[40 Pa.B. 4935]
[Saturday, August 28, 2010]
[Continued from previous Web Page]
PROGRAM § 6400.181. Assessment.
(a) Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home.
(b) If the program specialist is making a recommendation to revise a service or outcome in the ISP as provided under § 6400.186(c)(4) (relating to ISP review and revision), the individual shall have an assessment completed as required under this section.
(c) The assessment shall be based on assessment instruments, interviews, progress notes and observations.
(d) The program specialist shall sign and date the assessment.
(e) The assessment must include the following information:
(1) Functional strengths, needs and preferences of the individual.
(2) The likes, dislikes and interest of the individual.
(3) The individual's current level of performance and progress in the following areas:
(i) Acquisition of functional skills.
(ii) Communication.
(iii) Personal adjustment.
(iv) Personal needs with or without assistance from others.
(4) The individual's need for supervision.
(5) The individual's ability to self-administer medications.
(6) The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials.
(7) The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated.
(8) The individual's ability to evacuate in the event of a fire.
(9) Documentation of the individual's disability, including functional and medical limitations.
(10) A lifetime medical history.
(11) Psychological evaluations, if applicable.
(12) Recommendations for specific areas of training, programming and services.
(13) The individual's progress over the last 365 calendar days and current level in the following areas:
(i) Health.
(ii) Motor and communication skills.
(iii) Activities of residential living.
(iv) Personal adjustment.
(v) Socialization.
(vi) Recreation.
(vii) Financial independence.
(viii) Managing personal property.
(ix) Community-integration.
(14) The individual's knowledge of water safety and ability to swim.
(f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under §§ 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
§ 6400.182. Development, annual update and revision of the ISP.
(a) An individual shall have one ISP.
(b) When an individual is not receiving services through an SCO, the residential program specialist shall be the plan lead when one of the following applies:
(1) The individual resides at a residential home licensed under this chapter.
(2) The individual resides at a residential home licensed under this chapter and attends a facility licensed under Chapter 2380 or 2390 (relating to adult training facilities; and vocational facilities).
(c) The plan lead shall be responsible for developing and implementing the ISP, including annual updates and revisions.
(d) The plan lead shall develop, update and revise the ISP according to the following:
(1) The ISP shall be initially developed, updated annually and revised based upon the individual's current assessment as required under §§ 2380.181, 2390.151, 6400.181 and 6500.151 (relating to assessment).
(2) The initial ISP shall be developed within 90 calendar days after the individual's admission date to the facility.
(3) The ISP, annual updates and revisions shall be documented on the Department-designated form located in the Home and Community Services Information System (HCSIS) and also on the Department's web site.
(4) An invitation shall be sent to plan team members at least 30 calendar days prior to an ISP meeting.
(5) Copies of the ISP, including annual updates and revisions under § 6400.186, shall be provided as required under § 6400.187 (relating to copies).
§ 6400.183. Content of the ISP.
The ISP, including annual updates and revisions under § 6400.186 (relating to ISP review and revision), must include the following:
(1) Services provided to the individual and expected outcomes chosen by the individual and individual's plan team.
(2) Services provided to the individual to increase community involvement, including volunteer or civic-minded opportunities and membership in National or local organizations as required under § 6400.188 (relating to provider services).
(3) Current status in relation to an outcome and method of evaluation used to determine progress toward that expected outcome.
(4) A protocol and schedule outlining specified periods of time for the individual to be without direct supervision, if the individual's current assessment states the individual may be without direct supervision and if the individual's ISP includes an expected outcome which requires the achievement of a higher level of independence. The protocol must include the current level of independence and the method of evaluation used to determine progress toward the expected outcome to achieve the higher level of independence.
(5) A protocol to address the social, emotional and environmental needs of the individual, if medication has been prescribed to treat symptoms of a diagnosed psychiatric illness.
(6) A protocol to eliminate the use of restrictive procedures, if restrictive procedures are utilized, and to address the underlying causes of the behavior which led to the use of restrictive procedures including the following:
(i) An assessment to determine the causes or antecedents of the behavior.
(ii) A protocol for addressing the underlying causes or antecedents of the behavior.
(iii) The method and timeline for eliminating the use of restrictive procedures.
(iv) A protocol for intervention or redirection without utilizing restrictive procedures.
(7) Assessment of the individual's potential to advance in the following:
(i) Residential independence.
(ii) Community involvement.
(iii) Vocational programming.
(iv) Competitive community-integrated employment.
§ 6400.184. Plan team participation.
(a) The plan team shall participate in the development of the ISP, including the annual updates and revisions under § 6400.186 (relating to ISP review and revision).
(1) A plan team must include as its members the following:
(i) The individual.
(ii) A program specialist or family living specialist, as applicable, from each provider delivering a service to the individual.
(iii) A direct service worker who works with the individual from each provider delivering services to the individual.
(iii) Any other person the individual chooses to invite.
(2) If the following have a role in the individual's life, the plan team may also include as its members, as applicable, the following:
(i) Medical, nursing, behavior management, speech, occupational or physical therapy specialists.
(ii) Additional direct service workers who work with the individual from each provider delivering services to the individual.
(iii) The individual's parent, guardian or advocate.
(b) At least three plan team members, in addition to the individual, if the individual chooses to attend, shall be present for an ISP, annual update and ISP revision meeting.
(c) A plan team member who attends a meeting under subsection (b) shall sign and date the signature sheet.
§ 6400.185. Implementation of the ISP.
(a) The ISP shall be implemented by the ISP's start date.
(b) The ISP shall be implemented as written.
§ 6400.186. ISP review and revision.
(a) The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP.
(b) The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP.
(c) The ISP review must include the following:
(1) A review of the monthly documentation of an individual's participation and progress during the prior 3 months toward ISP outcomes supported by services provided by the residential home licensed under this chapter.
(2) A review of each section of the ISP specific to the residential home licensed under this chapter.
(3) The program specialist shall document a change in the individual's needs, if applicable.
(4) The program specialist shall make a recommendation regarding the following, if applicable:
(i) The deletion of an outcome or service to support the achievement of an outcome which is no longer appropriate or has been completed.
(ii) The addition of an outcome or service to support the achievement of an outcome.
(iii) The modification of an outcome or service to support the achievement of an outcome in which no progress has been made.
(5) If making a recommendation to revise a service or outcome in the ISP, the program specialist shall complete a revised assessment as required under § 6400.181(b) (relating to assessments).
(d) The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting.
(e) The program specialist shall notify the plan team members of the option to decline the ISP review documentation.
(f) If a recommendation for a revision to a service or outcome in the ISP is made, the plan lead as applicable, under §§ 2380.182(b) and (c), 2390.152(b) and (c), 6400.182(b) and (c), 6500.152(b) and (c) (relating to development, annual update and revision of the ISP), shall send an invitation for an ISP revision meeting to the plan team members within 30 calendar days of receipt of the recommendation.
(g) A revised service or outcome in the ISP shall be implemented by the start date in the ISP as written.
§ 6400.187. Copies.
A copy of the ISP, including the signature sheet, shall be provided to plan team members within 30 calendar days after the ISP, annual update and ISP revision meetings.
§ 6400.188. Provider services.
(a) The residential home shall provide services including assistance, training and support for the acquisition, maintenance or improvement of functional skills, personal needs, communication and personal adjustment.
(b) The residential home shall provide opportunities and support to the individual for participation in community life, including volunteer or civic-minded opportunities and membership in National or local organizations.
(c) The residential home shall provide services to the individual as specified in the individual's ISP.
(d) The residential home shall provide services that are age and functionally appropriate to the individual.
§ 6400.189. Day services.
(a) Day services such as competitive community-integrated employment, education, vocational training, volunteering, civic-minded and other meaningful opportunities shall be provided to the individual.
(b) Day services shall be provided at a location other than the residential home where the individual lives, unless one of the following applies:
(1) There is written annual documentation by a licensed physician that it is medically necessary for the individual to complete day services at the residential home.
(2) There is written annual documentation by the plan team that it is in the best interest of the individual to complete day services at the residential home.
§ 6400.190. Recreational and social activities.
(a) The residential home shall provide recreational and social activities, including volunteer or civic-minded opportunities and membership in National or local organizations at the following locations:
(1) At the residential home.
(2) Away from the residential home.
(b) Time away from the residential home may not be limited to time in school, work or vocational, developmental and volunteer facilities.
(c) Documentation of recreational and social activities shall be kept in the individual's record.
INDIVIDUAL RECORDS § 6400.213. Content of records.
Each individual's record must include the following information:
(1) Personal information including:
(i) The name, sex, admission date, birthdate and social security number.
(ii) The race, height, weight, color of hair, color of eyes and identifying marks.
(iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English.
(iv) The religious affiliation.
(v) The next of kin.
(vi) A current, dated photograph.
(2) Unusual incident reports relating to the individual.
(3) Physical examinations.
(4) Dental examinations.
(5) Dental hygiene plans.
(6) Assessments as required under § 6400.181 (relating to assessment).
(7) A copy of the invitation to:
(i) The initial ISP meeting.
(ii) The annual update meeting.
(iii) The ISP revision meeting.
(8) A copy of the signature sheets for:
(i) The initial ISP meeting.
(ii) The annual update meeting.
(iii) The ISP revision meeting.
(9) A copy of the current ISP.
(10) Documentation of ISP reviews and revisions under § 6400.186, including the following:
(i) ISP review signature sheets.
(ii) Recommendations to revise the ISP.
(iii) ISP revisions.
(iv) Notices that the plan team member may decline the ISP review documentation.
(v) Requests from plan team members to not receive the ISP review documentation.
(11) Content discrepancy in the ISP, The annual update or revision under § 6400.186.
(12) Restrictive procedure protocols and records related to the individual.
(13) Copies of psychological evaluations, if applicable.
(14) Recreational and social activities provided to the individual.
§ 6400.214. Record location.
(a) Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home.
(b) The most current copies of record information required in § 6400.213(2)—(14) shall be kept at the residential home.
(c) Record information required in § 6400.213(2)—(14) that is not current shall be kept at the residential home or the administrative office.
CHAPTER 6500. FAMILY LIVING HOMES
GENERAL PROVISIONS § 6500.4. Definitions.
The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:
Agency—A person or legally constituted organization administering one or more family living homes.
Content discrepancy—A difference between what was determined at the ISP meeting by the plan team and what is documented in the written ISP.
Department—The Department of Public Welfare of the Commonwealth.
Direct service worker—A person whose primary job function is to provide services to an individual who resides in the provider's family living home.
Documentation—Written statements that accurately record details, substantiate a claim or provide evidence of an event.
Family living home or home—
(i) The private home of an individual or a family in which residential care is provided to one or two individuals with mental retardation, except as provided in § 6500.3(f) (relating to applicability).
(ii) The term does not include a home if there are more than two individuals, including respite care individuals, living in the home at any one time who are not family members or relatives of the family members.
(iii) If relatives of the individual live in the home, the total number of people living in the home at any one time who are not family members or relatives of the family members may not exceed four.
ISP—Individual Support Plan—The comprehensive document that identifies services and expected outcomes for an individual.
Individual—
(i) A person with mental retardation who resides, or receives residential respite care, in a family living home and who is not a relative of the owner of the family members.
(ii) The term does not include family members.
Mental retardation—Subaverage general intellectual functioning which originates during the developmental period and is associated with impairment of one or more of the following:
(i) Maturation.
(ii) Learning.
(iii) Social adjustment.
Outcomes—Goals the individual and individual's plan team choose for the individual to acquire, maintain or improve.
Plan lead—The family living specialist, when the individual is not receiving services through an SCO.
Plan team—The group that develops the ISP.
Provider—An entity or person that enters into an agreement with the Department to deliver a service to an individual.
Relative—A parent, child, stepparent, stepchild, grandparent, grandchild, brother, sister, half brother, half sister, aunt, uncle, niece or nephew.
Respite care—Temporary family living care not to exceed 31 calendar days for an individual in a calendar year.
SC—Supports coordinator—An SCO employee whose primary job functions are to locate, coordinate and monitor services provided to an individual when the individual is receiving services from an SCO.
SCO—Supports coordination organization—A provider that delivers the services of locating, coordinating and monitoring services provided to an individual.
Services—Actions or assistance provided to the individual to support the achievement of an outcome.
STAFFING § 6500.43. Family living specialist.
(a) There shall be a family living specialist for each individual.
(b) A family living specialist shall be assigned to no more than 8 homes.
(c) A family living specialist shall be responsible for a maximum of 16 people, including people served in other types of services.
(d) The family living specialist shall be responsible for the following:
(1) Coordinating and completing assessments.
(2) Providing the assessment as required under § 6500.151(f) (relating to assessment).
(3) Participating in the development of the ISP, including annual updates and revisions of the ISP.
(4) Attending the ISP meetings.
(5) Fulfilling the role of plan lead, as applicable, under §§ 6500.152 and 6500.156(f) and (g) (relating to development, annual update and revision of the ISP; and ISP review and revision).
(6) Reviewing the ISP, annual updates and revisions for content accuracy.
(7) Reporting content discrepancy to the SC, as applicable, and plan team members.
(8) Implementing the ISP as written.
(9) Supervising, monitoring and evaluating services provided to the individual.
(10) Reviewing, signing and dating the monthly documentation of an individual's participation and progress toward outcomes.
(11) Reporting a change related to the individual's needs to the SC, as applicable, and plan team members.
(12) Reviewing the ISP with the individual as required under § 6500.156.
(13) Documenting the review of the ISP as required under § 6500.156.
(14) Providing the documentation of the ISP review to the SC, as applicable, and plan team members as required under § 6500.156(d).
(15) Informing plan team members of the option to decline the ISP review documentation as required under § 6500.156(e).
(16) Recommending a revision to a service or outcome in the ISP as provided under § 6500.156(c)(4).
(17) Coordinating the services provided to an individual.
(18) Coordinating the support services for the family.
(19) Coordinating the training of direct service workers and the family in the content of health and safety needs relevant to each individual.
(20) Developing and implementing provider services as required under § 6500.158 (relating to provider services).
(e) A family living specialist shall have one of the following groups of qualifications:
(1) A master's degree or above from an accredited college or university and 1 year work experience working directly with persons with mental retardation.
(2) A bachelor's degree from an accredited college or university and 2 years work experience working directly with persons with mental retardation.
(3) An associate's degree or 60 credit hours from an accredited college or university and 4 years work experience working directly with persons with mental retardation.
(4) A high school diploma or general education development certificate and 6 years work experience working directly with persons with mental retardation.
§ 6500.44. Supervision.
(a) An individual may be left unsupervised for specified periods of time if the absence of direct supervision is consistent with the individual's assessment and is part of the individual's ISP, as an outcome which requires the achievement of a higher level of independence.
(b) An individual requiring direct supervision may not be left under the supervision of a person under the age of 18.
(c) There shall be a family living specialist or designee accessible when the individual is in the home.
(d) Supervision as specified in the ISP shall be implemented as written when the supervision specified in the ISP is greater than required under subsections (a), (b) and (c).
(e) The staff qualifications and staff ratio as specified in the ISP shall be implemented as written, including when the staff ratio is greater than required under subsections (a), (b) and (c).
(f) An individual may not be left unsupervised solely for the convenience of the family or direct service worker.
§§ 6500.111—6500.118. (Reserved).
MEDICATIONS § 6500.133. Use of prescription medications.
(a) A prescription medication shall only be used by the individual for whom the medication was prescribed.
(b) If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the ISP to address the social, emotional and environmental needs of the individual related to the symptoms of the diagnosed psychiatric illness.
(c) If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.
PROGRAM § 6500.151. Assessment.
(a) Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the family living home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the family living home.
(b) If the program specialist is making a recommendation to revise a service or outcome in the ISP as required under § 6500.156(c)(4) (relating to ISP review and revision), the individual shall have an assessment completed as required under this section.
(c) The assessment shall be based on assessment instruments, interviews, progress notes and observations.
(d) The family living specialist shall sign and date the assessment.
(e) The assessment must include the following information:
(1) Functional strengths, needs and preferences of the individual.
(2) The likes, dislikes and interest of the individual.
(3) The individual's current level of performance and progress in the areas:
(i) Acquisition of functional skills.
(ii) Communication.
(iii) Personal adjustment.
(iv) Personal needs with or without assistance from others.
(4) The individual's need for supervision.
(5) The individual's ability to self-administer medications.
(6) The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials.
(7) The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated.
(8) The individual's ability to evacuate in the event of a fire.
(9) Documentation of the individual's disability, including functional and medical limitations.
(10) A lifetime medical history.
(11) Psychological evaluations, if applicable.
(12) Recommendations for specific areas of training, programming and services.
(13) The individual's progress over the last 365 calendar days and current level in the following areas:
(i) Health.
(ii) Motor and communication skills.
(iii) Activities of residential living.
(iv) Personal adjustment.
(v) Socialization.
(vi) Recreation.
(vii) Financial independence.
(viii) Managing personal property.
(ix) Community integration.
(14) The individual's knowledge of water safety and ability to swim.
(f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development of the ISP, the annual update, and revision of the ISP under §§ 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
§ 6500.152. Development, annual update and revision of the ISP.
(a) An individual shall have one ISP.
(b) When an individual is not receiving services through an SCO, the family living program specialist shall be the plan lead when one of the following applies:
(i) The individual resides at a family living home licensed under this chapter.
(ii) The individual resides at a family living home licensed under this chapter and attends a facility licensed under Chapter 2380 or 2390 (relating to adult training facilities; and vocational facilities).
(c) The plan lead shall be responsible for developing and implementing the ISP, including annual updates and revisions.
(d) The plan lead shall develop, update and revise the ISP according to the following:
(1) The ISP shall be initially developed, updated annually and revised based upon the individual's current assessments as required under §§ 2380.181, 2390.151, 6400.181 and 6500.151 (relating to assessment).
(2) The initial ISP shall be developed within 90 calendar days after the individual's admission date to the family living home.
(3) The ISP, annual updates and revisions shall be documented on the Department-designated form located in the Home and Community Services Information System (HCSIS) and also on the Department's web site.
(4) An invitation shall be sent to plan team members at least 30 calendar days prior to an ISP meeting.
(5) Copies of the ISP, including annual updates and revisions under § 6500.156 (relating to ISP review and revision), Shall be sent as required under § 6500.157 (relating to copies).
§ 6500.153. Content of the ISP.
The ISP, including annual updates and revisions under § 6500.156 (relating to ISP review and revision) must include the following:
(1) Services provided to the individual and expected outcomes chosen by the individual and individual's plan team.
(2) Services provided to the individual to increase community involvement, including volunteer or civic-minded opportunities and membership in National or local organizations as required under § 6500.158 (relating to provider services).
(3) Current status in relation to an outcome and method of evaluation used to determine progress toward that expected outcome.
(4) A protocol and schedule outlining specified periods of time for the individual to be without direct supervision, if the individual's current assessment states the individual may be without direct supervision and if the individual's ISP includes an expected outcome which requires the achievement of a higher level of independence. The protocol must include the current level of independence and the method of evaluation used to determine progress toward the expected outcome to achieve the higher level of independence.
(5) A protocol to address the social, emotional and environmental needs of the individual, if medication has been prescribed to treat symptoms of a diagnosed psychiatric illness.
(6) A protocol to eliminate the use of restrictive procedures, if restrictive procedures are utilized, and to address the underlying causes of the behavior which led to the use of restrictive procedures including the following:
(i) An assessment to determine the causes or antecedents of the behavior.
(ii) A protocol for addressing the underlying causes or antecedents of the behavior.
(iii) The method and time line for eliminating the use of restrictive procedures.
(iv) A protocol for intervention or redirection without utilizing restrictive procedures.
(7) Assessment of the individual's potential to advance in the following:
(i) Residential independence.
(ii) Community involvement.
(iii) Vocational programming.
(iv) Competitive community-integrated employment.
§ 6500.154. Plan team participation.
(a) The plan team shall participate in the development of the ISP, including the annual updates and revision under § 6500.156 (relating to ISP review and revision).
(1) A plan team shall include as its members the following:
(i) The individual.
(ii) A program specialist or family living specialist, as applicable, from each provider delivering a service to the individual.
(iii) A direct service worker who works with the individual from each provider delivering services to the individual.
(iv) Any other person the individual chooses to invite.
(2) If the following have a role in the individual's life, the plan team may also include as its members, as applicable, the following:
(i) Medical, nursing, behavior management, speech, occupational or physical therapy specialists.
(ii) Additional direct service workers who work with the individual from each provider delivering a service to the individual.
(iii) The individual's parent, guardian or advocate.
(b) At least three plan team members, in addition to the individual, if the individual chooses to attend, shall be present for the ISP, annual update and ISP revision meeting.
(c) Plan team members who attend a meeting under subsection (b) shall sign and date the signature sheet.
§ 6500.155. Implementation of the ISP.
(a) The ISP shall be implemented by the ISP's start date.
(b) The ISP shall be implemented as written.
§ 6500.156. ISP review and revision.
(a) The family living specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the family living home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change, which impacts the services as specified in the current ISP.
(b) The family living specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP.
(c) The ISP review must include the following:
(1) A review of the monthly documentation of an individual's participation and progress during the prior 3 months toward ISP outcomes supported by services provided by the family living home licensed under this chapter.
(2) A review of each section of the ISP specific to the family living home licensed under this chapter.
(3) The family living specialist shall document a change in the individual's needs, if applicable.
(4) The family living specialist shall make a recommendation regarding the following, if applicable:
(i) The deletion of an outcome or service to support the achievement of an outcome which is no longer appropriate or has been completed.
(ii) The addition of an outcome or service to support the achievement of an outcome.
(iii) The modification of an outcome or service to support the achievement of an outcome in which no progress has been made.
(5) If making a recommendation to revise a service or outcome in the ISP, the family living specialist shall complete a revised assessment as required under § 6500.151(b) (relating to assessment).
(d) The family living specialist shall provide the ISP review documentation, including recommendations if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting.
(e) The family living specialist shall notify the plan team members of the option to decline the ISP review documentation.
(f) If a recommendation for a revision to a service or outcome in the ISP is made, the plan lead as applicable, under §§ 2380.182(b) and (c), 2390.152(b) and (c), 6400.182(b) and (c), 6500.152(b) and (c) (relating to development, annual update and revision of the ISP), shall send an invitation for an ISP revision meeting to the plan team members within 30 calendar days of receipt of the recommendation.
(g) A revised service or outcome in the ISP shall be implemented by the start date in the ISP as written.
§ 6500.157. Copies.
A copy of the ISP, including the signature sheet, shall be provided to plan team members within 30 calendar days after the ISP, annual update and ISP revision meetings.
§ 6500.158. Provider services.
(a) The family living home shall provide services including assistance, training and support for the acquisition, maintenance or improvement of functional skills, personal needs, communication and personal adjustment.
(b) The family living home shall provide opportunities to the individual for participation in community life, including volunteer or civic-minded opportunities and membership in National or local organizations.
(c) The family living home shall provide services to the individual as specified in the individual's ISP.
(d) The family living home shall provide services that are age and functionally appropriate to the individual.
§ 6500.159. Day services.
(a) Day services such as employment, education, training, volunteer, civic-minded and other meaningful opportunities shall be provided to the individual.
(b) Day services and activities shall be provided at a location other than the family living home where the individual lives, unless one of the following exists:
(1) There is written annual documentation by a licensed physician that it is medically necessary for the individual to complete day services at the family living home.
(2) There is written annual documentation by the plan team that it is in the best interest of the individual to complete day services at the family living home.
§ 6500.160. Recreational and social activities.
(a) The family living home shall provide recreational and social activities, including volunteer or civic-minded opportunities and membership in National or local organizations at the following locations:
(1) The family living home.
(2) Away from the family living home.
(b) Time away from the family living home may not be limited to time in school, work or vocational, developmental and volunteer facilities.
(c) Documentation of recreational and social activities shall be kept in the individual's record.
INDIVIDUAL RECORDS § 6500.182. Content of records.
(a) A separate record shall be kept for each individual.
(b) Entries in an individual's record must be legible, dated and signed by the person making the entry.
(c) Each individual's record must include the following information:
(1) Personal information, including:
(i) The name, sex, admission date, birthdate and Social Security number.
(ii) The race, height, weight, color of hair, color of eyes and identifying marks.
(iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English.
(iv) The religious affiliation.
(v) The next of kin.
(vi) A current, dated photograph.
(2) Unusual incident reports relating to the individual.
(3) Physical examinations.
(4) Dental examinations.
(5) Assessments as required under § 6500.151 (relating to assessment).
(6) A copy of the invitation to:
(i) The initial ISP meeting.
(ii) The annual update meeting.
(iii) The ISP revision meeting.
(7) A copy of the signature sheet for:
(i) The initial ISP meeting.
(ii) The annual update meeting.
(iii) The ISP revision meeting
(8) A copy of the current ISP.
(9) Documentation of ISP reviews and revisions under § 6500.156 (relating to ISP review and revision), including the following:
(i) ISP review signature sheets
(ii) Recommendations to revise the ISP.
(iii) ISP revisions.
(iv) Notices that the plan team member may decline the ISP review documentation.
(v) Requests from plan team members to not receive the ISP review documentation.
(10) Content discrepancy in the ISP, the annual updates or revisions under § 6500.156.
(11) Restrictive procedure protocols related to the individual.
(12) Restrictive procedure records related to the individual.
(13) Recreational and social activities provided to the individual.
(14) Copies of psychological evaluations and assessments of adaptive behavior, as necessary.
§ 6500.183. Record location.
Copies of the most current record information required in § 6500.182(c)(1)—(14) (relating to individual records) shall be kept in the family living home.
[Pa.B. Doc. No. 10-1583. Filed for public inspection August 27, 2010, 9:00 a.m.]
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