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I.EXECUTIVE ORDERS - page 221 / 359

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2.state the individual needs and identified problems of the participant for which intervention is indicated in assessments, progress notes and medical reports;
3.include the number of days and time of scheduled attendance required to meet the needs of the participant;
4.use the strengths of the participant to develop approaches and list these approaches with the frequency that each will be used to meet the needs of the participant;
5.identify the staff member who will be responsible for carrying out each item in the plan (the position, rather than the name of the employee, may be indicated in the plan);
6.ensure that all persons working with the participant are appropriately informed of the services required by the individualized service plan;
7.propose a reasonable time-limited goal with established priorities. The projected resolution date or review date for each problem shall be noted;
8.contain the necessary elements of the self-administration or other medication administration plan, if applicable;
9.include discharge as a goal;
10.be legible and written in terminology which all staff personnel can understand;
11.be signed and dated by all the team members; and
12.be included as a part of the participant's case record.

B.Unless it is clearly not feasible to do so, a center shall ensure that the individualized service plan and any subsequent revisions are explained to the participant and, where appropriate, the legally responsible person/personal representative or family member in language understandable to these persons.

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 34:2190 (October 2008).

§4283.Individualized Service Plan Review

A.The individualized service plan shall be reviewed and updated at least quarterly and whenever there is a change in problems, goals or approaches as indicated.

B.This review shall be done by the person indicated on the plan as the individual primarily responsible for carrying out the plan.

C.This review shall be accomplished by reviewing the individual reports of all persons responsible for meeting the needs of the participant. These reports shall include any reports from physicians, social service designees/social workers, nurses, therapists, dietitians, and family members as well as incident reports.

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 34:2191 (October 2008).

Subchapter I.Emergency and Safety

§4285.Emergency and Safety Procedures

A.A center shall have a written overall plan of emergency and safety procedures. The plan shall:

1.provide for the evacuation of participants to safe or sheltered areas;
2.include provisions for training staff and, as appropriate, participants in preventing, reporting and responding to fires and other emergencies;
3.provide means for an on-going safety program including continuous inspection of the center for possible hazards, continuous monitoring of safety equipment, and investigation of all accidents or emergencies; and
4.include provisions for training personnel in their emergency duties and in the use of any fire-fighting or other emergency equipment in their immediate work areas.

B.The center shall ensure the immediate accessibility of appropriate first aid supplies in kits that are to be located in the center's building and all vehicles used to transport participants.

C.A center shall have access to telephone service whenever participants are in attendance.

1.Emergency telephone numbers shall be posted for easy access, including fire department, police, medical services, poison control and ambulance.

D.A center shall immediately notify DHH and other appropriate agencies of any fire, disaster or other emergency which may present a danger to participants or require their evacuation from the center.

E.There shall be a policy and procedure that insures the notification of family members or responsible parties whenever an emergency occurs for an individual participant.

F.Upon the identification of the non-responsiveness of a participant at the center, the center's staff shall implement the emergency medical procedures and notify the participant’s family members and other medical personnel.

G.A center shall conduct emergency drills at least once every three months.

H.A center shall make every effort to ensure that staff and participants recognize the nature and importance of such drills.

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 34:2191 (October 2008).

§4287.General Safety Practices

A.A center shall not maintain any firearms or chemical weapons where participants may have access to them.

B.A center shall ensure that all poisonous, toxic and flammable materials are safely stored in appropriate containers that are labeled as to the contents. Such materials shall be maintained only as necessary and shall be used in such a manner as to ensure the safety of participants, staff and visitors.

C.The center shall not have less than two remote exits.

D.Doors in means of egress shall swing in the direction of exit travel.

E.Every bathroom door lock shall be designed to permit opening of the locked door from the outside in an emergency, and the opening device shall be readily accessible to the staff.

F.Unvented or open-flame heaters shall not be utilized in center.

G.All exterior and interior doors used by participants must be at least 32 inches wide.

H.All hallways/corridors must be at least 36 inches wide.

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

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