Current through Supplement No. 394, October, 2024
1.
Public
education. Any primary or secondary program offered by a facility must
be in compliance with standards established by the department of public
instruction. The facility shall ensure that children comply with all state
school attendance laws.
2.
Employee training. The facility shall provide quarterly training
to employees which is relevant to address the changing needs of the milieu and
according to the requirements of the facility's accrediting body.
a. All employees on duty must have
satisfactorily completed annual training on current first aid, therapeutic
crisis intervention or crisis prevention intervention, suicide awareness and
prevention training, standard precautions as used by the centers for disease
control and prevention, training on institutional child abuse and neglect to
include reporting requirements and prohibition of employer retaliation for
reporting, and cardiopulmonary resuscitation training and have on file at the
facility a certificate of satisfactory completion prior to having direct
contact with residents. A certificate must be provided to each employee
demonstrating their competencies in cardiopulmonary resuscitation on an annual
basis and therapeutic crisis intervention on a semi-annual basis. An employee
who is in orientation status and who is in the process of completing the
required trainings and background check may be allowed to job shadow with an
employee who the facility has deemed to be an experienced and competent
employee to supervise during orientation status. The facility ensures that
employees who are in orientation status are always under the supervision of
experienced employees and are not left alone with the children until all
required training and background check has been completed.
b. Each employee must be able to recognize
the common symptoms of illnesses of children, signs and symptoms of an
overdose, and to note any marked physical defects of children. The facility
shall ensure a sterile clinical thermometer and a complete first-aid kit are
available.
3.
Discipline. A facility shall create a trauma-informed culture that
promotes respect, healing, and positive behaviors and which minimizes the use
of restrictive behavior management interventions to the extent possible.
Discipline must be constructive or educational in nature and follow the
discipline guidelines of the facility's accrediting body. A facility shall
adopt and implement written policies and procedures for discipline and behavior
management consistent with the following:
a.
Only employees of the facility may prescribe, administer, or supervise the
discipline of children. Authority to discipline may not be delegated to
children or nonemployees.
b. A
child may not be slapped, punched, spanked, shaken, pinched, roughly handled,
struck with an object, or receive any inappropriate physical
treatment.
c. Verbal abuse and
derogatory actions or remarks about the child, the child's family, religion, or
cultural background may not be used or permitted.
d. A child may not be locked in any
room.
e. The facility shall develop
and implement a youth-guided, family-driven plan of discipline as part of the
child's person-centered treatment planning, emphasizing the use of positive
behavior supports and therapeutic interventions, that promote an effective
means of discipline. Daily documentation must reflect whether the interventions
are effective and if they need revising.
General Authority: NDCC 25-03.2-10
Law Implemented: NDCC 25-03.2-03,
25-03.2-07
