reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.61 - Telephone

Current through Register Vol. 54, No. 28, July 13, 2024
The facility shall have an operable, noncoin-operated
						telephone with an outside line that is easily accessible to individuals and
						staff persons.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.62 - Emergency telephone numbers

Current through Register Vol. 54, No. 28, July 13, 2024
Telephone numbers of the nearest hospital, police
						department, fire department, ambulance and poison control center shall be
						posted on or by each telephone in the facility with an outside line.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.63 - Screens, windows and doors

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Windows, including windows in doors,
					 shall be screened when windows or interior doors are open.
(b) Screens, windows and doors shall be in
					 good repair.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.64 - Handrails and railings

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each
					 ramp, and interior stairway and outside steps exceeding two steps shall have a
					 well-secured handrail.
(b) Each
					 porch that has over an 18-inch drop shall have a well-secured
					 railing.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.65 - Nonskid surfaces

Current through Register Vol. 54, No. 28, July 13, 2024
Interior stairs and outside steps shall have a nonskid
						surface.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.66 - Landings

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A landing shall
					 be provided beyond each interior and exterior door that opens directly into a
					 stairway.
(b) A landing shall be at
					 least as wide as the stairs leading to the landing.
(c) A landing shall be at least 3 feet in
					 length.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.67 - Furniture and equipment

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Furniture and equipment shall be nonhazardous, clean and sturdy.
(b) Furniture and equipment shall be
					 appropriate for the age, size and disabilities of the individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.68 - Storage of personal belongings

Current through Register Vol. 54, No. 28, July 13, 2024
Space shall be provided for hanging hats and coats and
						storing personal belongings.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.69 - Bathrooms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There shall be
					 one toilet for every 18 individuals served at one time.
(b) There shall be one sink for every 24
					 individuals served at one time.
(c)
					 For facilities with individuals who have a physical disability, at least one
					 toilet and one sink shall be constructed so that individuals with physical
					 handicaps have access and use. The toilet shall be large enough to allow for
					 transfer from a wheelchair to the toilet and to accommodate the individual and
					 a staff person.
(d) If the facility
					 serves 18 or more individuals at one time, there shall be separate bathrooms
					 for men and women.
(e) Each
					 bathroom shall have a wall mirror, soap, toilet paper, covered trash receptacle
					 and individual clean paper towels or air hand dryer.
(f) Privacy shall be provided for all toilets
					 by partitions, doors or curtains.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.70 - First aid

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The facility
					 shall have a first aid area that is separated by partition or privacy screen
					 from program areas.
(b) The first
					 aid area shall have a bed or cot, a blanket, a pillow and a first aid
					 kit.
(c) Each floor of the facility
					 shall have a first aid kit accessible to staff persons.
(d) First aid kits shall contain antiseptic,
					 an assortment of adhesive bandages, sterile gauze pads, a thermometer or other
					 temperature gauging equipment, tweezers, tape and scissors.
(e) A first aid manual shall be kept with
					 each first aid kit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.71 - Elevators

Current through Register Vol. 54, No. 28, July 13, 2024
If an elevator is present in the facility, there shall be
						a valid certificate of operation from the Department of Labor and Industry.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PHYSICAL SITE › Section 2380.72 - Exterior conditions

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Outside walkways shall be free from ice, snow, obstructions and other
					 hazards.
(b) The outside of the
					 building and the facility grounds shall be well maintained, in good repair and
					 free from unsafe conditions.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.81 - Exits

Current through Register Vol. 54, No. 28, July 13, 2024
Each building in which the facility operates shall have a
						minimum of two exits leading directly to the outside.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.82 - Unobstructed egress

Current through Register Vol. 54, No. 28, July 13, 2024
Stairways, halls, doorways, aisles, passageways and exits
						from rooms and from the building shall be unobstructed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.83 - Evacuation procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There
					 shall be written emergency evacuation procedures that include individual and
					 staff responsibilities, means of transportation, an emergency shelter location
					 and an evacuation diagram specifying directions for egress in the event of an
					 emergency.
(b) An evacuation
					 diagram shall be posted in all areas of the facility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.84 - Firesafety inspection

Current through Register Vol. 54, No. 28, July 13, 2024
The facility shall have an annual onsite firesafety
						inspection by a firesafety expert. Documentation of the date, source and
						results of the firesafety inspection shall be kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.85 - Flammable and combustible materials

Current through Register Vol. 54, No. 28, July 13, 2024
Flammable and combustible supplies and equipment shall be
						utilized safely and stored away from heat sources.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.86 - 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 any room including
						offices.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.87 - Fire alarms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There
					 shall be an operable fire alarm system that is audible throughout the
					 building.
(b) If one or more
					 individuals or staff persons are not able to hear the fire alarm system, the
					 fire alarm system shall be equipped so that each person who is not able to hear
					 the alarm shall be alerted in the event of a fire.
(c) If the fire alarm is inoperative,
					 arrangements for repair shall be made within 24 hours and the repairs completed
					 within 4 working days of the time the fire alarm was found to be
					 inoperative.
(d) There shall be a
					 written procedure for firesafety monitoring in the event the fire alarm is
					 inoperative.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.88 - Fire extinguishers

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 There shall be at least one fire extinguisher with a minimum 2-A rating for
					 each floor including the basement.
(b) If the indoor floor area is more than
					 5,000 square feet on a floor including the basement, there shall be an
					 additional fire extinguisher with a minimum 2-A rating for each additional
					 5,000 square feet of indoor floor space.
(c) A fire extinguisher with a minimum 10-B
					 rating shall be located in each kitchen. This extinguisher is required in
					 addition to the extinguishers with a minimum 2-A rating required for each floor
					 in subsections (a) and (b).
(d)
					 Fire extinguishers shall be listed by Underwriters Laboratories or approved by
					 Factory Mutual Systems.
(e) Fire
					 extinguishers shall be accessible to staff persons and individuals.
(f) Fire extinguishers shall be inspected and
					 approved annually by a firesafety expert. The date of the inspection shall be
					 on the extinguisher.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.89 - 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
					 attendance and staffing conditions and not when additional staff persons are
					 present or when attendance is below average.
(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, problems encountered and whether the fire alarm was operative.
(d) Individuals shall be able to evacuate the
					 entire building, or to a fire safe area designated in writing within the past
					 year by a firesafety expert, within 2 1/2 minutes or within the period of time
					 specified in writing within the past year by a firesafety expert. A fire safe
					 area is an area that is accessible from the facility by two different routes
					 and that is separated from other areas of the building by a minimum of 1-hour
					 rated wall and door assemblies. Two fire safe areas in different directions of
					 travel from the facility are acceptable. The firesafety expert may not be an
					 employe of the facility or of the legal entity of the facility.
(e) Alternate exit routes shall be used
					 during fire drills.
(f) Fire drills
					 shall be held on different days of the week and at different times of the
					 day.
(g) Individuals shall evacuate
					 to a designated meeting place outside the building or within the fire safe area
					 during each fire drill.
(h) A fire
					 alarm shall be set off during each fire drill.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.90 - Exit signs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Signs
					 bearing the word "EXIT" in plain, legible letters shall be placed at
					 exits.
(b) If the exit or way to
					 reach the exit is not immediately visable to the individuals, access to exits
					 shall be marked with visible signs indicating the direction of
					 travel.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.91 - Firesafety training for individuals

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An individual shall be instructed in the
					 individual's primary language or mode of communication, upon initial admission
					 and reinstructed annually in general firesafety, evacuation procedures,
					 responsibilities during fire drills, the designated meeting place outside the
					 building or within the fire safe area in the event of an actual fire, and
					 smoking safety procedures if individuals smoke at the facility.
(b) If an individual is medically or
					 functionally unable to participate in the firesafety training, the facility
					 shall keep documentation specifying why the individual could not
					 participate.
(c) A written record
					 of firesafety training, including the content of the training and individuals
					 attending, shall be kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › FIRESAFETY › Section 2380.92 - Smoking safety procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If
					 smoking is permitted at the facility, there shall be written smoking safety
					 procedures.
(b) Written smoking
					 safety procedures shall be followed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › PROGRAM › Section 2380.101 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													2380.101 reserved under sections
						  911 and 1021 of the Public Welfare 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 2380 - ADULT TRAINING FACILITIES › PROGRAM › Section 2380.102 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													2380.102 reserved under sections
						  911 and 1021 of the Public Welfare 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 2380 - ADULT TRAINING FACILITIES › PROGRAM › Section 2380.103 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													2380.103 reserved under sections
						  911 and 1021 of the Public Welfare 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 2380 - ADULT TRAINING FACILITIES › PROGRAM › Section 2380.104-2380.105 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of these §§
													2380.104-2380.105 reserved under sections
						  911 and 1021 of the Public Welfare 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 2380 - ADULT TRAINING FACILITIES › PROGRAM › Section 2380.106 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													2380.106 reserved under sections
						  911 and 1021 of the Public Welfare 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 2380 - ADULT TRAINING FACILITIES › PROGRAM › Section 2380.107-2380.108 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of these §§
													2380.107-2380.108 reserved under sections
						  911 and 1021 of the Public Welfare 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 2380 - ADULT TRAINING FACILITIES › HEALTH › Section 2380.111 - Individual physical examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each individual shall have a physical
					 examination within 12 months prior to admission and annually
					 thereafter.
(b) The physical
					 examination documentation shall be signed and dated by a licensed physician,
					 certified nurse practitioner or certified physician's assistant.
(c) The physical examination shall include:
(1) A review of previous medical
					 history.
(2) A general physical
					 examination.
(3) Immunizations as
					 recommended by the United States Public Health Service, Centers for Disease
					 Control, Atlanta, Georgia 30333.
(4) Vision and hearing screening, as
					 recommended by the physician.
(5)
					 Tuberculin skin testing with negative results every 2 years; or, if the
					 tuberculin skin test is positive, an initial chest X-ray with results
					 noted.
(6) Specific precautions
					 that shall be taken if the individual has a serious communicable disease as
					 defined in 28 Pa. Code §
												27.2 (relating to specific
					 identified reportable diseases, infections and conditions) to the extent that
					 confidentiality laws permit reporting, to prevent the spread of the disease to
					 other individuals.
(7) An
					 assessment of the individual's health maintenance needs, medication regimen and
					 the need for blood work at recommended intervals.
(8) Physical limitations of the
					 individual.
(9) Allergies or
					 contraindicated medication.
(10)
					 Medical information pertinent to diagnosis and treatment in case of an
					 emergency.
(11) Special
					 instructions for an individual's diet.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › HEALTH › Section 2380.112 - Refusal of examination

Current through Register Vol. 54, No. 28, July 13, 2024
If an individual refuses a routine medical examination,
						the refusal shall be documented in the individual's record.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › HEALTH › Section 2380.113 - Staff physical examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff person who comes into direct
					 contact with the individuals or who prepares or serves food, for more than 5
					 days in a 6-month period, including temporary, substitute and volunteer staff
					 persons, shall have a physical examination within 12 months prior to employment
					 and every 2 years thereafter.
(b)
					 The physical examination shall be completed, signed and dated by a licensed
					 physician, certified nurse practitioner or certified physician's
					 assistant.
(c) The physical
					 examination shall include:
(1) A general
					 physical examination.
(2)
					 Tuberculin skin testing with negative results every 2 years; or, if the
					 tuberculin skin test is positive, an initial chest X-ray with results noted.
					 Tuberculin skin testing may be completed and certified in writing by a
					 registered nurse or a licensed practical nurse instead of a licensed physician,
					 certified nurse practitioner or certified physician's assistant.
(3) A signed statement that the person is
					 free of serious communicable diseases as defined in 28 Pa. Code §
												27.2 (relating to specific
					 identified reportable diseases, infections and conditions) to the extent that
					 confidentiality laws permit reporting, or that the person has a serious
					 communicable disease as defined in §
												27.2 to the extent that
					 confidentiality laws permit reporting, but is able to work in the facility if
					 specific precautions are taken that will prevent spread of disease to
					 individuals.
(4) Information of
					 medical problems which might interfere with the safety or health of the
					 individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › HEALTH › Section 2380.114 - Communicable diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 staff person or volunteer has a serious communicable disease as defined in 28
					 Pa. Code §
											27.2 (relating to specific
					 identified reportable diseases, infections and conditions) to the extent that
					 confidentiality laws permit reporting, or a medical problem which might
					 interfere with the health, safety or well-being of the individuals, written
					 authorization from a licensed physician is required for the person to be
					 present at the facility.
(b)
					 Written authorization from a licensed physician shall include a statement that
					 the person will not pose a serious threat to the health, safety or well-being
					 of the individuals and specific instructions and precautions to be taken for
					 the protection of the individuals at the facility.
(c) The physician's written instructions and
					 precautions shall be followed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › HEALTH › Section 2380.115 - Emergency medical plan

Current through Register Vol. 54, No. 28, July 13, 2024
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.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.121 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The facility
					 shall provide an individual who has a prescribed medication with assistance, as
					 needed, for the individual's self-administration of the medication.
(b) Assistance in the self-administration of
					 medication includes helping the individual to remember the schedule for taking
					 the medication, offering the individual the medication at the prescribed times,
					 opening a medication container and storing the medication in a secure place.
(c) The facility shall provide or
					 arrange for assistive technology to assist the individual to self-administer
					 medications.
(d) The individual
					 plan must identify if the individual is unable to self-administer
					 medications.
(e) To be considered
					 able to self-administer medications, an individual shall do all of the
					 following:
(1) Recognize and distinguish the
					 individual's medication.
(2) Know
					 how much medication is to be taken.
(3) Know when the medication is to be taken.
					 Assistance may be provided by staff persons to remind the individual of the
					 schedule and to offer the medication at the prescribed times as specified in
					 subsection (b).
(4) Take or apply
					 the individual's 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 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.122 - 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 an
					 individual who is unable to self-administer the individual's prescribed
					 medication.
(b) A prescription
					 medication that is not self-administered shall be administered by one of the
					 following:
(1) A licensed physician, licensed
					 dentist, licensed physician's assistant, registered nurse, certified registered
					 nurse practitioner, licensed practical nurse, licensed paramedic or other
					 health care professional who is licensed, certified or registered by the
					 Department of State to administer medications.
(2) A person who has completed the medication
					 administration course requirements as specified in §
												2380.129 (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 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.122a - Labeling of medications-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
Prescriptions for medications may be written by a
						certified registered nurse practitioner as authorized under 49 Pa. Code Chapter
						18, Subchapter C (relating to certified registered nurse practitioners) and
						Chapter 21, Subchapter C (relating to certified registered nurse
						practitioners). The label on the original container must include the name of
						the prescribing practitioner.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.123 - Storage and disposal of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prescription and nonprescription
					 medications shall be kept in their original labeled containers. Prescription
					 medications shall be labeled with a label issued by a pharmacy.
(b) A prescription medication may not be
					 removed from its original labeled container in advance of the scheduled
					 administration.
(c) If insulin or
					 epinephrine is not packaged in an individual dose container, assistance with or
					 the administration of the injection shall be provided immediately upon removal
					 of the medication from its original labeled container.
(d) Prescription medications and syringes,
					 with the exception of epinephrine and epinephrine auto-injectors, shall be kept
					 in an area or container that is locked.
(e) Epinephrine and epinephrine
					 auto-injectors shall be stored safely and kept easily accessible at all times.
					 The epinephrine and epinephrine auto-injectors shall be easily accessible to
					 the individual if the epinephrine is self-administered or to the staff person
					 who is with the individual if a staff person will administer the
					 epinephrine.
(f) Prescription
					 medications stored in a refrigerator shall be kept in an area or container that
					 is locked.
(g) Prescription
					 medications shall be stored in an organized manner under proper conditions of
					 sanitation, temperature, moisture and light and in accordance with the
					 manufacturer's instructions.
(h)
					 Prescription medications that are discontinued or expired shall be destroyed in
					 a safe manner according to applicable Federal and State statutes and
					 regulations.
(i) This section does
					 not apply for an individual who self-administers medication and stores the
					 medication on the individual's person or in the individual's private property,
					 such as a purse or backpack.
The provisions of this §
													2380.123 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 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.124 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													2380.124 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 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.124a - Medication log-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
The medication log must identify the prescribing
						certified registered nurse practitioner (CRNP) when a medication was prescribed
						by a CRNP as authorized under 49 Pa. Code Chapter 18, Subchapter C (relating to
						certified registered nurse practitioners) and Chapter 21, Subchapter C
						(relating to certified registered nurse practitioners).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.125 - Prescription medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 prescription medication shall be prescribed in writing by an authorized
					 prescriber.
(b) A prescription
					 order shall be kept current.
(c) A
					 prescription medication shall be administered as prescribed.
(d) A prescription medication shall be used
					 only by the individual for whom the prescription was prescribed.
(e) Changes in medication may only be made in
					 writing by the prescriber or, in the case of an emergency, an alternate
					 prescriber, except for circumstances in which oral orders may be accepted by a
					 health care professional who is licensed, certified or registered by the
					 Department of State to accept oral orders. The individual's medication record
					 shall be updated as soon as a written notice of the change is
					 received.
(f) If a medication is
					 prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be
					 a written protocol as part of the individual plan to address the social,
					 emotional and environmental needs of the individual related to the symptoms of
					 the psychiatric illness.
The provisions of this §
													2380.125 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 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.126 - Medication record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 medication record shall be kept, including the following for each individual
					 for whom a prescription medication is administered:
(1) Individual's name.
(2) Name of the prescriber.
(3) Drug allergies.
(4) Name of medication.
(5) Strength of medication.
(6) Dosage form.
(7) Dose of medication.
(8) Route of administration.
(9) Frequency of administration.
(10) Administration times.
(11) Diagnosis or purpose for the medication,
					 including pro re nata.
(12) Date
					 and time of medication administration.
(13) Name and initials of the person
					 administering the medication.
(14)
					 Duration of treatment, if applicable.
(15) Special precautions, if
					 applicable.
(16) Side effects of
					 the medication, if applicable.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.126a - Adverse reaction-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
Notification of an adverse reaction to a medication may
						be made to the prescribing certified registered nurse practitioner (CRNP) when
						the medication was prescribed by a CRNP as authorized under 49 Pa. Code Chapter
						18, Subchapter C (relating to certified registered nurse practitioners) and
						Chapter 21, Subchapter C (relating to certified registered nurse
						practitioners).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.127 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Medication errors include the following:
(1)
					 Failure to administer a medication.
(2) Administration of the wrong
					 medication.
(3) Administration of
					 the wrong dose of medication.
(4)
					 Failure to administer a medication at the prescribed time, which exceeds more
					 than 1 hour before or after the prescribed time.
(5) Administration to the wrong
					 person.
(6) Administration through
					 the wrong route.
(7) Administration
					 while the individual is in the wrong position.
(8) Improper preparation of the
					 medication.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.128 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If an
					 individual has a suspected adverse reaction to a medication, the 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 §
													2380.128 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 2380 - ADULT TRAINING FACILITIES › MEDICATIONS › Section 2380.129 - 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 §
											2380.122 (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 2380 - ADULT TRAINING FACILITIES › NUTRITION › Section 2380.131 - Dining area

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The facility
					 shall have a dining area for lunches and breaks. The dining area may be a
					 program area as long as the area is not used for purposes of programming and
					 dining at the same time.
(b) The
					 dining area shall be clean and sanitary.
(c) The dining area shall have a sufficient
					 number of tables and chairs to accommodate the maximum number of individuals
					 scheduled for lunch or break at any one time.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › NUTRITION › Section 2380.132 - Food provided or arranged for by the facility

Current through Register Vol. 54, No. 28, July 13, 2024
If the facility provides or arranges for meals for
						individuals, the following requirements apply:
(1) Written daily menus shall be prepared and
					 posted in a location visable to the individuals.
(2) Menus shall be posted at least 1 program
					 day prior to the menu date.
(3)
					 Menus shall be followed.
(4)
					 Written menus shall be retained for at least 2 months.
(5) At least one complete meal shall be
					 provided if the individual is at the facility for 4 or more hours. If an
					 individual is at the facility for more than 6 hours, a nutritional snack shall
					 also be provided.
(6) Each meal
					 served shall contain at least one item from the dairy, protein, fruits and
					 vegetables and grain food groups, unless medically contraindicated for an
					 individual.
(7) The quantity of
					 food served at each meal shall contain at least one-third of the minimum daily
					 requirements as recommended by the United States Department of
					 Agriculture.
(8) A prescribed diet
					 for an individual with a medically restricted diet shall be followed. A written
					 record of the prescribed diet shall be kept.
(9) Cold food shall be kept at or below
					 45°F. Hot food shall be kept at or above 140°F. Frozen food shall be
					 kept at or below 0°F.
(10) Food
					 shall be protected from contamination while being stored, prepared, served and
					 transported. Food shall be stored in sealed containers.
(11) Uneaten food from a person's dish or
					 from family style serving dishes may not be served again or used in the
					 preparation of other meals.
(12)
					 Utensils used for eating, drinking, preparation and serving of food or drink
					 shall be washed after each use by a mechanical dishwasher or by a method
					 approved by the Department of Environmental Resources.
(13) Mechanical dishwashers shall use hot
					 water temperatures exceeding 140°F in the wash cycle and 180°F in the
					 final rinse cycle or shall be of a chemical sanitizing type approved by the
					 National Sanitation Foundation.
(14) Mechanical dishwashers shall be operated
					 in accordance with the manufacturer's instructions.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › RESTRICTIVE PROCEDURES › Section 2380.151 - 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 an
					 individual's movement, activity or function.
(2) Interferes with an individual's ability
					 to acquire positive reinforcement.
(3) Results in the loss of objects or
					 activities that an individual values.
(4) Requires an individual to engage in a
					 behavior that the individual would not engage in given freedom of
					 choice.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 2380 - ADULT TRAINING FACILITIES › RESTRICTIVE PROCEDURES › Section 2380.152 - 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 restrictive procedures may be
						used, the staff persons who may authorize the use of restrictive procedures and
						a mechanism to monitor and control the use of restrictive procedures.
The provisions of this §
													2380.152 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 2380 - ADULT TRAINING FACILITIES › RESTRICTIVE PROCEDURES › Section 2380.153 - 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 individual's developmental
					 program.
(b) For each incident
					 requiring a restrictive procedure:
(1) Every
					 attempt shall be made to anticipate and de-escalate the behavior using methods
					 of intervention 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 2380 - ADULT TRAINING FACILITIES › RESTRICTIVE PROCEDURES › Section 2380.154 - 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 individual.
(d) A
					 record of the human rights team meetings shall be kept.
The provisions of this §
													2380.154 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 §
													2380.155 (relating to behavior
						  support component of the individual plan); and 55 Pa. Code §
													2380.168 (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 2380 - ADULT TRAINING FACILITIES › RESTRICTIVE PROCEDURES › Section 2380.155 - Behavior support component of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For each individual for whom a
					 restrictive procedure may be used, the individual plan shall include a
					 component addressing behavior support that is reviewed and approved by the
					 human rights team in §
											2380.154 (relating to human rights
					 team), prior to use of a restrictive procedure.
(b) The behavior support component of the
					 individual plan shall be reviewed and revised as necessary by the human rights
					 team, according to the time frame established by the team, not to exceed 6
					 months between reviews.
(c) The
					 behavior support component of the individual plan shall include:
(1) The specific behavior to be
					 addressed.
(2) An assessment of the
					 behavior, including the suspected reason for the behavior.
(3) The outcome desired.
(4) A target date to achieve the
					 outcome.
(5) Methods for
					 facilitating positive behaviors such as changes in the individual's physical
					 and social environment, changes in the individual's routine, improving
					 communications, recognizing and treating physical and behavior health
					 conditions, voluntary physical exercise, redirection, praise, modeling,
					 conflict resolution, de-escalation and teaching skills.
(6) Types of restrictive procedures that may
					 be used and the circumstances under which the procedures may be used.
(7) The amount of time the restrictive
					 procedure may be applied.
(8) The
					 name of the staff person responsible for monitoring and documenting progress
					 with the behavior support component of the individual plan.