North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 70 - CHILDREN'S SERVICES › Subchapter G - CHILD PLACING AGENCIES: FOSTER CARE › Section .0500 - MINIMUM LICENSING STANDARDS › Section 70G .0512 - PHYSICAL RESTRAINT HOLDS, BEHAVIOR MANAGEMENT AND DISCIPLINE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) If a foster parent or agency staff member
				  uses a physical restraint hold, the agency staff shall, within 72 hours of an
				  incident involving a physical restraint, review the incident report to ensure
				  that correct steps were followed and forward the report to the parents,
				  guardian or legal custodian and the licensing authority on a report form
				  developed by the licensing authority.
(b) Agencies shall submit a report to the
				  licensing authority by the 10th day of each month
				  indicating the number of physical restraint holds used during the previous
				  month on each child and any injuries that resulted.
(c) Agencies shall maintain reports of
				  physical restraint holds in a manner consistent with the agency's risk
				  management policies (clinical decisions and activities undertaken to identify,
				  evaluate, and reduce the risk of injury to clients, staff, and visitors and
				  reduce the risk of loss to the agency) and shall make the reports available to
				  the licensing authority upon request.
(d) Agencies shall provide foster parents and
				  agency staff authorized to use physical restraint holds with 16 hours of
				  training in behavior management, including techniques for de-escalating problem
				  behavior; the appropriate use of physical restraint holds; monitoring of vital
				  indicators; and debriefing children, foster parents, and agency staff involved
				  in physical restraint holds. , Agencies shall provide foster parents and agency
				  staff authorized to use physical restraint holds with eight hours of behavior
				  management training annually, including techniques for de-escalating problem
				  behavior. Instructors who train foster parents and agency staff shall have met
				  the following qualifications and training requirements:
(1) demonstrate competence by scoring 100
				  percent on testing in a training program aimed at preventing, reducing and
				  eliminating the need for restrictive interventions;
(2) demonstrate competence by scoring 100
				  percent on testing in a training program teaching the use of physical
				  restraint; and by scoring a passing grade on testing in an instructor training
				  program;
(3) the training shall be
				  competency-based and shall include measurable learning objectives, measurable
				  testing (written and by observation of behavior) on those objectives, and
				  measurable methods to determine passing or failing the course;
(4) the content of the instructor training
				  shall be approved by the Division of Mental Health, Developmental Disabilities
				  and Substance Abuse Services;
(5)
				  trainers shall be retrained annually and demonstrate competence in the use of
				  physical restraints;
(6) be trained
				  in CPR such as those provided by the American Red Cross, American Heart
				  Association, or equivalent organizations. Division staff shall determine that
				  an organization is substantially equivalent if the organization is already
				  approved by the Department or meets the same standard of care as the American
				  Heart Association or American Red Cross. The Division shall not accept
				  web-based trainings for certification in CPR;
(7) have been coached in teaching the use of
				  restrictive interventions two times with a positive review by the
				  coach;
(8) teach a program on the
				  use of physical restraints once annually; and
(9) complete a refresher instructor training
				  every two years.