Rule 411. A congregate facility shall provide services
for the habilitation of its residents. In addition to transportation and basic
self-care and habilitation training, congregate facilities shall provide or
cause to be provided all of the following program elements which are essential
for the habilitation of their residents. Without department approval a program
element other than basic self-care and habilitation training shall not be
provided on the premises when it is available in the community:
(a) Basic self-care and habilitation training
means a service to teach and reinforce skills in dressing, grooming, eating,
bathing, toileting, and following of simple directions.
(b) Social education training means a service
which covers areas of training inclusive of recreational participation such as
group programs, community entertainment and recreational facilities
utilization. Social graces and acceptable public behavior are covered in this
area as are leisure time use and skills.
(c) Tutorial and special skills training is a
service typically providing 1-to-1 training in an area. Services include basic
self-care training, mobility training, or advanced skills.
(d) Adult activity, day care or day training,
is an activity and training service including basic self-care skills,
activities of daily living, utilization of community resources, hazard
training, individual and group programs of therapy and education, recreational
programs, field trips, skills maintenance, and special training. Objectives
range from the maintenance of a participant in the community to the development
of prevocational skills to permit placement in a sheltered workshop
setting.
(e) Work activity is a work
activity service provided in a protective setting in a day program to serve a
retarded or mentally ill adult. Activities are divided between development of
prevocational skills by producing a product in a structured work setting and
providing basic social activities of daily living training. The major focus
shall be on work skills for which reimbursement from products sold or from
contracts may be provided.
(f)
Sheltered workshop is a service in a certified protective workshop setting
which includes special vocational training, job evaluation, and rehabilitation
planning with a definite objective of placement in gainful employment,
sheltered or independent. Certification includes proper wage deviation permits
from the department of labor and approvals as appropriate from the division of
vocational rehabilitation.
(g)
Personal adjustment is a service for a person with psychiatric, emotional,
behavioral, or developmental problems and includes counseling and individual or
group therapy as well as diagnostic evaluation. It also includes utilization of
appropriate batteries of psychological testing material and related counseling
to assist in classification and determination of readiness for movement or
maintenance in the community.
(h)
Transportation means vehicle travel by public or private carrier and related
cost to and from program resources in the community including consultation,
medical, and other services. This includes escort between screening and entry
programs.
(i) Health services
include pharmaceutical, medical, or dental services provided directly or
through contractual agreement.
