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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › INDIVIDUAL HEALTH › Section 6400.145 - Emergency medical plan

Current through Register Vol. 54, No. 28, July 13, 2024
The home shall have a written emergency medical plan
						  listing the following:
(1) The
						hospital or source of health care that will be used in an emergency.
(2) The method of transportation to be
						used.
(3) An emergency staffing
						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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › STAFF HEALTH › Section 6400.151 - Staff physical examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff person who comes into direct
						contact with the individuals or who prepares or serves food, for more than 5
						days in a 6-month period, including temporary, substitute and volunteer staff,
						shall have a physical examination within 12 months prior to employment and
						every 2 years 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 general
						physical examination.
(2)
						Tuberculin skin testing by Mantoux method with negative results every 2 years;
						or, if 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 a licensed practical nurse instead of a licensed physician,
						licensed physician's assistant or certified nurse practitioner.
(3) A signed statement that the staff person
						is free of communicable diseases or that the staff person has a communicable
						disease but is able to work in the home if specific precautions are taken that
						will prevent the spread of the disease to individuals.
(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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › STAFF HEALTH › Section 6400.152 - Communicable diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
						staff person or volunteer has a serious communicable disease 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,
						written authorization from a licensed physician is required for the person to
						be present at the home.
(b) Written
						authorization from a licensed physician shall include a statement that the
						person will not pose a serious threat to the health, safety or well-being of
						the individuals and specific instructions and precautions to be taken for the
						protection of the individuals at the home.
(c) 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › STAFF HEALTH › Section 6400.153 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › STAFF HEALTH › Section 6400.154 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › STAFF HEALTH › Section 6400.155 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › STAFF HEALTH › Section 6400.156 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
This section cited in 55 Pa. Code §
														6000.304 (relating to provisional
							 license factors).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.161 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The home shall
						provide an individual who has a prescribed medication 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) The home shall provide or
						arrange for assistive technology to assist the individual to self-administer
						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 by staff persons 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 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.162 - Medication administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						home whose staff persons or others 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 §
													6400.169 (relating to medication
						administration training) for the 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.162a - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.163 - 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 §
														6400.163 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.163a - Use of prescription medication-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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.164 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6400.164 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.164a - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.165 - 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 psychiatric illness.
(g) If a
						medication is prescribed to treat symptoms of a psychiatric illness, there
						shall be a review by a licensed physician at least every 3 months that includes
						documentation of the reason for prescribing the medication, the need to
						continue the medication and the necessary dosage.
The provisions of this §
														6400.165 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.166 - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.166a - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.167 - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.168 - 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 §
														6400.168 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › MEDICATIONS › Section 6400.169 - Medication administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff 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 §
												6400.162 (relating to medication
						administration).
(b) A staff 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.171 - Protection of food

Current through Register Vol. 54, No. 28, July 13, 2024
Food shall be protected from contamination while being
						  stored, prepared, transported and served.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.172 - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.173 - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.174 - 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.175 - Serving of meals

Current through Register Vol. 54, No. 28, July 13, 2024
Meals shall be served at tables seating 12 or fewer
						  people with additional portions available, unless prohibited by individual
						  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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.176 - Returned food

Current through Register Vol. 54, No. 28, July 13, 2024
Uneaten food from a person's dish may not be served
						  again or used in the preparation of other dishes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.177 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › NUTRITION › Section 6400.178 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.181 - 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 residential 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 residential home.
(b) If the
						program 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
						program 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 following 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.182 - Development, annual update and revision of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The program
						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 §
														6400.182 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.183 - 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
						program 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.184 - 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 §
														6400.184 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.185 - 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 §
														6400.185 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 §
														6400.25 (relating to children's
							 services); 55 Pa. Code §
														6400.32 (relating to rights of the
							 individual); and 55 Pa. Code §
														6400.195 (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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.186 - Implementation of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
The home shall implement the individual plan, including
						  revisions.
The provisions of this §
														6400.186 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.187 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
														6400.187 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.188 - Home services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						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 home shall provide opportunities and
						support to the individual for participation in community life, including
						volunteer or civic-minded opportunities and membership in National or local
						organizations.
(c) The home shall
						provide services to the individual as specified in the individual
						plan.
(d) The home shall provide
						services that are age and functionally appropriate to the individual.
The provisions of this §
														6400.188 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.189 - Day services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Day
						services such as competitive community-integrated employment, education,
						vocational training, volunteering, civic-minded and other meaningful
						opportunities shall be provided to the individual.
(b) Day services shall be provided at a
						location other than the residential home where the individual lives, unless one
						of the following applies:
(1) There is
						written annual documentation by a licensed physician that it is medically
						necessary for the individual to complete day services at the residential
						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 residential
						home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › PROGRAM › Section 6400.190 - Recreational and social activities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The residential home shall provide
						recreational and social activities, including volunteer or civic-minded
						opportunities and membership in National or local organizations at the
						following locations:
(1) At the residential
						home.
(2) Away from the residential
						home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › RESTRICTIVE PROCEDURES › Section 6400.191 - Definition of restrictive procedures

Current through Register Vol. 54, No. 28, July 13, 2024
A restrictive procedure is a practice that limits an
						  individual's movement, activity or function; interferes with an individual's
						  ability to acquire positive reinforcement; results in the loss of objects or
						  activities that an individual values; or requires an individual to engage in a
						  behavior that the individual would not engage in given freedom of
						  choice.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › RESTRICTIVE PROCEDURES › Section 6400.192 - Written policy

Current through Register Vol. 54, No. 28, July 13, 2024
The home shall develop and implement a written policy
						  that defines the prohibition or use of specific types of restrictive
						  procedures, describes the circumstances in which restrictive procedures may be
						  used, the staff persons who may authorize the use of restrictive procedures and
						  a mechanism to monitor and control the use of restrictive procedures.
The provisions of this §
														6400.192 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 §
														6400.273 (relating to
							 exceptions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › RESTRICTIVE PROCEDURES › Section 6400.193 - Appropriate use of restrictive procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A restrictive procedure may not be used
						as retribution, for the convenience of staff persons, as a substitute for the
						program or in a way that interferes with the individual's developmental
						program.
(b) For each incident
						requiring restrictive procedures:
(1) Every
						attempt shall be made to anticipate and de-escalate the behavior using methods
						of intervention less intrusive than restrictive procedures.
(2) A restrictive procedure may not be used
						unless less restrictive techniques and resources appropriate to the behavior
						have been tried but have failed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › RESTRICTIVE PROCEDURES › Section 6400.194 - Human rights team

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
						restrictive procedure is used, the home shall use a human rights team. The home
						may use a county mental health and intellectual disability program human rights
						team that meets the requirements of this section.
(b) The human rights team shall include a
						professional who has a recognized degree, certification or license relating to
						behavioral support, who did not develop the behavior support component of the
						individual plan.
(c) The human
						rights team shall include a majority of persons who do not provide direct
						services to the individual.
(d) A
						record of the human rights team meetings shall be kept.
The provisions of this §
														6400.194 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 §
														6400.195 (relating to behavior
							 support component of the individual plan); and 55 Pa. Code §
														6400.209 (relating to emergency
							 use of a physical restraint).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart E - Residential Agencies/Facilities/Services › Article I - Licensing/Approval › Chapter 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › RESTRICTIVE PROCEDURES › Section 6400.195 - Behavior support component of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For each individual for whom a
						restrictive procedure may be used, the individual plan shall include a
						component addressing behavior support that is reviewed and approved by the
						human rights team in §
												6400.194 (relating to human rights
						team), prior to use of a restrictive procedure.
(b) The behavior support component of the
						individual plan shall be reviewed and revised as necessary by the human rights
						team, according to the time frame established by the team, not to exceed 6
						months between reviews.
(c) The
						behavior support component of the individual plan shall include:
(1) The specific behavior to be
						addressed.
(2) An assessment of the
						behavior, including the suspected reason for the behavior.
(3) The outcome desired.
(4) A target date to achieve the
						outcome.
(5) Methods for
						facilitating positive behaviors such as changes in the individual's physical
						and social environment, changes in the individual's routine, improving
						communications, recognizing and treating physical and behavior health
						conditions, voluntary physical exercise, redirection, praise, modeling,
						conflict resolution, de-escalation and teaching skills.
(6) Types of restrictive procedures that may
						be used and the circumstances under which the procedures may be used.
(7) The amount of time the restrictive
						procedure may be applied.
(8) The
						name of the staff person responsible for monitoring and documenting progress
						with the 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 6400 - COMMUNITY HOMES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › RESTRICTIVE PROCEDURES › Section 6400.196 - Staff training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						staff person who implements or manages a behavior support component of an
						individual plan shall be trained in the use of the specific techniques or
						procedures that are used.
(b) If a
						physical restraint will be used, the staff person who implements or manages the
						behavior support component of the individual plan shall have experienced the
						use of the physical restraint directly on the staff person.
(c) Documentation of the training provided,
						including the staff persons trained, dates of training, description of training
						and training source, shall be kept.
The provisions of this §
														6400.196 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)).