245D.28. 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. An applicant or a license holder may apply for program certification as identified in section 245D.33. The person must be allowed to accumulate possessions to the extent the residence is able to accommodate them, unless doing so is contraindicated for the person's physical or mental health, would interfere with safety precautions or another person's use of the bedroom, or would violate a building or fire code. (d) If there are elevators in the facility, the license holder must have elevators inspected each year. For purposes of this chapter, "medication" includes dietary supplements. 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. For each service, the recipient selects a trusted worker who best suits his or her needs. 2012 c 216 art 18 s 24; 2013 c 108 art 8 s 32; 2014 c 291 art 4 s 58; art 8 s 3-5; 2014 c 312 art 27 s 41,42; 2015 c 71 art 7 s 18,19; 2017 c 90 s 13,14; 1Sp2019 c 9 art 5 s 14,15; 1Sp2020 c 2 art 2 s 6-8; art 8 s 66; 2022 c 98 art 17 s 26. An incident of suspected or alleged maltreatment must be reported as required under paragraph (d), and an incident of serious injury or death must be reported as required under paragraph (e). Below is a summary of the programs available for license and the checklist to get a license. "Community residential setting" means a residential program as identified in section 245A.11, subdivision 8, where residential supports and services identified in section 245D.03, subdivision 1, paragraph (c), clause (3), items (i) and (ii), are provided and the license holder is the owner, lessor, or tenant of the facility licensed according to this chapter, and the license holder does not reside in the facility. At a minimum, the first aid kit must be equipped with accessible first aid supplies including bandages, sterile compresses, scissors, an ice bag or cold pack, an oral or surface thermometer, mild liquid soap, adhesive tape, and first aid manual. (x) coordination and communication with prescriber; (4) safe transportation, when the license holder is responsible for transportation of persons, with provisions for handling emergency situations according to the requirements in section 245D.06, subdivision 2, clauses (2) to (4); (5) a plan for ensuring the safety of persons served by the program in emergencies as defined in section 245D.02, subdivision 8, and procedures for staff to report emergencies to the license holder. (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. Medications must be disposed of according to the Environmental Protection Agency recommendations. Click on Done following twice-examining everything. (2) the alternative care (AC) program under section 256B.0913. (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. Rules, Address (d) For the purposes of this section, the license holder's license includes services licensed under this chapter that were previously licensed under chapter 245B until December 31, 2013. Determining number of direct support service staff required. nuclear techniques in analytical chemistry licensing Most countries as well as their subdivisions have regulations governing the acquisition and use of many radio-isotopes. 2013 c 108 art 8 s 33; 2014 c 312 art 27 s 43-45; 2015 c 78 art 6 s 31; 1Sp2019 c 9 art 5 s 16-18; 2022 c 98 art 17 s 26. (a) The license holder is responsible for: (1) coordination of service delivery and evaluation for each person served by the program as identified in subdivision 2; and. Request for approval of an alternative inspection status. Add to cart. The living area must be provided with an adequate number of furnishings for the usual functions of daily living and social activities. 2. on MN Resources (LCCMR), Legislative Facility capacity and useable space requirements. (3) prevent the person from physically harming self or others. (a) Within five working days of the emergency use of manual restraint, the license holder must complete and document an internal review of each report of emergency use of manual restraint. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. If the license holder does not submit a request to renew approval as required, the commissioner must conduct a licensing inspection. (f) If, based on a review by the person's support team or expanded support team, that team determines the person no longer poses an imminent risk of physical harm to self or others, the person has a right to return to receiving services. Schedule, Legislative Emergency use of manual restraint must meet the following conditions: (1) immediate intervention must be needed to protect the person or others from imminent risk of physical harm; and. "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. (a) Within ten working days of the 45-day planning meeting, the license holder must develop a service plan that documents the service outcomes and supports based on the assessments completed under subdivision 3 and the requirements in section 245D.07, subdivision 1a. For purposes of this section, "substantial and consistent compliance" means: (1) the license holder's license was not made conditional, suspended, or revoked; (2) there have been no substantiated allegations of maltreatment against the license holder; (3) there were no program deficiencies identified that would jeopardize the health, safety, or rights of persons being served; and. A refusal may not be overridden without a court order. A home safety checklist, approved by the commissioner, must be completed for a community residential setting by the license holder and the commissioner before the satellite license is reissued. The health authority may require retesting and corrective measures if results exceed state water standards in Minnesota Rules, chapter 4720, or in the event of flooding or an incident which may put the well at risk of contamination. Clerk, Fiscal 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. (b) In addition, a positive support analyst must: (1) have four years of supervised experience conducting functional behavior assessments and designing, implementing, and evaluating effectiveness of positive practices behavior support strategies for people who exhibit challenging behaviors as well as co-occurring mental disorders and neurocognitive disorder; (2) have received training prior to hire or within 90 calendar days of hire that includes: (i) ten hours of instruction in functional assessment and functional analysis; (ii) 20 hours of instruction in the understanding of the function of behavior; (iii) ten hours of instruction on design of positive practices behavior support strategies; (iv) 20 hours of instruction preparing written intervention strategies, designing data collection protocols, training other staff to implement positive practice strategies, summarizing and reporting program evaluation data, analyzing program evaluation data to identify design flaws in behavioral interventions or failures in implementation fidelity, and recommending enhancements based on evaluation data; and. (5) reporting to the prescriber or a nurse any concerns about the medication or treatment, including side effects, effectiveness, or a pattern of the person refusing to take the medication or treatment as prescribed. (2) the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to the extent that the license holder performs a function or activity involving the use of protected health information as defined under Code of Federal Regulations, title 45, section 164.501, including, but not limited to, providing health care services; health care claims processing or administration; data analysis, processing, or administration; utilization review; quality assurance; billing; benefit management; practice management; repricing; or as otherwise provided by Code of Federal Regulations, title 45, section 160.103. (h) For state-operated community-based services, the license holder shall prioritize the capacity created within the existing service site by the termination of services under paragraph (b), clause (7), to serve persons described in section 252.50, subdivision 5, paragraph (a), clause (1). The summary must include a statement regarding any decision that is made regarding the use of technology and a description of any further research that needs to be completed before a decision regarding the use of technology can be made. (3) for state-operated community-based services terminating services under paragraph (b), clause (7), the state-operated community-based services must engage in consultation with the person's support team or expanded support team to: (i) identify that the person no longer demonstrates complex behavioral needs that cannot be met by private community-based providers identified in section 252.50, subdivision 5, paragraph (a), clause (1); (ii) provide notice of intent to issue a termination of services to the lead agency when a finding has been made that a person no longer demonstrates complex behavioral needs that cannot be met by private community-based providers identified in section 252.50, subdivision 5, paragraph (a), clause (1); (iii) assist the lead agency and case manager in developing a person-centered transition plan to a private community-based provider to ensure continuity of care; and. Investigations of alleged or suspected maltreatment. 1,436 Associate Project Manager Jobs in Forest Lake, MN hiring now with salary from $52,000 to $153,000 hiring now. This must be incorporated into the license holder's medication administration policy and procedures required under section 245D.11, subdivision 2, clause (3). Fiscal Analysis, Legislative Other miscellaneous medications are considered to be a psychotropic medication when they are specifically prescribed to treat a mental illness or to control or alter behavior. (ii) service suspension and termination policy and procedure required under subdivision 3. Page, Commission (i) If, within ten working days of submitting changes to the support plan and support plan addendum, the person or the person's legal representative or case manager has not signed and returned to the license holder the support plan or support plan addendum or has not proposed written modifications to the license holder's submission, the submission is deemed approved and the support plan addendum becomes effective and remains in effect until the legal representative or case manager submits a written request to revise the support plan addendum. (8) individualized home supports services as defined under the brain injury, community alternative care, and community access for disability inclusion, and developmental disabilities waiver plans. by David Holt | Aug 6, 2018 | 245D License. (c) Within 60 calendar days of service initiation the license holder must review and revise as needed the preliminary support plan addendum to document the services that will be provided including how, when, and by whom services will be provided, and the person responsible for overseeing the delivery and coordination of services. A prescription label or the prescriber's written or electronically recorded order for the prescription is sufficient to constitute written instructions from the prescriber. "Cultural competence" or "culturally competent" means the ability and the will to respond to the unique needs of a person that arise from the person's culture and the ability to use the person's culture as a resource or tool to assist with the intervention and help meet the person's needs. (b)(1) The facility must be inspected by a fire marshal or their delegate within 12 months before initial licensure to verify that it meets the applicable occupancy requirements as defined in the State Fire Code and that the facility complies with the fire safety standards for that occupancy code contained in the State Fire Code. "Annual" and "annually" have the meaning given in section 245A.02, subdivision 2b. A license holder must provide annual training to direct support staff on the topics identified in subdivision 4, clauses (3) to (11). If the person or the person's legal representative refuses to authorize the administration of a psychotropic medication as ordered by the prescriber, the license holder must not administer the medication. (iii) techniques that are consistent with the person's communication mode and learning style; (2) the measurable and observable criteria for identifying when the desired outcome has been achieved and how data will be collected; (3) the projected starting date for implementing the supports and methods and the date by which progress towards accomplishing the outcomes will be reviewed and evaluated; and. The training curriculum must incorporate an observed skill assessment conducted by the trainer to ensure unlicensed staff demonstrate the ability to safely and correctly follow medication procedures. (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. How to Get 245D Waivered Services 1. (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. (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. (b) The commissioner has limited authority to grant approval for the emergency use of procedures identified in subdivision 6 that had been part of an approved positive support transition plan when a person is at imminent risk of serious injury as defined in section 245.91, subdivision 6, due to self-injurious behavior and the following conditions are met: (1) the person's expanded support team approves the emergency use of the procedures; and. (d) The notice of service termination must meet the following requirements: (1) the license holder must notify the person or the person's legal representative and the case manager in writing of the intended service termination. (c) The license holder must maintain a copy of the internal review and the corrective action plan, if any, in the person's service recipient record. An individual meeting the staff qualification requirements of this section who is an employee of a program licensed according to this chapter and providing behavioral support services, specialist services, or crisis respite services is not required to hold a separate license under this chapter. Unlicensed staff may perform medication setup or medication administration only after successful completion of a medication setup or medication administration training, from a training curriculum developed by a registered nurse or appropriate licensed health professional. The residency agreement must be reviewed annually, dated, and signed by the person or the person's legal representative and license holder. (a) A license holder approved for alternative licensing inspection under this section is required to maintain compliance with all licensing standards according to this chapter. 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. (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. "Support plan" has the meaning given in sections 256B.0913, subdivision 8; 256B.092, subdivision 1b; 256B.49, subdivision 15; and 256S.10, or successor provisions. Directory, Legislative INTEGRATED COMMUNITY SUPPORTS; SETTING CAPACITY REPORT. Search & Status (Senate), Bill Search Services identified in section 245D.03, subdivision 1, paragraph (c), clauses (1) and (2), item (ii), must comply with the requirements in section 245D.07, subdivision 2. "Incident" means an occurrence which involves a person and requires the program to make a response that is not a part of the program's ordinary provision of services to that person, and includes: (1) serious injury of a person as determined by section 245.91, subdivision 6; (3) any medical emergency, unexpected serious illness, or significant unexpected change in an illness or medical condition of a person that requires the program to call 911; physician, advanced practice registered nurse, or physician assistant treatment; or hospitalization; (4) any mental health crisis that requires the program to call 911, a mental health crisis intervention team, or a similar mental health response team or service when available and appropriate; (5) an act or situation involving a person that requires the program to call 911, law enforcement, or the fire department; (6) a person's unauthorized or unexplained absence from a program; (7) conduct by a person receiving services against another person receiving services that: (i) is so severe, pervasive, or objectively offensive that it substantially interferes with a person's opportunities to participate in or receive service or support; (ii) places the person in actual and reasonable fear of harm; (iii) places the person in actual and reasonable fear of damage to property of the person; or. No more than two people receiving services may share one bedroom. At least once per year, or within 30 days of a written request by the person, the person's legal representative, or the case manager, the license holder, in coordination with the person's support team or expanded support team, must meet with the person, the person's legal representative, the case manager, and other people as identified by the person or the person's legal representative, and participate in service plan review meetings following stated timelines established in the person's support plan or support plan addendum. (c) If the commissioner finds that the license holder has failed to comply with the certification requirements under section 245A.03, subdivision 6a, paragraph (b), the commissioner may issue a correction order and an order of conditional license in accordance with section 245A.06 or may issue a sanction in accordance with section 245A.07, including and up to removal of the certification. (3) the presence of direct support staff at a service site while services are being provided, unless a determination has been made and documented in the person's support plan or support plan addendum that the person does not require the presence of direct support staff while services are being provided. "Aversive stimulus" means an object, event, or situation that is presented immediately following a behavior in an attempt to suppress the behavior. (4) the names of the staff or position responsible for implementing the supports and methods. Learn more. A person may choose to use a mattress other than an innerspring mattress and may choose not to have the mattress on a mattress frame or support. Any restriction of those rights must be documented in the person's support plan or support plan addendum. If, within ten working days of the submission of the assessment or support plan addendum, the person or the person's legal representative or case manager has not signed and returned to the license holder the assessment and support plan addendum or has not proposed written modifications to the license holder's submission, the submission is deemed approved and the assessment and support plan addendum become effective and remain in effect until the legal representative or case manager submits a written request to revise the assessment or support plan addendum. "Service" means care, training, supervision, counseling, consultation, or medication assistance assigned to the license holder in the support plan. 2013 c 108 art 8 s 30; 2014 c 291 art 8 s 1,2; 2014 c 312 art 27 s 37-39,77; 2015 c 71 art 7 s 17; 2017 c 90 s 12; 1Sp2019 c 9 art 5 s 12,13; 1Sp2020 c 2 art 2 s 4; art 4 s 1; 2022 c 98 art 17 s 26. The major classes of psychotropic medication are antipsychotic (neuroleptic), antidepressant, antianxiety, mood stabilizers, anticonvulsants, and stimulants and nonstimulants for the treatment of attention deficit/hyperactivity disorder. 03. Publications, Legislative Reference For purposes of this chapter, a day services facility license is a satellite license of the day services program. Community residential settings and day service facilities. Day, Combined Minnesota Statutes, Chapter 245D, regulates the provision of home and community-based services to persons with disabilities and persons age 65 and older. (2) the interim review panel established in section 245.8251, subdivision 4, recommends commissioner approval of the emergency use of the procedures. "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. (b) A license holder or staff person may not accept powers-of-attorney from a person receiving services from the license holder for any purpose. I need help with RMS, MN-ITS billing, or the 6790 form. 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. 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. 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