North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-03 - Community Services › Chapter 75-03-40 - Licensing of Qualified Residential Treatment Program Providers › Section 75-03-40-32 - Respite

Current through Supplement No. 393, July, 2024
A facility may operate an optional respite care program with
				  approval of the department. Respite care is defined as temporary relief care
				  for a resident with special medical, emotional, or behavioral needs, which
				  requires time-limited supervision and care by a licensed foster care provider.
				  A respite care episode is a specified period of time during which respite care
				  is provided by a licensed provider.
1.
				Eligibility. Residents eligible for respite care offered by an approved
				facility include a child in foster care in public custody and a former
				qualified residential treatment program resident engaged in the six-month
				aftercare.
2. Admission and
				discharge. A facility operating a respite care program shall have the written
				policies and procedures for admissions and discharge for respite care,
				including eligibility into the respite program, admissions criteria, required
				belongings, medications needed upon admission, required identification
				documentation, authorizations needed, written consents for emergency medical
				care, medications, and discharge planning.
3. Staffing. A facility shall assign an
				employee to have primary responsibility for the facility's respite care
				program. Employee-to-resident ratios at a minimum, must meet the ratio as
				described in this chapter for direct care.
4. Program and services. A facility respite
				program must be developed which allows for a short-term refocus of service
				delivery and supports for a community placement. Respite care placements are
				exempt from the medical examination requirements due to the short period of
				stay.
5. Respite care plan. A
				facility shall develop an abbreviated plan for each resident admitted to the
				facility for respite care. The abbreviated plan must provide for services to
				meet social, emotional, medical, and dietary needs. The respite plan must
				address daily routine, engagement in recreational activities, ongoing
				education, and discharge planning. The respite plan may include a list of
				facility-based and community-based services and supports the resident and
				family is currently receiving or will receive upon discharge.
6. Length of stay. A respite care placement
				may not extend beyond seven days per episode.
7. Discharge. When a resident is discharged
				from respite care, the facility shall document in the resident's respite file
				the dates of the resident's stay, a summary of the resident's stay, the name of
				the person to whom the resident was discharged, and a list of all personal
				belongings and medications that went with the resident upon discharge. A final
				plan must be provided to the custodian and parent or guardian upon
				discharge.
8. Respite resident
				file. A facility with a respite care program shall include:
a. The resident's full name, date of birth,
				and other identifying information;
b. The contact information of the custodian
				and parent or guardian at the time of admission;
c. The date the resident was admitted and
				discharged;
d. Signed respite care
				agreement;
e. Signed written
				consents, including consent to nonemergency use of psychotropic medication and
				consent for use of secured unit, if applicable;
f. If the resident is in public custody, a
				current court order establishing the facility's authority to accept and care
				for any resident under the custody of a public agency;
g. Copy of the abbreviated plan prepared by
				the facility; and
h. Medication
				administration records, if applicable.