Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0062 - Wyoming Life Resource Center
Chapter 3 - CANYONS INTERMEDIATE CARE FACILITY FOR PEOPLE WITH INTELLECTUAL DISABILITIES
Section 3-4 - Standards for Resident Services

Universal Citation: WY Code of Rules 3-4

Current through September 21, 2024

(a) The interdisciplinary team shall be comprised of the resident; and professionals and paraprofessionals who possess the knowledge, skills, and expertise necessary to accurately identify the comprehensive array of the resident's needs and design a program that is responsive to those needs. The number of individuals who comprise the interdisciplinary team is based upon each resident's individual needs and may vary.

(b) The interdisciplinary team shall use the individual program plan as a record of the current treatment and recommendations depending on the needs of the resident.

(i) To ensure informed choice, placement options are reviewed in accordance with 42 CFR 483.440(c) and resident need.

(ii) For school-aged residents between the ages of three (3) and twenty-one (21) years, the home school district develops the individualized education program and the Canyons ICF shall coordinate the individual program plan process.

(c) The Canyons ICF shall ensure each resident admitted to the Canyons ICF receives active treatment.

(i) Each resident must receive a continuous individualized active treatment program for the resident to function with as much self-determination and independence as possible.

(ii) The Canyons ICF shall ensure the active treatment program is pervasive, systematic, and sufficient in scope to ensure that individuals are appropriately served by assessing each individual resident's needs, including but not limited to the following areas:
(A) Physical development and health, which means the resident's developmental history, results of the physical examination conducted by a licensed physician, physician assistant, or nurse practitioner, health assessment data (including a medication and immunization history), which may be compiled by a nurse, and skills normally associated with the monitoring and supervision of the resident's own health status, and administration and/or scheduling of the resident's own medical treatments;

(B) Nutritional status, which means the determination of appropriateness of diet, adequacy of total food intake, and the skills associated with eating;

(C) Sensorimotor development, which means the development of perceptual skills that are involved in observing the environment and making sense of it. Motor development includes those behaviors that primarily involve muscular, neuromuscular, or physical skills and varying degrees of physical dexterity. Assessment data identifies the extent to which corrective, orthotic, prosthetic, or support devices would impact the functional status of development;

(D) Affective (emotional) development, which means the development of behaviors that relate to the resident's interests, attitudes, values, and emotional expressions;

(E) Speech and language (communication development), which means the development of both verbal and nonverbal and receptive and expressive communication skills. Assessment data identifies the appropriate intervention strategy to be applied and which, if any, augmentative or assistive devices may improve communication and functional status;

(F) Auditory functioning, which means the extent to which a person can hear and to the maximum use of residual hearing, if a hearing loss exists, and whether or not the resident may benefit from the use of amplification, including a hearing aid or a program of amplification. Assessment may include teaching techniques for conducting the assessment or the use of electrophysiological techniques;

(G) Cognitive development, which means the development of those processes by which information received by the senses is stored, recovered, and used. It includes the development of the processes and abilities involved in memory, reasoning, and problem solving;

(H) Social development, which means the formation of self-help, recreation and leisure, and interpersonal skills that enable a resident to establish and maintain appropriate roles and fulfilling relationships with others;

(I) Adaptive behaviors or independent living skills, which means the effectiveness or degree with which residents meet the standards of personal independence and social responsibility expected of their age and cultural group. Independent living skills include, but are not limited to, such things as meal preparation, doing laundry, bed making, and budgeting. Assessment may be performed by a qualified staff member; and

(J) Vocational (prevocational) development, as applicable, which means the work interests, work skills, work attitudes, work-related behaviors, and present or future employment options.

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