La. Admin. Code tit. 48 § I-5525

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5525 - Staff Responsibilities and Activities

A. The facility shall develop a program that is based on each person growing at his own rate, yet keeping general development in mind. The facility shall create an atmosphere in which self-confidence and ability can be cultivated. The program shall be geared to meet the individual needs of those served.

B. Within the period of one month after admission there shall be, by professional as well as direct-care staff, a review and updating of the preadmission evaluation and a treatment plan shall be developed for the individual by this time. The above-mentioned review must be recorded in the individual's record and a written interpretation of the review made to the direct-care and special services staff responsible for carrying out the treatment plan.

C. Six months after admission of each person to a facility and at least annually thereafter, a comprehensive psychological, social, educational and medical diagnosis and evaluation shall be prepared for that person, and his treatment plan shall be reviewed and adjusted as necessary by an appropriate interdisciplinary team of the facility. This review and evaluation shall include consideration of the advisability of the continued stay in the program and alternative programs. Where possible, the person's parents shall be involved in the planning and decision making for programming. Also, these reviews shall be interpreted to the individual, when appropriate. The results of this annual review shall be recorded in the individual's record and a written interpretation of the review, in layman's terms, made to the direct-care and the special services personnel responsible for carrying out the individual's program. His parents or his surrogates and the funding agency will also get copies of this review.

D. There shall be a schedule of the day's plan of activities, providing flexibility and changes, as deemed necessary. The program of activities shall be adhered to with reasonable closeness but shall accommodate and have due regard to individual differences among those served. The program shall provide time and material for both vigorous and quiet activity for children to share or do alone as well as indoor and outdoor play and rest periods. Regular time should be allowed for routines such as washing, lunch, rest, snacks, and putting away toys. For children under 6 years of age, quiet play, story telling, or quiet music should precede the lunch hour, which then should be followed by the rest period.

E. The aims and activities of the facility shall be shared with parents or guardians by planned individual conferences and group meetings at least quarterly with written minutes kept.

F. There shall be planned daily activities and exercise periods for multiple handicapped and non-ambulatory individuals who shall be rendered mobile whenever possible by various methods and devices.

G. All individuals shall have planned periods out of doors on a year- round basis.

H. There shall be a written statement of policies and procedures for the control and discipline of individuals in care that is available to parents or guardians and the funding agency, and which is, where appropriate, for mulcted with participation of the individuals cared for by the facility. This policy shall not permit corporal punishment or seclusion (defined as the placement of a person alone in a locked room) to be used.

I. The staff shall not mistreat or abuse those in care in any way.

J. Normal time-out procedures may be utilized, such as turning a student's chair away from the class, or having the student move to another part of the room.

La. Admin. Code tit. 48, § I-5525

Promulgated by the Department of Health and Human Resources, Office of the Secretary, Division of Licensing and Certification, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:1971 through 1980.