(d) For the purposes of this section, the license holder's license includes services licensed under this chapter that were previously licensed under chapter 245B until December 31, 2013. "Support team" means the service planning team identified in section 256B.49, subdivision 15; the interdisciplinary team identified in Minnesota Rules, part 9525.0004, subpart 14; or the case management team as defined in Minnesota Rules, part 9520.0902, subpart 6. (a) Physical plants must comply with applicable state and local fire, health, building, and zoning codes. (2) the person engages in conduct that poses an imminent risk of physical harm to self or others at a documented level of frequency, intensity, or duration requiring frequent daily ongoing intervention and monitoring as established in the person's support plan or support plan addendum. If a person is unable to request or obtain drinking water, it must be provided according to that person's individual needs. (b)(1) The license holder must inform the person and case manager of the policies and procedures affecting a person's rights under section 245D.04, and provide copies of those policies and procedures, within five working days of service initiation. (b) In order to be eligible for an alternative licensing inspection, the program must have had at least one inspection by the commissioner following issuance of the initial license. Learn more. Drinking water must be provided in single-service containers or from drinking fountains accessible to all persons. Intermediate care facility for persons with developmental disabilities or ICF/DD. 5 to DHS via the Behavioral Intervention Report Form, DHS-5148. The certification shall be printed on the license and identified on the commissioner's public website. COMMUNITY RESIDENTIAL SETTINGS; PHYSICAL PLANT AND ENVIRONMENT. Introductions, Fiscal Directory, Legislative The license holder must provide the level of direct service support staff supervision, assistance, and training necessary: (1) to ensure the health, safety, and protection of rights of each person; and. The license holder must document the reasonable cause for not providing the notice at least 30 days before implementing the revisions. (7) requires that the complaint summary and resolution notice be maintained in the service recipient record. (2) determine whether the person's support plan addendum needs to be revised according to sections 245D.07 and 245D.071 to positively and effectively help the person maintain stability and to reduce or eliminate future occurrences requiring emergency use of manual restraint. "Annual" and "annually" have the meaning given in section 245A.02, subdivision 2b. Dr. Martin Luther King Jr. 2. Share your form with others Send it via email, link, or fax. 2013 c 108 art 8 s 26; 2014 c 275 art 1 s 50,140; 2014 c 312 art 27 s 30; 2022 c 98 art 17 s 26. 2013 c 108 art 8 s 28; 2014 c 312 art 27 s 77; 2015 c 21 art 1 s 50; 2016 c 158 art 1 s 98; 2022 c 98 art 17 s 26. (a) The license holder must establish policies and procedures for temporary service suspension that promote continuity of care and service coordination with the person and the case manager and with other licensed caregivers, if any, who also provide support to the person. Laws, Statutes, What is it? If a person chooses to use a mattress other than an innerspring mattress or chooses not to have a mattress frame or support, the license holder must document this choice and allow the alternative desired by the person. (5) Any condition cited by a fire marshal, building official, or health authority as hazardous or creating an immediate danger of fire or threat to health and safety must be corrected before a license is issued by the department, and for community residential settings, before a license is reissued. (3) except for a license holder who is the sole direct support staff, periodic performance evaluations completed by the license holder of the direct support staff person's ability to perform the job functions based on direct observation. Basic support services include: (1) in-home and out-of-home respite care services as defined in section 245A.02, subdivision 15, and under the brain injury, community alternative care, community access for disability inclusion, developmental disabilities, and elderly waiver plans, excluding out-of-home respite care provided to children in a family child foster care home licensed under Minnesota Rules, parts 2960.3000 to 2960.3100, when the child foster care license holder complies with the requirements under section 245D.06, subdivisions 5, 6, 7, and 8, or successor provisions; and section 245D.061 or successor provisions, which must be stipulated in the statement of intended use required under Minnesota Rules, part 2960.3000, subpart 4; (2) adult companion services as defined under the brain injury, community access for disability inclusion, community alternative care, and elderly waiver plans, excluding adult companion services provided under the Corporation for National and Community Services Senior Companion Program established under the Domestic Volunteer Service Act of 1973, Public Law 98-288; (3) personal support as defined under the developmental disabilities waiver plan; (4) 24-hour emergency assistance, personal emergency response as defined under the community access for disability inclusion and developmental disabilities waiver plans; (5) night supervision services as defined under the brain injury, community access for disability inclusion, community alternative care, and developmental disabilities waiver plans; (6) homemaker services as defined under the community access for disability inclusion, brain injury, community alternative care, developmental disabilities, and elderly waiver plans, excluding providers licensed by the Department of Health under chapter 144A and those providers providing cleaning services only; (7) individual community living support under section 256S.13; and. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. The documentation must include: (1) the methods or actions that will be used to support the person and to accomplish the service outcomes, including information about: (i) any changes or modifications to the physical and social environments necessary when the service supports are provided; (ii) any equipment and materials required; and. (a) The license holder is responsible for meeting health service needs assigned in the support plan or the support plan addendum, consistent with the person's health needs. The license holder must ensure that a background study has been completed according to the requirements in sections 245C.03, subdivision 1, and 245C.04. (iii) instructions on closing off the fire area, using fire extinguishers, and activating and responding to alarm systems; (ii) the location of audible or visual alarm systems, including but not limited to manual fire alarm boxes, smoke detectors, fire alarm enunciators and controls, and sprinkler systems; (iii) the location of exits, primary and secondary evacuation routes, and accessible egress routes, if any; and. Other miscellaneous medications are considered to be a psychotropic medication when they are specifically prescribed to treat a mental illness or to control or alter behavior. Guides, Books DAY SERVICES FACILITIES; SATELLITE LICENSURE REQUIREMENTS AND APPLICATION PROCESS. 1. Except as provided in clause (3), the designated coordinator must provide supervision, support, and evaluation of activities that include: (1) oversight of the license holder's responsibilities assigned in the person's support plan and the support plan addendum; (2) taking the action necessary to facilitate the accomplishment of the outcomes according to the requirements in section 245D.07; (3) instruction and assistance to direct support staff implementing the support plan and the service outcomes, including direct observation of service delivery sufficient to assess staff competency. "Treatment" means the provision of care, other than medications, ordered or prescribed by a licensed health or mental health professional, provided to a person to cure, rehabilitate, or ease symptoms. "Department" means the Department of Human Services. Emergency use of manual restraint must meet the following conditions: (1) immediate intervention must be needed to protect the person or others from imminent risk of physical harm; and. (2) program management and oversight that includes evaluation of the program quality and program improvement for services provided by the license holder as identified in subdivision 3. The summary must include a statement regarding any decision that is made regarding the use of technology and a description of any further research that needs to be completed before a decision regarding the use of technology can be made. (a) When a person is prescribed a psychotropic medication and the license holder is assigned responsibility for administration of the medication in the person's support plan or the support plan addendum, the license holder must ensure that the requirements in section 245D.05, subdivision 2, are met. "Sexual violence" means the use of sexual actions or words that are unwanted or harmful to another person. Programs approved for alternative licensing inspection; deemed compliance licensing requirements. Determining number of direct support service staff required. Reports & Information, House Exterior stairs and walkways must be kept free of ice and snow. (c) Prior to giving notice of service termination, the license holder must document actions taken to minimize or eliminate the need for termination. A person must be assigned a staff ratio requirement of one to eight if: (1) the person does not meet the requirements in subdivision 4; and. 5)Have all of the documents ready, and then call 651-431-6624 M-TH. Tracking Sheets, Hot (e) The license holder must keep stairways, ramps, and corridors free of obstructions. (a) Before having unsupervised direct contact with a person served by the program, or for whom the staff person has not previously provided direct support, or any time the plans or procedures identified in paragraphs (b) to (f) are revised, the staff person must review and receive instruction on the requirements in paragraphs (b) to (f) as they relate to the staff person's job functions for that person. Comparisons, Bill This information must be readily available to all staff administering the medication; (3) the possible consequences if the medication or treatment is not taken or administered as directed; (4) instruction on when and to whom to report the following: (i) if a dose of medication is not administered or treatment is not performed as prescribed, whether by error by the staff or the person or by refusal by the person; and. (2) The fire marshal inspection of a community residential setting must verify the residence is a dwelling unit within a residential occupancy as defined in section 9.117 of the State Fire Code. (b) For community residential services, training and competency evaluations must include the following, if identified in the support plan: (1) appropriate and safe techniques in personal hygiene and grooming, including hair care; bathing; care of teeth, gums, and oral prosthetic devices; and other activities of daily living (ADLs) as defined under section 256B.0659, subdivision 1; (2) an understanding of what constitutes a healthy diet according to data from the Centers for Disease Control and Prevention and the skills necessary to prepare that diet; and. Companion Linc is a 245D Waivered Services Provider that supports approximately 130 individuals throughout the Metro Area with a variety of intellectual and/or physical needs, including Autism, Down Syndrome, and Cerebral Palsy. (b) In addition, a positive support analyst must: (1) have four years of supervised experience conducting functional behavior assessments and designing, implementing, and evaluating effectiveness of positive practices behavior support strategies for people who exhibit challenging behaviors as well as co-occurring mental disorders and neurocognitive disorder; (2) have received training prior to hire or within 90 calendar days of hire that includes: (i) ten hours of instruction in functional assessment and functional analysis; (ii) 20 hours of instruction in the understanding of the function of behavior; (iii) ten hours of instruction on design of positive practices behavior support strategies; (iv) 20 hours of instruction preparing written intervention strategies, designing data collection protocols, training other staff to implement positive practice strategies, summarizing and reporting program evaluation data, analyzing program evaluation data to identify design flaws in behavioral interventions or failures in implementation fidelity, and recommending enhancements based on evaluation data; and. Coordination and evaluation of individual service delivery. Minnesota Department of Human Services Licensing Division OVERVIEW OF 245D HCBS LICENSE STRUCTURE PROGRAM LICENSECATEGORY OF SERVICESERVICEFACILITY LICENSEIndividual Community Living Supports (ICLS) 24Hour Emergency Assistance CompanionBasic Fill & Sign Online, Print, Email, Fax, or Download Get Form . 2012 c 216 art 18 s 24; 2013 c 108 art 8 s 32; 2014 c 291 art 4 s 58; art 8 s 3-5; 2014 c 312 art 27 s 41,42; 2015 c 71 art 7 s 18,19; 2017 c 90 s 13,14; 1Sp2019 c 9 art 5 s 14,15; 1Sp2020 c 2 art 2 s 6-8; art 8 s 66; 2022 c 98 art 17 s 26. (iv) eight hours of instruction on principles of person-centered thinking; (2) be determined by a positive support professional to have the training and prerequisite skills required to provide positive practices strategies as well as behavior reduction approved intervention to the person who receives positive support; and. License holders providing intensive support services must also provide outcome-based services according to the requirements in section 245D.071. 245D Licensing Policies and Forms $ 150.00 This is a collection of policies and forms from MN Department of Human Services that are required to provide services under the 245D license. When used on a continuous basis, it must be addressed in a person's support plan addendum as identified in sections 245D.07 and 245D.071. The residency agreement must include service termination requirements specified in section 245D.10, subdivision 3a, paragraphs (b) to (f). (4) evaluation of the effectiveness of service delivery, methodologies, and progress on the person's outcomes based on the measurable and observable criteria for identifying when the desired outcome has been achieved according to the requirements in section 245D.07. (b) A restricted procedure identified in paragraph (a) must not: (1) be implemented with a child in a manner that constitutes sexual abuse, neglect, physical abuse, or mental injury, as defined in section 260E.03; (2) be implemented with an adult in a manner that constitutes abuse or neglect as defined in section 626.5572, subdivision 2 or 17; (3) be implemented in a manner that violates a person's rights identified in section 245D.04; (4) restrict a person's normal access to a nutritious diet, drinking water, adequate ventilation, necessary medical care, ordinary hygiene facilities, normal sleeping conditions, necessary clothing, or any protection required by state licensing standards or federal regulations governing the program; (5) deny the person visitation or ordinary contact with legal counsel, a legal representative, or next of kin; (6) be used for the convenience of staff, as punishment, as a substitute for adequate staffing, or as a consequence if the person refuses to participate in the treatment or services provided by the program; (7) use prone restraint. Calendar, Senate The facility must have a flashlight and a portable radio or television set that do not require electricity and can be used if a power failure occurs. (c) Within 20 working days of the 45-day meeting, the license holder must submit to and obtain dated signatures from the person or the person's legal representative and case manager to document completion and approval of the assessment and support plan addendum. The license holder must establish policies and procedures that promote service recipient rights by ensuring data privacy according to the requirements in: (1) the Minnesota Government Data Practices Act, section 13.46, and all other applicable Minnesota laws and rules in handling all data related to the services provided; and. If you are providing services to someone under a 245D or Home and Community Based Services (HCBS) license, then that person is automatically covered by the PSR, regardless of their diagnosis, and all services your program provides to that person must comply with the PSR. If, within ten working days of the submission of the assessment or support plan addendum, the person or the person's legal representative or case manager has not signed and returned to the license holder the assessment and support plan addendum or has not proposed written modifications to the license holder's submission, the submission is deemed approved and the assessment and support plan addendum become effective and remain in effect until the legal representative or case manager submits a written request to revise the assessment or support plan addendum. "Prescriber" means a person who is authorized under section 148.235; 151.01, subdivision 23; or 151.37 to prescribe drugs. [Repealed by amendment, 2013 c 108 art 8 s 25]. Supervision of staff having direct contact. The license holder must ensure that the person and the person's representative are notified before admission of the presence of pets in the residence. (3) concerns about a person's self-administration of medication or treatment. The license holder must maintain documentation that the applicable requirements have been met. (2) have two years of supervised experience working with individuals who exhibit challenging behaviors as well as co-occurring mental disorders or neurocognitive disorder. */
. Intensive support services include: (i) positive support services as defined under the brain injury and community access for disability inclusion, community alternative care, and developmental disabilities waiver plans; (ii) in-home or out-of-home crisis respite services as defined under the brain injury, community access for disability inclusion, community alternative care, and developmental disabilities waiver plans; and. (a) When assigned responsibility for medication administration, the license holder must ensure that the information maintained in the medication administration record is current and is regularly reviewed to identify medication administration errors. (g) The license holder must conduct an internal review of incident reports of deaths and serious injuries that occurred while services were being provided and that were not reported by the program as alleged or suspected maltreatment, for identification of incident patterns, and implementation of corrective action as necessary to reduce occurrences. (3) staff must immediately reimplement the restraint in order to maintain safety. If the direct support staff has a first aid certification, annual training under subdivision 4, clause (9), is not required as long as the certification remains current. (a) The license holder is responsible for: (1) coordination of service delivery and evaluation for each person served by the program as identified in subdivision 2; and. (3) emergency use of manual restraint subject to the requirements in section 245D.061. Three nutritionally balanced meals a day must be served or made available to persons, and nutritious snacks must be available between meals. The license holder must allow for locked storage of personal items. Cultural competence or culturally competent. (3) maintain information about the service suspension, including the written notice of temporary service suspension, in the service recipient record. (f) When a death or serious injury occurs in a facility certified as an intermediate care facility for persons with developmental disabilities, the death or serious injury must be reported to the Department of Health, Office of Health Facility Complaints, and the Office of Ombudsman for Mental Health and Developmental Disabilities, as required under sections 245.91 and 245.94, subdivision 2a, unless the license holder has reason to know that the death or serious injury has already been reported. 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