D.C. Mun. Regs. tit. 22, r. 22-B3509

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B3509 - ADMISSIONS

3509.1

An interdisciplinary team (IDT) shall make the determination of whether to admit a person to the CRFPID. The IDT for purposes of determining admission shall be comprised of at least the following:

(a) The nursing staff;

(b) The Qualified Intellectual Disabilities Professional (QIDP) and/or the Residence Director;

(c) The DDS Service Coordinator (if appropriate); and

(d) Other members of the person's support team.

3509.2

Prior to admission, a person's health, competency or independence levels, training and support needs shall be assessed to determine the appropriateness of the placement in the CRFPID.

3509.3

Any participant of HCBS program shall have a person-centered service plan developed through a person-centered planning process overseen by the DDS.

3509.4

If the admission is from a source other than DDS, the CRFPID shall complete the assessment and shall address:

(a) Nature, and onset of diagnosis of disability in addition to duration of disability;

(b) Social, behavioral, developmental and family history;

(c) Vocational and educational background;

(d) Previous interventions and outcomes;

(e) Financial resources and benefits;

(f) Health history and current medical needs;

(g) Legal status, including guardianship;

(h) Daily living skills;

(i) Social and family supports; and,

(j) Housing arrangements.

3509.5

Based on the assessment required by Subsection 3509.2, the CRFPID shall state in writing the appropriateness of placement in the CRFPID as determined by the needs of the person, and the qualified staff and resources of the CRFPID.

3509.6

The CRFPID shall admit only those persons who are determined through the admission assessment to be candidates for placement in the CRFPID or after other options are explored and proves to be the least restrictive place for the person.

3509.7

The CRFPID shall maintain documentation of the admission assessment and the names of the employee(s) conducting the assessment.

3509.8

A CRFPID may rely on a person's prior ISP to determine the appropriateness of the placement, provided that the prior ISP has been reviewed and updated within the past year.

3509.9

The CRFPID shall conduct a reassessment to determine the appropriateness of the placement when there is a significant change in the medical, behavioral or psychiatric status of the person as determined by a member of the IDT.

3509.10

The CRFPID shall maintain written documentation of each assessment and reassessment. In addition to the update of documentation required by this section, each reassessment shall include the following:

(a) The date of initial assessment;

(b) Name, age and gender of the person;

(c) Address and phone number of the person or parent or guardian, if applicable;

(d) Presenting needs including psychiatric/medical problems, current medications and history of medical care; and

(e) Name of the screening employee or contractor and his or her experience and qualifications; and

(f) The habilitative assessment tool(s) utilized; and findings.

3509.11

For persons not admitted, documentation of the assessment shall be retained for at least six (6) months.

3509.12

Each CRFPID shall obtain from the person, sponsoring agency or guardian, as appropriate, information about any known health problems or communicable diseases of a person upon his or her being admitted or readmitted.

3509.13

Each person who has a communicable disease may be admitted only to a CRFPID that is capable of implementing environmental and hygienic procedures appropriate to the specific disease as prescribed by a physician, which shall include treatment of the condition and prevention of the spread of the disease.

3509.14

Each CRFPID shall obtain upon admission for each person a record of all medications the person is currently taking, and other information, including:

(a) Names and of all prescribed controlled substances;

(b) A reason for each medication; and

(c) A listing of any known allergies to medication.

3509.15

Each CRFPID shall obtain a health inventory screening, conducted by a physician, for each newly admitted person prior to admission if possible but no later than within fifteen (15) days of admission.

3509.16

A physical examination shall be documented, signed and dated by the physician and shall include the following:

(a) Assessment of general physical condition;

(b) A complete medical history including allergies, modified diets, medication orders, recent physical complaints and medical conditions, chronic conditions, past serious illnesses and injuries, current and past drug use (including both prescription and illicit drugs), vaccination history, and any condition that may predispose the person to acquiring or transmitting infectious diseases;

(c) Treatment for any medical conditions;

(d) Evaluation for communicable diseases, including tuberculosis and a determination of the Hepatitis B antigen and antibody status of each person relevant to acquiring or transmitting infectious diseases;

(e) Immunization updates, as needed;

(f) Evaluation of the need for other testing; and

(g) Any other test deemed appropriate by the examining physician.

3509.17

The CRFPID shall ensure that each newly admitted person receives a dental examination within one year of admission or as soon as practicable.

3509.18

Each CRFPID shall secure a written report of the health screening that shall provide sufficient information concerning the person's health to enable the CRFPID to provide appropriate services to meet that person's needs. The CRFPID shall implement all of the physician's orders and any physician recommendations approved by the IDT.

3509.19

Persons receiving or in need of hospice care shall not be admitted to a CRFPID. This restriction shall not apply to persons who were admitted to a CRFPID prior to the initiation of or a recommendation for hospice care.

3509.20

Admission policies shall be available for review by each person contemplating residency in the home or his or her authorized representative.

3509.21

A person's original records shall follow the person and be available at admission.

D.C. Mun. Regs. tit. 22, r. 22-B3509

Final Rulemaking published at 39 DCR 3280, 3290 (May 8, 1992); amended by Final Rulemaking published at 68 DCR 4282 (4/23/2021)