Resident abuse policy. The facility must have a written policy for handling known instances of resident abuse or neglect and situations in which there exists reasonable cause to suspect an incident of resident abuse or neglect. When such abuse or neglect or suspected abuse or neglect occurs within the facility, the facility must ensure that the staff member involved does not work directly with the resident involved until the Department’s investigation is completed. Reportable event policies and procedures. Managing reportable events. The organization’s written policies and procedures must describe in detail how it reports, manages and evaluates reportable events. Notification of reportable events or dangerous situations. The written policy must include procedures for reporting reportable events. At a minimum, the children’s residential care facility’s written policies must require notifying the Department and the resident’s legal guardian that a reportable event has occurred. Reportable events must be reported in compliance with the applicable core standards set out in Section 5(G) of this rule. Educational and vocational services policy. The facility must have a written policy governing residents’ educational and vocational services, including a written description of its educational program or its policy for ensuring that each resident attends an appropriate educational program in accordance with State and local laws. The educational policy must describe vocational or pre-vocational services and life-skills training appropriate to the age and abilities of the residents. The education policy must describe how the facility: Provides appropriate space and supervision for quiet study after school hours; Ensures that each resident has access to necessary reference materials; and Establishes routine communication between facility staff involved with the resident and the resident’s educational program. Work and employment policy. The facility must submit evidence that any work-study program used complies with all State and federal child labor laws and that any child engaged in productive work at or outside of the facility is protected in accordance with State and federal child labor laws. The facility must:
Psychotropic medication. The facility’s written medication policy must govern the use of psychotropic medications. The resident’s use of psychotropic medication must be in accordance with the goals and objectives of the resident's service plan. Legal guardian’s consent to medication. Unless there is a court order to the contrary, the facility must secure written informed consent from the resident’s legal guardian prior to administration of the prescribed psychotropic medication at a particular level of dosage. If consent is verbal or if the guardian is unavailable to obtain written consent, then the facility must document consent and ensure that written consent is received within 30 days. Resident’s consent to medication. When a resident is 14 years of age or older, the facility must also obtain written informed consent from the resident prior to administration of the prescribed psychotropic medication except when the resident lacks the capacity to provide informed consent. A resident of any age on any psychotropic medication should, when possible, give informed consent, and be consulted and monitored for input, progress, and side effects. Revocation of consent. The resident 14 years of age or older or the resident's legal guardian may revoke consent at any time. When consent is revoked the facility must: Cease administration of the psychotropic medication immediately; Inform the prescribing medical provider; Inform the resident's legal guardian if consent is revoked by the resident; Immediately document in the resident's record the date and time and the resident’s stated reason for revoking consent to psychotropic medication; Provide documentation to the resident, the resident's legal guardian and responsible agencies, as applicable, regarding the revocation of consent; and If indicated, seek a court order to continue medication. When prescribing psychotropic medication for a resident. The medical provider must provide a written report detailing the reasons for prescribing a medication, expected results and potential side effects. The facility must obtain a written initial report from the authorized licensed practitioner detailing the reasons for prescribing the medication, expected results of the medication and alerting facility staff to potential side effects.
completed during the shift in which it ends. Documentation of the restraint or seclusion must include all of the following: The time the emergency safety intervention actually began and ended; The results of the evaluation of the resident’s well-being after the restraint has ended as per Section 5(O)(8); The emergency safety situation that required the resident to be restrained; The outcome of the situation; and The name(s) of the staff involved in the emergency safety intervention. If the resident is a minor: The facility must notify the legal guardian of the resident who has been restrained as soon as possible after the initiation of the restraint; and The facility must document in the resident’s record that the legal guardian has been notified of the emergency safety situation, including the date and time of notification and the name of the staff providing the notification. Post restraint debriefings Within 24 hours after the use of restraint, staff involved in an emergency safety intervention and the resident must have a face-to-face debriefing, when feasible. P. PHYSICAL PLANT General condition of the facility and premises. The facility must maintain all structures and the grounds of the facility in good repair and free from danger to health or safety. Immediate steps must be taken to correct any condition in the physical facility or on the premises that poses a danger to a resident’s life, health or safety. Areas deemed by the licensing authority to be unsafe such as, steep grades, cliffs, open pits, swimming pools, high voltage boosters, or high speed roads, must be fenced off or have natural barriers to protect residents. Playground equipment must be located, installed and maintained to ensure the safety of residents.