food-stuffing, talking while eatingor rapid eating? (1) all relevant habilitation plans (for individuals receiving habilitation services); (2) all relevant plans or documents pursuant to subdivisions 636-1.4(c) and (d) of this Title that support modification to an individuals rights specified in paragraphs 636-1.4(b)(1)-(4) of this Title; and. What was follow up time to PRN given? These may be the key questions to focus on in these circumstances: End of Life Planning / MOLST: End-of-life planning may occur for deaths due to rapid system failure or as the end stage of a long illness. . The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). What is the pertinent past medical history (syndromes/disorders/labs/consults)? What were the symptoms which sent the person to the hospital? 4 0 obj If give medication PRN is stated, were conditions/symptoms for administration clear and followed? Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? It is an individualized approach to service planning, structured to focus on the unique values, strengths, preferences, capacities, interests, desired outcomes, and needs of the person. Were staff trained? 243 0 obj <>/Filter/FlateDecode/ID[<6BDD22F527B3170CE5AAFF59FE59009A>]/Index[199 59]/Info 198 0 R/Length 132/Prev 149963/Root 200 0 R/Size 258/Type/XRef/W[1 2 1]>>stream Was there a specific plan? Billing, Guidance, OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. Advocate for individuals in the community (medical appointments, church, recreation activities etc). Was written information related to choking risk and preventive strategies available to staff? (1) In addition to the facilities in the community residence class known as supervised community residences and supportive community residences, there shall be a class of facility known as an individualized residential alternative. 5 0 obj Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. The PPO must be signed and dated by the applicant and SC and all individuals listed as Informal Supports to the waiver applicant. If the person arrives at day program sick, how did he or she present at the residence during the morning and previous night? Did the person have an injury or illness that impaired mobility? The information provided in this Plan for Protective Oversight summarizes alternatives so that the participant's health and welfare can be maintained in the community and that he/she is not at risk for nursing home placement. Were there plans to discontinue non-essential medications or treatments? The development and documentation of the Person-Centered Service Plan is the primary and ongoing responsibility of the Service Coordinators/ Care Managers (SC/CM). Was there a diagnosed infection under treatment at home? Did it occur per practitioners recommendations? Were staff trained on the PONS? Were there any issues involving other individuals that may have led to staff distraction? Were the risks addressed? The Person-Centered Planning process should empower people with intellectual and/or developmental disabilities to have an active voice in the development of their Person-Centered Service Plan (PCSP) and in shaping their futures. It is an individualized approach to service planning, structured to focus on the unique values, strengths, preferences, capacities, interests, desired outcomes, and needs of the person. What were the prior diagnoses? (iii) The establishment of qualifications and training requirements of those responsible for supervision. What was the infection? (iv) The establishment of a process whereby the person's continuing need for the originally recommended amount and type of protective oversight can be periodically reviewed, and modified as necessary. Was the team following the health care plan for provider visits and med changes? Was there a MOLST form and checklist in place? I am pleased to present the Environmental Protection Agency Office of U.S. What is the pertinent staff training? <> Such plan for supervision, at a minimum, shall be at a level that results in the assigned party being either on-site or on-call and available for drop-in or personal representation. Artificial hydration/ nutrition? Did the person use any assistive devices (gait belt, walker, etc.)? Once this happens, multiple organs may quickly fail and the patient can die. Did staff follow orders/report as directed? Did plan address Pica as a choking risk? The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. Bowel Obstruction Most commonly, bowel obstruction is due to severe, unresolved constipation, foreign-body obstruction, obstruction due to cancerous mass, volvulus twisted bowel," or Ileus (no peristaltic movement of the bowel). For purposes of this Part, this shall include children or adults who have applied to or have been screened for services and for whom a clinical record is maintained or possessed by such a facility. Were staff involved trained? endstream endobj startxref How frequent were the person's vital signs taken? Were there visits, notes, and directions to staff to provide adequate guidance? Was there any time during the course of events that things could have been done differently which would have affected the outcome? the person and/or entity responsible for monitoring the plan. If fluids are to be given, how much? h240W0P04P0TtvvJ,NMQ04;. Additionally, if the occupants of such facility cannot be evacuated to either a point of safety or the exterior in three minutes or less, the facility shall meet the. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? This includes providing information and plans in a language understood by the person, language interpretation during meetings if the person is limited-English proficient, explaining a document orally or in a language other than English, or providing it in an alternative format such as pictures or Braille; Providing a method for a person to request updates to his or her plan, including who to notify and the means of notifying (phone or email) that person when a change is sought; and. Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? This document may be known by a different name but it must comprise the elements described in this definition. Those criteria which specify the basis of documenting compliance for the purposes of issuing an operating certificate. Was this reported? (2) A facility in this class housing nine or more persons shall meet the physical plant, Life Safety Code and environmental requirements for supervised community residences listed in sections 635-7.1, 635-7.2 and 635-7.3 of this Title. If there are any changes, a new PPO must be completed and signed by the participant, SC and any individuals listed as Informal Supports to the participant. (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. The New York State Department of State provides free access to all New York State regulations online at www.dos.ny.gov. Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? Hospital coverage and pharmacy review, and other data located in the Heath Care Needs section of the Plan of Protected Oversight not inserted into other regions of Therap, will be included in the comments section. January 9, 2023 . There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. Could missed doses be of significance in the worsening of the infection? about ADM #2015-02 Service Documentation for Community Transition Services, about ADM #2018-06R2 Transition to People First Care Coordination, about ADM #2022-05 Medication Administration Training Curriculum for Direct Support Staff, Office for People With Developmental Disabilities, Title 14 of the New York Codes, Rules andRegulations (NYCRR), 1915(c) Childrens Waiver and 1115 Waiver Amendments, Management of Communicable Respiratory Diseases. Was there any illness or infection at the time of seizure? Did staff understand and follow dining/feeding requirements? The form contains two pages. (6) A facility receiving an operating certificate as an individualized residential alternative, shall develop a site specific written plan for protective oversight. OPWDD assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. Was the PONS followed? Person-Centered Service Plans are expected to change and to adjust with the personover time. An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. Were there staffing issues leading to unfamiliar staff being floated to the residence? The plan shall include provisions for ensuring: (i) The assessment of each person's need for the amount and type of supervision necessary including both staff and/or technology as appropriate to the person and circumstance. Did staff decide this independently, or was it with nursing direction? Was there evidence of MD or RN oversight of implementation? :@-S[!v:q~|lUsoo=e1aj\,;+Dt]QNN~U0iOuxabJ,cdVM>/gN>+NhS>/}aM]4g=H TtV0M19NK.MU/oNM>$C If so, what guidelines? Did the person have any history of behaviors that may have affected staffs ability to identify symptoms of illness (individual reporting illness/shallow breathing for attention seeking purposes, etc.)? When was the last neurology appointment? Once reviewed and signed by the RRDS, the PPO is returned to the SC, who distributes it to the participant and any waiver service provider listed in the current Service Plan. <> Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. If you are seeking specific legal advice in relation to these regulations, you should contact a licensed attorney in your local community. (2) For individualized residential alternatives of eight or fewer beds, OPWDD shall verify that each person's individualized services plan (see glossary) contains a current evaluation of the fire evacuation capacity of the person based on actual performance. This requires that the SC/CM ensure that all required attachments (e.g. hVmo9+J!oHR a['`glzB=xL0 Lm%h3Y,ND%k2tK:EU3s2e?N52$7-V_6&ohx0aZ4/=|{aa iq9_)kw]+pQL RF.* (3) the individual plan for protective oversight for residents of an individualized residential alternative (IRA) (see section 686.16[a][6] of this Title). OPWDD 149 signed and dated by the investigator - mandatory. hbbd``b`@q?`]bX=l $@C @dJ0~ n8)f\.Feq2o` 1101H.)@ Whenever there is doubt on the part of any other party interested in the welfare of the individual as to that person's ability to make decisions, as ascertained by the program planning team, a determination of capability is to be made by an external capability review board, designated by the commissioner. Site specific Plan of Protective Oversight Individual Plan of Protective Oversight Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols) . 2 0 obj When was the last lab work, check for medication levels? It clearly enlists the key activities that affect the health and welfare of an individual. U.S. Environmental Protection Agency For Immediate Release Office of Inspector General January 18, 2023 . What to expect; First visit; FAQ; 0/u`_(|F!F. Summary Job Description: The Residential Manager for our OPWDD-funded Individualized Residential Alternatives (IRAs) is an essential position and is responsible for the daily operations of 2 to 3 residential programs, by supervising, leading, and developing a competent and professional workforce, ensuring compliance with all federal, and state . Routinely surveyed for recertification purposes obj When was the team make changes after a previous choking to... 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