Iowa Admin. Code r. 641-155.24 - Specific standards for inpatient and residential programs licensed to provide services to juveniles
Inpatient and residential programs that provide services to juveniles under the age of 18 shall also comply with the following standards. The program's policies and procedures shall address each standard.
(1)
Personal possessions.A
program shall allow a patient to bring personal belongings. The program may
limit or supervise the use of these items. The program shall ensure that each
patient has adequate, clean, well-fitting, attractive, and seasonable clothing
as required for health, comfort, and physical well-being. The clothes should be
appropriate to the patient's individual needs, age, and sex.
(2)
Family involvement. The
program shall encourage family involvement.
(3)
Money. Money earned or
received as a gift or as an allowance by a patient shall be that patient's
personal property. The program shall maintain a separate accounting system for
patient money and shall address the patient's use of funds.
(4)
Discipline. The
program's methods for control and discipline of juveniles shall be available to
all staff and to the juvenile's family. Staff shall be in control of and
responsible for discipline at all times. Discipline shall not include
withholding basic necessities such as food, clothing, or sleep.
a. The program shall prohibit staff or
patients from utilizing corporal punishment as a method of disciplining or
correcting patients. This policy shall be communicated in writing to all
staff.
b. The program's written
policies on behavior expectations shall be made available to the patient and
the patient's parent(s) or guardian, including:
(1) The general expectations of behavior,
including the program's rules and practices.
(2) The range of reasonable consequences that
may be used to deal with inappropriate behavior.
(5)
Number of staff. The
program shall have staff coverage seven days per week, 24 hours per day. The
number and qualifications of the staff will vary depending on the needs of the
patients.
a. The program shall have a 24-hour
supervisory consultation on-call system. During prime programming time, there
shall be at least a one-to-eight staff-to-patient ratio.
b. Comprehensive residential facilities, as
defined in 441-Chapter 115, shall have at least a one-to-five staff-to-patient
ratio during prime programming time. A staff person shall be in each living
unit at all times when juveniles are in residence, and there shall be a minimum
of three nighttime checks between the hours of 12 midnight and 6 a.m. These
checks shall be logged. The program's policies and procedures shall address
nighttime checks.
c. The program
shall define its prime programming time.
(6)
Illness, accident, death, or
absence from the inpatient or residential program. The program shall
notify the patient's parent(s), guardian, and responsible agency of any serious
illness, incident involving serious bodily injury, absence, or removal of the
juvenile from the facility, in compliance with HIPAA and DHHS, 42 CFR Part 2,
regulations on the confidentiality of alcohol and drug abuse patient records.
In the event of the death of a patient, the program shall immediately notify
the prescriber, the patient's parent(s) or guardian, the placing agency, and
the appropriate state authority.
(7)
Educational services.
The program's educational program shall meet the requirements of the department
of education and shall be available for each patient in accordance with
abilities and needs.
Notes
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