reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › FIRE SAFETY › Section 6500.107 - Smoke detectors

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home
						shall have a minimum of one operable automatic smoke detector provided on each
						floor, including the basement and attic.
(b) Smoke detectors shall be located in
						common areas or hallways.
(c) Smoke
						detectors shall be of a type approved by the Department of Labor and Industry
						or listed by Underwriters Laboratories.
(d) A smoke detector shall be tested each
						month to determine if the detector is operative.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › FIRE SAFETY › Section 6500.108 - Fire extinguishers

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						There shall be at least one operable fire extinguisher with a minimum 2-A
						rating for each floor, including the basement and attic.
(b) Fire extinguishers with a minimum 2A-10BC
						rating shall be located in each kitchen. The kitchen extinguisher meets the
						requirements for one floor as required in subsection (a).
(c) Fire extinguishers shall be listed by
						Underwriters Laboratories or approved by Factory Mutual Systems.
(d) A fire extinguisher shall be
						accessible.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › FIRE SAFETY › Section 6500.109 - Fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A fire drill
						shall be held at least every 3 months, until all individuals demonstrate the
						ability to evacuate within 2 1/2 minutes, or within the period of time
						specified in writing within the past year by a fire safety expert, without
						family assistance, or with family assistance if the individual is never alone
						in the home. The fire safety expert may not be a family member or employe of
						the agency.
(b) A fire drill shall
						be held at least every 6 months if all individuals have the ability to evacuate
						as specified in subsection (a).
(c)
						Documentation of the individual's ability to evacuate shall be specified in the
						individual's assessment.
(d) A
						written fire drill record shall be kept of the date, time, the amount of time
						it took for evacuation, the exit route used, problems encountered and whether
						the smoke detector was operative.
(e) A fire drill shall be held during
						sleeping hours at least every 12 months.
(f) Alternate exit routes shall be used
						during fire drills.
(g) Fire drills
						shall be held on different days of the week and at different times of the day
						and night.
(h) Individuals shall
						evacuate to a designated meeting place outside the home during each fire
						drill.
(i) At least one smoke
						detector shall be set off during each fire drill.
This section cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › FIRE SAFETY › Section 6500.110 - Fire safety training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						written fire safety training plan shall be developed for all family members and
						individuals including children.
(b)
						The training plan shall include training in general fire safety, evacuation
						procedures, responsibilities during fire drills, the designated meeting place
						outside the home, smoking safety procedures if any individuals or family
						members smoke in the home, the use of fire extinguishers and smoke detectors
						and notification of the local fire department as soon as possible after a fire
						is discovered.
(c) Family members
						and individuals, including children, shall be trained within 31 calendar days
						of an individual living in the home and retrained annually, in accordance with
						the training plan specified in subsection (a).
(d) A written record of fire safety training,
						including the content of the training and the individuals attending shall be
						kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.111 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.111 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
This section cited in 55 Pa. Code §
														6500.191 (relating to exceptions);
							 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.112 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.112 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
This section cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.113 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.113 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
This section cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.114 and 6500.115 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of these §§
														6500.114 and
							 6500.115 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
These sections cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.116 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.116 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
This section cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.117 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.117 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
This section cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.118 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.118 reserved under sections
							 911 and 1021 of the Public Welfare Code (62 P.S.
							 §§
															911 and
							 1021).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › HEALTH › Section 6500.121 - Individual physical examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An individual shall have a physical
						examination within 12 months prior to living in the home and annually
						thereafter.
(b) The physical
						examination shall be completed, signed and dated by a licensed physician,
						certified nurse practitioner or licensed physician's assistant.
(c) The physical examination shall include:
(1) A review of previous medical
						history.
(2) A general physical
						examination.
(3) Immunizations for
						individuals 18 years of age or older as recommended by the United States Public
						Health Service, Centers for Disease Control, Atlanta, Georgia 30333.
(4) Vision and hearing screening for
						individuals 18 years of age or older, as recommended by the
						physician.
(5) Immunizations and
						screening tests for individuals 17 years of age or younger, as recommended by
						the
Standards of Child Health Care
of the American Academy of
						Pediatrics, Post Office Box 1034, Evanston, Illinois 60204.
(6) Tuberculin skin testing by Mantoux method
						with negative results every 2 years for individuals 1 year of age or older; or,
						if a tuberculin skin test is positive, an initial chest x-ray with results
						noted.
(7) A gynecological
						examination, including a breast examination and a Pap test for women 18 years
						of age or older, unless there is documentation from a licensed physician
						recommending no or less frequent gynecological examinations.
(8) A mammogram for women at least every 2
						years for women 40 through 49 years of age and at least every year for women 50
						years of age or older.
(9) A
						prostate examination for men 40 years of age or older.
(10) Specific precautions that must be taken
						if the individual has a communicable disease, to prevent spread of the disease
						to other individuals.
(11) An
						assessment of the individual's health maintenance needs, medication regimen and
						the need for blood work at recommended intervals.
(12) Physical limitations of the
						individual.
(13) Allergies or
						contraindicated medications.
(14)
						Medical information pertinent to diagnosis and treatment in case of an
						emergency.
(15) Special
						instructions for the individual's diet.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › HEALTH › Section 6500.122 - Dental care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
						individual 17 years of age or younger, shall have a dental examination
						performed by a licensed dentist semiannually. Each individual 18 years of age
						or older shall have a dental examination performed by a licensed dentist
						annually.
(b) An individual who is
						using medication known to cause dental problems shall have a dental examination
						by a licensed dentist at intervals recommended by the dentist.
(c) A written record of the dental
						examination, including the date of the examination, dentist's name, procedures
						completed and follow-up treatment recommended shall be kept.
(d) The dental examination shall include
						teeth cleaning or checking gums and dentures.
(e) Follow-up dental work indicated by the
						examination, such as treatment of cavities, shall be completed.
This section cited in 55 Pa. Code §
														6500.201 (relating to exceptions
							 for respite care); and 55 Pa. Code §
														6500.202 (relating to exceptions
							 for emergency respite care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › HEALTH › Section 6500.123 - Refusal of treatment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If an
						individual refuses routine medical or dental examination or treatment, the
						refusal and continued attempts to train the individual about the need for
						health care shall be documented in the individual's record.
(b) If an individual has a serious medical or
						dental condition, reasonable efforts shall be made to obtain consent from the
						individual or substitute consent in accordance with applicable law. See section
						417(c) of the Mental Health and Intellectual Disability Act of 1966
						(50
						P.S. §
													4417(c)).
The provisions of this §
														6500.123 amended under Articles IX
							 and X of the Human Services Code (62 P.S. §§
															901-922 and
							 1001-1088).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › HEALTH › Section 6500.124 - Health services

Current through Register Vol. 54, No. 28, July 13, 2024
Health services, such as medical, nursing,
						  pharmaceutical, dental, dietary and psychological services that are planned or
						  prescribed for the individual shall be arranged for or
						  provided.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › HEALTH › Section 6500.125 - Family physical examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Family members and persons living in the
						home shall have a physical examination within 12 months prior to the individual
						living in the home.
(b) The
						physical examination documentation shall be completed, signed and dated by a
						licensed physician, certified nurse practitioner or licensed physician's
						assistant.
(c) The physical
						examination shall include:
(1) A general
						physical examination.
(2)
						Tuberculin skin testing by Mantoux method with negative results every 2 years
						for family members 1 year of age or older; or, if a tuberculin skin test is
						positive, an initial chest X-ray with results noted. Tuberculin skin testing
						may be completed and certified in writing by a registered nurse or licensed
						practical nurse instead of a licensed physician.
(3) A signed statement that the person is
						free of communicable diseases or specific precautions to be taken if the person
						has a communicable disease.
(4)
						Information of medical problems which might interfere with the health of the
						individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › HEALTH › Section 6500.126 - Communicable diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If an
						individual or family member has a serious communicable diseases as defined in
						28 Pa. Code §
												27.2 (relating to specific
						identified reportable diseases, infections and conditions) or a medical problem
						which might interfere with the health, safety or well-being of the individuals,
						specific instructions and precautions to be taken for the protection of the
						individuals shall be specified in writing by a licensed physician.
(b) The physician's written instructions and
						precautions shall be followed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.131 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An individual
						who has a prescribed medication shall be provided with assistance, as needed,
						for the individual's self-administration of the medication.
(b) Assistance in the self-administration of
						medication includes helping the individual to remember the schedule for taking
						the medication, offering the individual the medication at the prescribed times,
						opening a medication container and storing the medication in a secure place.
(c) Assistive technology shall be
						provided to support the individual's self-administration of
						medications.
(d) The individual
						plan must identify if the individual is unable to self-administer
						medications.
(e) To be considered
						able to self-administer medications, an individual shall do all of the
						following:
(1) Recognize and distinguish the
						individual's medication.
(2) Know
						how much medication is to be taken.
(3) Know when the medication is to be taken.
						Assistance may be provided to remind the individual of the schedule and to
						offer the medication at the prescribed times as specified in subsection
						(b).
(4) Take or apply the
						individual's own medication with or without the use of assistive
						technology.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.132 - Medication administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Staff persons or others who are qualified to administer medications as
						specified in subsection (b) may provide medication administration for an
						individual who is unable to self-administer the individual's prescribed
						medication.
(b) A prescription
						medication that is not self-administered shall be administered by one of the
						following:
(1) A licensed physician, licensed
						dentist, licensed physician's assistant, registered nurse, certified registered
						nurse practitioner, licensed practical nurse, licensed paramedic or other
						health care professional who is licensed, certified or registered by the
						Department of State to administer medications.
(2) A person who has completed the medication
						administration course requirements as specified in §
													6500.139 (relating to medication
						administration training) for the medication administration of the following:
(i) Oral medications.
(ii) Topical medications.
(iii) Eye, nose and ear drop
						medications.
(iv) Insulin
						injections.
(v) Epinephrine
						injections for insect bites or other allergies.
(vi) Medications, injections, procedures and
						treatments as permitted by applicable statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.132a - Labeling of medication-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
Prescriptions for medications may be written by a
						  certified registered nurse practitioner as authorized under 49 Pa. Code Chapter
						  18, Subchapter C (relating to certified registered nurse practitioners) and
						  Chapter 21, Subchapter C (relating to certified registered nurse
						  practitioners). The label on the original container must include the name of
						  the prescribing practitioner.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.133 - Storage and disposal of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prescription and nonprescription
						medications shall be kept in their original labeled containers. Prescription
						medications shall be labeled with a label issued by a pharmacy.
(b) A prescription medication may not be
						removed from its original labeled container in advance of the scheduled
						administration, except for the purpose of packaging the medication for the
						individual to take with the individual to a community activity for
						administration the same day the medication is removed from its original
						container.
(c) If insulin or
						epinephrine is not packaged in an individual dose container, assistance with or
						the administration of the injection shall be provided immediately upon removal
						of the medication from its original labeled container.
(d) Prescription medications and syringes,
						with the exception of epinephrine and epinephrine auto-injectors, shall be kept
						in an area or container that is locked.
(e) Epinephrine and epinephrine
						auto-injectors shall be stored safely and kept easily accessible at all times.
						The epinephrine and epinephrine auto-injectors shall be easily accessible to
						the individual if the epinephrine is self-administered or to the staff person
						who is with the individual if a staff person will administer the
						epinephrine.
(f) Prescription
						medications stored in a refrigerator shall be kept in an area or container that
						is locked.
(g) Prescription
						medications shall be stored in an organized manner under proper conditions of
						sanitation, temperature, moisture and light and in accordance with the
						manufacturer's instructions.
(h)
						Prescription medications that are discontinued or expired shall be destroyed in
						a safe manner according to applicable Federal and State statutes and
						regulations.
(i) This section does
						not apply for an individual who self-administers medication and stores the
						medication in the individual's private bedroom or personal
						belongings.
The provisions of this §
														6500.133 amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.133a - Use of prescription medications-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
The review of documentation, including the reason for
						  prescribing the medication, the need to continue the medication and the
						  necessary dosage, may be conducted by a certified registered nurse practitioner
						  (CRNP) as authorized under 49 Pa. Code Chapter 18, Subchapter C (relating to
						  certified registered nurse practitioners) and Chapter 21, Subchapter C
						  (relating to certified registered nurse practitioners) when the medication was
						  prescribed by a CRNP.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.134 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.134 reserved under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.134a - Medication log-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
The medication log must identify the prescribing
						  certified registered nurse practitioner (CRNP) when a medication was prescribed
						  by a CRNP as authorized under 49 Pa. Code Chapter 18, Subchapter C (relating to
						  certified registered nurse practitioners) and Chapter 21, Subchapter C
						  (relating to certified registered nurse practitioners).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.135 - Prescription medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						prescription medication shall be prescribed in writing by an authorized
						prescriber.
(b) A prescription
						order shall be kept current.
(c) A
						prescription medication shall be administered as prescribed.
(d) A prescription medication shall be used
						only by the individual for whom the prescription was prescribed.
(e) Changes in medication may only be made in
						writing by the prescriber or, in the case of an emergency, an alternate
						prescriber, except for circumstances in which oral orders may be accepted by a
						health care professional who is licensed, certified or registered by the
						Department of State to accept oral orders. The individual's medication record
						shall be updated as soon as a written notice of the change is
						received.
(f) If a medication is
						prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be
						a written protocol as part of the individual plan to address the social,
						emotional and environmental needs of the individual related to the symptoms of
						the diagnosed psychiatric illness.
(g) If a medication is prescribed to treat
						symptoms of a diagnosed psychiatric illness, there shall be a review by a
						licensed physician at least every 3 months to document the reason for
						prescribing the medication, the need to continue the medication and the
						necessary dosage.
The provisions of this §
														6500.135 amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.136 - Medication record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A medication
						record shall be kept, including the following for each individual for whom a
						prescription medication is administered:
(1)
						Individual's name.
(2) Name of the
						prescriber.
(3) Drug
						allergies.
(4) Name of
						medication.
(5) Strength of
						medication.
(6) Dosage
						form.
(7) Dose of
						medication.
(8) Route of
						administration.
(9) Frequency of
						administration.
(10) Administration
						times.
(11) Diagnosis or purpose
						for the medication, including pro re nata.
(12) Date and time of medication
						administration.
(13) Name and
						initials of the person administering the medication.
(14) Duration of treatment, if
						applicable.
(15) Special
						precautions, if applicable.
(16)
						Side effects of the medication, if applicable.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.136a - Adverse reaction-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
Notification of an adverse reaction to a medication may
						  be made to the prescribing certified registered nurse practitioner (CRNP) when
						  the medication was prescribed by a CRNP as authorized under 49 Pa. Code Chapter
						  18, Subchapter C (relating to certified registered nurse practitioners) and
						  Chapter 21, Subchapter C (relating to certified registered nurse
						  practitioners).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.137 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Medication
						errors include the following:
(1) Failure to
						administer a medication.
(2)
						Administration of the wrong medication.
(3) Administration of the wrong dose of
						medication.
(4) Failure to
						administer a medication at the prescribed time, which exceeds more than 1 hour
						before or after the prescribed time.
(5) Administration to the wrong
						person.
(6) Administration through
						the wrong route.
(7) Administration
						while the individual is in the wrong position.
(8) Improper preparation of the
						medication.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.138 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If an
						individual has a suspected adverse reaction to a medication, the home shall
						immediately consult a health care practitioner or seek emergency medical
						treatment.
(b) An adverse reaction
						to a medication, the health care practitioner's response to the adverse
						reaction and the action taken shall be documented.
The provisions of this §
														6500.138 amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › MEDICATIONS › Section 6500.139 - Medication administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A person who has successfully completed a
						Department-approved medication administration course, including the course
						renewal requirements, may administer medications, injections, procedures and
						treatments as specified in §
												6500.132 (relating to medication
						administration).
(b) A person may
						administer insulin injections following successful completion of both:
(1) The medication administration course
						specified in subsection (a).
(2) A
						Department-approved diabetes patient education program within the past 12
						months.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › NUTRITION › Section 6500.141 - Protection of food

Current through Register Vol. 54, No. 28, July 13, 2024
Food shall be protected from contamination while being
						  stored and prepared.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › NUTRITION › Section 6500.142 - Three meals a day

Current through Register Vol. 54, No. 28, July 13, 2024
At least three meals a day shall be available to the
						  individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › NUTRITION › Section 6500.143 - Quantity of food

Current through Register Vol. 54, No. 28, July 13, 2024
The quantity of food served for each individual shall
						  meet minimum daily requirements as recommended by the United States Department
						  of Agriculture, unless otherwise recommended in writing by a licensed
						  physician.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › NUTRITION › Section 6500.144 - Food groups

Current through Register Vol. 54, No. 28, July 13, 2024
At least one meal each day shall contain at least one
						  item from the dairy, protein, fruits and vegetables and grain food groups,
						  unless otherwise recommended in writing by a licensed physician for
						  individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.151 - Assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each individual
						shall have an initial assessment within 1 year prior to or 60 calendar days
						after admission to the home and an updated assessment annually thereafter. The
						initial assessment must include an assessment of adaptive behavior and level of
						skills completed within 6 months prior to admission to the home.
(b) If the life sharing specialist is making
						a recommendation to revise a service or outcome in the individual plan, the
						individual shall have an assessment completed as required under this section.
(c) The assessment shall be based
						on assessment instruments, interviews, progress notes and
						observations.
(d) The life sharing
						specialist shall sign and date the assessment.
(e) The assessment must include the following
						information:
(1) Functional strengths, needs
						and preferences of the individual.
(2) The likes, dislikes and interest of the
						individual.
(3) The individual's
						current level of performance and progress in the areas:
(i) Acquisition of functional
						skills.
(ii)
						Communication.
(iii) Personal
						adjustment.
(iv) Personal needs
						with or without assistance from others.
(4) The individual's need for
						supervision.
(5) The individual's
						ability to self-administer medications.
(6) The individual's ability to safely use or
						avoid poisonous materials, when in the presence of poisonous
						materials.
(7) The individual's
						knowledge of the danger of heat sources and ability to sense and move away
						quickly from heat sources which exceed 120° F and are not
						insulated.
(8) The individual's
						ability to evacuate in the event of a fire.
(9) Documentation of the individual's
						disability, including functional and medical limitations.
(10) A lifetime medical history.
(11) Psychological evaluations, if
						applicable.
(12) Recommendations
						for specific areas of training, programming and services.
(13) The individual's progress over the last
						365 calendar days and current level in the following areas:
(i) Health.
(ii) Motor and communication
						skills.
(iii) Activities of
						residential living.
(iv) Personal
						adjustment.
(v)
						Socialization.
(vi)
						Recreation.
(vii) Financial
						independence.
(viii) Managing
						personal property.
(ix) Community
						integration.
(14) The
						individual's knowledge of water safety and ability to swim.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.152 - Development, annual update and revision of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The life
						sharing specialist shall coordinate the development of the individual plan,
						including revisions, with the individual and the individual plan
						team.
(b) The initial individual
						plan shall be developed based on the individual assessment within 90 days of
						the individual's date of admission to the home.
(c) The individual plan shall be initially
						developed, revised annually and revised when an individual's needs change based
						upon a current assessment.
(d) The
						individual and persons designated by the individual shall be involved and
						supported in the initial development and revisions of the individual
						plan.
The provisions of this §
														6500.152 issued under sections 911
							 and 1021 of the Human Services Code (62 P.S. §§
															911 and
							 1021); amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.153 - Individual plan team

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						individual plan shall be developed by an interdisciplinary team, including the
						following:
(1) The individual.
(2) Persons designated by the
						individual.
(3) The individual's
						direct service workers.
(4) The
						life sharing specialist.
(5) The
						support coordinator, targeted support manager or a program representative from
						the funding source, if applicable.
(6) The program specialist for the
						individual's day program, if applicable.
(7) Other specialists such as health care,
						behavior management, speech, occupational and physical therapy as appropriate
						for the individual's needs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.154 - Individual plan process

Current through Register Vol. 54, No. 28, July 13, 2024
The individual plan process shall:
(1) Provide information and support to ensure
						that the individual directs the individual plan process to the extent
						possible.
(2) Enable the individual
						to make choices and decisions.
(3)
						Reflect what is important to the individual to ensure that services are
						delivered in a manner reflecting individual preferences and ensuring the
						individual's health, safety and well-being.
(4) Occur timely at intervals, times and
						locations of choice and convenience to the individual and to persons designated
						by the individual.
(5) Be
						communicated in clear and understandable language.
(6) Reflect cultural considerations of the
						individual.
(7) Include guidelines
						for solving disagreements among the individual plan team members.
(8) Include a method for the individual to
						request updates to the individual plan.
The provisions of this §
														6500.154 issued under sections 911
							 and 1021 of the Human Services Code (62 P.S. §§
															911 and
							 1021); amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.155 - Content of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
The individual plan, including revisions, must include
						  the following:
(1) The individual's
						strengths, functional abilities and service needs.
(2) The individual's preferences related to
						relationships, communication, community participation, employment, income and
						savings, health care, wellness and education.
(3) The individual's desired
						outcomes.
(4) Services to assist
						the individual to achieve desired outcomes.
(5) Risks to the individual's health, safety
						or well-being, behaviors likely to result in immediate physical harm to the
						individual or others and risk mitigation strategies, if applicable.
(6) Modification of individual rights as
						necessary to mitigate significant health and safety risks to the individual or
						others, if applicable.
The provisions of this §
														6500.155 issued under sections 911
							 and 1021 of the Human Services Code (62 P.S. §§
															911 and
							 1021); amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
This section cited in 55 Pa. Code §
														6500.26 (relating to children's
							 services); 55 Pa. Code §
														6500.32 (relating to rights of the
							 individual); and 55 Pa. Code §
														6500.165 (relating to behavior
							 support component of the individual
							 plan).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.156 - Implementation of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
The home and the agency shall implement the individual
						  plan, including revisions.
The provisions of this §
														6500.156 issued under sections 911
							 and 1021 of the Human Services Code (62 P.S. §§
															911 and
							 1021); and amended under
							 sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services
							 Code (62 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.157 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6500.157 issued under sections 911
							 and 1021 of the Human Services Code (62 P.S. §§
															911 and
							 1021); reserved under
							 sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services
							 Code (62 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.158 - Life sharing services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						life sharing home shall provide services, including assistance, training and
						support for the acquisition, maintenance or improvement of functional skills,
						personal needs, communication and personal adjustment.
(b) The life sharing home shall provide
						opportunities to the individual for participation in community life, including
						volunteer or civic-minded opportunities and membership in National or local
						organizations.
(c) The life sharing
						home shall provide services to the individual as specified in the individual's
						individual plan.
(d) The life
						sharing home shall provide services that are age and functionally appropriate
						to the individual.
The provisions of this §
														6500.158 issued under sections 911
							 and 1021 of the Human Services Code (62 P.S. §§
															911 and
							 1021); amended under sections
							 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
							 (62
							 P.S. §§
															201(2),
							 403(b), 403.1(a) and (b), 911
							 and 1021); and section 201(2) of the Mental Health and Intellectual Disability
							 Act of 1966 (50 P.S. §
															4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6500 - FAMILY LIVING HOMES › PROGRAM › Section 6500.159 - Day services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Day
						services such as employment, education, training, volunteer, civic-minded and
						other meaningful opportunities shall be provided to the individual.
(b) Day services and activities shall be
						provided at a location other than the home where the individual lives, unless
						one of the following exists:
(1) There is
						written annual documentation by a licensed physician that it is medically
						necessary for the individual to complete day services at the home.
(2) There is written annual documentation by
						the plan team that it is in the best interest of the individual to complete day
						services at the home.