Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 89 - DEVELOPMENTAL DISABILITIES DOMICILIARY HOMES
Section 11-89-2 - Definitions
As used in this chapter, unless a different meaning clearly appears in the context:
"Administrator" means the person responsible for managing and administering the developmental disabilities domiciliary home(s) and who assures that appropriate care for the residents is provided.
"Behavior management" means the use of behavior modification techniques, physical restraints, behavior-modifying drugs, or aversive stimuli to develop and reinforce socially or personally desirable behavior and eliminate or reduce, or both, a resident's maladaptive behavior(s).
"Capable of self-preservation" means a person who has the mental capacity and physical capability to follow instructions and to evacuate from the facility safely without human assistance in emergency situations.
"Cardiopulmonary resuscitation" (CPR) means an emergency first aid procedure which consists of opening and maintaining a person's airway, providing artificial ventilation through rescue breathing and providing artificial circulation through external cardiac compression.
"Caregiver" means a person who is certified as responsible for providing direct care and training to a resident as specified in the resident's individual plan and who may supervise new personnel.
"Case manager" means the person who is responsible for developing the resident's individual plan, and monitoring, coordinating,. facilitating and advocating for resident services as indicated in the individual plan.
"Certification" means a formal declaration by the department that a caregiver has met the prescribed certification standards of this chapter.
"Department" means the department of health of the State of Hawaii.
"Developmental disabilities division" is the division of the department designated to plan, coordinate, implement, monitor, and provide services to developmentally disabled persons as defined in chapter 333F, HRS.
"Developmental disabilities domiciliary home" means any facility licensed under this chapter to provide twenty-four hour supervision or care, excluding licensed nursing care, for a fee, to not more than five adults with mental retardation or developmental disabilities as defined in chapter 333F, HRS.
"Dietitian" means a person who is registered or is eligible for registration by the commission on dietetic registration of the American Dietetic Association.
"Director" means the director of health.
"Division" means the developmental disabilities division.
"Facility" means a home in the process of seeking a developmental disability domiciliary home license or a home already licensed as such.
"Fully ambulatory" means able to walk without human assistance or assisting devices.
"Individual Plan (IP)" means a specific plan of care which sets forth a structured set of services in the residential setting designed to achieve purposeful outcomes for the resident. The plan specifies the habilitation and support services to be provided, behavioral and service objectives, and the outcomes to be achieved.
"Interdisciplinary team" means a group of persons who participate in the identification of resident needs and the determination of resident services. At a minimum, the team shall include the resident, caregiver and case manager. The team may also include persons who have worked or will work closely with the resident, persons who provide needed assessments or services, and the resident's family, guardian, or advocate.
"License" means a document issued by the department which indicates that the caregiver, facility, and program meet the standards of this chapter.
"Licensed capacity" means the number of residents and specific restrictions, if any, stated on the license which limits the type of residents permitted by the director in a particular facility.
"Normalization" means the process of giving the residents the opportunity to experience a normalizing environment consisting of daily rhythms, life cycle, and making choices.
"Nutritionist" means a person who has completed a master's degree in public health nutrition or nutritional sciences from an accredited university, and is a registered dietitian or is eligible for registration by the Commission on dietetic registration of the American Dietetic Association.
"Personal care" means basic activities normally performed independently by individuals, such as toileting, bathing, dressing, eating, body hygiene, and ambulation.
"Physician" means an individual holding a valid license to practice medicine or osteopathy issued under chapters 453 or 460, HRS.
"Registered professional nurse" means a person who is licensed as a registered nurse in the State of Hawaii, as defined by chapter 457, HRS.
"Resident" is an adult with developmental disabilities who is unrelated to the caregiver, resides in a domiciliary home for a fee, is unable to live independently, requires supervision, care and training, and who does not require care by a licensed nurse.
"Responsible adult" means an adult who temporarily takes charge of a domiciliary home during the absence of the caregiver or administrator.
"Semi-ambulatory" means those residents who are able to walk with human assistance or assisting devices.
"Special diet" means a special or limited selection of food or drink which is included in the Hawaii diet manual and ordered by a physician.
"Standard chest x-ray" means a chest x-ray taken by standard techniques.
"Tuberculin skin test" means an intradermal injection of .0001 mg (5 tuberculin units) of purified protein derivative in 0.1 cc of sterile diluent.
"Waiver" means an exemption from a specific rule or regulation.
Whenever the singular is used in this chapter, it can include the plural.
