(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. (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. (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. 245D ICS Program Structure (Individual) quantity. Do your consultants travel? This includes homemaking, respite, adult companion, personal support, and night supervision. "Positive support transition plan" means the plan required in section 245D.06, subdivision 8, to be developed by the expanded support team to implement positive support strategies to: (1) eliminate the use of prohibited procedures as identified in section 245D.06, subdivision 5; (2) avoid the emergency use of manual restraint as identified in section 245D.061; and. (1) provide each person or each person's legal representative with a written notice that identifies the service recipient rights in subdivisions 2 and 3, and an explanation of those rights within five working days of service initiation and annually thereafter; (2) make reasonable accommodations to provide this information in other formats or languages as needed to facilitate understanding of the rights by the person and the person's legal representative, if any; (3) maintain documentation of the person's or the person's legal representative's receipt of a copy and an explanation of the rights; and. Food must be obtained, handled, and properly stored to prevent contamination, spoilage, or a threat to the health of a person. (2) under section 245A.03, subdivision 2, paragraph (a), clause (1), a related individual as defined under section 245A.02, subdivision 13, is excluded from licensure. (i) psychologist licensed under sections 148.88 to 148.98, who has stated to the Board of Psychology competencies in the above identified areas; (ii) clinical social worker licensed as an independent clinical social worker under chapter 148D, or a person with a master's degree in social work from an accredited college or university, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services in the areas identified in clauses (1) to (11); (iii) physician licensed under chapter 147 and certified by the American Board of Psychiatry and Neurology or eligible for board certification in psychiatry with competencies in the areas identified in clauses (1) to (11); (iv) licensed professional clinical counselor licensed under sections 148B.29 to 148B.39 with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services who has demonstrated competencies in the areas identified in clauses (1) to (11); (v) person with a master's degree from an accredited college or university in one of the behavioral sciences or related fields, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services with demonstrated competencies in the areas identified in clauses (1) to (11); (vi) person with a master's degree or PhD in one of the behavioral sciences or related fields with demonstrated expertise in positive support services, as determined by the person's needs as outlined in the person's assessment summary; or. 8)Complete a Home and Community-BasedServices (HCBS) Waiver and Alternative Care(AC) Programs Provider Application (, 9)Complete a Minnesota Health Care Programs(MHCP) Provider Agreement (, 10)Complete Assurant statements as appropriate (, 11)Complete a Disclosure of Ownership form (, 12) Submit all copies of owner or managerial officials Waiver 101 Training transcript showing a result of mastered from Step 1, 13) Submit a copy of your liability insurance certificate naming DHS PE as a certificate holder on the document if providing the, Any service that requires you to have a 245D. No person receiving services must be counted as or be substituted for a staff member in calculating the staff-to-participant ratio. 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. DAY SERVICES FACILITIES; HEALTH AND SAFETY REQUIREMENTS. (b) The license holder must maintain the following information for each person: (1) an admission form signed by the person or the person's legal representative that includes: (i) identifying information, including the person's name, date of birth, address, and telephone number; and. (a) License holders must develop a positive support transition plan on the forms and in the manner prescribed by the commissioner for a person who requires intervention in order to maintain safety when it is known that the person's behavior poses an immediate risk of physical harm to self or others. (3) the program has not been paid for services. (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) For employees hired after January 1, 2014, the license holder must maintain documentation in the personnel record or elsewhere, sufficient to determine the date of the employee's first supervised direct contact with a person served by the program, and the date of first unsupervised direct contact with a person served by the program. by Topic (Index), Statutes Foster Care (AFC Rule 203 & Child Foster Care Rule 2960) & CRS (MN Statutes, sections 245D.21 - 245D.26) licensed by County . If the debriefing was not conducted at the time the incident report was made, the report should identify whether a debriefing is planned; and. (8) an emergency escape plan for each resident. Supervision of staff having direct contact. Apply for An Associate Project Manager jobs that are part time, remote, internships, junior and senior level. Our 245D program is a licensed Home and Community Based Program, providing Basic Services in a manner that supports the individual's preferences, daily needs, and activities needed to accomplish their personal goals. Day, Combined The certification shall be printed on the license and identified on the commissioner's public website. (d) A license holder providing services licensed according to this chapter in a supervised living facility is exempt from compliance with section 245D.04. Contact Accra Any use of manual restraint as allowed in this paragraph must comply with the restrictions identified in subdivision 6, paragraph (b). At the time initial authorization is obtained, the license holder must survey, document, and implement the preferences of the person or the person's legal representative and the case manager for frequency of receiving a statement that itemizes receipts and disbursements of funds or other property. 245D ICS Program Structure (Group ) 245D ICS Program Structure (Group ) Address 6043 Hudson Rd #340, Woodbury, MN 55125 Hours Mon-Fri: 9 AM - 5 PM Lets Connect Healthcare Entrepreneur, Real estate investor, Business Consultant. (1) maintain a log of quarterly fire drills on file in the facility; (2) provide an emergency response plan that is readily available to staff and persons receiving services; (3) inform each person of a designated area within the facility where the person should go for emergency shelter during severe weather and the designated assembly points outside the facility; and. 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. FosterCare (AFCRule203 & Child Foster Care Rule2960) CRS (MN Statutes,sections 245D.21 - 245D.26) licensed by County. (d) The license holder must participate in service planning and support team meetings for the person following stated timelines established in the person's support plan or as requested by the person or the person's legal representative, the support team or the expanded support team. The license holder must establish general written safety procedures that include criteria for selecting, training, and supervising persons who work with hazardous machinery, tools, or substances. (7) the procedures and timelines for conducting the internal review and the expanded support team review, and the person or position responsible for completing the reviews and for ensuring that corrective action is taken or the person's support plan addendum is revised, when determined necessary. (2) the qualifications of the specialist identified in the person's support plan. 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. SERVICE PLANNING AND DELIVERY; INTENSIVE SUPPORT SERVICES. DAY SERVICES FACILITIES; SATELLITE LICENSURE REQUIREMENTS AND APPLICATION PROCESS. For purposes of this chapter, "medication" includes dietary supplements. (b)(1) If responsibility for medication administration is assigned to the license holder in the support plan or the support plan addendum, the license holder must implement medication administration procedures to ensure a person takes medications and treatments as prescribed. Behavioral Supports. Typically, an aversive stimulus is unpleasant and penalizes or confines. Clerk, Fiscal For purposes of this section, "facility" means both a community residential setting and day service facility and the physical plant. (g) For notices issued under paragraph (b), clause (7), the lead agency shall provide notice to the commissioner and state-operated services at least 30 days before the conclusion of the 90-day termination period, if an appropriate alternative provider cannot be secured. Monitoring emergency use of manual restraint. "Home and community-based services" means the services identified in section 245D.03, subdivision 1, and as defined in: (1) the federally approved waiver plans governed by United States Code, title 42, sections 1396 et seq., including the waivers for persons with disabilities under section 256B.49, subdivision 11, including the brain injury (BI) waiver plan; the community alternative care (CAC) waiver plan; the community access for disability inclusion (CADI) waiver plan; the developmental disabilities (DD) waiver plan under section 256B.092, subdivision 5; the elderly waiver (EW) plan under section 256S.01, subdivision 1; or successor plans respective to each waiver; or. (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. (b) The license holder must limit temporary service suspension to situations in which: (1) the person's conduct poses an imminent risk of physical harm to self or others and either positive support strategies have been implemented to resolve the issues leading to the temporary service suspension but have not been effective and additional positive support strategies would not achieve and maintain safety, or less restrictive measures would not resolve the issues leading to the suspension; (2) the person has emergent medical issues that exceed the license holder's ability to meet the person's needs; or. The license holder must document when the notice is provided. The 245D "HCBS Waiver" license is issued by DHS under the Medicaid program ("Medical Assistance" in Minnesota). The designated manager is responsible for the following: (1) maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program as identified in section 245A.04, subdivision 1, paragraph (e), and when applicable, as identified in section 256B.04, subdivision 21, paragraph (g); (2) ensuring the duties of the designated coordinator are fulfilled according to the requirements in subdivision 2; (3) ensuring the program implements corrective action identified as necessary by the program following review of incident and emergency reports according to the requirements in section 245D.11, subdivision 2, clause (7). (3) the notice must include the reason for the action, a summary of actions taken to minimize or eliminate the need for temporary service suspension as required under this paragraph, and why these measures failed to prevent the suspension. A person who does not have any of the characteristics described in subdivision 4 or 5 must be assigned a staff ratio requirement of one to six. For each service, the recipient selects a trusted worker who best suits his or her needs. The authorized representative must have no financial interest in the provision of any services included in the person's service delivery plan and must be capable of providing the support necessary to assist the person in the use of home and community-based services licensed under this chapter. (a) License holders providing basic support services must meet the requirements of this subdivision. The license holder must develop, document, and implement a policy and procedures that promote service recipient rights and protect health and welfare during the emergency use of manual restraints. The license holder shall monitor a person's health and welfare during an emergency use of a manual restraint. "Chemical restraint" means the administration of a drug or medication to control the person's behavior or restrict the person's freedom of movement and is not a standard treatment or dosage for the person's medical or psychological condition. DFL/GOP, House Eligibility for an alternative licensing inspection. The support plan or support plan addendum must include a summary of this discussion. Publications, Legislative Reference Minimum of 2 years experience in software compliance or contract negotiations Understanding of legal and contracting environments Understanding of computer and communications operating environments Excellent verbal and written communication skills Ability to utilize word processing, spreadsheet, and database query tools. (2) have two years of supervised experience working with individuals who exhibit challenging behaviors as well as co-occurring mental disorders or neurocognitive disorder. Staff to be included in calculating minimum staffing requirement. Assessments must produce information about the person that describes the person's overall strengths, functional skills and abilities, and behaviors or symptoms. A staff ratio requirement of one to four equals 0.250. 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. (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. Orientation to individual service recipient needs. Services, Legislators (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. Upcoming Meetings, Broadcast TV (3) the summary of the expanded support team review required under subdivision 7. A license holder must provide annual training to direct support staff on the topics identified in subdivision 4, clauses (3) to (11). A list of emergency numbers must be posted in a prominent location. (a) Use of the instructional techniques and intervention procedures as identified in paragraphs (b) and (c) is permitted when used on an intermittent or continuous basis. A restriction may be implemented only when the required approval has been obtained. "Drug" has the meaning given in section 151.01, subdivision 5. These furnishings must be in good repair and functional to meet the daily needs of the persons living in the residence. Injectable medications may be administered according to a prescriber's order and written instructions when one of the following conditions has been met: (1) a registered nurse or licensed practical nurse will administer the injection; (2) a supervising registered nurse with a physician's order has delegated the administration of injectable medication to an unlicensed staff member and has provided the necessary training; or. Daily, Combined Media The license holder must comply at all times with all applicable fire and safety codes under section 245A.04, subdivision 2a, and adequate supervision requirements under section 245D.31 for all persons receiving day services. The case manager, in consultation with the interdisciplinary team, must determine at least once each year which of the ratios in subdivisions 4, 5, and 6 is appropriate for each person receiving services on the basis of the characteristics described in subdivisions 4, 5, and 6. (a) The license holder must provide services in response to the person's identified needs, interests, preferences, and desired outcomes as specified in the support plan and the support plan addendum, and in compliance with the requirements of this chapter. A provider licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. The positive support transition plan must phase out any existing plans for the emergency or programmatic use of restrictive interventions prohibited under this chapter within the following timelines: (1) for persons receiving services from the license holder before January 1, 2014, the plan must be developed and implemented by February 1, 2014, and phased out no later than December 31, 2014; and. When an area has a 911 number or a mental health crisis intervention team number, both numbers must be posted and the emergency number listed must be 911. (8) integrated community support as defined under the brain injury and community access for disability inclusion waiver plans beginning January 1, 2021, and community alternative care and developmental disabilities waiver plans beginning January 1, 2023. (2) the person's conduct frequently presents an imminent risk of physical harm to self or others. This section applies only to facility-based day services. (c) Upon receipt of a complaint regarding the services of a license holder approved for alternative licensing inspection under this section, the commissioner must investigate the complaint and may take any action as provided under section 245A.06 or 245A.07. "Emergency use of manual restraint" means using a manual restraint when a person poses an imminent risk of physical harm to self or others and is the least restrictive intervention that would achieve safety. (v) a medical appointment schedule when the license holder is assigned responsibility for assisting with medical appointments; (4) the person's current support plan or that portion of the plan assigned to the license holder; (5) copies of the individual abuse prevention plan and assessments as required under section 245D.071, subdivisions 2 and 3; (6) a record of other service providers serving the person when the person's support plan or support plan addendum identifies the need for coordination between the service providers, that includes a contact person and telephone numbers, services being provided, and names of staff responsible for coordination; (7) documentation of orientation to service recipient rights according to section 245D.04, subdivision 1, and maltreatment reporting policies and procedures according to section 245A.65, subdivision 1, paragraph (c); (8) copies of authorizations to handle a person's funds, according to section 245D.06, subdivision 4, paragraph (a); (9) documentation of complaints received and grievance resolution; (10) incident reports involving the person, required under section 245D.06, subdivision 1; (11) copies of written reports regarding the person's status when requested according to section 245D.07, subdivision 3, progress review reports as required under section 245D.071, subdivision 5, progress or daily log notes that are recorded by the program, and reports received from other agencies involved in providing services or care to the person; and. Companion Linc is a 245D Waivered Services Provider that supports approximately 150 individuals throughout the Metro Area with a variety of intellectual and/or physical needs, including Autism, Down Syndrome, and Cerebral Palsy. Staff monitoring the procedure must not be the staff implementing the procedure when possible. (b) For a person residing in a residential site licensed according to chapter 245A, or where the license holder is the owner, lessor, or tenant of the residential service site, protection-related rights also include the right to: (1) have daily, private access to and use of a non-coin-operated telephone for local calls and long-distance calls made collect or paid for by the person; (2) receive and send, without interference, uncensored, unopened mail or electronic correspondence or communication; (3) have use of and free access to common areas in the residence and the freedom to come and go from the residence at will; (4) choose the person's visitors and time of visits and have privacy for visits with the person's spouse, next of kin, legal counsel, religious adviser, or others, in accordance with section 363A.09 of the Human Rights Act, including privacy in the person's bedroom; (5) have access to three nutritionally balanced meals and nutritious snacks between meals each day; (6) have freedom and support to access food and potable water at any time; (7) have the freedom to furnish and decorate the person's bedroom or living unit; (8) a setting that is clean and free from accumulation of dirt, grease, garbage, peeling paint, mold, vermin, and insects; (9) a setting that is free from hazards that threaten the person's health or safety; and. (b) In addition, a behavior specialist must: (1) have received training prior to hire or within 90 calendar days of hire that includes: (i) a minimum of four hours of training in functional assessment; (iii) ten hours of instruction on design of positive practices behavioral support strategies; and. 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. Note: A provider is required to obtain the 245D-HCBS program license if the foster care services are funded by one of the. "Commissioner" means the commissioner of the Department of Human Services or the commissioner's designated representative. "Prescriber" means a person who is authorized under section 148.235; 151.01, subdivision 23; or 151.37 to prescribe drugs. (a) Within 15 days of service initiation the license holder must complete a preliminary support plan addendum based on the support plan. 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