Who reviewed the bowel records (MD, RN)? Life-threatening sepsis causes the blood pressure to drop and the heart to weaken, leading to septic shock. A developmental disability as defined in section 1.03(22) of the Mental Hygiene Law. Documentation related to the plan, if required. Identify the appropriate 1750b surrogate. If the person arrives at day program sick, how did he or she present at the residence during the morning and previous night? (5) Each facility in this class shall ensure the provision of, or provide as its minimum responsibility, protective oversight (see glossary) appropriate to the person's needs. Were missed doses reviewed with the provider? The plan shall include provisions for ensuring: (i) The assessment of each person's need for the amount and type of supervision necessary including both staff and/or technology as appropriate to the person and circumstance. 665 0 obj <> endobj Did the person receive any blood thinners (if GI bleed)? Was there a PONS for dysphagia/dementia/seizures? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). For purposes of this Part, this shall include children or adults who have applied to or have been screened for services and for whom a clinical record is maintained or possessed by such a facility. Were there any diagnoses requiring follow up? Were staff trained per policy (classroom and IPOP)? Other? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. What was the bowel management regimen e.g. %PDF-1.5 A designation for individuals in a supportive community residence who have attained independent living skills but who remain in the facility while they demonstrate their proficiency in these skills and/or make provisions for moving to independent living. Was there a plan for provider follow-up? Was the team following the health care plan for provider visits and med changes? The assessment of capability in relation to each issue as it arises will be made by the person's program planning team. Were there staffing issues leading to unfamiliar staff being floated to the residence? How many? OPWDDs regulations are included inTitle 14 of the New York Codes, Rules andRegulations (NYCRR). P3T{$0\C-yA8|}xE OX (3) The governing body of a State-operated community residence is the Central Office administration of OPWDD. The "Individual Plan for Protective Oversight" can be referenced in the safeguards section for people who live in an Individualized Residential Alternative (IRA). Site specific Plan of Protective Oversight. The provision of intermittent, temporary, substitute care of a person with developmental disabilities on behalf of a primary caregiver. endobj (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. Plan and Staff Actions? (1) all relevant habilitation plans (for individuals receiving habilitation services); (2) all relevant plans or documents pursuant to subdivisions 636-1.4(c) and (d) of this Title that support modification to an individuals rights specified in paragraphs 636-1.4(b)(1)-(4) of this Title; and. 0/u`_(|F!F. Did staff decide this independently, or was it with nursing direction? Dining behavior risk e.g. 257 0 obj <>stream What was the treatment? Bowel Obstruction Most commonly, bowel obstruction is due to severe, unresolved constipation, foreign-body obstruction, obstruction due to cancerous mass, volvulus twisted bowel," or Ileus (no peristaltic movement of the bowel). Had the person received sedative medication prior to the fall? Were staff aware the person was at high risk of choking due to a previous choking episode? This plan for Protective Oversight must be readily accessible to all staff and natural supports. (6) A facility receiving an operating certificate as an individualized residential alternative, shall develop a site specific written plan for protective oversight. %PDF-1.5 % The SC, participant, and all individuals listed as Informal Supports to the participant must sign the PPO. Office of Inspector General FY 2023 Oversight Plan | 3 . OPWDD assumes no responsibility for the use or application of any regulations posted here. What is the policy for training? Plain Language, ADMS, This requires that the SC/CM ensure that all required attachments (e.g. hb``g``b`e`ja`@ 6 -qaC$n20L_9sL*,JY@QI-#d^/,J>&/tah``0 @b8:0MLf@Z"a@w_`pPSvf|>30u0e\\ (h1aMX886p.pr3b f&; @g0 gK For purposes of this Part, a bed in a designated bedroom that is not occupied or encumbered by a person living in the residence and is immediately available for use by a person with developmental disabilities who is in need of short-term relocation. Home; Our Practice; Services; What to expect. Future hospitalizations? Short URL: http://www.advancingstates.org/node/50465, Leadership, innovation, collaboration for state Aging and Disability agencies, ADvancing States Artificial hydration/ nutrition? OPWDD DDRO Manual for the Children's Waiver, DD/MF and DD in Foster Care - August 2019 updated May 2021 (PDF) OPWDD Collaborative Eligibility Process for the Children's Waiver, DD/MF and DD in Foster Care - PDF | Recording (YouTube) - May 2021 Initiating and Maintaining OPWDD ICF/IID LCED Policy #CW0010 - Updated May 2021 (PDF) There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. What is the pertinent staff training? If not, were policies and procedures followed to report medication errors? Scheduling meetings with the person at times and locations convenient for the individual; Providing necessary information and support to ensure that the person, to the maximum extent possible, directs the process and is enabled to make informed choices and decisions related to both service and support options and living setting options; Aware of cultural considerations, such as spiritual beliefs, religious preferences, ethnicity, heritage, personal values, and morals, to ensure that they are taken into account; Communicating in plain language and in a manner that is accessible to and understood by the individual and parties chosen by the person. Was end-of-life planning considered? <> Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? Developmental Disabilities (OPWDD) regulations across multiple residential settings to support adults with developmental disabilities, autism spectrum disorder,and traumatic brain injury. Was the agency RN involved in communications? endstream endobj 169 0 obj <>stream Did staff follow orders/report as directed? The PPO must be completed by the SC with the applicant during the development of the ISP. Was there an emergency protocol for infrequent or status epilepsy? endstream endobj 168 0 obj <>stream The SC is responsible to communicate with the waiver service providers that the participant now has a legal guardian who they need to communicate with as needed. Stop/reduce a bowel medication? What was the infection? Was there an order for Head of Bed (HOB) elevation? ADMS, What were the PONS in place at the time? When was the last lab work, check for medication levels? stream To request a document in another language, email[emailprotected]. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? Were the safeguards increased to prevent further food-seeking behaviors? Were appointments attended per practitioners recommendations? Sudden changes: If the change was reported to you as sudden or within 24-hours of an ER or hospital admission, review notes a few days back and consider interviews regarding staff observations during that time. endstream endobj startxref Diet orders and swallow evaluation, if relevant. <> Did staff understand and follow dining/feeding requirements? Use these questions, as appropriate. Exhibit any behavior or pain? The PPO must be redone by the SC with the participant each time an RSP is developed for submission with the RSP packet to the RRDS for review. A designation for those persons (such as an individuals spouse, children or other family members) residing at the certified supportive community residence, and who have not been admitted to the supportive community residence. If seizures occurred, what was the frequency? (ii) The use of appropriately trained substitute personnel when the primary assigned personnel are unavailable. Was there a written bowel management regimen? hVmo9+J!oHR a['`glzB=xL0 Lm%h3Y,ND%k2tK:EU3s2e?N52$7-V_6&ohx0aZ4/=|{aa iq9_)kw]+pQL RF.* If the participant's situation has changed and he/she now has a legal guardian, the SC will request and obtain the guardian documentation. What was the person's level of supervision? Were there any recent medication changes? INSPECTOR GENERAL . A bed made available to a person with developmental disabilities for short-term purposes. If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? (s) Funds, Mental Hygiene Law, section 41. The B/DDSO is responsible for coordinating the service delivery system within a particular service area, planning with community and provider agencies, and ensuring that specific placement and program plans and provider training programs are implemented. Due to the timing of the posting process, the regulations posted on the Department of State website may not reflect the most current version of OPWDD regulations. Once reviewed and signed by the RRDS, the PPO is returned to the SC, who distributes it to the participant and any waiver service provider listed in the current Service Plan. Is it known whether the person hit his or her head during the fall? OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. Comments: Name of RRDS Signature Date. An intermittent urge to action whether physical or verbal, and not a means of continuous assistance. A copy of the PPO must be provided to the participant by the SC to be maintained in an easily accessible location of the participant's choice within his/her home. If there are incidents or concerns that arise which are directly Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? It is an individualized approach to service planning, structured to focus on the unique values, strengths, preferences, capacities, interests, desired outcomes, and needs of the person. Thus, an individual may be capable of participation in planning for his/her services and programs but still require assistance in the management of financial matters. It clearly enlists the key activities that affect the health and welfare of an individual. 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