Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 99 - INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED
Subchapter 1 - SMALL INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED
Section 11-99-11 - Resident daily living care and training

Universal Citation: HI Admin Rules 11-99-11

Current through February, 2024

(a) There shall be sufficient appropriately qualified facility staff to carry out the active treatment program within the facility and to operate the unit on a daily basis.

(b) The facility staff shall participate in appropriate activities relating to the care and development of the residents including training in activities of daily living and the development of self-help and social skills.

(1) Supportive services to enable residents to participate fully in appropriate daily activities.

(2) Physical care and assistance to keep residents clean, comfortable, well-groomed, and protected from accidents and infections.

(3) Necessary assistance to ensure that the residents are appropriately dressed in their own clothes.

(4) Weighing of each resident at least monthly.

(5) Regular documentation in the resident's record of each resident's participation and progress in activities carried out with the supervision or assistance of facility staff.

(d) Restraints shall be used only under a physician's orders for specified and limited periods of time and so documented and shall be used only when resident is imminently dangerous to self or others.

(1) If they are used in an emergency situation the attending physician shall be contacted immediately for orders affirming the temporary need and the orders shall be reduced to writing within twenty-four hours.

(2) Regular observation and release of a resident shall be required while restraints are in use.

(3) No restraints with locking devices shall be used.

(4) There shall be written policies and procedures governing the use of restraints.

(5) Under no circumstances will a resident in restraints be left for a period of time in a facility without the presence of another person who is fully capable of caring for the resident in the event of an emergency.

(e) Sufficient and appropriately qualified facility staff shall be available on the premises at all times that residents are present. At least one member of the staff shall always be readily accessible and able to care for a resident who is away from the premises but needs to return to the facility.

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