reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › ORGANIZATION AND ADMINISTRATION › Section 5310.101 - Governing body

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Insurance
						coverage must be in effect to the extent deemed necessary by the governing body
						to protect the governing body, staff, surrogate parents, clients, and property
						of the community residential rehabilitation service (CRRS) and to meet the
						requirements of State and Federal statutes.
(b) This section supersedes §
												5310.11(d)(3)
						(relating to governing body).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › ORGANIZATION AND ADMINISTRATION › Section 5310.102 - Personnel management

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must establish and
						implement written personnel policies and procedures which cover:
(1) Recruitment, selection, and promotion of
						staff and surrogate parents.
(2)
						Agency method of staff and surrogate parent development through in-service and
						out-service training and professional consultation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › CLIENT CHARACTERISTICS › Section 5310.111 - Client Characteristics

Current through Register Vol. 54, No. 28, July 13, 2024
A child placed in a community residential
						  rehabilitation service (CRRS) must:
(1) Be under the age of 18 years and not an
						emancipated minor.
(2) Have
						demonstrated, over a period of time, maladaptive interpersonal behavior which
						significantly impairs the child's functioning within the family and among the
						child's peers.
(3) This section
						supersedes §
												5310.21(a)(1) and
						(3) (relating to client
						characteristics).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.121 - Program description

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Psycho-social rehabilitation services to develop interpersonal, and when
						appropriate, community living skills must be provided. This subsection
						supersedes §
												5310.31(2)(iii)
						(relating to program description).
(b) Services required in addition to those
						specified in § 5310.31(2), are:
(1)
						Assistance with schoolwork assignments and school related activities as
						needed.
(2) Age appropriate
						recreational activities.
(3) Family
						support and training services which, for example, assist the parents of the
						child to identify social-emotional needs of the child, use appropriate
						strategies in meeting the child's needs, and develop family interpersonal
						relationships which will allow the child to return to the child's family if
						this has been identified as a goal of the rehabilitative program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.122 - Intake

Current through Register Vol. 54, No. 28, July 13, 2024
(a) During intake,
						the community residential rehabilitation service (CRRS) staff shall review the
						criteria for program enrollment and program termination, the services offered
						by the CRRS and the programmatic, legal and financial responsibilities of the
						child, his parent, the agency having legal custody of the child and the CRRS
						with parent and, if applicable, with the agency having legal custody of the
						child. A child under 14 years of age should be included, whenever possible, in
						the review. A child who is 14 years of age or older must be included in the
						intake process. This subsection supersedes §
												5310.32(b)
						(relating to intake).
(b) In
						addition to the intake information required in §
												5310.32(c),
						intake for children shall include:
(1)
						Requests are made to the education agency for any school evaluation and
						records, as well as teacher observations, which might assist in understanding
						the child's behavior and in identifying socio-personal needs.
(2) Family social
						history.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.123 - Residential service plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Upon
						the child's enrollment, an individualized written client residential service
						plan shall be developed by the community residential rehabilitation service
						(CRRS) staff with the child's parent, the agency having custody of the child,
						if applicable, and the child when the child is 14 years of age or older. When
						the child is under 14 years of age the child may be included in the development
						of the individual residential service plan, as appropriate.
(b) The service plan shall be based on an
						evaluation of the child's social and emotional development relative to age
						appropriate expectations for functioning in interpersonal relationships within
						the family, peer groups and the community. The service plan includes as needed:
(1) Self care skills.
(2) Health care, including medication
						management.
(3) Housekeeping
						skills.
(4) Ability to meet
						nutritional needs.
(5)
						Mobility.
(6) Money management
						skills.
(7) Interpersonal
						skills.
(8) Educational/vocational
						pursuits.
(9) Use of leisure
						time.
(10) Time
						structuring.
(11) Community
						participation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.124 - Service agreement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There
						must be a written service agreement negotiated at intake and signed by the
						community residential rehabilitation service (CRRS) and the child's parent, the
						agency having custody of the child, if applicable, and when possible and
						appropriate, the child except that in cases wherein the client is 14 years of
						age or older, the child must be included.
(b) This agreement shall specify the services
						to be provided and the rights and responsibilities of parent, the agency having
						custody of the child, if applicable, and the child.
(c) The agreement must include a copy of the
						CRRS house rules, client rights, client grievance procedures, and termination
						policy.
(d) The agreement must
						specify the arrangements and charges for housing and food and any liability for
						the cost of services other than room and board.
(e) The agreement must be updated and signed
						again whenever any of the terms change.
(f) This subsection supersedes §
												5310.34 (relating to service
						agreement).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.125 - Health care services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must develop health care
						policies and procedures to insure the availability of age-appropriate health
						services for children. Prior to or upon the child's enrollment to the CRRS, a
						health appraisal signed by a licensed physician shall be obtained for each
						child. The health appraisal shall include the following information recommended
						by the American Academy of Pediatrics.
(1) A
						review of previous health history.
(2) A complete physical examination unless a
						record is available of a physical examination which was completed within 6
						months prior to placement.
(3)
						Growth assessments.
(4) A review
						and update of the child's immunization status to conform with the United States
						Public Health Service requirements.
(5) Provision of age-appropriate screening
						tests according to the standards of the American Academy of
						Pediatrics.
(6) Recommendations
						pertaining to medication required or limitations of the child's activities and
						diet, and further medical tests or examinations that may be required.
(7) Medical information pertinent to
						diagnosis and treatment in case of emergency.
(8) A statement of recommendation for
						follow-up treatment or special care, if required.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.126 - Termination from program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must establish written
						criteria and procedures to cover the following two types of terminations:
(1) Planned termination of services. The
						parent, the agency having legal custody of the child, if applicable, the child,
						CRRS staff and others responsible for the child's welfare agree that the child
						should leave the program and have planned and prepared for the move.
(2) Unplanned termination of services. The
						child runs away, requires hospital care, or demonstrates behavior that requires
						immediate removal. In all cases of unplanned termination, the CRRS must
						immediately notify the child's parent and the agency having custody of the
						child, if applicable.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.127 - Program closure

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
						community residential rehabilitation service (CRRS) intends to cease operation,
						the governing body shall provide at least 30 days written notice of the intent
						to cease operation and the projected closing date to the child's parent, the
						agency having custody of the child if applicable, the child, all treatment/case
						management agencies, the County Mental Health/Mental Retardation (MH/MR) Office
						and to the Department.
(b) This
						section supersedes §
												5310.37 (relating to program
						closure).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › SERVICES MANAGEMENT › Section 5310.128 - Service linkages

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When
						the community residential rehabilitation service (CRRS) provides care for a
						child who is in the legal custody of the county children and youth agency or a
						public or private social service agency, the CRRS must have a written letter of
						agreement with the responsible agency which specifies:
(1) The respective roles of each agency in
						the development and implementation of the placement plan and the procedures for
						follow-up.
(2) The respective roles
						of each agency in the recruitment and study evaluation process for surrogate
						parents.
(3) An agreement on the
						role of each agency in communicating with the parent and in providing family
						services.
(4) The respective role
						of each agency in arranging for health care services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › CLIENT RECORDS › Section 5310.141 - Case record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						requirement in §
												5310.51(b)(2)(iii)
						(relating to case record) is not required for community residential
						rehabilitation service (CRRS) children.
(b) Each case record must include a copy of
						written agreement between the CRRS, the child's parent, the agency having
						custody of the child, if applicable, and the child if the child is 14 years of
						age or older.
(c) Subsection (b)
						supersedes §
												5310.51(b)(4)(viii).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › CLIENT RECORDS › Section 5310.142 - Confidentiality

Current through Register Vol. 54, No. 28, July 13, 2024
(a) All client
						records and information are confidential and may not be disclosed directly or
						indirectly without the written consent of the child's parent or the agency
						having custody of the child, if applicable, and the child if the child is 14
						years of age or older.
(b)
						Exceptions stated in §
												5310.52(a)(1)-(6)
						apply to client records and information in community residential rehabilitation
						service (CRRS) for children.
(c)
						Written consent is required by the child's parent or the agency having custody
						of the child, if applicable, and the child if the child is 14 years of age or
						older to disclose information from the child's record and must include:
(1) Date and nature of request for
						information.
(2) Name of the
						person, agency or organization to whom disclosure is made.
(3) Type of information disclosed.
(4) Dated signature of the child's parent, or
						the agency having legal custody of the child and the child if the child is 14
						years of age or older.
(5) Dated
						signature of a witness.
(6)
						Expiration date of consent form.
(7) Statement of the rights of the parent or
						agency having custody of the child and the child to revoke the consent each has
						given.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › CLIENT RIGHTS › Section 5310.151 - Client rights

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must have written policy
						and procedures to assure that the child's parent, the agency having custody of
						the child, or the child, if the child is 14 years of age or older, have the
						right to inspect the child's records provided that access can be denied to
						portions of the record under the following conditions.
(1) The Director determines that:
(i) Disclosure of specific information would
						be a substantial detriment to the child or to the involvement of the child's
						family in family therapy.
(ii)
						Disclosure of specific information would identify and breach any
						confidentiality of other persons.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › PHYSICAL STANDARDS › Section 5310.161 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › PHYSICAL STANDARDS › Section 5310.162 - Host homes

Current through Register Vol. 54, No. 28, July 13, 2024
The following requirements apply to host homes:
(1) Host homes are not subject to the site
						control requirement specified in §
												5310.71 (relating to site
						control).
(2) The dwelling of
						surrogate parent must be evaluated to insure that it presents no hazard to the
						safety of a community residential rehabilitation service (CRRS) child and is in
						keeping with the community in which it is located.
(3) The age of the child is considered in
						determining the safety of the home of a surrogate parent. In the case of very
						young children, special consideration must be given to the following
						requirements:
(i) Safe, easily accessible,
						outdoor play areas.
(ii) Fencing or
						natural barriers for unsafe areas such as drainage ditches, wells, or swimming
						pools in or around the outdoor play areas.
(iii) Decks or balconies above the ground
						level of a home.
(iv) Adequate
						lighting and handrails in staircases.
(v) Protective guards or insulation for hot
						water pipes and other sources of heat which are accessible to children and
						which exceed 110°F.
(vi) Use of
						space heaters, fireplaces and wood-burning stoves.
(vii) Condition and anchoring of outdoor play
						equipment like climbing apparatus, slides, and swings.
(viii) Storage of all medicines, cleaning
						materials, detergents, aerosal cans, and other poisonous and toxic
						materials.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › DIET AND MEDICATION › Section 5310.171 - Medication

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The community
						residential rehabilitation service (CRRS) programs must establish and implement
						written policies and procedures regarding medications which meet legal
						restrictions regarding administration of medications and which shall cover the
						following requirements:
(1) Staff and
						surrogate parents may administer medication to a child only with the written
						consent of the child's parent and the agency having custody of the child, if
						applicable, and under the written instructions of the physician who prescribes
						the medication.
(2) The attending
						physician shall provide the staff or surrogate parent with written instructions
						which must contain the following information:
(i) Name of child.
(ii) Name of medication-brand name and/or
						generic name.
(iii) Type of
						medication, for example, liquid or tablets.
(iv) Dosage to be given per
						administration.
(v) Number and time
						of administrations per day.
(vi)
						Ending date of medication administration, if applicable.
(vii) Possible side effects of the
						medication.
(viii) Instructions in
						the event of serious reactions.
(ix) Emergency phone numbers.
(x) Special instructions, for example, take
						with meal, take on an empty stomach, do not take with citrus juice.
(xi) Signature of the physician.
(3) The written consent of the
						parent and the agency having custody of the child, if applicable, must specify
						all information contained in the physician's written instruction form and may
						consist of signing the same form.
(4) All medications must be kept in their
						original prescription containers.
(5) All medication must be stored in a locked
						container or a container in a locked room. When medication must be
						refrigerated, it must be kept in a locked box in the refrigerator.
(6) A permanent log must be maintained for
						each child indicating:
(i) Name of medication
						given.
(ii) Dosage level
						given.
(iii) Time given.
(iv) Date given.
(v) Person administering the
						medication.
(vi) Number of tablets
						with dosage of each specified.
(7) When a child is receiving psychotropic
						drugs, the prescribing physician shall review the drug plan once a
						month.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › DIET AND MEDICATION › Section 5310.172 - Nutrition

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Section
						5310.82(a) and
						(b) (relating to nutrition) do not apply to
						community residential rehabilitation services (CRRS) serving
						children.
(b) The requirements of
						§
												5310.82(c)(2)-(4) and
						(6)-(8) do apply to all CRRS's serving
						children.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter A - GENERAL PROVISIONS › Section 5320.1 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter establishes minimum standards for the
						operation of LTSRs for individuals with serious mental illness. See
						§§
											5320.31 and
						5320.32(1)(2)
						(relating to admission criteria; and admission authorization) for information
						pertaining to admission criteria and authorization. This chapter is applicable
						only to counties affected by the closure or consolidation of a State mental
						hospital, or where a county/State hospital integrated project has been approved
						by the Department or where operation of LTSRs are included in an approved
						county plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter A - GENERAL PROVISIONS › Section 5320.2 - Policy

Current through Register Vol. 54, No. 28, July 13, 2024
An LTSR is a highly structured therapeutic residential
						mental health treatment facility designed to serve persons 18 years of age or
						older who are eligible for hospitalization but who can receive adequate care in
						an LTSR. Admission is limited to individuals who require the services described
						in this chapter. Admission may occur voluntarily under section 201 of the act
						(50
						P.S. §
												7201) or involuntarily under
						section 304, 305 or 306 of the act (50 P.S. §§
												7304-7306).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter B - GENERAL REQUIREMENTS › Section 5320.11 - Prerequisites to licensure

Current through Register Vol. 54, No. 28, July 13, 2024
To obtain licensure to operate an LTSR, a provider shall:
(1) Comply with Chapter 20 (relating
					 to licensure or approval of facilities and agencies).
(2) Be identified in the approved county plan
					 or its amendments as specified in Chapter 4215 (relating to annual plan and
					 estimate of expenditures).
(3) Have
					 a letter of agreement between the provider and the county administrator's
					 office. The agreement will include:
(i)
					 Admission and discharge authority and procedure.
(ii) Charges for care, including room and
					 board, treatment and rehabilitation services, personal hygiene and laundry
					 services and other personal care services.
(iii) Charges for residents' care may not
					 exceed the resident's current monthly income reduced by a minimum personal
					 allowance of at least $60.
(iv)
					 Charges for residents' care may not exceed the actual documented costs of
					 services.
(v) Payment mechanisms
					 for LTSR services, including charges for which the resident may be directly
					 billed.
(vi) A dispute resolution
					 mechanism.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter B - GENERAL REQUIREMENTS › Section 5320.12 - Sanctions

Current through Register Vol. 54, No. 28, July 13, 2024
Failure to comply with this chapter may result in the
						imposition of sanctions found in Chapter 20 (relating to licensure or approval
						of facilities and agencies).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter C - PROVISION OF SERVICES › Section 5320.21 - Contracted services

Current through Register Vol. 54, No. 28, July 13, 2024
To meet the needs of residents, some services are
						provided under agreements with outside sources. The provider shall have a
						written agreement with each outside source to furnish the necessary services as
						stipulated by the County Administrator/Provider Letter of Agreement. The
						provider is responsible for upholding service stipulations contained in the
						Letter of Agreement between the county administrator and the provider, even if
						the provider subcontracts for that service. The LTSR provider agreement with
						outside providers shall do the following:
(1) Set forth the responsibilities,
					 functions, objectives, scope, cost and nature of the service and other terms
					 agreed to by both parties.
(2)
					 Contain a statement that the LTSR recognizes that it is responsible for
					 ensuring that the contracted services meet the standards specified in this
					 chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter C - PROVISION OF SERVICES › Section 5320.22 - Governing body

Current through Register Vol. 54, No. 28, July 13, 2024
An LTSR shall be operated by either a nonprofit
						corporation established under 15 Pa.C.S. Part I, Subpart C (relating to
						nonprofit corporations) or a for-profit corporation established under 15
						Pa.C.S. Part I, Subpart B (relating to business corporations). The
						corporation's governing body has legal responsibility for the operation of the
						facility. The governing body shall:
(1) Adopt written policies for its own
					 operation which include:
(i) Criteria for the
					 qualifications and methods of selection for governing body
					 membership.
(ii) Frequency of
					 meetings.
(iii) Procedures for
					 conducting business.
(iv)
					 Provisions for disclosure by members of conditions that may create a conflict
					 of interest and procedures for dealing with conflict of interest
					 situations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter C - PROVISION OF SERVICES › Section 5320.23 - Access

Current through Register Vol. 54, No. 28, July 13, 2024
The provider shall permit community legal services,
						advocacy groups, mental health consumer and family organizations and authorized
						Federal, State or local government agents reasonable access to the facility and
						its residents. The provider shall review requests by generic community service
						organizations to access the facility on a case-by-case basis.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter C - PROVISION OF SERVICES › Section 5320.24 - Access by Pennsylvania Protection and Advocacy

Current through Register Vol. 54, No. 28, July 13, 2024
The provider shall permit access by employes and legal
						counsel of Pennsylvania Protection and Advocacy (PPA) to the facility and its
						records, residents and staff under the Protection and Advocacy for Mentally Ill
						Individuals Amendments Act of 1988 (42 U.S.C.A. §§
												10801-10851).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter C - PROVISION OF SERVICES › Section 5320.25 - Provider records

Current through Register Vol. 54, No. 28, July 13, 2024
Provider records shall, at a minimum, contain copies of
						the following:
(1) Required inspection
					 reports, certifications or licenses by State and local agencies.
(2) Contracts with outside service
					 providers.
(3) Affirmative action
					 and nondiscrimination policies.
(4)
					 Policies and procedures required by this chapter.
(5) Preemployment and biennial physical
					 examinations and screening results for direct-care and dietary support staff.
					 These shall be kept in a separate confidential file.
(6) Job descriptions for all staff.
(7) Credentials or qualifications of
					 direct-care staff as required by this chapter and evidence of verification of
					 credentials.
(8) Records of all
					 staff orientation and training as required under §
											5320.45 (relating to staff
					 orientation and training).
(9)
					 Staff work schedules, including payroll records and time sheets.
(10) Provider/resident contracts as described
					 in §
											5320.33 (relating to
					 resident/provider contract; information on resident rights).
(11) The LTSR's "house" rules.
(12) A schedule of allowable resident fees or
					 charges signed, as approved, by the county administrator or a designee. The
					 County Administrator/Provider Letter of Agreement shall include a definition of
					 the service items included in the per diem cost of care, including room and
					 board, treatment, rehabilitation and personal care services, personal hygiene
					 items and laundry services. See §
											5320.11(3)
					 (relating to prerequisites to licensure).
(13) Resident activity schedules. Current
					 schedules shall be posted in a resident accessible area and outdated schedules
					 shall be kept in provider records for 1 year.
(14) Other records mandated by Federal, State
					 and local statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter C - PROVISION OF SERVICES › Section 5320.26 - Confidentiality

Current through Register Vol. 54, No. 28, July 13, 2024
Providers of LTSR services shall be responsible for
						ensuring that confidentiality of individual mental health records is maintained
						in accordance with §§
											5100.31-5100.39 (relating to
						confidentiality of mental health records).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter D - ADMISSION AND RESIDENT/PROVIDER CONTRACT › Section 5320.31 - Admission criteria

Current through Register Vol. 54, No. 28, July 13, 2024
To be eligible for admission to an LTSR, a prospective
						resident shall:
(1) Be 18 years of age
					 or older.
(2) Have had a physical
					 examination and psychiatric evaluation not more than 6 months prior to
					 application.
(3) Qualify for
					 voluntary treatment under section 201 of the act (50 P. S. §
												7201), or involuntary treatment under section
					 304, 305 or 306 of the act (50 P. S. §§
												7304- 7306).
(4) Have a physician's certification that the
					 applicant does not require hospitalization, nursing facility care or a level of
					 care more restrictive than an LTSR, written within 30 days before
					 admission.
(5) Evidence a severe
					 psychosocial disability as a result of serious mental illness that indicates a
					 less restrictive level of care as inappropriate.
This section cited in 55 Pa. Code § 5320.1
						  (relating to scope).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter D - ADMISSION AND RESIDENT/PROVIDER CONTRACT › Section 5320.32 - Admission authorization

Current through Register Vol. 54, No. 28, July 13, 2024
A person will not be admitted without an assessment and
						admission authorization. The provider shall ensure that the written assessment
						and admission authorization includes:
(1) Approval by the county
					 administrator.
(2) An assessment of
					 the prospective resident's needs by the referring entity prior to admission.
					 The assessment will include, at a minimum, the mental, physical and social
					 needs of the prospective resident.
This section cited in 55 Pa. Code § 5320.1
						  (relating to scope).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter D - ADMISSION AND RESIDENT/PROVIDER CONTRACT › Section 5320.33 - Resident/provider contract; information on resident rights

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Within 24 hours of a resident's
					 admission, the provider shall develop a written contract with the resident that
					 meets the minimum requirements listed in subsection (b). The provider shall
					 explain the contents of the contract to the resident and designated person, if
					 any. The provider shall sign the contract and shall request the resident's
					 signature. If the resident refuses to sign, the provider shall document the
					 attempts made to secure the resident's signature. The provider shall ensure
					 that the resident's refusal to sign has no bearing on the treatment or services
					 subsequently provided.
(b) The
					 resident/provider contract shall include, at a minimum, the following:
(1) The actual amount of allowable resident
					 charges for each service or item.
(2) The party responsible for
					 payment.
(3) The method for payment
					 of long distance or collect charges for telephone calls.
(4) The conditions under which refunds will
					 be made.
(5) The financial
					 arrangements if assistance with financial management is to be
					 provided.
(6) Limits on access to
					 personal funds.
(7) The LTSR "house
					 rules."
(8) The conditions under
					 which the contract may be terminated, including cessation of operation of the
					 LTSR.
(9) A statement that the
					 resident is entitled to at least 30 days' advance notice, in writing, of the
					 provider's intent to change the contract.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter E - REQUIREMENTS FOR DIRECT-CARE AND SUPPORT STAFF › Section 5320.41 - Physical examinations

Current through Register Vol. 54, No. 28, July 13, 2024
The provider shall require and document preemployment and
						biennial physical examinations for direct-care and support staff to include
						screening for:
(1)
					 Tuberculosis
(2)
					 Hepatitis
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter E - REQUIREMENTS FOR DIRECT-CARE AND SUPPORT STAFF › Section 5320.42 - Staffing levels

Current through Register Vol. 54, No. 28, July 13, 2024
The provider of LTSR services shall:
(1) Retain staff having an appropriate
					 combination of education, work experience and training to meet the special
					 needs of the population being served so that the service and program standards
					 of this chapter are maintained.
(2)
					 Retain full-time staffing levels sufficient to provide active treatment,
					 psychosocial rehabilitation and 24-hour supervision on weekdays, weekends and
					 holidays.
(3) Have a minimum of two
					 direct-care staff persons awake and on duty within the LTSR whenever 10 to 16
					 residents inclusive are on the premises. A third direct-care staff person shall
					 be either onsite or available to respond onsite within 30 minutes.
(4) Have a minimum of two direct-care staff,
					 awake and on duty within the LTSR whenever fewer than 10 residents are on the
					 premises.
(5) Have sufficient
					 psychiatric time available to meet the psychiatric needs of the resident. At
					 least 1/2 hour of psychiatric time per resident per week is required.
(6) Employ the program director on a
					 full-time basis.
(7) Employ a
					 mental health professional as provided in §
											5320.43(b)
					 (relating to program director and direct-care staff qualifications) onsite for
					 at least 8 out of every 24 hours. This requirement may be met by the presence
					 of the program director.
(8) Employ
					 substitute staff with equivalent qualifications when staff are absent so that
					 minimum direct-care staffing requirements are always met.
(9) Have direct-care staff certified in CPR
					 and first aid on duty 24 hours a day.
This section cited in 55 Pa. Code §
													5320.22 (relating to governing
						  body).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter E - REQUIREMENTS FOR DIRECT-CARE AND SUPPORT STAFF › Section 5320.43 - Program director and direct-care staff qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The program director shall:
(1) Have a Master's degree in a generally
					 recognized clinical discipline and 2 years of mental health clinical
					 experience.
(2) Be registered,
					 licensed or certified to practice his profession, if that profession is
					 governed by a registration, licensing or certification board in this
					 Commonwealth.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter E - REQUIREMENTS FOR DIRECT-CARE AND SUPPORT STAFF › Section 5320.44 - Staff supervision

Current through Register Vol. 54, No. 28, July 13, 2024
The program director shall oversee supervision of the
						staff, including:
(1) Maintenance and
					 review of resident care records.
(2) Annual evaluations of job
					 performance.
(3) Orientation and
					 training programs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter E - REQUIREMENTS FOR DIRECT-CARE AND SUPPORT STAFF › Section 5320.45 - Staff orientation and training

Current through Register Vol. 54, No. 28, July 13, 2024
The program director shall oversee orientation and
						training of the staff, including:
(1)
					 In-service and out-service training relevant to the needs of the population
					 being served by the facility.
(2) A
					 written policy for orientation and training of direct care and support staff
					 according to the following criteria:
(i)
					 Full-time staff, defined as working 30 hours per week or more, shall receive a
					 minimum amount of orientation as follows:
(A)
					 Direct care staff-20 hours.
(B)
					 Support staff-4 hours.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter E - REQUIREMENTS FOR DIRECT-CARE AND SUPPORT STAFF › Section 5320.46 - Interdisciplinary treatment team

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The interdisciplinary treatment team shall be comprised of at least three
					 mental health professionals who are appointed by the program director and who
					 are involved in the resident's treatment. At least one member of the treatment
					 team shall be a physician. The other members shall represent different clinical
					 disciplines.
(b) The director of
					 the interdisciplinary treatment team shall be appointed by the program director
					 and be a physician or a licensed psychologist with a clinical background. The
					 program director may serve as one of the three members of the treatment team.
					 The director of the interdisciplinary treatment team shall be responsible for:
(1) Assuring that the resident, and the
					 resident's family if the resident consents, is involved in the treatment
					 planning process. The director shall document efforts to maintain this
					 involvement and the results of these efforts.
(2) Implementing and reviewing the treatment
					 plan and coordinating treatment service delivery with service
					 providers.
(3) Utilizing external
					 specialty consultants when needed.
(4) Assuring that direct-care staff and
					 consulting professionals participate in the development, implementation and
					 review of the treatment plan and that they have credentials in the use of the
					 modalities proposed in the plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter F - THERAPEUTIC PROGRAM › Section 5320.51 - Treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
The interdisciplinary treatment team shall:
(1) Complete an initial assessment on
					 admission by the interdisciplinary team of the resident's mental, physical and
					 social needs including a mobility assessment.
(i) Reflect the reason for the resident's
					 admission.
(ii) Indicate what less
					 restrictive alternatives to an LTSR were considered and why they were not
					 utilized.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter F - THERAPEUTIC PROGRAM › Section 5320.52 - Review and periodic reexamination

Current through Register Vol. 54, No. 28, July 13, 2024
The interdisciplinary treatment team shall review
						treatment plans at least every 30 days or more frequently as the resident's
						condition changes. A report of the review and findings and the resident's
						progress toward meeting program goals and objectives shall be documented by the
						interdisciplinary team in the resident's record.
(1) The interdisciplinary treatment team
					 shall maintain a record of each reexamination and review to include:
(i) A report of the reexamination.
(ii) A brief description of the treatment
					 provided to the person during the period preceding the reexamination and the
					 results of that treatment.
(iii)
					 Continuation or revision of the individual treatment plan for the next
					 period.
(iv) Criteria for discharge
					 and recommendation for discharge if these criteria have been met.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter F - THERAPEUTIC PROGRAM › Section 5320.53 - Medication

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider
					 shall establish and implement written medication policies and procedures that
					 conform to Pennsylvania law. Medication administration policies and procedures
					 shall address:
(1) How the education of
					 residents regarding their medication will be accomplished.
(2) How residents who need assistance with
					 medication prescribed by a physician for self-administration receive it.
(i) For residents who need assistance, the
					 least assistance necessary should be provided within the context of a planned
					 program toward self-administration of medication.
(ii) Assistance with self-medication
					 including handling the medication containers or taking medication out of its
					 container for the resident is considered medication administration and shall be
					 done by licensed medical staff.
(3) How medications and treatments shall be
					 administered by the licensed medical staff person who prepared the dose for
					 administration.
(4) Documentation
					 of the written orders provided by the attending physician for each resident
					 receiving medication.
(5) Recording
					 of physicians' orders in each resident's clinical record that is reviewed,
					 renewed and signed by the physician every 30 days.
(6) Documentation of the reason a prescribed
					 medication was not given and notice of same to the prescribing
					 physician.
(7) The taking and
					 recording of telephone orders by only licensed medical staff, pharmacists or
					 other individuals authorized by law to accept a physician's telephone orders
					 for medication.
(i) Oral orders are recorded
					 immediately on the resident's record, dated and signed by the person receiving
					 the order.
(ii) Oral orders are
					 countersigned by the prescribing physician within 48 hours.
(8) Training by a physician or
					 other licensed medical staff person that will cover, at minimum, medications
					 used by the residents, their purposes and function, major side effects and
					 recognition of signs that the medication is not being taken or is being
					 misused.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5320 - REQUIREMENTS FOR LONG-TERM STRUCTURED RESIDENCE LICENSURE › Subchapter F - THERAPEUTIC PROGRAM › Section 5320.53a - Clarification of the term "written"-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The term "written" in §
											5320.53 (relating to medication)
					 includes orders that are handwritten or recorded and transmitted by electronic
					 means.
(b) Written orders
					 transmitted by electronic means must be electronically encrypted or transmitted
					 by other technological means designed to protect and prevent access,
					 alteration, manipulation or use by an unauthorized person.
(c) The term "countersigned" in §
											5320.53(a)(7)(ii)
					 includes a handwritten or electronic signature that is made in accordance with
					 the Electronic Transactions Act (73 P. S. §§
												2260.101-2260.5101).