, and located to function
				  separately from all other residential units in the facility.
(b) A facility licensed to provide PRTF
				  services with a unit capacity of greater than 12, as of the effective date of
				  these Rules may continue to provide these services at that greater capacity and
				  may continue to renew its license at that greater capacity.
(c) Discharge planning shall begin on the day
				  of admission. Efforts for discharge to a less restrictive community residential
				  setting shall be documented from the date of admission. Legally responsible
				  persons, family members or both and the child or adolescent shall be present at
				  discharge planning meetings.
(d)
				  Each facility shall operate 24-hours a day, seven days a week and each day of
				  the year.
(e) Family members or
				  other legally responsible persons shall be involved in the development and
				  implementation of treatment plans in order to assure a smooth transition to a
				  less restrictive setting.
(f)
				  Children or adolescents residing in a PRTF shall receive educational services
				  through a facility-based school. Educational services shall meet applicable
				  standards as required by federal and State law.
(g) Each child or adolescent shall be
				  entitled to age-appropriate personal belongings unless such entitlement is
				  counter-indicated in the treatment plan.
Authority
					 G.S.
					 143B-147;
Eff. November 1,
					 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .1900 - PSYCHIATRIC RESIDENTIAL TREATMENT FOR CHILDREN AND ADOLESCENTS › Section 27G .1904 - TRANSFER OR DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of
				  this Rule is to address the transfer or discharge of a child or adolescent from
				  the facility.
(b) A child or
				  adolescent shall not be discharged or transferred from a facility, except in
				  case of emergency, without the advance written notification of the treatment
				  team, including the legally responsible person. For purposes of this Rule,
				  treatment team means the same as the existing child and family team or other
				  involved persons as set forth in Paragraph (c) of this Rule.
(c) The PRTF shall meet with existing child
				  and family teams and other involved persons including the parent(s) or legal
				  guardian, area authority or county program representative(s) and other
				  representatives involved in the care and treatment of the child or adolescent
				  including local Department of Social Services, Local Education Agency and
				  criminal justice agency, to make service planning decisions prior to the
				  transfer or discharge of the child or adolescent from the facility.
(d) In case of an emergency, the facility
				  shall notify the treatment team including the legally responsible person of the
				  transfer or discharge the child or adolescent as soon as the emergency
				  situation is stabilized.
(e) In
				  case of an emergency, notification may be by telephone. A service planning
				  meeting as set forth in Paragraph (c) of this Rule shall be held within five
				  business days of an emergency transfer or discharge.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff.
					 November 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2000 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2100 - SPECIALIZED COMMUNITY RESIDENTIAL CENTERS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2101 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A specialized community residential
				  center is a 24-hour facility which provides care, treatment and developmental
				  training over an extended period of time, through integration of medical
				  services and close supervision, for individuals who are developmentally
				  disabled or have multiple disabilities.
(b) The service is designed to assist each
				  individual to attain his highest level of independent living skills while
				  receiving care for his physical needs.
(c) This facility may be certified for
				  Medicaid as an Intermediate Care Facility for the Mentally Retarded
				  (ICF/MR).
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2100 - SPECIALIZED COMMUNITY RESIDENTIAL CENTERS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2102 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility shall designate a director
				  who has experience in developmental disabilities and holds a baccalaureate
				  degree with specialization in administration, education, social work, nursing,
				  psychology or a related field or who has comparable experience and
				  education.
(b) At least one
				  registered nurse or licensed practical nurse shall be on the grounds of the
				  facility at all times.
(c) Each
				  facility shall have at least one registered nurse on staff.
(d) During waking hours, the following
				  minimum client to staff ratios shall be in effect for each building:
(1) a minimum of two direct care staff
				  members shall be on duty at all times; and
(2) a minimum of one direct care staff member
				  shall be on duty for every five clients.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2100 - SPECIALIZED COMMUNITY RESIDENTIAL CENTERS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2103 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Capacity.
				  Facilities beginning operation subsequent to the effective date of these rules
				  shall be designed to serve no more than 30 clients at one location.
(b) Personal Clothing. Each client shall have
				  adequate changes of personal clothing at least daily.
(c) Daily Training Activities:
(1) Daily training activities shall be
				  scheduled to meet the developmental needs of each client.
(2) Activities shall take into consideration
				  the length of time each client should be scheduled for needed rest periods, his
				  need for individual attention, and special limitation of activities and
				  diets.
(3) Both free play and
				  organized recreational activities shall be provided as appropriate to
				  individual needs.
(4) Field trips
				  and community experiences shall be provided for individual clients.
(5) Daily routines common to non-disabled
				  clients shall be followed.
(6)
				  Daily outdoor activities shall be planned in acceptable weather when
				  appropriate to the health and physical needs of the client.
(7) When adults are served, vocational
				  services shall be provided unless there is medical contraindication.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2100 - SPECIALIZED COMMUNITY RESIDENTIAL CENTERS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2104 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
No more than six infants or children and no more than four
					 adolescents or adults may share an individual bedroom regardless of bedroom
					 size.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2200 - BEFORE/AFTER SCHOOL AND SUMMER DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES, OR ATYPICAL DEVELOPMENT › Section 27G .2201 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Before/after school developmental day
				  services for school age youth and preschool youth with or at risk for
				  developmental delays, developmental disabilities, or atypical development are
				  facilities that provide individual habilitative programming and recreational
				  activities.
(1) Services are provided
				  preceding and following the school day during the months of local school
				  operation and shall be designed to meet developmental needs of the client as
				  well as the child care needs of families.
(2) Before/after school services may be
				  provided as a component of a developmental day center.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2200 - BEFORE/AFTER SCHOOL AND SUMMER DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES, OR ATYPICAL DEVELOPMENT › Section 27G .2202 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each staff member, except student
				  trainees and supervised volunteers, shall be at least 18 years of
				  age.
(b) Each facility shall have a
				  designated program director who has experience working with individuals
				  diagnosed with developmental disabilities, and holds a baccalaureate degree
				  with specialization in administration, education, social work, nursing,
				  psychology, or a related human services field.
(c) A minimum of two staff members shall
				  provide direct child care at all times.
(d) A minimum of one direct care staff member
				  shall be on duty for every five clients.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Readopted Eff. November 1,
					 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2200 - BEFORE/AFTER SCHOOL AND SUMMER DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES, OR ATYPICAL DEVELOPMENT › Section 27G .2203 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each
				  before/after school developmental day service shall be available for a minimum
				  of three hours per day (exclusive of transportation time), five days per week,
				  during the months of local school operation.
(b) Each summer developmental day service
				  shall be available for a minimum of eight hours per day (exclusive of
				  transportation time), five days per week, during the weeks in which local
				  school operation is closed for summer break.
(c) The center shall provide or secure
				  opportunities for the parent or the legally responsible person to attend
				  individual or group activities.
(d)
				  Grouping shall allow for attending to the individual needs of each client and
				  reflect developmentally appropriate practices.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2200 - BEFORE/AFTER SCHOOL AND SUMMER DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES, OR ATYPICAL DEVELOPMENT › Section 27G .2204 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Classroom And
				  Activity Space:
(1) A ratio of 50 square feet
				  per client shall be available for indoor classroom and activity space,
				  exclusive of space occupied by sinks, lockers, storage cabinets, and other
				  fixed equipment.
(2) Space shall be
				  available for small groups and individualized training.
(3) Special interest areas shall be provided
				  to enhance the development of individual clients.
(4) Space for indoor physical activities
				  shall be available for the provision of those activities enhancing gross motor
				  development.
(5) Centers with at
				  least 40% of their enrollment being clients without disabilities and having an
				  inclusion plan approved by DMH/DD/SAS for area-operated programs and by the
				  area program director for contract agency centers may have a total of 35 square
				  feet available per client for indoor classroom and activity space.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2300 - ADULT DEVELOPMENTAL AND VOCATIONAL PROGRAMS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2301 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An Adult Developmental and Vocational
				  Program (ADVP) is a day/night facility which provides organized developmental
				  activities for adults with developmental disabilities to prepare the individual
				  to live and work as independently as possible. The activities and services of
				  an ADVP are designed to adhere to the principles of normalization and community
				  integration aimed at increasing age-appropriate actions, images and appearance
				  of the individual.
(b) An ADVP
				  offers a diverse variety of specific services and activities. These include
				  vocational evaluation, vocational training, remunerative employment, personal
				  and community living skill development, adult basic education and long-term
				  support and follow-up. Support services to clients' families and consultation
				  with the clients' employers and other involved agencies may also be provided.
				  The amount of time devoted to these areas varies considerably depending on the
				  needs of the clients served.
(c)
				  The rules contained in this Section are applicable to facility-based ADVP
				  services.
(d) The majority of the
				  ADVP activities in this model, whether vocational or developmental in nature,
				  are carried out on the premises of a site specifically designed for this
				  purpose.
(e) It is the ADVP that
				  shall be subject to licensure, not the location of the business or organization
				  where the client may be placed for work.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2300 - ADULT DEVELOPMENTAL AND VOCATIONAL PROGRAMS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2302 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to the terms defined in Rule .0103 of this
					 Subchapter and
					 G.S.
					 122C-3, the following terms shall also
					 apply:
(1) "Approved supported
				  employment conversion plan" means a planned approach to changing the type of
				  services delivered from ADVP facility-based to supported employment. Approval
				  of the conversion plan is the responsibility of the Chief of the appropriate
				  disability section of DMH/DD/SAS or his designee and the Area Director or his
				  designee if the facility is operated by a contract agency of the area program
				  or other service provider. DMH/DD/SAS shall request appropriate personnel from
				  the Division of Vocational Rehabilitation to participate in the plan review
				  process. The request for approval of the supported employment conversion plan
				  shall include specific written information in the following areas:
(a) number of clients to be moved into
				  supported employment;
(b) types of
				  supported employment models to be used;
(c) time frame for the conversion
				  period;
(d) interim proposed
				  facility staffing patterns and responsibilities; and
(e) proposed budget for the conversion
				  plan.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2300 - ADULT DEVELOPMENTAL AND VOCATIONAL PROGRAMS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2303 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each ADVP shall have a designated
				  full-time program director.
(b) The
				  Program Director shall be at least a high school graduate or equivalent with
				  three years of experience in developmental disabilities programming.
(c) Each facility shall have evaluation
				  services available for all clients.
(d) Each facility shall maintain an overall
				  direct service ratio of at least one full-time or full-time equivalent direct
				  service staff member for every ten or fewer clients. Facilities having an
				  approved supported employment conversion plan as defined in Rule .2302 of this
				  Section may exclude a maximum of ten clients or 20 percent of a facility's
				  average daily enrollment, whichever is greater, when calculating the required
				  direct service ratio.
(e) If the
				  site is maintained by the ADVP:
(1) A safety
				  committee comprised of staff members and clients shall be appointed and shall
				  meet at least quarterly to review accident reports and to monitor the ADVP for
				  safety; and
(2) Minutes shall be
				  kept of all meetings.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2300 - ADULT DEVELOPMENTAL AND VOCATIONAL PROGRAMS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2304 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Safety
				  Educational Program. Each ADVP shall provide an ongoing educational program for
				  staff and clients designed to teach them the principles of accident prevention
				  and control of specific hazards. The program shall include training for clients
				  in personal, work and environmental safety.
(b) Business Practices:
(1) If the ADVP seeks or receives
				  remuneration for goods or services provided to another individual, organization
				  or business:
(A) Supplies, materials or tools,
				  if provided by the ADVP, shall be identified as a separate amount in the bid
				  price;
(B) Wages paid to ADVP
				  clients shall be on a piece rate or hourly commensurate wage basis;
(C) Each client involved in productive work
				  shall receive a written statement for each pay period which indicates gross
				  pay, hours worked and deductions; and
(D) Prices for goods produced in the ADVP
				  shall be equal to or exceed the cost of production (including commensurate
				  wages, overhead, tools and materials).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2300 - ADULT DEVELOPMENTAL AND VOCATIONAL PROGRAMS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2305 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
If the site is maintained by the ADVP:
(1) Each site shall be inspected annually by
				  an outside safety consultant with written documentation and follow-up on
				  recommendations; and
(2) Each site
				  shall be designed and equipped to promote the training, employment and adult
				  status of clients.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2300 - ADULT DEVELOPMENTAL AND VOCATIONAL PROGRAMS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 27G .2306 - CLIENT ELIGIBILITY AND ADMISSIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Eligibility. Clients served shall be eligible for ADVP regardless of financial
				  resources with the exception of a client whose work earnings exceed 60% of the
				  prevailing wage over a consecutive 90-day period. Eligibility for clients in
				  non-supported employment settings whose earnings have exceeded over 60% of the
				  prevailing wage for over 90 consecutive days may be extended for up to one
				  calendar year if supported employment options are not available locally and the
				  client is ineligible for other services from the Division of Vocational
				  Rehabilitation, or if the client's social, behavioral or vocational skill
				  deficits preclude participation in supported employment options and results in
				  ineligibility for other vocational rehabilitation services. The eligibility
				  extension shall occur through the annual habilitation planning process carried
				  out by the designated area program qualified developmental disabilities
				  professional. Requests for the extension shall be based on a joint case review
				  involving a representative of the involved ADVP, the local VR unit and the area
				  program. The request shall identify the specific skill deficits precluding
				  eligibility for supported employment or other vocational rehabilitation
				  services and include plans for addressing these deficits. The certification
				  extension may be reapplied for a maximum of two times only. The same criteria
				  and procedures shall be followed in each instance of reapplication as are
				  required for the initial extension.
(b) Admissions. Each ADVP shall have written
				  admission policies and procedures.
(1) A
				  pre-admission staffing shall be held for each client considered for admission
				  to the ADVP. During the staffing, information shall be considered regarding the
				  client's medical, psychological, social, and vocational histories.
(2) Results of the pre-admission staffing
				  shall be documented and forwarded to the referral or sponsoring agency. The
				  client shall be notified of the results of the staffing.
(3) A qualified developmental disabilities
				  professional of the area program shall certify the eligibility of each client
				  for the ADVP service.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2400 - DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES OR ATYPICAL DEVELOPMENT › Section 27G .2401 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
A developmental day service is a day/night service which
					 provides individual habilitative programming for children with, or at risk for
					 developmental delay, developmental disabilities or atypical development in
					 specialized licensed child care centers. The service:
(1) is designed to meet developmental needs
				  of the children such as self-help, physical, language and speech, and cognitive
				  and psychosocial skills in order to facilitate their functioning in a less
				  restrictive environment, as well as to meet child care needs of families;
				  and
(2) offers family training and
				  support.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2400 - DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES OR ATYPICAL DEVELOPMENT › Section 27G .2402 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each developmental day center shall have
				  a designated director who holds a bachelor level degree with specialization in
				  administration, education, social work, nursing, psychology or a related field
				  or have comparable experience and education.
(b) Each staff member except student trainees
				  and supervised volunteers shall be at least 18 years of age.
(c) Staff shall provide continuous
				  supervision of each child.
(d) A
				  minimum of two staff members shall provide direct child care at all
				  times.
(e) A minimum of one direct
				  child care staff member shall be on duty for every five children.
(f) If school or preschool aged children are
				  served under contract with the Department of Public Instruction, a preschool
				  handicapped, B-K, or special education certified teacher shall be employed for
				  each 20 children or less. The type of certification shall be based on the ages
				  of the children served. When infants and toddlers are served, a professional
				  privileged in accordance with the requirements of Part H of Individuals with
				  Disabilities Education Act shall be employed for each 20 children or less. This
				  material is incorporated by reference and includes subsequent editions and
				  amendments.
(g) If infants are
				  served, a minimum of one direct care staff member shall be on duty for every
				  three infants.
(h) Centers with at
				  least 40% of their enrollment being children without disabilities, and having
				  an inclusion plan approved by DMH/DD/SAS for area-operated programs and by the
				  area program director for contract agency centers, may utilize the following
				  staff/child ratio:
(1) Infants -
				  1:4;
(2) Toddlers and older
				  children - 1:6.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .2400 - DEVELOPMENTAL DAY SERVICES FOR CHILDREN WITH OR AT RISK FOR DEVELOPMENTAL DELAYS, DEVELOPMENTAL DISABILITIES OR ATYPICAL DEVELOPMENT › Section 27G .2403 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Hours.
				  Developmental day services for preschool children shall be available for a
				  minimum of eight hours per day (exclusive of transportation time), five days
				  per week, twelve months a year.
(b)
				  Daily Training Activities. Activities shall be planned around the following
				  principles:
(1) Group and individual
				  activities, related to individual outcome plans, shall be scheduled
				  daily.
(2) Both free play and
				  organized recreational activities shall be provided. No more than one-third of
				  the daily schedule shall be designated for both of these activities
				  combined.