Assessments must be conducted annually at a minimum or within 30 days of a written request from the person or the person's legal representative or case manager. Constitutional Amendments, Multimedia Audio, (7) evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements. "Volunteer" means an individual who, under the direction of the license holder, provides direct services without pay to a person served by the license holder. Foster Care (AFC Rule 203 & Child Foster Care Rule 2960) & CRS (MN Statutes, sections 245D.21 - 245D.26) licensed by County . DO NOT create a new account. "Person with a disability" means a person determined to have a disability by the commissioner's state medical review team as identified in section 256B.055, subdivision 7, the Social Security Administration, or the person is determined to have a developmental disability or a related condition as defined in Minnesota Rules, part 9525.0016, subpart 2, items A to E. "Physician" means a person who is licensed under chapter 147. Within ten working days of the mailing of the support plan addendum, the license holder must obtain dated signatures from the person or the person's legal representative and the case manager to document approval of any changes to the support plan addendum. 3) Create an account athttps://elicensing.dhs.mn.gov/ELMS/, 4) Complete and submit all additional required materials with your application, including policies and procedures. To learn more about Minnesota Statute 245D, you can go to https://www.revisor.mn.gov/statutes/?id=245D. (3) prevent the person from physically harming self or others. Supervision of staff having direct contact. Requirements for intensive support services. The license holder must document and assess the physical plant and the environment, and the population served, and identify the risk factors that require using locked doors, and the specific action taken to minimize the safety risk to a person receiving services at the site. Relicensing forms Community residential setting (CSR) License Corporate AFC license Family AFC License with HCBS/245D Family AFC License without HCBS/245D Additional forms Questions Contact licensing@sourcewell-mn.gov or call 218-895-4120. (e) The staff person must review and receive instruction on the safe and correct operation of medical equipment used by the person to sustain life or to monitor a medical condition that could become life-threatening without proper use of the medical equipment, including but not limited to ventilators, feeding tubes, or endotracheal tubes. (c) At least once per year, the license holder, in coordination with the person's support team or expanded support team, must meet with a person receiving residential supports and services, the person's legal representative, the case manager, and other people as identified by the person or the person's legal representative to discuss options for transitioning out of a community setting controlled by a provider and into a setting not controlled by a provider. 2012 c 216 art 18 s 21; 2013 c 108 art 8 s 27; 2014 c 312 art 27 s 31-36; 2015 c 71 art 7 s 13-15; 2016 c 158 art 1 s 95-97; 1Sp2020 c 2 art 5 s 24; art 8 s 64,65; 2022 c 98 art 17 s 26. Orientation to individual service recipient needs. (e) When possible, a person must be allowed to have items of furniture that the person personally owns in the bedroom, unless doing so would interfere with safety precautions, violate a building or fire code, or interfere with another person's use of the bedroom. Search & Status (House), Bill "Medication" means a prescription drug or over-the-counter drug. Behavioral Supports. and Legislative Business, House 245D.27. (a) For purposes of this subdivision, "medication administration" means: (1) checking the person's medication record; (2) preparing the medication as necessary; (3) administering the medication or treatment to the person; (4) documenting the administration of the medication or treatment or the reason for not administering the medication or treatment; and. ofHealth;no newdevelopment SLS in SLF or ICF/DD . (a) The commissioner shall regulate the provision of home and community-based services to persons with disabilities and persons age 65 and older pursuant to this chapter. (c) Only one license holder may deliver integrated community supports at the address of the multifamily housing building. (c) Before providing 45 days of service or within 60 calendar days of service initiation, whichever is shorter, the license holder must meet with the person, the person's legal representative, the case manager, other members of the support team or expanded support team, and other people as identified by the person or the person's legal representative to determine the following based on information obtained from the assessments identified in paragraph (b), the person's identified needs in the support plan, and the requirements in subdivision 4 and section 245D.07, subdivision 1a: (1) the scope of the services to be provided to support the person's daily needs and activities; (2) the person's desired outcomes and the supports necessary to accomplish the person's desired outcomes; (3) the person's preferences for how services and supports are provided, including how the provider will support the person to have control of the person's schedule; (4) whether the current service setting is the most integrated setting available and appropriate for the person; (5) opportunities to develop and maintain essential and life-enriching skills, abilities, strengths, interests, and preferences; (6) opportunities for community access, participation, and inclusion in preferred community activities; (7) opportunities to develop and strengthen personal relationships with other persons of the person's choice in the community; (8) opportunities to seek competitive employment and work at competitively paying jobs in the community; and. (f) A person must be allowed to bring personal possessions into the bedroom and other designated storage space, if such space is available, in the residence. Apply for An Associate Project Manager jobs that are part time, remote, internships, junior and senior level. "Time out" means the involuntary removal of a person for a period of time to a designated area from which the person is not prevented from leaving. (7) a procedure for the review of incidents and emergencies to identify trends or patterns, and corrective action if needed. The license holder must conduct a review of incident reports for identification of incident patterns, and implementation of corrective action as necessary to reduce occurrences. The license holder must ensure that volunteers who provide direct support services to persons served by the program receive the training, orientation, and supervision necessary to fulfill their responsibilities. [Repealed by amendment, 2013 c 108 art 8 s 25]. . (c) In order to be eligible for an alternative licensing inspection, the program must have been in substantial and consistent compliance at the time of the last licensing inspection and during the current licensing period. The removal is often in the form of a delay or postponement of the positive reinforcer. (8) an emergency escape plan for each resident. INTEGRATED COMMUNITY SUPPORTS; SETTING CAPACITY REPORT. Action taken by the license holder must include, at a minimum: (1) consultation with the person's support team or expanded support team to identify and resolve issues leading to issuance of the notice; and. Exterior stairs and walkways must be kept free of ice and snow. If the conditions in section 245A.04, subdivision 9, are met, the commissioner may grant a variance to any of the requirements in this chapter, except sections 245D.04; 245D.06, subdivision 4, paragraph (b), and subdivision 6, or successor provisions; and provisions governing data practices and information rights of persons. (a) Whenever the license holder assists a person with the safekeeping of funds or other property according to section 245A.04, subdivision 13, the license holder must obtain written authorization to do so from the person or the person's legal representative and the case manager. background-color: #2ea3f2; If approval is withdrawn, the right must be immediately and fully restored. "Commissioner" means the commissioner of the Department of Human Services or the commissioner's designated representative. DAY SERVICES FACILITIES; STAFF RATIOS AND FACILITY COVERAGE. (a) The license holder must ensure that service sites owned or leased by the license holder are free from hazards that would threaten the health or safety of a person receiving services by ensuring the requirements in paragraphs (b) to (h) are met. Medications must be disposed of according to the Environmental Protection Agency recommendations. Obtain a Home and Community Based Services (HCBS) Waiver County Human Services Office Request a MnCHOICES Assessment 2. 16) MHCP sends you a Welcome Letter to confirm your enrollment. Following approval of an alternative licensing inspection, the commissioner may terminate or deny subsequent approval of an alternative licensing inspection if the commissioner determines that: (1) the license holder has not maintained the qualifying accreditation; (2) the commissioner has substantiated maltreatment for which the license holder or facility is determined to be responsible during the qualifying accreditation period; or. (c) The staff person must review and receive instruction on the person's support plan or support plan addendum as it relates to the responsibilities assigned to the license holder, and when applicable, the person's individual abuse prevention plan, to achieve and demonstrate an understanding of the person as a unique individual, and how to implement those plans. For purposes of this clause, "health care facility" means a facility licensed by the commissioner as a residential facility under chapter 245A to provide adult foster care or residential services to persons with disabilities; (4) requires that when a person or the person's legal representative requests services from the license holder, a refusal to admit the person must be based on an evaluation of the person's assessed needs and the license holder's lack of capacity to meet the needs of the person. 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. Individualized Home Support. (3) any space occupied by persons associated with the multifunctional organization while persons receiving day services are using common space. (iv) the person's right to seek a temporary order staying the termination of services according to the procedures in section 256.045, subdivision 4a or 6, paragraph (c). The license holder must document changes to these preferences when they are requested. (b) Within 15 calendar days of service initiation the license holder must complete a preliminary support plan addendum based on the support plan. To look up an operating or not operating license, you can search online at: http://licensinglookup.dhs.state.mn.us/. This includes homemaking, respite, adult companion, personal support, and night supervision. Schedule II controlled substances in the facility that are named in section 152.02, subdivision 3, must be stored in a locked storage area permitting access only by persons and staff authorized to administer the medication. Committee Typically, an aversive stimulus is unpleasant and penalizes or confines. "Support plan addendum" means the documentation that this chapter requires of the license holder for each person receiving services. (4) the license holder maintained substantial compliance with the other requirements of chapters 245A and 245C and other applicable laws and rules. Three nutritionally balanced meals a day must be served or made available to persons, and nutritious snacks must be available between meals. Minnesota House of For example, if an uncle provides services to his nephew, the uncle may be excluded from 245D licensure. Committee, Side by Side COMMUNITY RESIDENTIAL SETTINGS; FOOD AND WATER. Unlicensed staff responsible for medication setup or medication administration under this section must complete training according to section 245D.09, subdivision 4a, paragraph (d); (2) monitor health conditions according to written instructions from a licensed health professional; (3) assist with or coordinate medical, dental, and other health service appointments; or. The 245D "HCBS Waiver" license is issued by DHS under the Medicaid program ("Medical Assistance" in Minnesota). Calendar, Senate Assessments based on older information must be documented and justified. Approval must be granted until the end of the qualifying accreditation period. Refusal to authorize administration of a specific psychotropic medication is not grounds for service termination and does not constitute an emergency. (a) License holders providing basic support services must meet the requirements of this subdivision. "Seclusion" means: (1) removing a person involuntarily to a room from which exit is prohibited by a staff person or a mechanism such as a lock, a device, or an object positioned to hold the door closed or otherwise prevent the person from leaving the room; or (2) otherwise involuntarily removing or separating a person from an area, activity, situation, or social contact with others and blocking or preventing the person's return. 2012 c 216 art 18 s 22; 2013 c 108 art 8 s 29; 2015 c 71 art 7 s 16; 2022 c 98 art 17 s 26. 2136 Ford Parkway #5061 "Mental health crisis intervention team" means a mental health crisis response provider as identified in section 256B.0624. Competency in these areas is determined by the license holder through knowledge testing or observed skill assessment conducted by the trainer or instructor or by an individual who has been previously deemed competent by the trainer or instructor in the area being assessed; and. (c) The license holder must ensure the following information is documented in the person's medication administration record: (1) the information on the current prescription label or the prescriber's current written or electronically recorded order or prescription that includes the person's name, description of the medication or treatment to be provided, and the frequency and other information needed to safely and correctly administer the medication or treatment to ensure effectiveness; (2) information on any risks or other side effects that are reasonable to expect, and any contraindications to its use. Commission (LCC), Legislative-Citizen Commission Determining number of direct support service staff required. (3) position a person with physical disabilities in a manner specified in the person's support plan addendum. The provision of services must comply with the requirements of this chapter and the federal waiver plans. 2. ADULT MENTAL HEALTH CERTIFICATION STANDARDS. (d) Use of adaptive aids or equipment, orthotic devices, or other medical equipment ordered by a licensed health professional to treat a diagnosed medical condition do not in and of themselves constitute the use of mechanical restraint. (a) A positive support specialist providing positive support services as identified in section 245D.03, subdivision 1, paragraph (c), clause (1), item (i), must have competencies in the following areas as required under the brain injury, community access for disability inclusion, community alternative care, and developmental disabilities waiver plans or successor plans: (1) have an associate's degree in a social services discipline; or. (c) Meeting the qualifications for a positive support professional under subdivision 2 shall substitute for meeting the qualifications listed in paragraphs (a) and (b). If the service termination is from residential supports and services as defined in section 245D.03, subdivision 1, paragraph (c), clause (3), the license holder must also notify the commissioner in writing; and. (1) ensure the following when the license holder is the owner, lessor, or tenant of the service site: (i) the service site is a safe and hazard-free environment; (ii) that toxic substances or dangerous items are inaccessible to persons served by the program only to protect the safety of a person receiving services when a known safety threat exists and not as a substitute for staff supervision or interactions with a person who is receiving services. Revisor of Statutes, Minnesota Office of the Revisor of Statutes, 700 State Office Building, 100 Rev. This information is not intended to create, and receipt or viewing does not constitute, an attorney-client relationship. In home Family Support. The license holder must maintain documentation of the training received from other sources and of each staff person's competency in the required area according to the requirements in subdivision 3. This orientation must be provided within 72 hours of first providing direct contact services and annually thereafter according to section 245A.65, subdivision 3; (6) the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person; (7) the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 or successor provisions, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint; (8) staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, or successor provisions, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe; (10) strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities; and. Person requiring staff ratio of one to four. The licensing standards in this chapter govern the provision of basic support services and intensive support services. Customize the template with smart fillable fields. Schedules, Order of An internal review of incident reports of alleged or suspected maltreatment must be conducted according to the requirements in section 245A.65, subdivision 1, paragraph (b); (4) evaluation of satisfaction of persons served by the program, the person's legal representative, if any, and the case manager, with the service delivery and progress toward accomplishing outcomes identified in sections 245D.07 and 245D.071, and ensuring and protecting each person's rights as identified in section 245D.04; (5) ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivisions 4, 4a, and 5; (6) ensuring corrective action is taken when ordered by the commissioner and that the terms and conditions of the license and any variances are met; and. (2) have two years of supervised experience working with individuals who exhibit challenging behaviors as well as co-occurring mental disorders or neurocognitive disorder. Conditions requiring additional direct support staff. "Expanded support team" means the members of the support team defined in subdivision 34 and a licensed health or mental health professional or other licensed, certified, or qualified professionals or consultants working with the person and included in the team at the request of the person or the person's legal representative. Food served must meet any special dietary needs of a person as prescribed by the person's physician, advanced practice registered nurse, physician assistant, or dietitian. Feasibility Study Training Course Structure. Archive, Minnesota Put the date and place your electronic signature. (f) The staff person must review and receive instruction on mental health crisis response, de-escalation techniques, and suicide intervention when providing direct support to a person with a serious mental illness. Why work for Companion Linc? The license holder must disclose the nature of the activity or occurrence reported and the agency that received the report. (a) The number of direct support service staff members that a license holder must have on duty at the facility at a given time to meet the minimum staffing requirements established in this section varies according to: (1) the number of persons who are enrolled and receiving direct support services at that given time; (2) the staff ratio requirement established under subdivision 3 for each person who is present; and. "Emergency" means any event that affects the ordinary daily operation of the program including, but not limited to, fires, severe weather, natural disasters, power failures, or other events that threaten the immediate health and safety of a person receiving services and that require calling 911, emergency evacuation, moving to an emergency shelter, or temporary closure or relocation of the program to another facility or service site for more than 24 hours. "Psychotropic medication" means any medication prescribed to treat the symptoms of mental illness that affect thought processes, mood, sleep, or behavior. The license holder must ensure that the content and format of service recipient, personnel, and program records are uniform and legible according to the requirements of this chapter. 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. (10) a report of alleged or suspected child or vulnerable adult maltreatment under section 626.557 or chapter 260E. Who Represents (g) Nothing in this chapter prohibits a license holder from concurrently serving persons without disabilities or people who are or are not age 65 and older, provided this chapter's standards are met as well as other relevant standards. Video, Broadcast TV, News, & Photos, Live The designated coordinator may delegate the direct observation and competency assessment of the service delivery activities of direct support staff to an individual whom the designated coordinator has previously deemed competent in those activities; and. The plan must: (i) provide the contact information of a source of emergency medical care and transportation; and, (ii) require staff to first call 911 when the staff believes a medical emergency may be life threatening, or to call the mental health crisis intervention team or similar mental health response team or service when such a team is available and appropriate when the person is experiencing a mental health crisis; and.
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