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responsible supervisory experience working in a human service-related field may be substituted for each year of college.
2.Social Service Designee/Social Worker. The center shall designate at least one full-time staff person to serve as the social services designee or social worker.
a.The social services designee shall have at a minimum a bachelor's degree in a human service-related field such as psychology, sociology, education, or counseling. Two years of experience in a human service-related field may be substituted for each year of college.
b.The social worker shall have a bachelor's or master's degree in social work.
3.Nurse. The center shall employ a full-time LPN or RN who shall be available to provide medical care and supervision services as required by all participants. The staff nurse shall be on the premises of the center during all hours that participants are present.
a.Nurses shall have a current Louisiana state license.
4.Program Manager. The center shall designate at least one full-time staff member who is responsible for carrying out the center's individualized program for each participant. The program manager should have program planning skills, good organization abilities, counseling and occupational therapy experience.
5.Food Service Supervisor. The center shall designate one full-time staff member who shall be responsible for meal preparation and/or serving.
6.Volunteers. Volunteers and student interns are considered a supplement to the required staffing component. A center which utilizes volunteers or student interns on a regular basis shall have a written plan for utilizing these resources. This plan must be given to all volunteers and interns and it shall indicate that all volunteers and interns shall be:
a.directly supervised by a paid staff member;
b.oriented and trained in the philosophy of the center and the needs of participants as well as the methods of meeting those needs;
c.subject to character and reference checks similar to those performed for employment applicants upon obtaining a signed release and the names of the references from the potential volunteer/intern student;
d.aware of and briefed on any special needs or problems of participants; and
e.provided program orientation and ongoing in-service training. The in-service training should be held at least quarterly.
7.Direct Service Worker. An unlicensed person who provides personal care or other services and support to persons with disabilities or to the elderly to enhance their well being, and who is involved in face-to-face direct contact with the participant.

B.The direct care staff to participant ratio shall be a minimum of one full-time staff member to every nine participants.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2188 (October 2008).

§4269.Incident Reports

A.There shall be policies and procedures which cover the writing of and disposition of incident reports.

1.The center shall complete incident reports for each participant involved in the following occurrences:
a.accidents and injuries;
b.the involvement of any participant in any occurrence which has the potential for affecting the welfare of any other participant;
c.any elopement or attempted elopement, or when the whereabouts of a participant is unknown for any length of time; and
d.any suspected abuse, whether or not it occurred at the center.

B.Progress notes documented on the day of the incident shall indicate that an incident report was written.

C.The completed individual incident report shall be filed in a central record system.

D.Incident reports shall include, at a minimum, the following information:

1.the name of the participant or participants;
2.the date and time of the incident;
3.a detailed description of the incident;
4.the names of witnesses to the incident and their statements; and
5.a description of the action taken by the center with regard to the incident.

E.Incident reports must be reviewed by the director, his designee or a medical professional within 24 hours of the occurrence. A qualified professional shall recommend action, in a timely manner, as indicated by the consequences of the incident.

F.ID team members shall review all incident reports quarterly, and recommend action as indicated to:

1.insure that the reports have all of the required information;
2.identify staff training needs;
3.identify patterns which may indicate a need for changes in the center policies/practices; and
4.assist in identifying those participants who may require changes in their plans of care or who may not be appropriately placed in the ADHC center.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2189 (October 2008).

Subchapter H.Direct Service Management

§4273.Admissions

A.A center shall have a written description of its admission policies and criteria. The admission information for individual participants shall include:

1.the participant's name, date of birth, home address and telephone number;
2. the name, address and telephone number of the participant’s closest relative or friend;
3.a brief social history that includes the participant's marital status, general health status, education, former occupation, leisure-time interest and existence of supportive family members or friends;

Louisiana Register   Vol. 34, No. 10   October 20, 2008

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