Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 89 - DEVELOPMENTAL DISABILITIES DOMICILIARY HOMES
Section 11-89-17 - General operational policies
Universal Citation: HI Admin Rules 11-89-17
Current through February, 2024
(a) There shall be written operational policies and procedures available to staff and residents which address the implementation of:
(1)
Admission policies as specified in section 11-89-16;
(2) Dietary and other services provided by
the facility;
(3) Transfer and
discharge of residents as specified in section 11-89-21;
(4) Residents' rights;
(5) Rate setting and visiting
hours;
(6) Infection
control;
(7) Management of
behavior;
(8) Requirements relating
to physical and chemical restraints;
(9) Personnel requirements, whether
compensated or voluntary; and
(10)
Grievance procedures, whether from resident or staff.
(b) Upon admission, there shall be written documentation that the resident, guardian, or next of kin was fully informed of policies governing the resident's care.
(c) There shall be written policies and procedures that prohibit mistreatment, neglect or abuse of residents. The caregiver shall:
(1) Not allow verbal,
mental, sexual, or physical abuse, or misappropriation of funds or property of
residents;
(2) Not knowingly employ
individuals who have been convicted of crimes set forth in subsection
11-89-17(c)(1);
(3) Notify the case
manager and day program staff if a resident demonstrates maladaptive or
disruptive behavior. They shall plan and institute any behavior management
program. The program shall be directed toward maximizing the growth and
development of the individual by incorporating a hierarchy of available methods
that emphasize positive approaches. Such policies and procedures shall address:
(A) the definition of behavior management
programs;
(B) staff training
requirements;
(C) staff authorized
to use the programs; and
(D) the
mechanism to be used to monitor the implementation of any behavior management
program;
(4) Ensure that
all alleged violations involving mistreatment, neglect, or abuse, including
injuries of unknown source or misappropriation of funds or property, are
reported immediately to the administrator of the facility or to other officials
in accordance with State law;
(5)
Thoroughly investigate all alleged violations, prevent further potential abuse
while the investigation is in progress and document all facts relating to the
investigation; and
(6) Ensure that
results of all investigations, including citations, be reported to the
administrator or designated representative or to other officials in accordance
with State law within five working days of the incident, and if the alleged
violation is verified, take appropriate action.
(d) The department shall require that any complaint concerning a specific facility be expressed in a signed statement.
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