Purpose and Applicability Standards 2960.0130-2960.0210 apply to all Group Residential Settings....

Purpose and Applicability

Standards 2960.0130-Standards 2960.0130-2960.0210 apply to all Group 2960.0210 apply to all Group

Residential Settings.Residential Settings.

Subpart 39. Group residential setting. "Group residential setting" means a residential program that offers care to residents and extended jurisdiction juveniles in which the license holder does not live at the licensed facility.

Exemptions

Subpart 4. Exemptions. The exemptions in items A and B apply. A. Transitional services programs certified under part 2960.0500 are exempt from the requirements of parts 2960.0130 to 2960.0220. B. Shelter services programs certified under parts 2960.0510 to 2960.0530 are exempt from the requirements of parts 2960.0130 to 2960.0220.

• Transitional services (Housing)

• Shelter services (placement up to 90 days)

2960.0140 - Quality Assurance

• Resident and Family Satisfaction Survey

• Treatment Plan Compliance

Subpart 1 - Satisfaction Survey

• Random sample possible: Youth Parents Guardians Referring agency

Satisfaction Survey

• Evaluate:

Daily care & support of residents

Assess physical, emotional well-being of youth

Resident safety Education of resident, inc IEP

Satisfaction Survey

Affects of treatment on the youth & youth’s family

Support of Family & CommunityReintegration

Support to obtain needed Medical, dental and MH care

Subpart 2Treatment Plan Compliance

After discharge document: Services provided by the

license holder or other providers Achievement of identified treatment plan goals and objectives.

2960.0150Personnel Policies

• Written Job Descriptions• Professional Licensure• Staffing Plan • Chief Administrator• Program Director-FT, capacity

over 24

• Privacy Issues

Subpart 3 - Staffing Plan

• Written Approval from licensing agency

• Meets the needs of residents in placement

Subpart 3-EGender Specific Contingency

Plan

• Immediate response by on-call staff of the same gender: When necessary to ensure

privacy When indicated by resident

needs assessment When necessary to provide

appropriate care to sexual abuse victims.

Subpart 3E (3)Contingency Plan Documentation

• Violations Circumstance requiring same

gender supervision Reason same gender supervision

was not provided• What the facility will do to prevent

a recurrence• Two year record retention

Subpart 3GStaffing Plan

Staff-Resident ratio- 1:12 awake Staff-Resident ratio- 1:12 awake hourshours

Staff-Resident ratio- 1:25 non-Staff-Resident ratio- 1:25 non-awake hoursawake hours

Subpart 3-JStaffing Plan

Staffing plan must be appropriate for Staffing plan must be appropriate for the services offered:the services offered:

Program ServicesProgram Services Physical plant Physical plant

features/characteristicsfeatures/characteristics Condition of the residentCondition of the resident Age of resident servedAge of resident served Resident physical and mental Resident physical and mental

healthhealth Vulnerability of residentVulnerability of resident

Staffing Plan

Risk of absconding behaviorRisk of absconding behavior Gender of residentGender of resident Disability of the residentDisability of the resident Self-preservation capability in Self-preservation capability in

an emergencyan emergency Types of education services Types of education services

offered the residentoffered the resident Degree of threat to othersDegree of threat to others

2060.0150 Subpart 4Personnel Training

• Annual Training Plan• Sufficient to accomplish

duties• Direct contact staff: 24 hours

yearly (50% or more skill development)

• Part-time staff:1 hour of training for every 50 hours worked

Training-Orientation

Facility Facility mustmust provide training in provide training in the following areas:the following areas:

Culturally competent careCulturally competent care Download DHS bulletinDownload DHS bulletin Racial bias and racism issuesRacial bias and racism issues

Reference: DHS Publication: Guidelines for Culturally Competent Organizations http://www.dhs.state.mn.us Publications Fact Sheets Organization and Management Culturally Competent Organizations http://www.dhs.state.mn.us/main/groups/agencywide/documents/pub/DHS_id_016415.hcsp

Training-Orientation

Gender issues, including the Gender issues, including the psychosocial development of psychosocial development of boys and girlsboys and girls

Sexual orientation issuesSexual orientation issues Physical, mental, sensory, and Physical, mental, sensory, and

health related disabilities, bias health related disabilities, bias and discrimination.and discrimination.

2960.0160Admissions Policies and

Process

Criteria consistent with:Criteria consistent with: Statement of Intended UseStatement of Intended Use License/CertificationLicense/Certification

Describe:Describe:

AgeAge

GenderGender

LimitationsLimitations

Primary needsPrimary needs

Admissions Policies and Process

Document Ability to meet resident needsDocument Ability to meet resident needs

Danger to self or othersDanger to self or others Relevant screening/assessment Relevant screening/assessment

completioncompletion Ability to meet cultural, emotional, Ability to meet cultural, emotional,

mental health, physical needsmental health, physical needs

Subpart 2EAdmissions Policies and Process

• Sex Offenders: Assess necessary precautionsSex Offenders: Assess necessary precautions Individual sleeping roomIndividual sleeping room SupervisionSupervision Protection of other residents, communityProtection of other residents, community

and staffand staff Vulnerability of other residentsVulnerability of other residents

Subpart 67. Sex offender. "Sex offender" means a person who has engaged in, or attempted to engage in, criminal sexual behavior.

C.D. Definitions

Subpart 12. Chemical abuse. "Chemical abuse" means a pattern of inappropriate and harmful chemical use as defined in subpart 41. Chemical abuse includes inappropriate and harmful patterns of chemical use that are associated with specific situations in an individual's life such as loss of a job, death of a loved one, or sudden change in life circumstances. Chemical abuse does not involve a pattern of pathological use, but it may progress to pathological use.

C.D. Definitions

Subpart 13. Chemical dependency. "Chemical dependency" means a pattern of pathological use as defined in subpart 52, accompanied by the physical manifestations of increased tolerance to the chemical or chemicals being used or withdrawal syndrome following cessation of chemical use.

Subpart 2EAdmissions Policies and Process

• Chemical Abuser/Chemically DependentChemical Abuser/Chemically Dependent Chemical Use Assessment must be Chemical Use Assessment must be

conducted by credentialed staffconducted by credentialed staff Assessment Summary written by Assessment Summary written by

credentialed staff indicating if needs credentialed staff indicating if needs can be met by the license holder.can be met by the license holder.

Subpart 4Admissions Policies and Process

• Information to residents:Information to residents: Copy of facility rules.Copy of facility rules.

Description of programs offered Description of programs offered provided within the first 24 hours.provided within the first 24 hours.

Admissions Policies and Process

Facility rules must be read to those Facility rules must be read to those incapable of understanding written incapable of understanding written documents. documents.

Facility must consider the languages a Facility must consider the languages a resident understands and reads and theresident understands and reads and the

residents age when presenting residents age when presenting information to the resident.information to the resident.

Classification

• Approved classification planApproved classification plan AgeAge Developmental levelDevelopmental level GenderGender Physical assaultPhysical assault Run riskRun risk

2960.0170 - Classification

House residents consistent with House residents consistent with statement of intended usestatement of intended use

Delinquent sophisticationDelinquent sophistication Private sleeping and toilet facilities Private sleeping and toilet facilities

by genderby gender

2960.0180 - Policy Manual

Review by licensing agencyReview by licensing agency Available to all staff within the Available to all staff within the

facilityfacility

Subpart 2 - Facility Programs

Written program descriptionsWritten program descriptions Measurable program outcomesMeasurable program outcomes Minimum components:Minimum components:

On-site education - 12 monthsOn-site education - 12 months Social Services – (individual,Social Services – (individual,

group and family counseling)group and family counseling) Have available trained staff to council Have available trained staff to council

children upon request or at a time of crisischildren upon request or at a time of crisis

Subpart 2BFacility Programs: Treatment Plans

Begin within 10 days of admissionBegin within 10 days of admission

If the resident's case plan or screening If the resident's case plan or screening or assessment results indicates that the or assessment results indicates that the needs of the resident cannot be met by needs of the resident cannot be met by the license holder, the license holder the license holder, the license holder must document contact with the must document contact with the placement agencyplacement agency

Treatment Plans

andand notify the placement agency of the notify the placement agency of the results of the screening or assessment results of the screening or assessment and tell the placement agency that the and tell the placement agency that the program is not able to meet the program is not able to meet the resident's needs.resident's needs.

Facility Programs: Treatment Plans

Review monthly or moreReview monthly or more Document involvement of community Document involvement of community

treatment, education, and care resources treatment, education, and care resources related to case plan/treatment planrelated to case plan/treatment plan

Designate a staff assignment to assure regular Designate a staff assignment to assure regular face to face contact face to face contact

Written progress reports to parents upon Written progress reports to parents upon requestrequest

Written educational reports to the district of Written educational reports to the district of residenceresidence

Subpart 3 - Records and Reports

• Comply with data collection requirements Comply with data collection requirements (M.S. 253C.01)(M.S. 253C.01)

• Maintain records (organized retrievable Maintain records (organized retrievable confidential manner)confidential manner)• Admission and releaseAdmission and release• Resident propertyResident property• Special occurrenceSpecial occurrence• TrainingTraining• Food ServiceFood Service• Satisfaction surveySatisfaction survey

Records and Reports

• Daily logsDaily logs• Services provided, outcomesServices provided, outcomes• Program evaluationProgram evaluation• Medical and dental recordsMedical and dental records• Disciplinary recordsDisciplinary records• Education recordsEducation records

2060.0190 - Discharge and Aftercare

• Transition services plan for each residentTransition services plan for each resident Community resourcesCommunity resources Release environment: Strategies for Release environment: Strategies for

potential challengespotential challenges Input from resident, family, providing Input from resident, family, providing

school district, support services personsschool district, support services persons Plan given to resident, school, and new Plan given to resident, school, and new

facilityfacility

Discharge and Aftercare

• Transition plan elements:Transition plan elements: Housing, recreation and leisureHousing, recreation and leisure Education, vocational rehabilitation and Education, vocational rehabilitation and

trainingtraining Budget planBudget plan Transportation needsTransportation needs Treatment ServicesTreatment Services Health ServicesHealth Services Personal SafetyPersonal Safety

Subpart 2Treatment Plan Compliance

• Document how residents stay accomplishedDocument how residents stay accomplished treatment plan goals and objectivestreatment plan goals and objectives Identify which services, including Identify which services, including

education, were provided directly or education, were provided directly or indirectly to the resident and who indirectly to the resident and who provided the services; and provided the services; and

Identify the services, including education, Identify the services, including education, that were recommended in the resident's that were recommended in the resident's case plan or treatment plan but were not case plan or treatment plan but were not provided to the resident.provided to the resident.

2060.0200 - Physical Plant

• All in good repairAll in good repair• Written policies and procedures: Fire Written policies and procedures: Fire

prevention and Safety protocolprevention and Safety protocol• Written maintenance policies and Written maintenance policies and

procedures: Detecting reporting and procedures: Detecting reporting and correctingcorrecting

• Smoking policy (M.S. 144.411 - Smoking policy (M.S. 144.411 - 144.417)144.417)

2060.0210Facility and Equipment Codes

• Conformity with all applicable health, Conformity with all applicable health, fire, zoning and building codesfire, zoning and building codes

• Permanent record of insurance coverage, Permanent record of insurance coverage, OSHA reports, incident reports, and OSHA reports, incident reports, and health, fire and other safety inspectionshealth, fire and other safety inspections

New Corrections certified programs must New Corrections certified programs must meet the Department of Corrections meet the Department of Corrections construction standardsconstruction standards