La. Admin. Code tit. 48 § I-8589

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8589 - Quality of Life

A. Family Involvement

1. An ICF/DD shall have a written description of strategies used by the ICF/DD's program to foster ongoing positive communication and contact between individuals and their families, their friends and others significant people in their lives.

2. An ICF/DD shall have evidence that the individual's family and, where appropriate, the legally responsible person have been informed of:

a. the philosophy and goals of the ICF/DD;

b. behavior management and disciplinary practices of the ICF/DD;

c. the ICF/DD's arrangements for individuals' participation in religious observances;

d. any specific treatment or treatment strategy employed by the ICF/DD to be implemented for a particular individual;

e. visiting hours, visiting rules and procedures, arrangements for home visits and procedures for communicating with individuals by mail or telephone;

f. a procedure for registering complaints concerning the individual's care or treatment; and

g. the name, telephone number and address of a staff person who may be contacted by the legally responsible person to ask questions or register concerns on an ongoing basis.

B. Community Involvement. An ICF/DD shall have a written plan to foster participation by individuals in normal community activities to the degree possible considering the individual's level of functioning.

C. Communication and Visits. An ICF/DD shall have a written description of rules and procedures concerning telephone communications by individuals, sending and receiving of mail by individuals and visits to and from an individual's family and friends.

1. Telephone Communication

a. An ICF/DD shall allow an individual to receive and originate telephone calls subject only to reasonable rules and to any specific restrictions in the individual's service plan.

b. Any restriction on telephone communication in an individual's service plan must be formally approved by the QMRP and shall be reviewed every 30 days by the QMRP.

2. Mail

a. An ICF/DD shall allow individuals to send and receive mail unopened and unread by staff unless contraindicated by the individual's service plan and reviewed every 30 days by the QMRP.

b. An ICF/DD shall ensure that individuals have access to all materials necessary for writing and sending letters and shall, when necessary ensure that individuals who wish to correspond with others are given any required assistance.

3. Visits

a. An ICF/DD shall allow an individual to visit or be visited by family and friends subject only to reasonable rules and to any specific restrictions in the individual's service plan.

b. Special restrictions shall be imposed only to prevent serious harm to the individual. The reasons for any special restrictions shall be recorded in the individual's service plan. Special restrictions must be reviewed every 30 days by the QMRP and, if restrictions are renewed, the reasons for renewal shall be recorded in the individual's service plan.

D. Clothing

1. An ICF/DD shall ensure that individuals are provided with clean, well-fitted clothing appropriate to the season and to the individual's age, sex and individual needs.

2. Clothing shall be maintained in good repair.

3. All clothing provided to an individual shall go with the individual at discharge.

4. Clothing shall belong to the individual and not be shared in common.

E. Religion

1. An ICF/DD shall have a written description of its religious orientation, particular religious practices that are observed and any religious restrictions on admission. This description shall be provided to the individual, and where appropriate, the legally responsible person and the responsible agency.

2. Every individual shall be permitted to attend religious services in accordance with his/her faith. The ICF/DD shall, whenever possible, arrange transportation and encourage participation by those individuals who desire to participate in religious activities in the community.

3. Individuals shall not be forced to attend religious services.

4. When the individual is a minor, the ICF/DD shall determine the wishes of the legally responsible person with regard to religious observance and instruction at the time of placement and shall make every effort to ensure that these wishes are carried out.

F. Work

1. An ICF/DD shall have a written description of the ICF/DD's approach to involving individuals in work including:

a. a description of any unpaid tasks required of individuals;

b. a description of any paid work assignments including the pay scales for such assignments;

c. a description of the ICF/DD's approach to supervising work assignments; and

d. assurance that the conditions and compensation of such work are in compliance with applicable state and federal laws.

2. An ICF/DD shall demonstrate that any individual work assignments are designed to provide a constructive experience for individuals and are not used as a means of performing vital ICF/DD functions at low cost.

3. All work assignments shall be in accordance with the individual's service plan.

4. An ICF/DD shall assign as unpaid work for individuals only housekeeping tasks similar to those performed in a normal home setting.

5. When an individual engages in off-grounds work, the ICF/DD shall document that:

a. such work is voluntary and in accordance with the individual's service plan;

b. the QMRP approved such work;

c. such work is supervised by qualified personnel;

d. the conditions and compensation of such work are in compliance with applicable state and federal laws; and

e. such work does not conflict with the individual's program.

G. Recreation and Activities Programs

1. An ICF/DD shall have a written plan for providing recreational services based on the individual needs, interests and functioning levels of individuals served. This plan shall ensure that a range of indoor and outdoor recreational and leisure opportunities are provided for individuals.

2. An ICF/DD shall utilize the recreational resources of the community whenever appropriate. The ICF/DD shall arrange the transportation and supervision required for maximum usage of community resources.

3. An ICF/DD shall have sufficient, adequately trained staff to carry out the stated objectives of the ICF/DD's recreation plan.

4. An ICF/DD which has recreation staff shall ensure that recreation staff are apprised of and, when appropriate, involved in the development and review of service plans.

H. Personal Care and Hygiene. An ICF/DD shall establish procedures to ensure that individuals receive training in good habits of personal care, hygiene and grooming.

I. Safety. An ICF/DD shall establish procedures to ensure that individuals receive training in safety and self protection.

La. Admin. Code tit. 48, § I-8589

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:3205 (December 2012).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2180-2180.5.