N.D. Admin. Code 75-03-40-33

Current through Supplement No. 395, January, 2025

Section 75-03-40-33 - Admissions and assessment

1. Admissions policies and procedures. A facility shall have written resident admission policies and procedures that describe the primary treatment offered onsite, range of presenting behaviors the facility shall treat, and procedures for admitting a resident.

2. Admissions and discharge committee. A facility shall have an admissions and discharge committee with written policy specific to employees on the committee and the timeliness the committee has in responding to referrals. The committee shall meet on at least a weekly basis.

3. Admission determination. The admissions committee shall complete a written, dated, and signed admission determination on a prospective resident which includes a preadmission review and identification of the prospective resident's primary presenting needs. The facility shall provide the admission determination to the referral within seven days of receipt of the completed application. Referral may be completed by:

a. A public agency, if a prospective resident is in foster care and a public agency is granted custody and given full placement authority pursuant to law or court order; or

b. A parent or guardian, if a prospective resident is preapproved by the department as a private placement.

4. Admission conditions. A facility may admit a prospective resident, as determined by the admission determination and the following conditions are met:

a. Qualified individual - Level of care assessment.

(1) Completed assessment. The facility has received documentation from the department-approved qualified individual granting approval for the resident to be admitted to a qualified residential treatment program based on the North Dakota level of care assessment; or

(2) Emergency placement. A resident may be admitted to the facility for an emergency placement for a thirty-day level of care assessment period. Emergency placements denied for continued placement may not exceed thirty days from admission. For residents placed in the facility during the thirty-day level of care assessment period, the facility shall allow access to the qualified individual and collaborate in the completion of the required level of care assessment;

b. Juvenile court approval. For children in foster care, custodial case managers must receive confirmation from the juvenile court approving the qualified residential treatment program placement within sixty days of the resident's date of entry into the facility. A facility is not required to have a copy of the confirmation on file;

c. Interstate placements. In accepting a prospective resident from outside the state of North Dakota, the facility shall receive prior written approval under the interstate compact on the placement of children and meet all requirements of section 75-03-40-34;

d. Nondiscrimination against a resident; and

e. All documentation required for the resident record, including medical consent, medical history, custodian, parent, or guardian contact information, family history, placement care agreement, and financial responsibility.

5. Orientation. Upon admissions, each resident shall receive orientation to facility living. An employee shall:

a. Orient the new resident and the custodian and parent or guardian to the facility program;

b. Help the new resident to adjust to the effects of residential placement; and

c. Provide the new resident and the custodian and parent or guardian copies of the facility rules, including rules on visiting, expected behavior and consequences for rule infractions, resident rights, and grievance and complaint procedures, with explanations of the documents.

6. Initial screenings must be completed immediately or no later than twenty-four hours from admission. A facility shall complete for each resident a:

a. Suicide risk screening;

b. Mental health screening; and

c. Health screening completed by the facility nurse. The health screening may include documenting height, weight, and identification of any distinct markings, such as a resident's birthmark, tattoos, bruises, or cuts.

7. Discharge date. Each admission must have preliminary plans for discharge.

N.D. Admin Code 75-03-40-33

Adopted by Administrative Rules Supplement 374, October 2019, effective 10/1/2019.

Amended by Administrative Rules Supplement 2021-382, October 2021, effective 10/1/2021.

Amended by Administrative Rules Supplement 2024-392, April 2024, effective 4/1/2024.

General Authority: NDCC 50-11-03

Law Implemented: NDCC 50-11-02