Current through Register Vol. XLI, No. 38, September 20, 2024
26.1.
Vulnerable and transitioning youth group homes and programs shall be exempt
from the following provisions under this licensing rule: subdivision 12.9.4.
(Interior Space Minimum Requirement for Youth Transitioning Private Living
Spaces), paragraph 12.9.16.d. (Kitchen Sinks Requirement for Youth
Transitioning Private Living Spaces), subsection 13.2. (Initial Assessment),
subsection 13.3. (Initial Plan of Care), subsection 13.4. (Plan of Care),
subsection 13.5. (Review of Plan of Care), subsection 14.14. (Daily Schedules),
and subsection 14.16. (Special Services and Populations).
26.2. Vulnerable and transitioning youth
group homes and programs shall also be exempt from the requirements in these
provisions as they relate to the plan of care: subsection 14.2. (Involvement of
Families and Guardians), subsection 14.3. (Behavioral and Therapeutic
Interventions), subsection 14.5. (Medication Control and Administration),
subsection 14.7. (Case Records), subsection 14.9. (Termination and Discharge),
subsection 14.10. (Education Service), and section 15. (Restrictive Behavioral
Interventions).
26.3. Vulnerable
and transitioning youth group homes and programs shall develop the following
programs, procedures or polices, or both, and make them available to employees
and residents:
26.3.1. The information and
documentation required under this licensing rule;
26.3.2. Practices developed by the
organization based upon departmental requirements;
26.3.3. Programming that provides for youth
to move between tiers as needed.
26.3.4. Programming that utilizes the
following guiding principles:
26.3.4.a.
Continued flexibility, innovation, and targeted and tailored
services;
26.3.4.b. Positive youth
development;
26.3.4.c. Adolescent
brain development;
26.3.4.d.
Peer-to-peer relationships and role of adults; and,
26.3.4.e. Transparency.
26.3.5. A complete and detailed description
of the range of services offered and eligibility requirements for
admission;
26.3.6. Description of
life skills services that the program provides to youth;
26.3.7. Age requirements for youth with a
minimum of age 15 and a maximum of age 21;
26.3.8. Specific, service training to
employees providing transitional living services prior to their direct work
with youth, including the following:
26.3.8.a.
Life skills assessment;
26.3.8.b.
Transition plan or futures plan development;
26.3.8.c. Crisis response
26.3.8.d. Advocacy to include training and
knowledge of the Free Application for Federal Student Aid (FAFSA);
26.3.8.e. Mentoring;
26.3.8.f. Linkage and referral; and
26.3.8.g. Adolescent brain
development.
26.3.9.
Programming to provide sex trafficking prevention programming that shall
include:
26.3.9.a. Education about sex
trafficking including what it is and the prevalence of it;
26.3.9.b. Education about understanding one's
vulnerabilities and how to protect self from traffickers;
26.3.9.c. Education about how to enhance the
youth's existing support system of family, friends, and community;
26.3.9.d. Education about services for
housing, homelessness prevention, and educational support; and
26.3.9.e. Education to prevent running
away.
26.3.10.
Description of the supervision ratio that is adequate to ensure safety and is
appropriate for the youth's age and individual needs;
26.3.11. Additional support services as
required for youth as indicated in the youth's transition plan and the program
tier the youth is enrolled;
26.3.12. Initial assessment of a youth's life
skills within 30 days of placement and an assessment of the youth's progress in
acquiring basic living skills at a minimum of once every six months;
26.3.13. Transition plans that addresses each
life domain developed within 60 days of placement and reviewed every 90
days;
26.3.14. Assessment of a
youth's health and medical needs and ensures that any youth receives
appropriate health screening and services, including medical and dental
screening and services;
26.3.15.
Training for youth on living wills, credit reports, health care surrogate, and
reproductive health;
26.3.16.
Procedures to ensure emergency services to youth while in transitional living
that include:
26.3.16.a. Access to emergency
services by the organization 24 hours a day, seven days a week;
26.3.16.b. A plan developed by the
organization for emergency medical care and emergency evacuation;
26.3.16.c. Training by the organization upon
placement on how to use the organization's emergency telephone answering
system; and
26.3.16.d. An agency
employee designated to respond in person to the youth, within an appropriate
time frame for the youth's age and development, of the youth's call for
assistance.
26.3.17. The
determination of the appropriateness for living arrangements used for offsite
transitional living that includes provisions that ensure:
26.3.17.a. Assistance provided for the youth
to find a safe, affordable living arrangement;
26.3.17.b. Assessment that a dwelling
complies with the State Fire Code and applicable health, zoning and building
codes;
26.3.17.c. Assessment that a
dwelling has indoor cooking and bathing facilities.
26.3.18. A process for developing appropriate
aftercare or discharge plans for youth that contains a detailed description of
the education, counseling and treatment that the child received at the
out-of-home placement and it shall also propose a plan for education,
counseling and treatment for the child upon the child's discharge. The plan
shall also contain a description of any problems the child has, including the
source of those problems, and it shall propose a manner for addressing those
problems upon discharge. The aftercare or discharge plan will be incorporated
into the youth transition plan.
26.3.19. A description of the grievance
procedure for expressing and resolving complaints or concerns;
26.3.20. Daily schedules for youth for the
following, but is not limited to; free time, community service, job
preparation, education, driver's education, or basic living skills
development;
26.3.21. The process
on serving youth with developmental disabilities or intellectual disabilities
shall ensure that employees are trained to properly provide habilitation
services and supervision in the following areas as appropriate for the
population served:
26.3.21.a.
Feeding;
26.3.21.b. Communication
with nonverbal individuals;
26.3.21.c. Use of community recreation
options;
26.3.21.d. Management of
self-abusive and aggressive behavior;
26.3.21.e. Adaptive living skills;
26.3.21.f. Person first language and
attitudes;
26.3.21.g. Therapeutic
behavioral supports; and
26.3.21.h.
Implementation of normalcy.
26.3.22. The process for serving individuals
with developmental disabilities with supportive services to help them fully
interact with the community and achieve maximum independence.
26.4. A youth's case record shall
contain:
26.4.1. Written permission from a
guardian to be exempted from any medication administration regulation as
outlined in the youth's transition plan and how it will assist the goal of
independence, for youth under the age of 18;
26.4.2. Written permission from his or her
parents or guardian for a youth under the age of 18 years to enter a scattered
site transitional living arrangement;
26.4.3. A written service agreement with a
youth entering a transitional living arrangement, and an alternate placement
plan for a youth who is unsuccessful in an independent living
arrangement;
26.4.4. A written
assessment by an agency of a youth life skills prior to placing him or her in a
transitional living arrangement or a life skills assessment completed within 30
days of admission;
26.4.5.
Development or revision of a youth's transition plan within 60 days of
admission, with follow-up reviews of the transition plan every 90 days;
and
26.4.6. A monthly budget for
each youth that outlines income, savings, and expenditures.