Current through Register Vol. 50, No. 9, September 20, 2024
A. The SFC
caregiver(s) shall provide environments that meet the needs of the
client's.
B. The SFC caregivers
home shall be located within a 25 mile radius of community facilities,
resources and services such as medical care, schools, recreation facilities,
churches and other community facilities.
C. The home of the SFC family shall not be
used as lodging for any person(s) who is not subject to the prior approval
certification process of the SFC family. The SFC family shall notify the
administrator, or designee of the SFC provider, of any person(s) allowed to
reside in the home following the initial certification.
1. In a non-emergent situation, prior
notification is required. In an emergent situation, notification shall be made
within 48 hours of the additional person's move into the substitute's family
home.
2. All persons residing with
the SFC family, including temporary or on a non-permanent basis, shall undergo
statewide criminal record background checks conducted by the Louisiana State
Police, or its authorized agent.
3.
The SFC family shall accept persons requiring care or supervision only through
the SFC provider with whom they have a current contract.
D. The SFC caregiver shall care for no more
than two SFC clients in the caregiver's home. The SFC caregiver shall allow no
more than three persons unrelated to the principal caregiver to live in the
home. These three persons include the SFC clients.
E. The SFC caregiver shall have a stable
income sufficient to meet routine expenses, independent of the payments for
their substitute family care services, as demonstrated by a reasonable
comparison between income and expenses conducted by the administrator or
designee of the SFC provider upon initiation of services and as necessary
thereafter.
F. The SFC caregiver
shall have a plan that outlines in detail the supports to be provided. This
plan shall be approved and updated as required and as necessary by the SFC
provider. The SFC caregiver shall allow only SFC approved persons to provide
care or supervision to the SFC client.
1. An
adequate support system for the supervision and care of the participant in both
on-going and emergent situations shall include:
a. identification of any person(s) who will
supervise the participant on a routine basis which shall be prior approved by
the administrator or designee of the SFC agency provider;
b. identification of any person(s) who will
supervise for non-planned (emergency) assumption of supervisory duties who has
not been previously identified and who shall be reported to the agency provider
administrator or designee within 12 hours; and
c. established eligibility for available and
appropriate community resources.
G. The SFC caregiver and/or household shall
receive referrals only from the licensed SFC provider with whom it has a
contract.
H. SFC Caregiver's Home
Environment
1. The home of the SFC caregiver
shall be safe and in good repair, comparable to other family homes in the
neighborhood. The home and its exterior shall be free from materials and
objects which constitute a potential for danger to the individual(s) who reside
in the home.
2. SFC homes featuring
either a swimming or wading pool shall ensure that safety precautions prevent
unsupervised accessibility to client's.
3. The home of the SFC caregiver shall have:
a. functional air conditioning and heating
units which maintain an ambient temperature between 65 and 80 degrees
Fahrenheit;
b. a working
telephone;
c. secure storage of
drugs and poisons;
d. secure
storage of alcoholic beverages;
e.
pest control;
f. secure storage of
fire arms and ammunition;
g.
household first aid supplies to treat minor injuries;
h. plumbing in functional working order and
availability of a method to maintain safe water temperatures for bathing;
and
i. a clean and sanitary home,
free from any health and/or safety hazards.
4. The SFC home shall be free from fire
hazards such as faulty electrical cords, faulty appliances and non-maintained
fireplaces and chimneys, and shall have the following:
a. operating smoke alarms within 10 feet of
each bedroom;
b. portable chemical
fire extinguishers located in the kitchen area of the home;
c. posted emergency evacuation plans which
shall be practiced at least quarterly; and
d. two unrestricted doors which can be used
as exits.
5. The SFC
home shall maintain environments that meet the following standards.
a. There shall be a bedroom for each client
with at least 80 square feet exclusive of closets, vestibules and bathrooms and
equipped with a door, that locks from the inside for privacy unless
contraindicated by any condition of the client. client's shall be afforded
privacy within their sleeping units.
i. The
department may grant a waiver from individual bedroom and square feet
requirements upon good cause shown, as long as the health, safety and welfare
of the client are not at risk.
b. Each client shall have his own bed unit,
including frame, which is appropriate to his/her size and is fitted with a
non-toxic mattress with a water proof cover.
c. Each client shall have a private dresser
or similar storage area for personal belongings that is readily accessible to
the client.
d. There shall be a
closet, permanent or portable, to store clothing or aids to physical
functioning, if any, which is readily accessible to the client.
e. The client shall have access to a working
telephone.
f. The home shall have
one bathroom for every two members of the SFC household, unless waived by the
department.
g. The home shall have
cooking and refrigeration equipment and kitchen and or dining areas with
appropriate furniture that allows the client to participate in food preparation
and family meals.
h. The home shall
have sufficient living or family room space, furnished comfortably and
accessible to all members of the household.
i. The home shall have adequate light in each
room, hallway and entry to meet the requirements of the activities that occur
in those areas.
j. The home shall
have window coverings to ensure privacy.
I. Automobile Insurance and Safety
Requirements
1. Each SFC caregiver shall have
a safe and dependable means of transportation available as needed for the
client.
2. The SFC caregiver shall
provide the following information to the SFC provider who is responsible for
maintaining copies in its records:
a. current
and valid driver's licenses of persons routinely transporting the
client;
b. current auto insurance
verifications demonstrating at least minimal liability insurance
coverage;
c. documentation of
visual reviews of current inspection stickers; and
d. documentation of a drivers license status
inquiry report on each family member who will be transporting the
client.
3. If the
client(s) are authorized to operate the family vehicle, liability insurance
coverage specific to the client(s) use shall be maintained at all times in
accordance with state law.
J. Client Records
1. The SFC caregiver shall forward all client
records, including progress notes and client service notes to the SFC provider
on a monthly basis. The following information shall be maintained in the client
records in the SFC caregiver's home:
a.
client's name, sex, race and date of birth;
b. client's address and the telephone number
of the client's current place of employment, school or day provider;
c. clients' Medicaid/Medicare and other
insurance cards and numbers;
d.
client's social security number and legal status;
e. name and telephone number of the client's
preferred hospital, physician and dentist ;
f. name and telephone number of the closest
living relative or emergency contact person for the client;
g. preferred religion (optional) of the
client;
h. Medicaid eligibility
information;
i. medical
information, including, but not limited to:
i. current medications, including dosages,
frequency and means of delivery;
ii. the condition for which each medication
is prescribed; and
iii.
allergies;
j.
identification and emergency contact information on persons identified as
having authority to make emergency medical decisions in the case of the
individual's inability to do so independently;
k. progress notes written on at least a
monthly basis summarizing services and interventions provided and progress
toward service objectives; and
i.
Repealed.
l. a copy of
the client's ISP and any vocational and behavioral plans.
2. Each SFC family shall have documentation
attesting to the receipt of an adequate explanation of:
a. the client's rights and
responsibilities;
b. grievance
procedures;
c. critical incident
reports; and
d. formal grievances
filed by the client.
3.
All records maintained by the SFC caregiver shall clearly identify the:
a. date the information was entered or
updated in the record;
b. signature
or initials of the person entering the information; and
c. documentation of the need for ongoing
services.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2120.1.
