Utah Administrative Code
Topic - Human Services
Title R501 - Human Services Program Licensing
Rule R501-20 - Day Treatment Programs
Section R501-20-8 - Additional Considerations for DSPD Home and Community Based Medicaid Waiver Licensees

Universal Citation: UT Admin Code R 501-20-8

Current through Bulletin 2024-06, March 15, 2024

(1) This section of rule supersedes any conflicting requirements of Rules R501-1 and R501-20.

(2) A licensee serving clients of DSPD shall ensure staff to client ratios are determined by the DSPD worksheet and are individualized based on the person's need.

(3) A licensee shall ensure a ratio of one staff to six persons is maintained at all times.

(4) A licensee serving Home and Community Based Services (HCBS) Medicaid Waiver clients shall:

(a) identify themselves as a Waiver provider on their licensing application and follow all attestation and survey requirements therein;

(b) comply with the HCBS Settings rule and Rule R414-519 to include:
(i) providing non-segregated bathrooms;

(ii) providing individually stalled bathrooms with locking capability with only trained and authorized staff having access to keys for safety;

(iii) ensuring the setting is fully accessible and affords access to the community;

(iv) ensuring client information is not posted or stored in public spaces;

(v) not restricting client access to food unless documented in the person-centered service plan or behavior support plan;

(vi) allowing clients individual initiative, autonomy, independence and choices in regard to their daily activities, physical environment and with whom they interact as much as safely possible; and

(vii) supervising clients and maintaining supporting documentation according to the person-centered service plan or behavior support plan; and

(c) when there is a conflict between a rule under Title R501 and Settings rule, Settings rule shall supersede.

(5) A licensee shall identify any community-based supports provided under the day treatment license and ensure that community-based services are provided safely and in consideration of weather, transportation, emergencies and overall client needs for food, medicine and any other assistance necessary for safe participation in the program.

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