(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.