Current through Supplement No. 394, October, 2024
1.
Admissions policies and procedures. A facility shall have written resident
admission policies and procedures that describe the primary treatment offered
onsite, range of presenting behaviors the facility shall treat, and procedures
for admitting a resident.
2.
Admissions and discharge committee. A facility shall have an admissions and
discharge committee with written policy specific to employees on the committee
and the timeliness the committee has in responding to referrals. The committee
shall meet on at least a weekly basis.
3. Admission determination. The admissions
committee shall complete a written, dated, and signed admission determination
on a prospective resident which includes a preadmission review and
identification of the prospective resident's primary presenting needs. The
facility shall provide the admission determination to the referral within seven
days of receipt of the completed application. Referral may be completed by:
a. A public agency, if a prospective resident
is in foster care and a public agency is granted custody and given full
placement authority pursuant to law or court order; or
b. A parent or guardian, if a prospective
resident is preapproved by the department as a private
placement.
4. Admission
conditions. A facility may admit a prospective resident, as determined by the
admission determination and the following conditions are met:
a. Qualified individual - Level of care
assessment.
(1) Completed assessment. The
facility has received documentation from the department-approved qualified
individual granting approval for the resident to be admitted to a qualified
residential treatment program based on the North Dakota level of care
assessment; or
(2) Emergency
placement. A resident may be admitted to the facility for an emergency
placement for a thirty-day level of care assessment period. Emergency
placements denied for continued placement may not exceed thirty days from
admission. For residents placed in the facility during the thirty-day level of
care assessment period, the facility shall allow access to the qualified
individual and collaborate in the completion of the required level of care
assessment;
b. Juvenile
court approval. For children in foster care, custodial case managers must
receive confirmation from the juvenile court approving the qualified
residential treatment program placement within sixty days of the resident's
date of entry into the facility. A facility is not required to have a copy of
the confirmation on file;
c.
Interstate placements. In accepting a prospective resident from outside the
state of North Dakota, the facility shall receive prior written approval under
the interstate compact on the placement of children and meet all requirements
of section
75-03-40-34;
d. Nondiscrimination against a resident;
and
e. All documentation required
for the resident record, including medical consent, medical history, custodian,
parent, or guardian contact information, family history, placement care
agreement, and financial responsibility.
5. Orientation. Upon admissions, each
resident shall receive orientation to facility living. An employee shall:
a. Orient the new resident and the custodian
and parent or guardian to the facility program;
b. Help the new resident to adjust to the
effects of residential placement; and
c. Provide the new resident and the custodian
and parent or guardian copies of the facility rules, including rules on
visiting, expected behavior and consequences for rule infractions, resident
rights, and grievance and complaint procedures, with explanations of the
documents.
6. Initial
screenings must be completed immediately or no later than twenty-four hours
from admission. A facility shall complete for each resident a:
a. Suicide risk screening;
b. Mental health screening; and
c. Health screening completed by the facility
nurse. The health screening may include documenting height, weight, and
identification of any distinct markings, such as a resident's birthmark,
tattoos, bruises, or cuts.
7. Discharge date. Each admission must have
preliminary plans for discharge.
General Authority: NDCC 50-11-03
Law Implemented: NDCC
50-11-02
