reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.151 - Assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each client
					 shall have an initial assessment within 1 year prior to or 60 calendar days
					 after admission to the facility and an updated assessment annually
					 thereafter.
(b) If the program
					 specialist is making a recommendation to revise a service or outcome in the
					 individual plan, the client 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 client.
(2)
					 The likes, dislikes and interest of client, including vocational and employment
					 interests of the client.
(3) The
					 client's current level of performance and progress in the following areas:
(i) Acquisition of vocational functioning
					 skills.
(ii) Communication; ability
					 to receive, retain and carry out instructions.
(iii) Personal adjustment.
(iv) Personal needs with or without
					 assistance from others.
(4) The client's need for
					 supervision.
(5) The client's
					 ability to self-administer medications.
(6) The client's ability to safely use or
					 avoid poisonous materials, when in the presence of poisonous
					 materials.
(7) The client'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 client's ability
					 to evacuate in the event of a fire.
(9) Documentation of the client's disability,
					 including functional and medical limitations.
(10) A lifetime medical history.
(11) Psychological evaluations, if
					 applicable.
(12) Recommendations
					 for specific areas of vocational training or placement and competitive
					 community-integrated employment.
(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) Personal
					 adjustment.
(iv)
					 Socialization.
(v) Vocational
					 skills.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.152 - 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 client and the individual plan team.
(b) The initial individual plan shall be
					 developed based on the client assessment within 90 days of the client's date of
					 admission to the facility.
(c) The
					 individual plan shall be initially developed, revised annually and revised when
					 a client's needs change based upon a current assessment.
(d) The client and persons designated by the
					 client shall be involved and supported in the initial development and revisions
					 of the individual plan.
The provisions of this §
													2390.152 issued under sections 911
						  and 1021 of the Human Services Code (62 P. S. §§
														911 and
						  1021); amended under sections
						  201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code
						  (62
						  P.S. §§
														201(2),
						  403(b), 403.1(a) and (b),
						  901-922 and 1001-1088); 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.153 - Individual plan team

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 individual plan shall be developed by an interdisciplinary team, including the
					 following:
(1) The client.
(2) Persons designated by the
					 client.
(3) The client's direct
					 service workers.
(4) The program
					 specialist.
(5) The program
					 specialist for the client's residential program, if applicable.
(6) Other specialists such as health care,
					 behavior management, speech, occupational and physical therapy as appropriate
					 for the client's needs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.154 - Individual plan process

Current through Register Vol. 54, No. 28, July 13, 2024
The individual plan process shall:
(1) Provide information and support to ensure
					 that the client directs the individual plan process to the extent
					 possible.
(2) Enable the client to
					 make choices and decisions.
(3)
					 Reflect what is important to the client to ensure that services are delivered
					 in a manner reflecting individual preferences and ensuring the client's health,
					 safety and well-being.
(4) Occur
					 timely at intervals, times and locations of choice and convenience to the
					 client and to persons designated by the client.
(5) Be communicated in clear and
					 understandable language.
(6)
					 Reflect cultural considerations of the client.
(7) Include guidelines for solving
					 disagreements among the individual plan team members.
(8) Include a method for the client to
					 request updates to the individual plan.
The provisions of this §
													2390.154 issued under sections 911
						  and 1021 of the Human Services Code (62 P. S. §§
														911 and
						  1021); amended under sections
						  201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
						  (62
						  P.S. §§
														201(2),
						  403(b), 403.1(a) and (b), 911
						  and 1021); and section 201(2) of the Mental Health and Intellectual Disability
						  Act of 1966 (50 P.S. §
														4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.155 - Content of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
The individual plan, including revisions, must include
						the following:
(1) The client's
					 strengths, functional abilities and service needs.
(2) The client's preferences related to
					 relationships, communication, community participation, employment, health care,
					 wellness and education.
(3) The
					 client's desired outcomes.
(4)
					 Services to assist the client to achieve desired outcomes.
(5) Risks to the client's health, safety or
					 well-being, behaviors likely to result in immediate physical harm to the client
					 or others and risk mitigation strategies, if applicable.
(6) Modification of client rights as
					 necessary to mitigate significant health and safety risks to the client or
					 others, if applicable.
The provisions of this §
													2390.155 issued under sections 911
						  and 1021 of the Human Services Code (62 P. S. §§
														911 and
						  1021); amended under sections
						  201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
						  (62
						  P.S. §§
														201(2),
						  403(b), 403.1(a) and (b), 911
						  and 1021); and section 201(2) of the Mental Health and Intellectual Disability
						  Act of 1966 (50 P.S. §
														4201(2)).
This section cited in 55 Pa. Code §
													2390.21 (relating to client
						  rights); and 55 Pa. Code §
													2390.175 (relating to behavior
						  support component of the individual
						  plan).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.156 - Implementation of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
The facility shall implement the individual plan,
						including revisions.
The provisions of this §
													2390.156 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.157 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													2390.157 issued under sections 911
						  and 1021 of the Human Services Code (62 P.S. §§
														911 and
						  1021); reserved under
						  sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services
						  Code (62 P.S. §
														201(2),
						  403(b), 403.1(a) and (b), 911
						  and 1021); and section 201(2) of the Mental Health and Intellectual Disability
						  Act of 1966 (50 P.S. §
														4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.158 - Facility services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 facility shall provide services including work experience and other
					 developmentally oriented vocational training designed to develop the skills
					 necessary for promotion into a higher level of vocational programming or
					 competitive community-integrated employment.
(b) The facility shall provide opportunities
					 and support to the client for participation in community life, including
					 competitive community-integrated employment.
(c) The facility shall provide services to
					 the client as specified in the client's individual plan.
(d) The facility shall provide services that
					 are age and functionally appropriate to the client.
The provisions of this §
													2390.158 issued under sections 911
						  and 1021 of the Human Services Code (62 P. S. §§
														911 and
						  1021); amended under sections
						  201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code
						  (62
						  P.S. §§
														201(2),
						  403(b), 403.1(a) and (b), 911
						  and 1021); and section 201(2) of the Mental Health and Intellectual Disability
						  Act of 1966 (50 P.S. §
														4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › PROGRAM › Section 2390.159 - Vocation evaluation

Current through Register Vol. 54, No. 28, July 13, 2024
If the facility provides vocational evaluation, the
						following apply:
(1) The vocational
					 evaluator shall perform the evaluations.
(2) A copy of the written evaluation shall be
					 kept in the client's record.
(3)
					 The written evaluation must include the following information:
(i) The client's current level of vocational
					 functioning.
(ii) The employment
					 objectives for the client.
(iii)
					 The vocational interests of the client.
(iv) The client's level of personal and
					 social adjustment.
(v) The client's
					 work attitude.
(vi) The client's
					 fatigue levels.
(vii) The client's
					 ability to receive, retain and carry out instructions.
(viii) Recommendations for specific areas of
					 training or placement.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.171 - Definition of restrictive procedures

Current through Register Vol. 54, No. 28, July 13, 2024
A restrictive procedure is a practice that does one or
						more of the following:
(1) Limits a
					 client's movement, activity or function.
(2) Interferes with a client's ability to
					 acquire positive reinforcement.
(3)
					 Results in the loss of objects or activities that a client values.
(4) Requires a client to engage in a behavior
					 that the client would not engage in given freedom of choice.
The provisions of this §
													2390.171 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.172 - Written policy

Current through Register Vol. 54, No. 28, July 13, 2024
The facility shall develop and implement a written policy
						that defines the prohibition or use of specific types of restrictive
						procedures, describes the circumstances in which a restrictive procedure may be
						used, the staff persons who may authorize the use of a restrictive procedure
						and a mechanism to monitor and control the use of restrictive procedures.
The provisions of this §
													2390.172 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.173 - 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 a
					 program or in a way that interferes with the client's developmental
					 program.
(b) For each use of a
					 restrictive procedure:
(1) Every attempt
					 shall be made to anticipate and de-escalate the behavior using techniques less
					 intrusive than a restrictive procedure.
(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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.174 - Human rights team

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 restrictive procedure is used, the facility shall use a human rights team. The
					 facility 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 client.
(d) A
					 record of the human rights team meetings shall be kept.
The provisions of this §
													2390.174 issued 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 §
													2390.175 (relating to behavior
						  support component of the individual plan); and 55 Pa. Code §
													2390.179 (relating to emergency
						  use of a physical restraint).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.175 - Behavior support component of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For each client 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
					 §
											2390.174 (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 client's physical and
					 social environment, changes in the client'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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.176 - 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 §
													2390.176 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.177 - Prohibited procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The following procedures are prohibited:
(1) Seclusion, defined as involuntary
					 confinement of a client in a room or area from which the client is physically
					 prevented or verbally directed from leaving. Seclusion includes physically
					 holding a door shut or using a foot pressure lock.
(2) Aversive conditioning, defined as the
					 application of startling, painful or noxious stimuli.
(3) Pressure-point techniques, defined as the
					 application of pain for the purpose of achieving compliance. A pressure-point
					 technique does not include a clinically-accepted bite release technique that is
					 applied only as long as necessary to release the bite.
(4) A chemical restraint, defined as use of a
					 drug for the specific and exclusive purpose of controlling acute or episodic
					 aggressive behavior. A chemical restraint does not include a drug ordered by a
					 health care practitioner or dentist for the following use or event:
(i) Treatment of the symptoms of a specific
					 mental, emotional or behavioral condition.
(ii) Pretreatment prior to a medical or
					 dental examination or treatment.
(iii) An ongoing program of
					 medication.
(iv) A specific,
					 time-limited stressful event or situation to assist the client to control the
					 client's own behavior.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.178 - Physical restraint

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 physical restraint, defined as a manual method that restricts, immobilizes or
					 reduces a client's ability to move the client's arms, legs, head or other body
					 parts freely, may only be used in the case of an emergency to prevent a client
					 from immediate physical harm to the client or others.
(b) Verbal redirection, physical prompts,
					 escorting and guiding a client are permitted.
(c) A prone position physical restraint is
					 prohibited.
(d) A physical
					 restraint that inhibits digestion or respiration, inflicts pain, causes
					 embarrassment or humiliation, causes hyperextension of joints, applies pressure
					 on the chest or joints or allows for a free fall to the floor is
					 prohibited.
(e) A physical
					 restraint may not be used for more than 30 cumulative minutes within a 2-hour
					 period.
The provisions of this §
													2390.178 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.179 - Emergency use of a physical restraint

Current through Register Vol. 54, No. 28, July 13, 2024
If a physical restraint is used on an unanticipated,
						emergency basis, §§
											2390.174 and
						2390.175 (relating to human rights
						team; and behavior support component of the individual plan) do not apply until
						after the restraint is used for the same client twice in a 6-month
						period.
The provisions of this §
													2390.179 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › RESTRICTIVE PROCEDURES › Section 2390.180 - Access to or the use of a client's personal property

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Access to or the use of a client's
					 personal funds or property may not be used as a reward or punishment.
(b) A client's personal funds or property may
					 not be used as payment for damages unless the client consents to make
					 restitution for the damages. The following consent provisions apply unless
					 there is a court-ordered restitution:
(1) A
					 separate written consent is required for each incidence of
					 restitution.
(2) Consent shall be
					 obtained in the presence of the client or a person designated by the
					 client.
(3) The facility may not
					 coerce the client to provide consent.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.191 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The facility
					 shall provide a client who has a prescribed medication with assistance, as
					 needed, for the client's self-administration of the medication.
(b) Assistance in the self-administration of
					 medication includes helping the client to remember the schedule for taking the
					 medication, offering the client the medication at the prescribed times, opening
					 a medication container and storing the medication in a secure place.
(c) The facility shall provide or arrange for
					 assistive technology to assist the client to self-administer
					 medications.
(d) The individual
					 plan must identify if the client is unable to self-administer
					 medications.
(e) To be considered
					 able to self-administer medications, a client shall do all of the following:
(1) Recognize and distinguish the client'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 client of the schedule and to offer the medication at the
					 prescribed times as specified in subsection (b).
(4) Take or apply the client's own medication
					 with or without the use of assistive technology.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.192 - Medication administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 facility whose staff persons are qualified to administer medications as
					 specified in subsection (b) may provide medication administration for a client
					 who is unable to self-administer the client'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 §
												2390.198 (relating to medication
					 administration training) for the medication administration of the following:
(i) Oral medications.
(ii) Topical medications.
(iii) Eye, nose and ear drop
					 medications.
(iv) Insulin
					 injections.
(v) Epinephrine
					 injections for insect bites or other allergies.
(vi) Medications, injections, procedures and
					 treatments as permitted by applicable statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.193 - 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 the pharmacy.
(b) A prescription medication may not be
					 removed from its original labeled container in advance of the scheduled
					 administration.
(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 client if the epinephrine is self-administered or to the staff person who
					 is with the client 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 the applicable Federal and State statutes and
					 regulations.
(i) This section does
					 not apply for a client who self-administers medication and stores the
					 medication on the client's person or in the client's private property, such as
					 a purse or backpack.
The provisions of this §
													2390.193 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.194 - 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 client 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 client's medication record shall
					 be updated as soon as a written notice of the change is received.
The provisions of this §
													2390.194 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.195 - Medication record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 medication record shall be kept, including the following for each client for
					 whom a prescription medication is administered:
(1) Client'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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.196 - 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 client is in the wrong position.
(8) Improper preparation of the
					 medication.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.197 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 client has a suspected adverse reaction to a medication, the facility 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 §
													2390.197 issued 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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.198 - 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 §
											2390.192 (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 IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Section 2390.199 - Medication administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff person who has successfully
					 completed a Department-approved medications administration course, including
					 the course renewal requirements, may administer the following:
(1) Oral medications.
(2) Topical medications.
(3) Eye, nose and ear drop
					 medications.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2390 - VOCATIONAL FACILITIES › MEDICATION ADMINISTRATION › Appendix A - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this Appendix A reserved under
						  sections 911 and 1021 of the Human Services Code (62 P.S. §§
														911 and
						  1021).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › GENERAL PROVISIONS › Section 2430.1 - Introduction

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
The Business Enterprises Program (BEP) enables blind
					 persons to operate small businesses known as vending facilities, under license
					 from the Department. The Department operates this program in its role as
					 designated State agency for Vocational Rehabilitation for the Blind. The
					 purpose of the program is to provide additional incentives and economic
					 opportunities for blind persons to become self-supporting.
(b)
Funding.
Funding is
					 provided through a revolving fund established by the General Assembly as a
					 special fund in the State Treasury. This fund is maintained by rental fees
					 collected from licensed vendors, grants, contributions, and Federal matching
					 funds earned through program operations.
(c)
Office of Blindness and Visual
					 Services (BVS).
The Department's Office of Blindness and Visual
					 Services (BVS) establishes vending facilities by providing for a suitable site,
					 necessary construction, and purchase or lease of equipment.
(d)
Vendors.
Vendors are
					 selected, trained, licensed, and assisted in accordance with this chapter. The
					 vendor is responsible for the operation of the vending facility in accordance
					 with this chapter and for contributing to the revolving fund. BVS assists the
					 vendor as necessary to maximize profit from the operation and takes necessary
					 action to preserve the interest of BVS in the facility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › GENERAL PROVISIONS › Section 2430.2 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal base for this chapter is sections 201 and
						801-804 of the Public Welfare Code (62 P. S. §§
												201 and
						801-804); the
						Randolph-Sheppard Act, 20
						U.S.C.A. §
												107 et seq.; and the
						Rehabilitation Act of 1973, 29 U.S.C.A. §
												701 et
						seq.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › GENERAL PROVISIONS › Section 2430.4 - Elected Committee of Blind Vendors

Current through Register Vol. 54, No. 28, July 13, 2024
Under the provisions of the Randolph-Sheppard Act,
						20 U.S.C.A. §
												107 et seq., an elected committee of blind
						vendors shall actively participate with the Office of Blindness and Visual
						Services (BVS) in major administrative and policy decisions and assists BVS to
						implement procedures for the operation of the program. The committee is
						organized on a geographical basis and cooperates with the district manager in
						the administration of the program in that district.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › GENERAL PROVISIONS › Section 2430.5 - Lease rental charge

Current through Register Vol. 54, No. 28, July 13, 2024
The lease rental charge is assessed against the vendor
						and adjusted periodically to ensure the solvency of the revolving fund. The
						adjustment is determined by the Department with the participation of the
						Elected Committee of Blind Vendors and in accordance with provisions of the
						Randolph-Sheppard Act, 20
						U.S.C.A. §
												107 et seq.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › FACILITY SELECTION › Section 2430.11 - Selection of facility sites

Current through Register Vol. 54, No. 28, July 13, 2024
The Office of Blindness and Visual Services (BVS) will
						select potential sites for the location of a facility based on the following
						criteria:
(1) A facility may be
					 located in an office building if total daily traffic is at least 300
					 individuals; or, if the facility is to be located outside a building, at least
					 2,000 individuals pass by daily during business hours.
(2) A facility may be located in an
					 industrial plant or department store if at least 300 employes have easy access
					 to it; or, if the facility is to be located on the grounds of an industrial
					 plant, but not within a building, at least 1,000 employes have easy access to
					 it.
(3) A facility may be located
					 in a neighborhood, shopping, or business area of a community if the population
					 is 2,500 or more.
(4) A facility
					 may be located in an institution if there are at least 500 persons in the
					 institution; or, if the facility is to be located on the grounds of an
					 institution, at least 1,000 persons daily have easy access to it.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › FACILITY SELECTION › Section 2430.12 - Agreement with owner

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Upon
					 selection of a site for a facility, the Office of Blindness and Visual Services
					 (BVS) will sign a formal written agreement with the owner of the
					 site.
(b) The agreement exclusively
					 governs the relationships between the Department and the owner and contains the
					 conditions relating to the location and operation of the facility on the
					 property. BVS will reserve title to installed equipment.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › FACILITY SELECTION › Section 2430.13 - Construction of facility

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Office of Blindness and Visual Services (BVS) will design the facility. The
					 design must be acceptable to the owner of the proposed site as witnessed by his
					 signature. The design must be in accordance with the following:
(1) The special requirements imposed by the
					 owner.
(2) The applicable Federal,
					 State, and local statutes and regulations with specific emphasis on standards
					 imposed by section 504 of the Rehabilitation Act of 1973,
					 29 U.S.C.A. §
													794.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › FUNDING AND MAINTENANCE OF FACILITY › Section 2430.21 - Inventory

Current through Register Vol. 54, No. 28, July 13, 2024
The funds for the initial inventory of stock and supplies
						for a new vendor are furnished through one or a combination of three sources
						dependent on economic need as follows:
(1) Personal funds from the vendor.
(2) Grants from vocational rehabilitation
					 program funds.
(3) Loans from the
					 Employment Fund for the Blind-under section 803 of the Public Welfare Code
					 (62
					 P. S. §
												803)-which are repayable at 2.0%
					 of the gross monthly sales, may be provided by the Office of Blindness and
					 Visual Services (BVS) after a determination of need based on an equitable
					 formula.
(b) The vendor shall replenish the
					 initial inventory from income generated by the operation of the vending
					 facility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › FUNDING AND MAINTENANCE OF FACILITY › Section 2430.22 - Equipment for facility

Current through Register Vol. 54, No. 28, July 13, 2024
The Office of Blindness and Visual Services (BVS) will
						determine the equipment needs of the facility as part of the construction
						design and plan. Standard equipment, consisting of those items which experience
						has shown are basic requirements of a facility, are used to develop the
						equipment schedule.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › FUNDING AND MAINTENANCE OF FACILITY › Section 2430.23 - Maintenance of equipment

Current through Register Vol. 54, No. 28, July 13, 2024
The Office of Blindness and Visual Services (BVS) will
						acquire, maintain and, when necessary, replace the items of the inventory to
						ensure that the vending facility equipment is in good repair and in attractive
						condition.
(b) BVS will provide for
					 routine maintenance and repairs of equipment. Special repairs are provided as
					 required except in instances of flagrant abuse and negligence on the part of
					 the vendor. In the latter instance, a determination of abuse and negligence
					 shall be made by the district manager, and the cost of repairs or replacement
					 assessed against the vendor. Regardless of the determination of responsibility,
					 the damaged equipment shall be repaired or replaced by BVS in accordance with
					 standard procurement practices in a timely fashion without interruption of
					 service by the facility. There may be no closure or suspension of operation at
					 a facility due to lack of properly operating equipment unless operation poses a
					 hazard to the health and safety of the vendor and the customers.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2430 - BUSINESS ENTERPRISES PROGRAM › VENDOR SELECTION › Section 2430.31 - Generally

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The district
					 office shall select a blind person as a potential vendor for the Business
					 Enterprise Program (BEP) during the time the individual is engaged in a
					 vocational rehabilitation program. The selection shall be made in accordance
					 with the standard procedure for the vocational rehabilitation program with the
					 appropriate entries completed on the IWRP. The Office of Blindness and Visual
					 Services (BVS) will provide the selected potential vendor with necessary
					 services, including special training as preparation for placement as a full
					 time operator of a facility.
(b)
					 The training of a potential vendor consists of a formal course of practical
					 instruction followed by a probationary period of 90 days on the job as the
					 vendor at a facility. Upon the successful completion of the probationary
					 period, BVS will issue a qualified vendor certificate which is the sole valid
					 authorization for the vendor to participate in the program as the operator of a
					 facility.