N.Y. Comp. Codes R. & Regs. Tit. 18 § 492.6 - Program planning and implementation
(a) The operator must assure that each
participant in a nonresident services program has an individualized written
plan for services prepared by the program director.
(b) In developing the plan, the program
director must involve the participant, caregiver, other professionals and the
local department of social services, as appropriate. The service plan must
describe:
(1) the needs of the
participant;
(2) the service goals
for the participant while in the nonresident services program and the manner in
which they will integrate with other care being rendered by other service
providers;
(3) the services to be
provided;
(4) the name of the staff
member responsible for implementing the service plan; and
(5) the time limit for the plan, with
provision for review and renewal.
(c) The operator must have a program plan
which meets the following criteria:
(1)
Overall planning of services and activities must reflect the individual service
plans.
(2) The primary program mode
must be group activities with provision for individual activities and
services.
(3) Staff will encourage
participants to engage in the planning and operation of the program.
(4) Staff will encourage participants and
residents to attend meals and activities together.
(5) Staff will explore and utilize other
available community resources as a regular part of the program
activities.
(6) The operator will
supply adequate and appropriate equipment and supplies.
(7) Physical activity will be encouraged
within the participant's limitations, as determined by information furnished by
the participant's physician.
(8)
Activities designed to improve the capacity of the participants for self- care
and personal hygiene will be provided.
(9) Participants will be afforded the
opportunity to rest; there will be a sufficient number of lounge chairs
available for participants' needs.
(10) Participants may refuse to participate
in any activity of the nonresident services program.
(d) A schedule of activities must be prepared
and must:
(1) be in writing;
(2) be planned for a two-week period, one
week in advance of its implementation;
(3) specify each activity to be provided, the
days of the week each activity will be conducted, and the approximate duration
of each activity; and
(4) be posted
in a conspicuous place in the area where the nonresident services program will
be conducted.
(e) If
activities for participants and residents are jointly planned and conducted,
one schedule of activities provided in accordance with applicable provisions of
section
487.7 of this
Title may be used.
(f) There will
be a minimum of four hours of planned activities for each program
day.
(g) Personal care services
will be provided in accordance with applicable provisions of sections
487.7 and
488.7 of this
Title.
(h) Supervision services
will be provided in accordance with applicable provisions of sections
487.7 and
488.7 of this
Title.
(i) The program director
will encourage caregivers to transport the participants to and from the
facility.
(j) The program director
will coordinate the utilization of volunteers and other resources in the
community for the purpose of transporting participants to the
facility.
(k) The operator may
transport participants to and from the program.
(l) If a participant wants or needs to leave
the program before the scheduled departure time, the participant's caregiver
must be notified before the participant leaves the facility. Such notification
must be documented in the participant's case record.
(m) If a participant does not arrive as
scheduled and the facility has not been contacted about the delay, the program
director will immediately attempt to contact the participant, caregiver or
representative to determine the reason for the absence.
(n) Any abrupt or progressive changes in a
participant's behavior or appearance which suggests the need for additional
help or services will be reported as follows:
(1) A report will be made immediately to the
participant's caregiver and local department of social services caseworker if
the participant is a social services client.
(2) The report will be made to the caregiver
or representative if the participant is not a social services client.
(3) The report will be made to the local
department of social services if the participant has no caregiver or
representative.
(4) Any action
taken by the operator or program director as a result of changes in the
participant's behavior or appearance will be noted in the participant's case
record.
(o) The operator
will offer referral services to participants and caregivers when such persons
are in need of services not otherwise provided by the facility.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.