Rules & Regulations of the State of Tennessee
Title 0465 - Intellectual and Developmental Disabilities
Subtitle 0465-02 - Intellectual and Developmental Disabilities, Department of
Chapter 0465-02-01 - Definitions
Section 0465-02-01-.02 - DEFINITION OF DISTINCT CATEGORIES OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES FACILITIES/SERVICES

(1) "Intellectual Disabilities Adult Habilitation Day Facility/Services" means a non-residential facility or service which offers a variety of habilitative activities to adults with intellectual disabilities. Such habilitative activities may range from training activities in independent living to vocational skills depending on the needs of the person supported. This includes adult developmental training, work activity, and sheltered workshop programs, but does not include job placement and supported employment programs. This category is provided in either a center based or a community/home based environment. Each setting requires a separate license.

(2) "Developmental Disabilities Adult Habilitation Day Facility/Service" means a non-residential facility or service which offers a variety of habilitative activities to adults with developmental disabilities. Such habilitative activities may range from training activities in independent living to vocational skills depending on the needs of the person supported. This includes adult developmental training, work activity, and sheltered workshop programs, but does not include job placement and supported employment programs. This category is provided in either a center based or a community/home based environment. Each setting requires a separate license.

(3) "Intellectual and Developmental Disabilities Boarding Home Facility" means a residential facility that offers personal care services to persons with intellectual and/or developmental disabilities, including room, board, and supervision to two (2) or more persons supported unrelated by blood or marriage to the owner or operator. People living in such facilities are capable of self-preservation, able to care for basic self-help needs with minimal assistance, able to care for personal possessions, able to maintain personal living areas in a state of orderliness, able to recognize danger or threat to personal safety, able to maintain behavior which is generally tolerable to the community, and able to attend to minor health care needs.

(4) "Intellectual and Developmental Disabilities Diagnosis and Evaluation Facility" means a non-residential service, which provides personnel and testing resources to perform diagnosis and evaluation of persons supported having, or suspected of having, intellectual and/or developmental disabilities.

(5) "Intellectual and Developmental Disabilities Institutional Habilitation Facility" means a facility which offers, on a regular basis, health-related services for persons supported with intellectual and/or developmental disabilities who do not require the degree of care and treatment which a hospital or skilled nursing facility is designed to provide but, because of physical, intellectual, and/or developmental disabilities, require residential care and services (more than room and board) that involve health-related care under the supervision of a physician. Such a facility also offers an intensive program of habilitative services.

(6) "Intellectual and Developmental Disabilities Placement Services" means a program which provides or arranges regular residential placements, for persons with intellectual and/or developmental disabilities, in the individual home of care providers who are recruited, trained, and supervised by the program. The entity licensed is the program delivering such services rather than the individual homes of the program's care providers. No more than three (3) persons supported may receive services in an individual care provider's home. Such programs are known as foster care, sponsor care, or family model residential care.

(7) "Developmental Disabilities Preschool Facility/Service" means a non-residential service which offers a program of training, habilitation, or care for children with developmental disabilities, or children at risk of developmental disabilities, not of the chronological mandatory age to be enrolled in services of the Department of Education, and which is designed to teach self-help, socialization, communication, or school readiness skills, or designed to train parents or surrogates in methods and techniques of habilitation. This category of service is provided in either a center based or community based environment. Each setting requires a separate license.

(8) "Intellectual and Developmental Disabilities Residential Habilitation Facility" means a residential facility which provides room and board, and assistance in acquiring, retaining and improving self-help, socialization, adaptive skills, and any other services necessary for a person supported with intellectual and/or developmental disabilities to live in a community setting. No more than four (4) persons supported shall reside in the home unless the home was licensed on or before June 23, 2000. The facility shall provide training in the acquisition of, and assistance in completing skills related to, daily living, personal grooming, cleanliness, household chores, eating, meal preparation, and any other skills necessary based on the needs of the person supported. Any of these services shall be specified in the ISP with specific therapeutic goals. Any professional services delivered in the facility shall be provided by duly licensed staff and specified in the ISP.

(9) "Intellectual and Developmental Disabilities Respite Care Services" means a program which provides or arranges for the temporary support of persons supported with intellectual and/or developmental disabilities in the care of staff recruited, trained, and supervised by the licensee for the purpose of giving relief to the regular caregiver or to provide other assistance to the person supported, his/her family, guardian, or care giver. The licensed entity is the program delivering such services rather than the individual homes of the program's providers. No more than three (3) people can receive this service in one (1) home.

(10) "Intellectual Disabilities Semi-Independent Living Services" means a program which provides services for persons supported with intellectual disabilities, who are able to reside in a housing situation without program staff residing on site. The services of program staff support the home life style of the person supported in order to reside in such housing situations. The program offers and provides regular, and as needed, support services in procuring or monitoring adequate housing for persons supported, supervising home life styles, and assisting in development of higher-order independent living skills. The entity licensed is the program delivering the services rather than the individual dwellings for persons supported.

(11) "Developmental Disabilities Semi-Independent Living Services" means a program which provides services for persons supported with developmental disabilities, who are able to reside in a housing situation without program staff residing on site. The services of program staff support the home life style of the person supported in order to reside in such housing situations. The program offers and provides regular, and as needed, support services in procuring or monitoring adequate housing for persons supported, supervising home life styles, and assisting in development of higher-order independent living skills. The entity licensed is the program delivering the services rather than the individual dwellings for persons supported.

(12) "Intellectual and Developmental Disabilities Supported Living Services" means a service entity which provides support and assistance to individuals with intellectual and/or developmental disabilities, who live in their own homes or apartments but require staff support and assistance to reside in such housing situations. Service entity staff provides support and assistance on a regular basis in accordance with the needs of the person supported living in the home. No more than three (3) persons supported shall reside in the home. The service entity delivering the support is licensed rather than the homes of the person supported.