(1) PROGRAM
STATEMENT. Each group home shall have a written program statement that shall
include all of the following:
(a) A
description of the group home's purpose and philosophy.
(b) A description of the services available
through or provided by the group home.
(c) A description of the type, age, and sex
of the resident population served by the group home.
Note: Types of resident population refers to a
description of the population served by the group home, for example whether the
group home serves children with developmental disabilities; emotional or
behavioral disorders; alcohol, drug or other substance abuse problems; juvenile
delinquents; correctional aftercare placements; custodial parents; expectant
mothers; respite care; children under 6 years of age; or children who are
transitioning to independence.
(d) A description of the daily activities
available to residents.
(e) A
description of house rules for expected resident conduct.
(f) A non-discrimination statement that
indicates that the group home does not discriminate against a resident because
of race or cultural identification, sex, sexual orientation, age, color, creed,
ancestry, national origin, disability, political affiliations, or religious
beliefs.
(2) POLICIES
AND PROCEDURES. In addition to the emergency planning and personnel policies
and procedures required under ss.
DCF 57.06 and 57.17, a group home shall have written
policies and procedures that include all of the following:
(a) Criteria for levels of supervision of
on-premise and off-premise activities of residents.
(b) Confidentiality of resident
records.
(c) Medication
administration, storage and disposal.
(d) Prohibiting from the premises any person
whose behavior gives reasonable concern for the safety of residents.
(e) The use of universal
precautions.
(f) Behavior
intervention.
(g) Suicide
prevention.
(h) Serious incident
reporting requirements.
(i)
Notifying the appropriate local law enforcement agency if a resident leaves the
group home without permission or fails to return to the group home after an
approved leave.
(j) Resident access
to confidential family planning services.
(k) House rules that shall include all of the
following:
1. A description of acceptable and
unacceptable resident conduct.
2.
Curfew requirements.
3. A
description of the consequences for violations of house rules.
4. Procedures related to a resident's absence
from the group home without permission.
(L) Prohibiting smoking on the group home
premises and in vehicles used to transport residents.
(m) For group homes that serve custodial
parents, policies on visitation between a child of a resident and that child's
non-custodial parent.
(n)
Prohibiting the use of resident labor as a substitute for employment of a
sufficient number of competent persons to operate and maintain the group
home.
(o) A workable plan for
contacting the licensee or a staff member when necessary.
(p) For each shift of resident care staff,
how all of the following will be documented:
1. Staff arrival and departure
times.
2. Number and location of
residents.
3. Summary of each
resident's behavior and program participation during the shift.
4. Significant incidents involving a
resident, including specifying the types of incidents that are required to be
documented in the communication log under s.
DCF 57.215.
(q) How the group home complies with the
requirements of the reasonable and prudent parent standard, including all of
the following:
1. How the communication log
under s.
DCF 57.215 will
be used to inform different shifts of resident care staff and RPPS decision
makers of reasonable and prudent parenting requests and decisions made for
residents under s.
DCF 57.245 for
activities that do not take place in the group home and are not supervised by a
staff member.
2. How the
information on the forms required under ch. DCF 37 will be incorporated into a
new resident's treatment plan, as required under s.
DCF 57.23(2)
(a) 14.
3. How the group home will ensure the
presence on-site of at least one RPPS decision maker at all times.
4. A process for reviewing the parameters and
requirements of the reasonable and prudent parent standard in conjunction with
the group home's corresponding policies and procedures.
DCF-F-5123-E, Reasonable and Prudent Parent Standard
Review, is an optional form that a group home may use to assist with the annual
review. The form is available in the forms section of the department website at
http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence,
P.O. Box 8916, Madison, WI 53708-8916.
