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. Spreadsheet, Minnesota A volunteer may be counted as a direct support staff in calculating the staff-to-participant ratio if the volunteer meets the same standards and requirements as paid staff. If you are a DHS licensor/supervisor or county licensor you must login with the username and password provided to you in the email you received from DHS. (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. The license holder must provide services as assigned in the support plan. 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. (c) A day services facility must have a minimum of 40 square feet of primary space available for each person receiving services who is present at the site at any one time. (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. Typically, an aversive stimulus is unpleasant and penalizes or confines. (b) The license holder shall provide the setting capacity report on the forms and in the manner prescribed by the commissioner. Minnesota residents with disabilities or chronic illnesses who need certain levels of care may qualify for the Minnesota HCBS waiver programs. Weapons and ammunition must be stored separately in locked areas that are inaccessible to a person receiving services. It is not necessary to identify all persons affected by or involved in an emergency unless the emergency resulted in an incident; (ii) the date, time, and location of the incident or emergency; (iii) a description of the incident or emergency; (iv) a description of the response to the incident or emergency and whether a person's support plan addendum or program policies and procedures were implemented as applicable; (v) the name of the staff person or persons who responded to the incident or emergency; and. Audio/Video, Legislative Research, 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. 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. For purposes of this subdivision, "weapons" means firearms and other instruments or devices designed for and capable of producing bodily harm. The notice must explain the revision that was made and include a copy of the revised policy and procedure. 2012 c 216 art 18 s 19; 2013 c 108 art 8 s 24; 2014 c 275 art 1 s 49; 2014 c 312 art 27 s 23; 2017 c 90 s 11; 1Sp2017 c 6 art 2 s 8; 1Sp2020 c 2 art 5 s 23; 2022 c 98 art 17 s 26. If the temporary service suspension 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; (2) notice of temporary service suspension must be given on the first day of the service suspension; and. Any use of manual restraint as allowed in this paragraph must comply with the restrictions identified in subdivision 6, paragraph (b). (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. A multifunctional program may count other employees of the organization besides direct support staff of the day service facility in calculating the staff-to-participant ratio if the employee is assigned to the day services facility for a specified amount of time, during which the employee is not assigned to another organization or program. (3) maintain information about the service termination, including the written notice of intended service termination, in the service recipient record. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. The facility must have a flashlight and a portable radio or television set that do not require electricity and can be used if a power failure occurs. Why become a Direct Support Professional (DSP)? The residency agreement must be reviewed annually, dated, and signed by the person or the person's legal representative and license holder. The licensing standards in this chapter govern the provision of basic support services and intensive support services. For all other complaints, the license holder must provide an initial response within 14 calendar days of receipt of the complaint. "License holder" has the meaning given in section 245A.02, subdivision 9. A related person who may be excluded from 245D licensure may be a: Niece or nephew. Behavioral Supports. This certification is voluntary for license holders. Except for a license holder who does not supervise any direct support staff, within 60 calendar days of hire, unless stated otherwise, the license holder must provide and ensure completion of orientation sufficient to create staff competency for direct support staff that combines supervised on-the-job training with review of and instruction in the following areas: (1) the job description and how to complete specific job functions, including: (i) responding to and reporting incidents as required under section 245D.06, subdivision 1; and. Interventions Support Services. 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. A list of emergency numbers must be posted in a prominent location. Home and community-based services licensed under this chapter for which the commissioner is the license holder with a qualifying accreditation are excluded from being approved for an alternative licensing inspection. Reports & Information, House (a) The license holder must review and update, as needed, the written policies and procedures required under this chapter. A staff ratio requirement of one to four equals 0.250. (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. Best Care is a licensed provider of 245D basic services in Minnesota. 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. (c) A family adult foster care site controlled by a license holder providing services governed by this chapter is exempt from compliance with Minnesota Rules, parts 9555.6185; 9555.6225, subpart 8; 9555.6245; 9555.6255; and 9555.6265. (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. If the direct support staff has a first aid certification, annual training under subdivision 4, clause (9), is not required as long as the certification remains current. (b) In the temporary absence of the director or a supervisor, a direct support staff member must be designated to supervise the center. (a) For purposes of this subdivision, "medication assistance" means any of the following: (1) bringing to the person and opening a container of previously set up medications, emptying the container into the person's hand, or opening and giving the medications in the original container to the person under the direction of the person; (2) bringing to the person liquids or food to accompany the medication; or. (2) a request to the case manager for intervention services identified in section 245D.03, subdivision 1, paragraph (c), clause (1), or other professional consultation or intervention services to support the person in the program. Directory, Legislative of the Senate, Senate The license holder must verify and document competence according to the requirements in section 245D.09, subdivision 3. (7) evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements. (3) emergency use of manual restraint subject to the requirements in section 245D.061. This does not apply to license holders that are Minnesota counties or other units of government or to staff persons employed by license holders who were acting as attorney-in-fact for specific individuals prior to implementation of this chapter. (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. This applies even if you receive a difficulty of care rate in addition to GRH payments. An applicant or a license holder may apply for program certification as identified in section 245D.33. Oftentimes the positive reinforcer available is goods, services, or activities to which the person is normally entitled. The license holder shall complete a monitoring form, approved by the commissioner, for each incident involving the emergency use of a manual restraint. 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. Journal, House 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. Approval must be granted until the end of the qualifying accreditation period. 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. 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