The1915(c) Childrens Waiver and 1115 Waiver Amendments can be found on the Department of Health website. Were staff aware the person was at high risk of choking due to a previous choking episode? JFIF ` ` C For purposes of this Part, a child or adult with a diagnosis of developmental disability, who has been or is being served by a State, private or voluntary operated facility certified by OPWDD. History vs. acute onset? Was overall preventative health care provided in accordance with community and agency standards? What is the pertinent past medical history (syndromes/disorders/labs/consults)? A condition of a person, or lack thereof, which, when addressed, enhances the person's quality of life and/or ability to cope with his or her circumstances or environment. endobj The SC is responsible to communicate with the waiver service providers that the participant now has a legal guardian who they need to communicate with as needed. Were the risks addressed? Plans are revised at least every six months and must be signed. Was there a diagnosed infection under treatment at home? Did the person require staff assistance to stand, to walk? Section 8.ATTACHMENTS. Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? A payment (as of this date) of up to $250 per year, per person residing in a voluntary-operated community residence which may be available to the operator of the facility for one or more of the following individuals needs: (2) personal requirements and incidental needs; and. The death investigation is always the responsibility of the agency. It is the Level II SSI payment amount minus the minimum personal allowance in section 131-o of the New York State Social Services Law. U.S. Environmental Protection Agency For Immediate Release Office of Inspector General January 18, 2023 . Did the person have a history of Pica? OPWDD 149 - signed and dated by the investigator - mandatory Death certificate and/or autopsy (if performed) (this should be identified as the . 0/u`_(|F!F. Providers may disclose PHI to health oversight agencies, (e.g., the government agency which licenses the provider), for legally authorized health oversight activities, such as audits and investigations. The Person-Centered Planning process should empower people with intellectual and/or developmental disabilities to have an active voice in the development of their Person-Centered Service Plan (PCSP) and in shaping their futures. If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? This Inventory is a tool that can help to generate meaningful conversations with a person regarding the possible risk areas in his/her life. Any history of constipation/small bowel obstruction? Were the medications given as ordered? endstream endobj 168 0 obj <>stream Death certificate and/or autopsy (if performed) (this should be identified as the Source of Cause of Death in the Report of Death) mandatory, but investigation should be submitted if death certificate/autopsy is still pending. The maximum number of beds available to be occupied by people with developmental disabilities for respite purposes, as indicated on the operating certificate issued by the commissioner. What were the diagnoses prior to this acute issue/illness? Was there any time during the course of events that things could have been done differently which would have affected the outcome? The PPO must be attached to the Addendum for submission to the RRDS for review. There are several resources to support the planning process and the delivery of exceptional care in the most integrated community settings. Circumstances? It clearly enlists the key activities that affect the health and welfare of an individual. Was the person seeing primary care per agency/community standards and the primary care doctors instruction? The PPO must be redone by the SC with the participant each time an RSP is developed for submission with the RSP packet to the RRDS for review. (4) An individualized residential alternative shall meet the requirements of this Part as set forth in sections 686.1, 686.2, 686.3, 686.4, 686.5, 686.9, 686.15(a)(1)-(3) (as appropriate) and 686.16 of this Part. Were there any diagnoses requiring follow up? 4 0 obj Developed by the New York Department of Health this tool is used for participants with traumatic brain injury. The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. Washington, D.C. Did the person receive any medications that could cause drowsiness? Were they followed? Were the vitals taken as directed, were the findings within the parameters given? xU]k@|?T? Was there a nursing care plan regarding this diagnosis? Those criteria which specify the basis of documenting compliance for the purposes of issuing an operating certificate. When was the last blood level done for medication levels? about ADM #2015-02 Service Documentation for Community Transition Services, about ADM #2018-06R2 Transition to People First Care Coordination, about ADM #2022-05 Medication Administration Training Curriculum for Direct Support Staff, Office for People With Developmental Disabilities, Title 14 of the New York Codes, Rules andRegulations (NYCRR), 1915(c) Childrens Waiver and 1115 Waiver Amendments, Management of Communicable Respiratory Diseases. This document may be known by a different name but it must comprise the elements described in this definition. (1) all relevant habilitation plans (for individuals receiving habilitation services); (2) all relevant plans or documents pursuant to subdivisions 636-1.4(c) and (d) of this Title that support modification to an individuals rights specified in paragraphs 636-1.4(b)(1)-(4) of this Title; and. What was the treatment? The PPO must be signed and dated by the applicant and SC and all individuals listed as Informal Supports to the waiver applicant. If fluids are to be given, how much? Did plan address Pica as a choking risk? An authorized provider's written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party. Any medical condition that would predispose someone to aspiration? Were staff involved trained? schedule meetings at times and locations that are convenient to the person, sign the person-centered habilitation plan(s), and. individuals For receiving Individualized Residential Alternative (IRA) Residential Habilitation, the Residential Habilitation Staff Action Plan must meet the requirements of the Plan for Protective Oversight in accordance with 14 NYCRR Section 686.16. Did the person receive sedation related to a medical procedure? (2) For individualized residential alternatives of eight or fewer beds, OPWDD shall verify that each person's individualized services plan (see glossary) contains a current evaluation of the fire evacuation capacity of the person based on actual performance. (3) OPWDD shall verify that each person has a plan for protective oversight, based on an analysis of the person's need for same, and that such need has periodically, but at least annually, been reviewed, revised as appropriate, and integrated, as appropriate, with other services received. What were the PONS in place at the time? Those requirements with which an agency must comply, but against which the facility will not be routinely surveyed for recertification purposes. (x) Oversight, protective. Did it occur per practitioners recommendation? What was the course of stay and progression of disease? Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). If you are seeking specific legal advice in relation to these regulations, you should contact a licensed attorney in your local community. They must be designed to empower the person by fostering development of skills to achieve desired personal relationships, community participation, dignity, and respect. If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. Did the person have an injury or illness that impaired mobility? hb``g``b`e`ja`@ 6 -qaC$n20L_9sL*,JY@QI-#d^/,J>&/tah``0 @b8:0MLf@Z"a@w_`pPSvf|>30u0e\\ (h1aMX886p.pr3b f&; @g0 gK Summary Job Description: The Residential Manager for our OPWDD-funded Individualized Residential Alternatives (IRAs) is an essential position and is responsible for the daily operations of 2 to 3 residential programs, by supervising, leading, and developing a competent and professional workforce, ensuring compliance with all federal, and state . Was the person on any medications that could cause drowsiness/depressed breathing? This Plan must also be submitted to the Regional Resource Development Specialist with all Service Plans, and reviewed, at lease every six months by the Service Coordinator. Were there any previous swallowing evaluations and when were they? If monitoring urine output report what amount, or qualities? Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? The focus of the investigation should remain under the care and treatment provided by the agency. Developing strategies to address conflicts or disagreements in the planning process, including a clear conflict of interest guidelines for people, and communicating such strategies to the person. Seizure frequency? Was it realistic given other staff duties? Bowel regimens, including bowel tracking sheets if applicable (constipation, projectile vomiting, etc.). The Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. This requires that the SC/CM ensure that all required attachments (e.g. Due to the timing of the posting process, the regulations posted on the Department of State website may not reflect the most current version of OPWDD regulations. What were the directions for calling a nurse? Addressed in the plan: money management, medication management, kitchen safety, back-up staffing for unscheduled staff absences. What was the latest prognosis? Is it known whether the person lost consciousness prior to the fall? 665 0 obj <> endobj endstream endobj 666 0 obj <. (4) service coordination, including assessment, service planning and coordination, linkage and referral, follow-up and monitoring. Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? The maximum monthly amount a person can be required to contribute to the cost of care in a community residence. Was the preventative health care current and adequate? CFCO, authorized in the Affordable Care Act, allows states to expand access and availability of long term services and supports. stream Providers continue to demonstrate innovation towards ensuring people with developmental disabilities achieve thedesired goals and outcomes that they value most. 0 Did the person start a narcotic pain medication? Did the person receive any blood thinners (if GI bleed)? Guidance, (2) The governing body of a proprietary community residence is the proprietor(s) of the community residence. The first page of the house-specific Plan of Protective Oversight will be uploaded as an attachment. (ii) Facilities of 1-3 beds where on-site 24-hour per day supervision is provided. On the agencys part? The B/DDSO is responsible for coordinating the service delivery system within a particular service area, planning with community and provider agencies, and ensuring that specific placement and program plans and provider training programs are implemented. Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. Were there any recent medication changes? If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? endobj OPWDD shall verify that staff and persons residing in the facility are trained and evaluated regarding their performance of said plan. Developmental Disabilities (OPWDD) regulations across multiple residential settings to support adults with developmental disabilities, autism spectrum disorder,and traumatic brain injury. Ensure that individual medication is administered as prescribed. If there are no changes to the PPO, the participant and the SC sign the last page of the Addendum indicating that the PPO was reviewed and there were no changes. The PPO must be sent to the RRDS for review and signature. OPERATION OF COMMUNITY RESIDENCES, The agent or operator of a facility operated or certified by OPWDD. OPWDD DDRO Manual for the Children's Waiver, DD/MF and DD in Foster Care - August 2019 updated May 2021 (PDF) OPWDD Collaborative Eligibility Process for the Children's Waiver, DD/MF and DD in Foster Care - PDF | Recording (YouTube) - May 2021 Initiating and Maintaining OPWDD ICF/IID LCED Policy #CW0010 - Updated May 2021 (PDF) An intermittent urge to action whether physical or verbal, and not a means of continuous assistance. If the fall was not observed, did staff move the individual? This website is intended solely for the purpose of electronically providing the public with convenient access to data resources. 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