Current through Register Vol. 54, No. 44, November 2, 2024
(a) There must be written policies and procedures for intake and all intake must be accomplished in accordance with those policies and procedures.(b) The community residential rehabilitation service (CRRS) staff, during intake, shall review with the client the criteria for program enrollment and program termination, the services offered by the CRRS and the responsibilities of the client and the CRRS.(c) The CRRS staff shall obtain the following information about each client prior to the client's enrollment in the CRRS. (1) Mental health information, including mental health history and evidence of psychiatric disability which is a certification of mental disorder dated not more than 1 year prior to client's planned enrollment.(2) A health appraisal signed by a licensed physician, which includes: (i) A review of health history.(ii) A complete physical examination dated not more than 6 months prior to client's enrollment.(iii) Drug or alcohol history.(iv) Recommendations pertaining to medication and limitations of the client's activities or diet.(v) Recommendations for follow-up by the CRRS in helping the client maintain on-going health care.(d) The intake procedures must include:(1) Psychosocial evaluation as specified in § 5310.33(b) (relating to residential service plan).(2) Client orientation to the program.(3) Development of a residential services plan.(4) Preparation of the written provider client agreement as specified in § 5310.34 (relating to service agreement).(e) Intake procedures must also include evaluation of the client's capability of self-preservation and client instruction in safety-emergency procedures and evacuation procedures for the site in which the client will live. (1) A client who is mobile ambulatory is considered capable of self-preservation if he or she is able to vacate the CRRS site promptly following emergency alarms or the onset of fire or other emergency.(2) A client who is mobile ambulatory and capable of self-preservation may be served in full-care or partial-care CRRS.(3) A mobile nonambulatory client is considered capable of self-preservation if: (i) He is capable of prompt and independent transfer from bed-to-ambulation device.(ii) The CRRS site to which the client is assigned has no architectural barriers barring the exit path to the outside from the client's bedroom.(4) A client who is mobile nonambulatory and capable of self-preservation may be served in any full-care CRRS or partial-care CRRS site that meets the requirement specified in subsection (e)(3)(ii).(5) A client is considered capable of self-preservation with minimal assistance if the client is able to vacate the CRRS site in which the client lives with no more than verbal instruction or minimal physical help. Verbal assistance means a staff member gives direction to the person in exiting the site. Minimal physical help means a staff member provides assistance in getting to one's feet, into a wheel chair, walker, or prosthetic device. The client must be able to effectively operate any device required for moving from one place to another, to understand and carry out instructions for exiting the site and to negotiate the exit path independently. A client who because of physical or mental disability or condition is unable to vacate the CRRS site in case of emergency without the continual verbal or physical assistance of staff is not considered capable of self-preservation with minimal assistance.(6) A client who is capable of self-preservation with minimal assistance must be served only in full-care CRRS.(f) Any client whose care is funded by the County Mental Health/Mental Retardation (MH/MR) Program may enter the CRRS program only after authorization from the county administrator or appropriate base service unit. This section cited in 55 Pa. Code § 5310.21 (relating to client characteristics); 55 Pa. Code § 5310.91 (relating to special requirements for community residential rehabilitation services (CRRS) serving children); and 55 Pa. Code § 5310.122 (relating to intake).