Current through Register Vol. 56, No. 18, September 16, 2024
(a) Within 30 days
of admitting a developmentally disabled individual, the facility shall develop
an Individual Habilitation Plan (IHP).
(b) Each individual's IHP shall be developed
by the Interdisciplinary Team (IDT).
1. One
member of the IDT shall be designated the plan coordinator.
(c) The IDT shall elicit and
respect the individual's or guardian's preferences.
(d) Where the individual's rights are
restricted, they shall be documented in the IHP.
1. The IHP shall indicate when restrictions
may be lessened or rights restored.
2. A review date, not to exceed 90 days,
shall be established.
3. The
individual or guardian shall be advised of their right of appeal, in accordance
with N.J.A.C. 10:48-1.
(e) An IHP shall be based upon an assessment
of the individual's capabilities.
1. The
results of screenings and evaluations shall be used in the development of the
IHP.
2. Findings shall be recorded
in terms that are clearly understood by all participants.
i. The results of each assessment shall be
interpreted to the individual and/or to the parents/guardian as
requested.
3. The
assessment process shall be adapted to the age, cultural background, language,
ethnic origin and means of communication used by the individual and the family.
i. Assessment should be conducted in a
setting familiar to the individual.
4. Each individual's assessment shall be
reviewed and updated at least annually.
(f) The IHP shall address the person's
development in the following areas, as appropriate:
1. Physical development and health;
2. Dietary needs;
3. Sensorimotor development;
4. Affective development;
5. Social skills;
6. Communication skills;
7. Auditory functioning;
8. Cognitive development;
9. Adaptive behaviors or independent living
skills necessary for the individual to be able to function in the
community;
10. Recreation and use
of leisure time; and
11. Vocational
skills.
(g) Each IHP
shall be reviewed and revised as needed, but at least annually.
(h) The scheduling of the IDT meeting shall
facilitate the participation of the individual, and his or her family members
or other persons who represent the individual.
(i) The IHP shall include at least the
following:
1. A cover page;
2. A summary of assessment
information;
3. A summary of
progress toward previous IHP goals and objectives;
4. The identification of individual's
preferences, capabilities and needs;
5. Goals;
6. Behaviorally stated, measurable,
sequential objectives;
7. Clearly
stated method(s) of achieving each objective;
8. The identification of IDT members and
persons responsible for ensuring the delivery of services/programs described in
the plan;
9. A listing of all
current and planned services/programs and their dates of initiation, frequency,
and anticipated duration;
10.
Barriers to meeting the individual's needs;
11. Guardianship status; and
12. The signatures of all IDT members in
attendance at the meeting.
(j) The IHP shall be part of the individual's
record, as defined in N.J.A.C. 10:41, and shall be subject to the
confidentiality provisions of that chapter.
(k) The individual or his or her parent or
guardian shall be provided a copy of the IHP.
(l) Each agency serving the individual shall
receive a copy of the IHP.
(m) Any
recommendation in the IHP may be appealed in accordance with N.J.A.C.
10:48.
(n) Behavior management
plans shall be part of the IHP, in accordance with
10:47-7.5.
(o) The current IHP shall be filed in the
individual's record.
1. A copy of the current
IHP shall be accessible to all staff working with the individual. The IHP shall
contain progress notes by each discipline providing service to the
individual.
2. The plan coordinator
shall review the IHP as needed, but at least quarterly, comment on progress
notes recorded and verify implementation through direct observation.
i. The findings shall be documented in the
progress note section of the IHP.
(p) Any proposed changes in the IHP shall be
recommended in writing to the plan coordinator.
1. All changes in the IHP shall be
communicated to the team members.
2. If the plan coordinator determines that
proposed changes result in significant differences in the IHP, he or she shall
schedule a meeting of the IDT.
(q) Any major change in an individual's
residential service and/or supports shall include the utilization of the IDT.
1. In the case of a planned transfer or
discharge, at least 30 days prior to the anticipated discharge date, at a
minimum:
i. An addendum to the IHP shall
update the existing plan and include the specifics of the transition;
ii. The development of the discharge plan
shall include the licensee, the individual and his or her guardian, as
appropriate, the IDT and a representative of the placing agency;
iii. The discharge plan shall assess the
individual's continuing needs and recommend a plan for provision of follow-up
services in the individual's new environment;
iv. The appropriate Division regional office
shall be notified; and
v. The
individual's full records shall be transferred.
2. Should the licensee and the placing agency
determine a residence is no longer suitable or no longer meets the needs of an
individual, the individual shall not be maintained at that residence, provided
substantive evidence is given to the placing agency.
i. All discharges of private placements shall
be reported in writing to the licensing agency within five days.
