N.H. Admin. Code § He-C 4001.21

Current through Register No. 50, December 12, 2024

Section He-C 4001.21 - Programming Requirements for Residents

(a) Program staff shall, with input from the person or program placing the resident, have referral information on each resident, including:

(1) The reason for the placement;

(2) The anticipated length of stay;

(3) The contact information for the parent or guardian; and

(4) The contact information for the person or program placing the resident.

(b) Except for residents in short term placement, a written treatment plan shall be in place for each resident no later than 30 days from the date of admission.

(c) The written treatment plan required in (b) above shall identify:

(1) The resident's physical, social, behavioral, medical, and educational needs; and

(2) How the program will meet those needs.

(d) Program staff shall review and modify the written treatment plan required in (b) above as the resident's needs change.

(e) Once the written treatment plan required in (b) above is developed, program staff shall familiarize themselves with the identified needs of each resident and implement the plan.

(f) The program director or designee shall:

(1) Not rely upon residents to maintain the facility; and

(2) Only allow residents to perform work inside or outside the program, which is:

a. Compliant with child labor laws and regulations; and

b. Consistent with the resident's age and abilities.

(g) Program staff shall:

(1) Plan daily activities that promote healthy development and provide for social relationships, creative activities, hobbies, and participation in neighborhood, school, and other community groups appropriate to the age, developmental level, and needs of each resident;

(2) Provide that work assignments for the resident do not interfere with the regular school programs, study periods, recreation, or sleep;

(3) Provide each resident with clothing that is individually fitted and appropriate to the season;

(4) Instruct each resident regarding good health practices, including proper habits in eating, bathing and personal hygiene;

(5) Provide each resident with a clean towel and washcloth weekly, or more often if towels or washcloths become soiled or odorous; and

(6) Provide each resident with necessary individual toilet articles and supplies for personal grooming and hygiene suitable to their age and needs.

(h) Each child shall have education and training, including:

(1) Regular school attendance as required by law; and

(2) The opportunity to complete high school or the opportunity for vocational guidance.

(i) Academic programs within the facility shall meet the requirements of the New Hampshire department of education.

(j) Each child shall be given the opportunity to practice his or her religious beliefs.

(k) The program staff shall assess the resident's needs and prepare a discharge plan at least 30 working days prior to the resident's discharge, except in the case of an unplanned or emergency discharge.

(l) In the case of an unplanned or emergency discharge, the program staff shall prepare a discharge summary, which explains the circumstances of the discharge as soon as practicable.

(m) The program shall not exceed the maximum number of residents licensed by the department, unless authorized by the department, such as during an emergency.

(n) The licensee shall:

(1) Establish procedures to prepare the staff and residents for the arrival of new resident; and

(2) Provide staff with appropriate information to receive the new resident and assist in his or her adjustment, which shall include at a minimum:

a. Reason for placement, medical condition(s) and behavior problems, as applicable; and

b. Specific instructions related to the individual needs of the resident, including the need for an individualized restraint method consistent with RSA 126-U, if appropriate.

(o) Licensees shall:

(1) Meet the needs of the residents;

(2) Initiate action to maintain the program in full compliance at all times with all relevant health and safety requirements contained in applicable federal, state, and local laws, rules, regulations, and ordinances;

(3) Establish, in writing, a chain of command that sets forth the line of authority for the operation of the program;

(4) Verify the qualifications of all personnel; and

(5) Provide sufficient numbers of personnel who are present in the program and are qualified to meet the needs of residents during all hours of operation.

N.H. Admin. Code § He-C 4001.21

#2664, eff 3-30-84, EXPIRED: 3-30-90

New. #8581, eff 4-20-06, EXPIRED: 4-20-06

New. #10576, INTERIM, eff 4-26-14, EXPIRES: 10-23-14

Amended byVolume XXXIV Number 46, Filed November 13, 2014, Proposed by #10705, Effective 10/23/2014, Expires10/23/2024.

Amended by Volume XLI Number 06, Filed February 11, 2021, Proposed by #13151, Effective 12/30/2020, Expires 12/30/2020.