(a) An applicant for Enhanced Behavioral Supports Home certification shall develop a facility program plan that includes the following:
(1) Number of consumers to be served;
(2) Consumer admission criteria and procedures;
(3) A description of how the facility will ensure that appropriate services and supports are provided at the time of admission to meet the consumer's immediate needs pending development of the Individual Behavior Supports Plan;
(4) An organizational chart for the staff in the facility and, if applicable, for the organization;
(5) A description of consumer services to be provided, including the instructional methods and techniques to be utilized;
(6) A description of how the licensee will ensure all direct care staff and consultants are competent to perform their assigned duties, including but not limited to:
(A) A description of the consultant disciplines, qualifications, and hours to be utilized;
(B) A description of staff qualifications and a duty statement for each staff position;
(C) A sample staff schedule; and
(D) Staff training plan.
(7) A description of the facility's emergency procedures, including but not limited to:
(A) The facility's emergency evacuation procedures, including procedures for evacuation when delayed egress and secured perimeters are in use pursuant to Sections 56068-56074, if permitted;
(B) The type, location, and approximate response time of emergency medical services;
(C) A description of how regularly scheduled fire and earthquake drills will be conducted no less than every three (3) months, with the drills conducted on alternating work shifts so that drills are conducted during the day and evening hours; and
(D) An Emergency Intervention Plan that shall contain:
1. A description of how the facility will ensure the proper application of emergency interventions and the use of proper physical restraint or containment in an Enhanced Behavioral Supports Home licensed as a group home or adult residential facility, pursuant to Title 22, California Code of Regulations, Sections 84300 and 85100, respectively, and Section 1180.4(h) of the Health and Safety Code;
2. Procedures for documenting each use of physical restraint in the consumer's file;
3. Procedures for reviewing each use of physical restraint with the consumer and authorized consumer representative, if any;
4. Procedures for accessing community emergency services, if the use of emergency interventions is not effective or appropriate;
5. Procedures concerning when and how to involve law enforcement in response to an incident at the facility;
6. Requirements in Title 22, California Code of Regulations, Section 85122 for an Enhanced Behavioral Supports Home licensed as an adult residential facility and Section 84322 for an Enhanced Behavioral Supports Home licensed as a group home; and
7. Procedures to ensure the safety of the consumer and direct care staff if an exception to the 15-minute restraint time limit is required.
(8) An explanation of how the Enhanced Behavioral Supports Home will ensure the protection of consumers' personal rights, including those specified in Sections 50500-50550;
(9) The methodology used to measure consumer progress, which includes:
(A) Types of data to be collected and reported, including use of emergency interventions;
(B) Data collection systems;
(C) Frequency of data collection;
(D) Methods and intervals for summarizing data and reporting on progress made; and
(E) Any other methodologies selected to measure consumer progress.
(10) Consumer exit criteria;
(11) A description of the proposed facility, including size, layout, and location;
(12) A description of the facility's Continuous Quality Improvement System, including but not limited to how:
(A) Consumers will be supported to make choices, including community integration;
(B) Consumers will be supported to exercise rights;
(C) Changing needs of consumers will be addressed;
(D) Consumers receive prompt and appropriate routine and specialized medical services;
(E) Consumer risk will be managed and mitigated;
(F) Medication will be safely managed and documented; and
(G) Staff turnover will be mitigated.
(13) A description of how the facility will meet all the diverse needs of the population to be served with a culturally competent and linguistically appropriate prevention and intervention program; and
(14) A description of how the facility licensed as a group home will ensure compliance with the placement duration limitations set forth in Section 1567.62(d) of the Health and Safety Code governing placements of dual agency clients.
(b) The facility program plan shall include the signature of the licensee and date of submission to the regional center for review and approval.
Credits
Note: Authority cited: Section 4684.86, Welfare and Institutions Code. Reference: Sections 4684.81 and 4684.86, Welfare and Institutions Code.
History
1. New section filed 2-5-2016 as a deemed emergency pursuant to Welfare and Institutions Code section 4684.86; operative 2-5-2016 (Register 2016, No. 6). A Certificate of Compliance must be transmitted to OAL within 24 months. The emergency regulations may be readopted and remain in effect until approval of the Certificate of Compliance.
2. Certificate of Compliance as to 2-5-2016 order, including new article heading and amendment of section, transmitted to OAL 3-27-2017 and filed 5-9-2017; amendments operative 5-9-2017 pursuant to Government Code section 11343.4(b)(3) (Register 2017, No. 19).
