reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › PHYSICAL SITE › Section 3800.103 - Bathrooms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There shall be
						at least one flush toilet for every six children.
(b) There shall be at least one sink for
						every six children.
(c) There shall
						be at least one bathtub or shower for every six children.
(d) There shall be slip-resistant surfaces in
						all bathtubs and showers.
(e)
						Privacy shall be provided for toilets, showers and bathtubs by partitions or
						doors.
(f) There shall be at least
						one wall mirror for every six children.
(g) An individual towel, washcloth, comb,
						hairbrush and toothbrush shall be provided for each child.
(h) Toiletry items including toothpaste,
						shampoo, deodorant and soap shall be provided.
(i) Bar soap is not permitted unless there is
						a separate bar clearly labeled for each child.
This section cited in 55 Pa. Code §
														3800.273 (relating to exceptions
							 for secure care); 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › PHYSICAL SITE › Section 3800.104 - Kitchen areas

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A facility
						shall have a kitchen area with a refrigerator, sink, cooking equipment and
						cabinets for storage.
(b) Utensils
						for eating, drinking and food serving and preparation shall be washed and
						rinsed after each use.
(c) Food
						shall be protected from contamination while being stored, prepared, transported
						and served.
(d) Uneaten food from a
						person's dish may not be served again or used in the preparation of other
						dishes.
(e) Cold food shall be kept
						at or below 40°F. Hot food shall be kept at or above 140°F. Frozen food
						shall be kept at or below 0°F.
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › PHYSICAL SITE › Section 3800.105 - Laundry

Current through Register Vol. 54, No. 28, July 13, 2024
Bed linens, towels, washcloths and clothing shall be
						  laundered at least weekly.
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › PHYSICAL SITE › Section 3800.106 - Swimming

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Above-ground
						and in-ground outdoor pools shall be fenced with a gate that is locked when the
						pool is not in use.
(b) Indoor
						pools shall be made inaccessible to children when not in use.
(c) A certified lifeguard shall be present
						with the children at all times while children are swimming.
(d) The certified lifeguard specified in
						subsection (c) may not be counted in the staff to child ratios specified in
						§§
												3800.54 and
						3800.55 (relating to child care
						supervisor; and child care worker).
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.121 - Unobstructed egress

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Stairways,
						hallways, doorways, passageways and egress routes from rooms and from the
						building shall be unlocked and unobstructed, unless the fire safety approval
						specified in §
												3800.14 (relating to fire safety
						approval) permits locking of certain means of egress. If a fire safety approval
						is not required in accordance with § 3800.14, means of egress may not be
						locked.
(b) Doors used for egress
						routes from rooms and from the building may not be equipped with key-locking
						devices, electronic card operated systems or other devices which prevent
						immediate egress of children from the building.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.122 - Exits

Current through Register Vol. 54, No. 28, July 13, 2024
If more than four children sleep above the ground
						  floor, there shall be a minimum of two interior or exterior exits from each
						  floor. If a fire escape is used as a means of egress, it shall be permanently
						  installed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.123 - Evacuation procedures

Current through Register Vol. 54, No. 28, July 13, 2024
There shall be written emergency evacuation procedures
						  that include staff responsibilities, means of transportation and emergency
						  location.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.124 - Notification of local fire officials

Current through Register Vol. 54, No. 28, July 13, 2024
The facility shall notify local fire officials in
						  writing of the address of the facility, location of bedrooms and assistance
						  needed to evacuate in an emergency. The notification shall be kept current.
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.125 - Flammable and combustible materials

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Combustible materials may not be located
						near heat sources.
(b) Flammable
						materials shall be used safely, stored away from heat sources and inaccessible
						to children.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.126 - Furnaces

Current through Register Vol. 54, No. 28, July 13, 2024
Furnaces shall be inspected and cleaned at least
						  annually by a professional furnace cleaning company or trained maintenance
						  staff persons. Documentation of the inspection and cleaning shall be
						  kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.127 - Portable space heaters

Current through Register Vol. 54, No. 28, July 13, 2024
Portable space heaters, defined as heaters that are not
						  permanently mounted or installed, are not permitted in the
						  facility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.128 - Wood and coal burning stoves

Current through Register Vol. 54, No. 28, July 13, 2024
The use of wood and coal burning stoves is not
						  permitted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.129 - Fireplaces

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Fireplaces
						shall be securely screened or equipped with protective guards while in
						use.
(b) A staff person shall be
						present with the children while a fireplace is in use.
(c) A fireplace chimney and flue shall be
						cleaned when there is an accumulation of creosote. Written documentation of the
						cleaning shall be kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.130 - Smoke detectors and fire alarms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A facility shall have a minimum of one
						operable automatic smoke detector on each floor, including the basement and
						attic.
(b) There shall be an
						operable automatic smoke detector located within 15 feet of each bedroom
						door.
(c) The smoke detectors
						specified in subsections (a) and (b) shall be located in common areas or
						hallways.
(d) Smoke detectors and
						fire alarms shall be of a type approved by the Department of Labor and Industry
						or listed by Underwriters Laboratories.
(e) If the facility serves four or more
						children or if the facility has three or more stories including the basement
						and attic, there shall be at least one smoke detector on each floor
						interconnected and audible throughout the facility or an automatic fire alarm
						system that is audible throughout the facility.
(f) If one or more children or staff persons
						are not able to hear the smoke detector or fire alarm system, all smoke
						detectors and fire alarms shall be equipped so that each person with a hearing
						impairment will be alerted in the event of a fire.
(g) If a smoke detector or fire alarm becomes
						inoperative, repair shall be completed within 48 hours of the time the detector
						or alarm was found to be inoperative.
(h) There shall be a written procedure for
						fire safety monitoring if the smoke detector or fire alarm becomes
						inoperative.
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.131 - 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) If the indoor floor area on a floor
						including the basement or attic is more than 3,000 square feet, there shall be
						an additional fire extinguisher with a minimum 2-A rating for each additional
						3,000 square feet of indoor floor space.
(c) A fire extinguisher 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).
(d) Fire extinguishers shall be listed by
						Underwriters Laboratories or approved by Factory Mutual Systems.
(e) Fire extinguishers shall be accessible to
						staff persons. Fire extinguishers may be kept locked if access to the
						extinguisher by a child may cause a safety risk to the child. If fire
						extinguishers are kept locked, each staff person shall be able to immediately
						unlock the fire extinguisher in the event of a fire emergency.
(f) Fire extinguishers shall be inspected and
						approved annually by a fire safety expert. The date of the inspection shall be
						on the extinguisher.
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › FIRE SAFETY › Section 3800.132 - Fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
						unannounced fire drill shall be held at least once a month.
(b) Fire drills shall be held during normal
						staffing conditions and not when additional staff persons are
						present.
(c) A written fire drill
						record shall be kept of the date, time, the amount of time it took for
						evacuation, the exit route used, the number of children in the facility at the
						time of the drill, problems encountered and whether the fire alarm or smoke
						detector was operative.
(d)
						Children shall be able to evacuate the entire building into a public
						thoroughfare, or to a fire-safe area designated in writing within the past year
						by a fire safety expert, within 2 1/2 minutes or within the period of time
						specified in writing within the past year by a fire safety expert. The fire
						safety expert may not be an employe of the facility.
(e) A fire drill shall be held during
						sleeping hours at least every 6 months.
(f) Alternate exit routes shall be used
						during fire drills.
(g) Fire drills
						shall be held on different days of the week, at different times of the day and
						night and on different staffing shifts.
(h) Children shall evacuate to a designated
						meeting place outside the building or within the fire-safe area during each
						fire drill.
(i) A fire alarm or
						smoke detector shall be set off during each fire drill.
(j) Elevators may not be used during a fire
						drill or a fire.
This section cited in 55 Pa. Code §
														3800.302 (relating to exceptions
							 for outdoor and mobile programs); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.141 - Child health and safety assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A child shall have a written health and
						safety assessment within 24 hours of admission.
(b) The assessment shall be completed or
						coordinated, signed and dated by medical personnel or staff persons trained by
						medical personnel.
(c) The
						assessment shall include the following:
(1)
						Medical information and health concerns such as allergies; medications;
						immunization history; hospitalizations; medical diagnoses; medical problems
						that run in the family; issues experienced by the child's mother during
						pregnancy; special dietary needs; illnesses; injuries; dental, mental or
						emotional problems; body positioning and movement stimulation for children with
						disabilities, if applicable; and ongoing medical care needs.
(2) Known or suspected suicide or self-injury
						attempts or gestures and emotional history which may indicate a predisposition
						for self-injury or suicide.
(3)
						Known incidents of aggressive or violent behavior.
(4) Substance abuse history.
(5) Sexual history or behavior patterns that
						may place the child or other children at a health or safety risk.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.142 - Health and safety plan

Current through Register Vol. 54, No. 28, July 13, 2024
If the health and safety assessment in §
												3800.141 (relating to health and
						  safety assessment) identifies a health or safety risk, a written plan to
						  protect the child shall be developed and implemented within 24 hours after the
						  assessment is completed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.144 - Dental care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each child
						shall receive dental care, at as early an age as necessary, needed for relief
						of pain and infections, restoration of teeth and maintenance of dental
						health.
(b) A child who is 3 years
						of age or older shall have a dental examination performed by a licensed dentist
						and teeth cleaning performed by a licensed dentist or dental technician at
						least semiannually. If a child has not had a dental examination and teeth
						cleaning within 6 months prior to admission, a dental examination and teeth
						cleaning shall be performed within 30 days after admission.
(c) A written record of completion of each
						dental examination, including the preadmission examination permitted in
						subsection (b), specifying the date of the examination, the dentist's name and
						address, procedures completed and follow-up treatment recommended and dates
						provided, shall be kept in the child's record.
(d) Follow-up dental work indicated by the
						examination, such as treatment of cavities and the application of protective
						sealants, shall be provided in accordance with recommendations by the licensed
						dentist.
This section cited in 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.145 - Vision care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each child
						shall receive vision screening and services to include diagnosis and treatment
						including eyeglasses, for defects in vision.
(b) Each child who is 3 years of age or older
						shall receive vision screening within 30 days after admission in accordance
						with the periodicity schedule recommended by the American Academy of
						Pediatrics, "Guidelines for Health Supervision," and "Eye Examination and
						Vision Screening in Infants, Children and Young Adults (RE9625)."
(c) If the child had a vision screening prior
						to admission that meets the requirements of subsection (a) within the
						periodicity schedule specified in subsection (b), an initial examination within
						30 days after admission is not required. The next screening shall be required
						within the periodicity schedule specified in subsection (b).
(d) Follow-up treatment and services, such as
						provision of eyeglasses, shall be provided as recommended by the treating
						practitioner.
(e) A written record
						of completion of each vision screening, including the preadmission screening
						permitted in subsection (c), specifying the date of the screening, the treating
						practitioner's name and address, results of the screening, follow-up
						recommendations made, and the dates and provision of follow-up services and
						treatment, shall be kept in the child's record.
This section cited in 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.146 - Hearing care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each child
						shall receive a hearing screening and services to include diagnosis and
						treatment including hearing aids, for defects in hearing.
(b) Each child who is 3 years of age or older
						shall receive a hearing screening within 30 days after admission in accordance
						with the periodicity schedule recommended by the American Academy of
						Pediatrics, "Guidelines for Health Supervision."
(c) If the child had a hearing screening
						prior to admission that meets the requirements of subsection (a) within the
						periodicity schedule specified in subsection (b), an initial examination within
						30 days after admission is not required. The next screening shall be required
						within the periodicity schedule specified in subsection (b).
(d) Follow-up treatment and services, such as
						provision of hearing aids, shall be provided as recommended by the treating
						practitioner.
(e) A written record
						of completion of each hearing screening, including the preadmission screening
						permitted in subsection (c), specifying the date of the screening, the treating
						practitioner's name and address, the results of the screening, follow-up
						recommendations made, and the dates and provision of follow-up services and
						treatment, shall be kept in the child's record.
This section cited in 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.147 - Use of tobacco

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Use or
						possession of tobacco products by children is prohibited.
(b) Use or possession of tobacco products by
						staff persons is prohibited in the facility and during transportation provided
						by the facility.
(c) If staff
						persons use tobacco products outside but on the premises of the facility, the
						following apply:
(1) The facility shall have
						written fire safety procedures. Procedures shall include extinguishing
						procedures and requirements that smoking shall occur only a safe distance from
						the facility and from flammable or combustible materials or
						structures.
(2) Written safety
						procedures shall be followed.
(3)
						Use of tobacco products shall be out of the sight of the children.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.148 - Health and behavioral health services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The facility shall identify acute and
						chronic conditions of a child and shall arrange for or provide appropriate
						medical treatment.
(b) Medically
						necessary physical and behavioral health services, diagnostic services,
						follow-up examinations and treatment, such as medical, nursing, pharmaceutical,
						dental, dietary, hearing, vision, blood lead level, psychiatric and
						psychological services that are planned or prescribed for the child, shall be
						arranged for or provided.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.149 - Emergency medical plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						facility 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.
(4) Medical and behavior
						health conditions or situations under which emergency medical care and
						treatment are warranted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › STAFF HEALTH › Section 3800.151 - Staff health statement

Current through Register Vol. 54, No. 28, July 13, 2024
A staff person or volunteer who comes into direct
						  contact with the children or who prepares or serves food, shall have a
						  statement signed and dated by a licensed physician, certified registered nurse
						  practitioner or licensed physician's assistant, within 12 months prior to
						  working with children or food service and every 2 years thereafter, stating
						  that the person is free of serious communicable disease that may be spread
						  through casual contact or that the staff person has a serious communicable
						  disease that may be spread through casual contact but is able to work in the
						  facility if specific precautions are taken that will prevent the spread of the
						  disease to children.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › STAFF HEALTH › Section 3800.152 - Serious communicable diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a staff person or volunteer has a
						serious communicable disease that may be spread through casual contact, written
						authorization from a licensed physician, certified nurse practitioner or
						licensed physician's assistant is required for the person to be present at the
						facility.
(b) Written authorization
						from a licensed physician, certified nurse practitioner or licensed physician's
						assistant shall include a statement that the person will not pose a serious
						threat to the health of the children and specific instructions and precautions
						to be taken for the protection of the children.
(c) The written instructions and precautions
						specified in subsection (b) shall be followed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › NUTRITION › Section 3800.161 - Three meals a day

Current through Register Vol. 54, No. 28, July 13, 2024
At least three meals and one snack a day shall be
						  provided to the children.
This section cited in 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › NUTRITION › Section 3800.162 - Quantity of food

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The quantity
						of food served shall meet minimum daily requirements as recommended by the
						United States Department of Agriculture, unless otherwise recommended in
						writing by a licensed physician, certified nurse practitioner or licensed
						physician's assistant for a specific child.
(b) Additional portions of meals shall be
						available for the children.
This section cited in 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › NUTRITION › Section 3800.163 - Food groups and alternative diets

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each meal 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, certified nurse
						practitioner or licensed physician's assistant for a specific child.
(b) Dietary alternatives shall be available
						for a child who has special health needs, religious beliefs regarding dietary
						restrictions or vegetarian preferences.
This section cited in 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › NUTRITION › Section 3800.164 - Withholding or forcing of food prohibited

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A facility may not withhold meals or
						drink as punishment.
(b) A child
						may not be forced to eat food.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › TRANSPORTATION › Section 3800.171 - Safe transportation

Current through Register Vol. 54, No. 28, July 13, 2024
The following requirements apply whenever the facility,
						  facility staff persons or facility volunteers provide transportation for the
						  children. These requirements do not apply if transportation is provided by a
						  source other than the facility.
(1)
						The child care worker to child ratios specified in §
												3800.55 (relating to child care
						worker) apply.
(2) Each child shall
						be in an individual, age and size appropriate, safety restraint at all times
						the vehicle is in motion.
(3) The
						restrictive procedures specified in §§
												3800.201-3800.213 (relating to restrictive
						procedures) apply.
(4) The driver
						of a vehicle shall be 21 years of age or older.
This section cited in 55 Pa. Code §
														3800.273 (relating to exceptions
							 for secure care); and 55 Pa. Code §
														3800.311 (relating to exceptions
							 for day treatment).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.181 - Storage of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Prescription and over-the-counter medications shall be kept in their original
						containers.
(b) Prescription and
						potentially poisonous over-the-counter medications shall be kept in an area or
						container that is locked.
(c)
						Prescription and potentially poisonous over-the-counter medications stored in a
						refrigerator shall be kept in a separate locked container.
(d) Prescription and over-the-counter
						medications shall be stored separately.
(e) Prescription and over-the-counter
						medications shall be stored under proper conditions of sanitation, temperature,
						moisture and light.
(f)
						Discontinued and expired medications, and prescription medications for children
						who are no longer served at the facility, shall be disposed of in a safe
						manner.
This section cited in 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.182 - Labeling of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						original container for prescription medications shall be labeled with a
						pharmacy label that includes the child's name, the name of the medication, the
						date the prescription was issued, the prescribed dosage and the name of the
						prescribing physician.
(b)
						Over-the-counter medications shall be labeled with the original
						label.
This section cited in 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.183 - Use of prescription medications

Current through Register Vol. 54, No. 28, July 13, 2024
Prescription medications shall be used only by the
						  child for whom the medication was prescribed.
This section cited in 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.184 - Medication log

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A medication
						log shall be kept to include the following for each child:
(1) A list of prescription
						medications.
(2) The prescribed
						dosage.
(3) Possible side
						effects.
(4) Contraindicated
						medications.
(5) Specific
						administration instructions, if applicable.
(6) The name of the prescribing
						physician.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.185 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Documentation of medication errors shall be kept in the medication log.
						Medication errors include the failure to administer medication, administering
						the incorrect medication, administering the correct medication in an incorrect
						dosage or administering the correct medication at the incorrect time.
(b) After each medication error, follow-up
						action to prevent future medication errors shall be taken and
						documented.
This section cited in 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.186 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
If a child has a suspected adverse reaction to a
						  medication, the facility shall notify the prescribing physician, the child's
						  parent and, if applicable, the child's guardian or custodian, immediately.
						  Documentation of adverse reactions and the physician's response shall be kept
						  in the child's record.
This section cited in 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.187 - Administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prescription
						medications and injections of any substance 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 or licensed paramedic.
(2) A graduate of an approved nursing program
						functioning under the direct supervision of a professional nurse who is present
						in the facility.
(3) A student
						nurse of an approved nursing program functioning under the direct supervision
						of a member of the nursing school faculty who is present in the
						facility.
(4) A staff person who
						meets the criterion in §
													3800.188 (relating to medications
						administration training) for the administration of oral, topical and eye and
						ear drop prescriptions, insulin injections and epinephrine injections for
						insect bites.
(5) A child who meets
						the requirements in §
													3800.189 (relating to
						self-administration of medications).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.188 - Medications administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff person who has completed and
						passed a Department-approved medications administration course within the past
						2 years is permitted to administer oral, topical and eye and ear drop
						prescription medications and epinephrine injections for insect bites.
(b) A staff person who has completed and
						passed a Department-approved medications administration course and who has
						completed and passed a diabetes patient education program within the past 12
						months that meets the Standards for Diabetes Patient Education Programs of the
						Pennsylvania Department of Health is permitted to administer insulin
						injections.
(c) A record of the
						training shall be kept including the person trained, the date, source, name of
						trainer, content and length of training.
The Department extends the implementation date of
							 this section to January 2, 2002, 31 Pa.B. 4536 (August 18,
							 2001).)
This section cited in 55 Pa. Code §
														3800.187 (relating to
							 administration); and 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.188a - Medications administration training-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Scope of training
						proposal.
Training proposals may include any audience focus such as
						Statewide; one geographic area of this Commonwealth such as one region, county
						or city; a group of facilities; a single facility; or a specific program type
						(such as secure detention, mental retardation, day treatment, and the
						like).
(b)
Training
						methodology.
Three primary options for training methodology are
						envisioned by the Department. The Department's intent is to allow for a variety
						of training methods. Training shall be delivered through direct, face-to-face
						interaction. Use of video, computer or teleconference training as the sole
						methodology is not permitted.
(1)
Train the Trainer.
This method trains trainers who in turn
						provide training to the staff persons who will be administering medications to
						the children.
(2)
Direct
						Training.
This method provides direct training to the staff persons
						who will be administering the medications to the children.
(3)
Combination.
This method
						combines the use of both the Train the Trainer and Direct Training
						methods.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › MEDICATIONS › Section 3800.189 - Self-administration of medications

Current through Register Vol. 54, No. 28, July 13, 2024
A child is permitted to self-administer medications,
						  insulin injections and epinephrine injections for insect bites, if the
						  following requirements are met:
(1) A
						person who meets the qualifications of §
												3800.187(a)(1)-(4)
						(relating to administration) is physically present observing the administration
						and immediately records the administration in accordance with §
												3800.184 (relating to medication
						log).
(2) The child recognizes and
						distinguishes the medication and knows the condition or illness for which the
						medication is prescribed, the correct dosage and when the medication is to be
						taken.
This section cited in 55 Pa. Code §
														3800.187 (relating to
							 administration); and 55 Pa. Code §
														3800.188a (relating to medications
							 administration training-statement of
							 policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › RESTRICTIVE PROCEDURES › Section 3800.201 - Restrictive procedure

Current through Register Vol. 54, No. 28, July 13, 2024
A restrictive procedure includes chemical restraint,
						  exclusion and manual restraint and for secure care, mechanical restraint and
						  seclusion.
This section cited in 55 Pa. Code §
														3800.171 (relating to safe
							 transportation).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › RESTRICTIVE PROCEDURES › Section 3800.202 - Appropriate use of restrictive procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A restrictive procedure may not be used
						in a punitive manner, for the convenience of staff persons or as a program
						substitution.
(b) With the
						exception of exclusion as specified in §
												3800.212 (relating to exclusion),
						a restrictive procedure may be used only to prevent a child from injuring
						himself or others.
(c) For each
						incident in which use of a restrictive procedure is considered:
(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 intrusive techniques and
						resources appropriate to the behavior have been tried but have
						failed.
(3) A restrictive procedure
						shall be discontinued when the child demonstrates he has regained
						self-control.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › RESTRICTIVE PROCEDURES › Section 3800.203 - Restrictive procedure plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						For each child for whom restrictive procedures will be used beyond
						unanticipated use specified in §
												3800.204 (relating to
						unanticipated use), a restrictive procedure plan shall be written and included
						in the ISP specified in §
												3800.226 (relating to content of
						the ISP), prior to use of restrictive procedures.
(b) The plan shall be developed and revised
						with the participation of the child, the child's parent and, if applicable, the
						child's guardian or custodian, if available, any person invited by the child
						and the child's parent, guardian or custodian, child care staff persons,
						contracting agency representative and other appropriate
						professionals.
(c) The plan shall
						be reviewed every 6 months and revised as needed.
(d) The plan shall be reviewed, approved,
						signed and dated by persons involved in the development and revision of the
						plan, prior to the use of a restrictive procedure, whenever the plan is revised
						and at least every 6 months. The child, the child's parent and, if applicable,
						the child's guardian or custodian shall be given the opportunity to sign the
						plan.
(e) The plan shall include:
(1) The specific behavior to be addressed,
						observable signals that occur prior to the behavior and the suspected reason
						for the behavior.
(2) The
						behavioral outcomes desired, stated in measurable terms.
(3) The methods for modifying or eliminating
						the behavior, such as changes in the child's physical and social environment,
						changes in the child's routine, improving communications, teaching skills and
						reinforcing appropriate behavior.
(4) The types of restrictive procedures that
						may be used and the circumstances under which the restrictive procedures may be
						used.
(5) The length of time the
						restrictive procedure may be applied, not to exceed the maximum time periods
						specified in this chapter.
(6)
						Health conditions that may be affected by the use of specific restrictive
						procedures.
(7) The name of the
						staff person responsible for monitoring and documenting progress with the
						plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › RESTRICTIVE PROCEDURES › Section 3800.204 - Unanticipated use

Current through Register Vol. 54, No. 28, July 13, 2024
If restrictive procedures are used on an unanticipated
						  basis, §
												3800.203 (relating to restrictive
						  procedure plan) does not apply until after any type of restrictive procedure is
						  used four times for the same child in any 3-month period.
This section cited in 55 Pa. Code §
														3800.171 (relating to safe
							 transportation); and 55 Pa. Code §
														3800.203 (relating to restrictive
							 procedure plan).